BY DR.MOHAMED R. YOUSEF PATIENT SAFETY OFFICER QUALITY & PATIENT SAFETY DEPARTMENT MEEQAT GENERAL HOSPITAL Madina - KSA

1. B Y
D R . M O H A M E D R . Y O U S E F
P A T I E N T S A F E T Y O F F I C E R
Q U A L I T Y & P A T I E N T S A F E T Y D E P A R T M E N T
M E E Q A T G E N E R A L H O S P I T A L
RISK MANAGEMENT
INTRUDUCTION
PART 2
05 FEBRUARY2020

2. CONTENT
 What is RM ?
 Types of risk ?
 Why we need it ?
 How to do it ?
 Who will do it ?
‫املخاطر؟‬ ‫ة‬‫ر‬‫إدا‬ ‫ماهي‬
‫؟‬ ‫املخاطر‬‫أنواع‬ ‫هي‬ ‫ما‬
‫لها؟‬ ‫نحتاج‬ ‫ملاذا‬
‫معها؟‬ ‫التعامل‬ ‫كيفية‬
‫عنها؟‬ ‫ل‬‫املسئو‬‫من‬

3. Types of Risks ‫املخاطر‬ ‫أنواع‬
 1- OPERATIONAL ‫مخاطر‬‫تشغيلية‬
 2- FINANCIAL ‫مخاطر‬‫ماليه‬
 3- HUMAN CAPITAL ‫د‬‫ر‬‫املوا‬‫البشريه‬
 4- STRATEGIC ‫اتيجية‬‫ر‬‫إست‬ ‫مخاطر‬
 5- LEGAL, REGULATORY ‫قانونية‬ ‫مخاطر‬
 6- TECHNOLOGY ‫مخاطر‬‫تقنية‬
 7- ENVIRONMENTAL HAZARD ‫بيئية‬ ‫مخاطر‬
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5. Risk register
‫المخاطر‬ ‫سجل‬

6. 4/2 Risk Analysis ‫املخاطر‬ ‫تحليل‬
 What is risk analysis ??
 It is a process that is used to understand the nature, sources, and
causes of the risks that you have identified and to estimate the level of
risk It is also used to study impacts and consequences and to examine
the controls that currently exist
‫وأسبابها‬ ‫المخاطر‬ ‫مصادر‬ ‫طبيعة‬ ‫لفهم‬ ‫استخدامها‬ ‫يتم‬ ‫عملية‬ ‫هو‬ ‫المخاطر‬ ‫تحليل‬:
‫االحتماالت‬ ‫دراسة‬
‫العواقب‬ ‫دراسة‬(‫اآلثار‬،‫الشدة‬)
‫المخاطر‬ ‫مستوى‬ ‫تقدير‬.
‫حاليا‬ ‫الموجودة‬ ‫الضوابط‬ ‫فحص‬.

7. How to analyze risks
?‫املخاطر‬ ‫تحليل‬ ‫يتم‬ ‫كيف‬

8. A-Likelihood (How often) ‫اإلحتماليه‬
 The probability of an event is the measure of the
chance that the event will occur as a result of an
experiment.
 EXAMPLES:
 The probability of a smoker to get lung cancer by the age 60 is
…..
‫لتجربة‬ ‫كنتيجة‬ ‫الحدث‬ ‫حدوث‬ ‫احتمالية‬ ‫مقياس‬ ‫هو‬ ‫حدث‬ ‫وقوع‬ ‫احتمال‬.
‫أمثلة‬:
‫هو‬ ‫الستين‬ ‫سن‬ ‫في‬ ‫الرئة‬ ‫بسرطان‬ ‫المدخن‬ ‫إصابة‬ ‫احتمال‬.....

9. A-Likelihood

10. Example of Events :
 Fire leading to death of 1 person or more.
 Infant Abduction.
 Stolen Wheel chair from Emergency Room.
‫الحرائق‬.
‫مولود‬ ‫إختطاف‬.
‫متحرك‬ ‫كرسي‬ ‫سرقة‬.

11. B- Impact-Consequences (How bad)
‫أثر‬-‫الخطر‬‫عواقب‬

12. Impact Score (severity levels) with scores,
descriptors and example definitions

13. Examples:
 Infant Injury Wound in the head.
 Medication error leading to permeant paralysis.
 Patient Fall resulting in 2 days extended stay.

14. 4/3 Risk Evaluation ‫الخطر‬ ‫تقدير‬

15. ‫الخطر‬ ‫حجم‬ ‫تقدير‬
 The level of risk is its magnitude. It is estimated by considering
and combining consequences and likelihoods.
•‫حجمه‬ ‫هو‬ ‫الخطر‬ ‫مستوى‬.
‫احتماالتها‬ ‫مع‬ ‫العواقب‬ ‫في‬ ‫بالنظر‬ ‫ذلك‬ ‫در‬ٌ‫ق‬‫ي‬ ‫و‬.

16. RISK MATRIX ‫الخطر‬ ‫حجم‬ ‫تقدير‬

17. RISK RATING ‫المخاطر‬ ‫تقييم‬

18. 4/4 Risk Treatment ‫الخطر‬ ‫معالجة‬

19. Definition of Risk Treatment
‫تعريف‬‫معالجة‬‫املخاطر‬
 Risk treatment is a risk modification process. It involves selecting
and implementing one or more treatment options.

