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A Guide to Healthcare Risk Management Planning

Sample Risk Management Plan and Template


We created an example of a healthcare risk management plan using the steps and structure shown in the chapter, “How Do You Create a Risk Management Plan?.” We set this up as a chart so each risk prevention plan and reaction process can be seen in an organized layout.


Healthcare Risk Management Planning: Step 1

Refresher: The first step to creating a risk management plan is to establish a formal document that describes your plan in detail. Ideally, the document will include the following information:

  • Organization Name:
  • Organization Location:
  • Plan’s Purpose:
    • Example: "To create the safest environment for our patients, staff, and visitors by identifying, assessing, responding to, and learning from risks."
  • Our Organization’s Mission Statement:
    • Example: "To provide compassionate, high-quality care to the community. To treat and care for all patients and their guests as if they were our family. To educate healthcare professionals and pursue research efforts to achieve higher rates of prevention and cures."
  • Name of Risk Manager(s):
  • Names of Organization’s Leaders:
  • Person(s) Designated for Communicating Information About Possible Risks or Actual Events:
  • How Information Will Be Communicated:
    • Example: "Meeting to be held by June 10, with quarterly training sessions as follow-up. Determine which staff members will communicate information to and from staff and all involved in an event. This can be a risk manager, unit, or departmental managers, or other designees as appointed by the organization’ leadership. Schedule ongoing training for staff as appropriate to your organization to discuss current risk management strategies."


Healthcare Risk Management Planning: Steps 2 - 5

Once you've created your official risk management plan document, you'll then need to follow the following steps:

  • Step 2: Identifying the actual/potential risks
  • Step 3: Analyzing the risk
  • Step 4: Planning your team's responses to the risk
  • Step 5: Planning how your team will manage the risk

Once you've compiled this information, it's time to put it all together. Here's an example of how your risk management plan could look:

Steps 2-5: Identify, Analyze, Respond & Manage Risk

Risk/Assignee Probability Qualitative Score Quantitative Score First Response Management
  • Patient falls
Person Handling Risk:
N/A, All medical staff is trained in falls.
High in the acute care and long-term care settings, and for certain patient populations High risk 5 Mitigate:
  • Ensure bed rails are always up when patients are in bed.
  • Use bed alarms if patient is at high risk for falls.
  • Ensure wet floors are cleaned up promptly.
  • Use prominent signage warning of wet floors and block access.
  • Notify physician.
  • Apply comfort measures, ice, pillows, splint patient injury as appropriate.
  • Take patient to X-Ray as needed.
  • Notify Risk manager and family.
  • Faulty bed rail design, contact manufacturer and insurance carrier to report for possible reimbursement of costs related to patient injury.
Permanently remove faulty equipment that contributed to the event.

  • Patient broke free from bed restraints due to improper application (staff responsible for incident)--educate staff on proper use of restraints for confused or agitated patients.
  • Notify physician.
  • Notify environmental services.
  • Notify department or unit manager.
  • Notify risk manager.
  • Prompt responses to injured patient, family, and staff.
  • Re- educate staff if something they did contributed to fall.
  • Follow up with injured patient.
  • Conduct ongoing tracking of falls with a goal of reducing their frequency.
  • Ensure ongoing staff education regarding fall prevention protocols
Table of risk and analysis facts for nurses

One example of how you can format a healthcare risk management plan.

Image courtesy of Sutton

The views expressed in this article are those of the author and do not necessarily reflect those of Berxi™ or Berkshire Hathaway Specialty Insurance Company. This article (subject to change without notice) is for informational purposes only, and does not constitute professional advice.

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