Risk management in the healthcare safety management system

The paper discusses the main components of the modern system of risk management in medicine. Using the ISO 31000 standard of risk management and the ARIS integrated modeling environment, the authors have built a model of the risk management process in a medical organization, including the accounting subsystem, the risk analysis subsystem, and the risk processing subsystem. The concept of risk management proposed in the article is formulated on the basis of a system safety model, which assumes that adverse events related to the provision of medical care are based on systemic causes that under certain conditions turn into a hazard, and the latter is used to receive active threats and incidents. The risk management system is an executive block of the safety management system in a medical organization, which includes (in addition to risk management) an ideological block (a new safety culture) and an educational block (an organizational learning subsystem).