Risk Assessment Template for Healthcare and Leadership Management

This document presents a risk assessment template designed for healthcare settings, specifically addressing medication errors and their potential consequences. It outlines a structured approach to identifying, analyzing, and evaluating risks. The template includes sections for describing the context, identifying risk sources, assessing likelihood and consequences, and evaluating the effectiveness of existing controls. The document also references the use of a risk matrix to determine risk ratings and provides options for risk treatment, such as avoidance, mitigation, and sharing. The template further includes a section for business objectives, outlining how these objectives can be impacted by various risks, such as obsolete technology, budgetary constraints, and changes in management. The document concludes with a disclaimer emphasizing that the template is for general use only and does not constitute formal advice.

Risk Assessment Template
Area/Department Risk Register ID
Date of Risk Assessment Risk Category
Risk Owner Assessment Conducted By
Establish the Context Risk Description Effectiveness of Controls Analysis
Evaluation
Objective Context Risk Source Description Current Control(s) Control Rating Risk Rating
Clinical
To prevent
medication
administration error
Internal factors –
Behavioral and
knowledge
factors
External factors –
Workplace
disruption
Medication
administration error
Something might occur which
{Cause(s)} the {Event} that leads to
an {Impact/Consequence(s)}
Cause – lack of knowledge or
confidence issues
Event – medication administration
error
Impact – aggravation of patient’s
health, can be fatal
Supervision, policy,
audits and training
Medication
administration
efficiency scales
Use likelihood and
consequence table
and risk matrix.
Patient B suffered from a
severe systematic symptoms
after being administered with
the wrong medication diazepam
instead of Beta blocker.
Business objective:
Increase service
productivity to core
clients by 10 % in 1
year
Obsolete
technology;
budgetary
constraints; change
in management
Change in
management; change
in government funding;
changes in legislation
Cause
E.g. Failure
to maintain
client service
managemen
t system
Event
E.g.
Leads to
delays in
service
delivery
Impact
E.g. Results
in poor
service level
to core
clients
Governance
committee; policies
and procedures;
quality improvement
plans
High, Medium or
Low
Rating = Likelihood x
Consequence
Risk evaluation involves
comparing the level of risk found
during the analysis process with
risk criteria established when the
context was considered. Based on
this comparison, the need for
treatment can be considered.
Options for treatment may include:
 Avoidance of risk
 Pursuing risk
 Removing risk source
 Changing likelihood
 Changing consequence
 Sharing risk with another
party
 Retaining the risk
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