RISK ASSESSMENT
Overview Proactive risk identification and mitigation are essential for patient safety and regulatory compliance. A.Paul Accreditation Consulting provides comprehensive risk assessment services that identify vulnerabilities, prioritize interventions, and create actionable mitigation strategies to protect patients, staff, and your organization.
Comprehensive Risk Assessment Services Patient Safety Risk Assessment
Clinical Process Analysis: Evaluation of patient care processes for potential safety hazards
Infection Control Risk Evaluation: Assessment of practices that could lead to healthcare-associated infections
Medication Safety Review: Analysis of medication storage, handling, and administration processes
Equipment Safety Assessment: Evaluation of medical equipment maintenance, operation, and user competency
Operational Risk Assessment
Workflow Analysis: Identification of process inefficiencies that create safety or compliance risks
Supply Chain Risk Evaluation: Assessment of inventory management and product tracking systems
Communication Gap Analysis: Review of handoff procedures and interdepartmental communication
Documentation Risk Assessment: Evaluation of record-keeping practices and audit trails
Regulatory Compliance Risk Assessment
Accreditation Gap Analysis: Comprehensive review against Joint Commission, AAAHC, and other standards
Regulatory Readiness Evaluation: Assessment of preparedness for surveys and inspections
Policy and Procedure Compliance: Review of actual practices versus documented procedures
Training and Competency Gaps: Identification of areas where staff education is insufficient
Environmental and Facility Risk Assessment
Sterile Processing Environment: Evaluation of traffic patterns, environmental controls, and physical space
High-Level Disinfection Areas: Assessment of HLD scope reprocessing environments
Operating Room Assessment: Review of sterile field maintenance and surgical environment controls
Materials Management: Evaluation of storage conditions and inventory control systems
Our Risk Assessment Process Phase 1: Pre-Assessment Planning (Week 1)
Review of current documentation and policies
Identification of specific areas of concern
Development of customized assessment tools
Scheduling of site visits and staff interviews
Phase 2: On-Site Assessment (Weeks 2-3)
Departmental walkthroughs and observations
Staff interviews and competency observations
Review of incident reports and quality data
Documentation review and audit
Process mapping and workflow analysis
Phase 3: Analysis and Reporting (Week 4)
Risk prioritization using severity and likelihood matrices
Root cause analysis of identified issues
Development of detailed findings report
Creation of risk mitigation recommendations
Phase 4: Action Planning (Week 5)
Collaborative development of corrective action plans
Timeline establishment for risk mitigation
Resource identification and allocation
Assignment of responsibilities
Phase 5: Follow-Up Support (Ongoing)
Monitoring of action plan implementation
Reassessment of high-risk areas
Adjustment of strategies as needed
Documentation of improvements
Risk Categories We Address
Critical Risks: Immediate patient safety threats requiring urgent intervention
High Risks: Significant compliance or safety issues requiring prompt attention
Moderate Risks: Issues that should be addressed within 3-6 months
Low Risks: Opportunities for improvement with longer implementation timelines
Deliverables
Comprehensive risk assessment report with prioritized findings
Visual risk matrices and heat maps
Detailed corrective action plans with timelines
Resource recommendations and budget considerations
Implementation support documentation
Follow-up assessment schedules
Specialized Risk Assessment Focus Areas
Sterile Processing and Instrument Reprocessing
High-Level Disinfection Compliance
Flexible Endoscope Reprocessing
Surgical Services and Perioperative Areas
Materials Management and Supply Chain
Equipment Maintenance and Biomedical Safety