7 Risk assessment and risk management in anaesthesia

Abstract

The understanding of the basis of anaesthetic risk has changed from the concept of human error, to human factors interactions, to a system-oriented model. This model incorporates the importance of actions of individuals and organizational flaws. Risk control comprises risk prevention (assessment), avoidance (elimination) and reduction. The last of these requires a method for recognizing, managing and investigating untoward events. One such method is presented. Risk financing is the ability of organizations to pay for losses related to poor outcome. For anaesthetists, this represents fees for medical indemnity. Finally, the purpose of risk management, combined with quality assurance activities to ensure optimal patient care, is explained.