‫المخاطر‬ ‫تعديل‬ ‫عملية‬ ‫هي‬ ‫المخاطر‬ ‫معالجة‬.‫أكث‬ ‫أو‬ ‫واحد‬ ‫وتنفيذ‬ ‫اختيار‬ ‫على‬ ‫تنطوي‬ ‫وهي‬‫ر‬
‫العالج‬ ‫خيارات‬ ‫من‬.

24. Risk Register ‫املخاطر‬‫سجل‬
 A Risk Register is a summary of risks which threaten the
organization, its staff and service users The risks are rated
and intended actions recorded.
‫الخدمة‬ ‫ومستقبلي‬ ‫بها‬ ٌ‫العاملين‬ ‫و‬ ‫املؤسسة‬ ‫تهدد‬ ‫التي‬ ‫للمخاطر‬ ‫ملخص‬ ‫عن‬ ‫ة‬‫ر‬‫عبا‬.
‫يتم‬ٌ‫ترتيب‬ ‫به‬‫ملعالجتها‬ ‫املهام‬ ٌ‫وتحدد‬
ٌ
‫األولوية‬ ‫حسب‬ ‫املخاطر‬.
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25. Risk Register ‫سجل‬‫املخاطر‬
4

28. Risk Register
 Store information on significant risks in a meaningful way that
can be distributed and used to make better informed decisions.
‫القرار‬ ‫لصناع‬ ‫معلومات‬ ‫توفر‬.
 Rank risks by severity of consequences in order that they may be
prioritized for action.
ٌ‫األولوية‬ ‫حسب‬ ‫المخاطر‬ ‫ترتب‬.
 40

29. Risk Register ‫سجل‬‫املخاطر‬
 Risk Type.
 Risk owner.
 Risk description.
 Risk Ratings.
 Risk proximity.
 Action plans.
 Action owner for each
action.
 Completion date for each
action.
‫الخطر‬ ‫نوع‬.
‫المخاطر‬ ‫صاحب‬.
‫المخاطر‬ ‫وصف‬.
‫المخاطر‬ ٌ‫تقدير‬.
‫المخاطر‬ ‫من‬ ‫القرب‬.
‫العمل‬ ‫خطط‬.
‫مهمه‬ ‫لكل‬ ‫مسئول‬.
‫مهمه‬ ‫لكل‬ ‫االنتهاء‬ ٌ‫خ‬‫ي‬ ‫تار‬.

31. Information flow from the Register

33. Action owner:
 All risks have action owner(s), to whom the risk owner has
delegated responsibility for ensuring the delivery of a task or
activity that will help to mitigate the risk and to provide regular
reporting on progress
‫مالك‬ ‫لها‬ ‫المخاطر‬ ‫جميع‬(‫مالك‬)‫ضمان‬ ‫عن‬ ‫مسؤوليتهم‬ ‫المخاطر‬ ‫مالك‬ ‫فوض‬ ‫الذين‬ ، ‫اإلجراء‬
‫م‬ ‫تقارير‬ ‫وتقديم‬ ‫المخاطر‬ ‫من‬ ‫التخفيف‬ ‫في‬ ‫يساعد‬ ‫أن‬ ‫شأنه‬ ‫من‬ ‫نشاط‬ ‫أو‬ ‫مهمة‬ ‫تسليم‬‫نتظمة‬
‫المحرز‬ ‫التقدم‬ ‫عن‬

34. Risk owner
 A risk owner is a person or entity that has been given the
authority to manage a particular risk and is accountable for
doing so.
‫الق‬ ‫عن‬ ً‫ال‬‫مسؤو‬ ‫ويكون‬ ‫معينة‬ ‫مخاطر‬ ‫إدارة‬ ‫سلطة‬ ‫نح‬ُ‫م‬ ‫كيان‬ ‫أو‬ ‫شخص‬ ‫هو‬ ‫المخاطرة‬ ‫مالك‬‫يام‬
‫بذلك‬.

35. Risk Manager
 Develop and implement RM policy and keep it up to date.
 Facilitate risk aware culture within the organization.
 Coordinate RM activities.
 It is not their responsibility to manage risks identified within a
service
‫محدثة‬ ‫عليها‬ ‫والحفاظ‬ ‫المخاطر‬ ‫إدارة‬ ‫سياسة‬ ‫وتنفيذ‬ ‫تطوير‬.
‫المنظمة‬ ‫داخل‬ ‫بالمخاطر‬ ‫الوعي‬ ‫ثقافة‬ ‫تسهيل‬.
‫المخاطر‬ ‫إدارة‬ ‫أنشطة‬ ‫تنسيق‬.
‫الخدمة‬ ‫داخل‬ ‫المحددة‬ ‫المخاطر‬ ‫إدارة‬ ‫مسؤوليتهم‬ ‫من‬ ‫ليس‬

36.  Maintenance and monitoring of effective incident
reporting and occurrence reporting Programs
 2. Claims management
 3. Clinical and administrative responsibilities such as
policy review, credentialing, contract review, internal and
external reporting and education
 4. Collaboration with the organization’s safety officer
(The risk manger may be the safety officer in smaller
organizations)
 5. Collaboration with the financial office staff regarding
insurance and other methods of risk financing
 6. Regulatory compliance
 7. Risk management plan establishment

42. ALL PRESENTATION LINK
‫املحاضرات‬ ‫ابط‬‫ر‬