© 2002 Archives of Disease in Childhood
LEADING ARTICLE
Community health
Audit and risk management in community child health
1 Professor of Community Child Health, University of Sheffield; Honorary consultant paediatrician, Sheffield Children's NHS Trust; Institute of General Practice, Northern General Hospital, Sheffield S5 7AU, UK
2 Clinical Risk Management Adviser, Havering Primary Care Trust; Consultant paediatrician, Suttons View, St George's Hospital, Suttons Lane, Hornchurch RM12 6RS, UK
Correspondence to:
Correspondence to:
Prof. D M B Hall, Storrs House Farm, Storrs Lane, Stannington, Sheffield S6 6GY, UK;
d.hall@sheffield.ac.uk
A focus on preventive care programmes
Keywords: risk management; community health; audit
Abbreviations: CHI, Commission for Health Improvement; CHT, congenital hypothyroidism; CNST, Clinical Negligence Scheme for Trusts; DDH, developmental dysplasia of the hip; GP, general practitioner; HACCP, Hazard Analysis Critical Control Point; NHSLA, National Health Service Litigation Authority; NPSA, National Patient Safety Agency; PCHR, Personal Child Health Record; PKU, phenylketonuria; RM, risk management; TB, tuberculosis; TBM, tuberculous meningitis
| The first 150 words of the full text of this article appear below. |
The widespread acceptance of clinical governance as a tool for improving the quality of health care delivery means that consultant community paediatricians share responsibility for setting and maintaining standards of practice in the community. One aspect of developing a high quality of care is risk management (RM), which has been defined as "the process of reducing or eliminating losses due to accident or misadventure".1 An essential feature of RM within clinical governance is that individual practitioners assume responsibility for their part in reducing and eliminating risk. The overall aim is to improve the quality of care, by identifying and reducing risks that might result in damage to a patient or healthcare professional, or result in complaints and litigation. There are three aspects of RM:
- Setting up systems that monitor practice, identify weaknesses and adverse incidents, and allow analysis of mistakes and omissions before harm, complaints, and litigation occur.
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