Communication as a Risk Management Tool for Psychiatry

  • Oren AsmanEmail author
  • Tal Bergman-Levy
Reference work entry


Objectives: Risk management and patient safety serve as integral and important systemic and organizational tools. In recent decades it has been introduced and developed widely in the medical field. This chapter examines possible implications of risk management and patient safety procedures in the field of psychiatry, bearing in mind the unique properties of this field and the unique risks posed therein, as related to individuals as well as from a global systemic viewpoint, financial security, and reputations of mental health institutions.

Methods: This chapter presents and analyzes three case scenarios demonstrating “communication lapses,” in the Israeli mental health setting, in order to establish a basis for subsequent discussion regarding the effective management of information, as an integral part of risk management in psychiatry. Various recommendations for improving communication, in the mental health system, are examined, based on these examples.

Results: The chapter asserts that increasing the extent of communication, between various elements of the health-care system, and improving its quality may be an important factor in improving the successful handling of psychiatry-related risks.

Conclusions: Optimal information management is a core element in the management of psychiatry-related risks and may also contribute to better clinical practice and patients’ safety.


Mental Health Risk Management Patient Safety Mental Health Care Mental Health System 
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  1. 1.
    Carrol R, editor. Risk management handbook for the health care organizations. San Francisco: American Society for HealthCare Risk Management; 2009. p. 13–20.Google Scholar
  2. 2.
    Risk management, field manual 100-14. Department of the Army, Washington. April 1998. Available on Last retrieved 23 Nov 2012.
  3. 3.
    Lyndon Bird, Dictionary of Business Continuity Management Terms. 2011. Available on Last retrieved 23 Nov 2012.
  4. 4.
    Munson R. Outcome uncertain: cases and contexts in bioethics. Belmont: Wadsworth; 2003. p. 360–363.Google Scholar
  5. 5.
    Freud T. A state Umbrella. Zman Harefu’a. 2004;2:22–28 (In Hebrew).Google Scholar
  6. 6.
    Lessing C, Siebert H. Patientensicherheit. Unfallchirurg. 2011;114:750–751.PubMedCrossRefGoogle Scholar
  7. 7.
    Hochberg MS, Seib CD, Berman RS, Kalet AL, Zabar SR, Pachter HL. Perspective: malpractice in an Academic Medical Center: a frequently overlooked aspect of professionalism education. Acad Med. 2011;86(3):365–368.PubMedCrossRefGoogle Scholar
  8. 8.
    Alper EJ, Wachter RM. Simulation is the way to bring risk management and patient safety together. Acad Med. 2011;86(10):1193–1194.CrossRefGoogle Scholar
  9. 9.
    Faigin et al., editors. Risk management in medicine. Tel Aviv; 2004 (In Hebrew).Google Scholar
  10. 10.
    The 62nd annual report of the Israeli State’s comptroller for the year 2011 and fiscal year 2010, 1.5.2012.Google Scholar
  11. 11.
    Tan MW, McDonough WJ. Risk management in psychiatry. Psychiatr Clin North Am. 1990;13:135–147.PubMedGoogle Scholar
  12. 12. (in Hebrew). Last visited 23 Nov 2012.
  13. 13.
    Borenstein Y, Roska P. Guidelines for preventing and dealing with violence. Ministry of Health, Nursing Supervision 2008. Last visited 28 Nov 2011 (In Hebrew).
  14. 14.
    Swanson JW, Holzer 3rd CE, Ganju VK, Jono RT. Violence and psychiatric disorder in the community: evidence from the epidemiological catchment area survey. Hosp Community Psychiatry. 1990;41:761–770.PubMedGoogle Scholar
  15. 15.
    Steadman HJ, Mulvey EP, Monahan J, Clark Robbins P, Appelbaum PS, Grisso T, Roth LH, Silver E. Violence by people discharged from acute psychiatric inpatients facilities and by others in the same neighborhoods. Arch Gen Psychiatry. 1998;55:393–401.PubMedCrossRefGoogle Scholar
  16. 16.
    Appelbaum PS, Clark Robbins P, Monahan J. Violence and delusions: data from the MacArthur violence risk assessment study. Am J Psychiatry. 2000;157:566–572.PubMedCrossRefGoogle Scholar
  17. 17.
    Bergman Levy T, Bleich A, Kotler M, Melamed Y. Security and psychiatry: the British experience and implications for forensic psychiatry services in Israel. Isr Med Assoc J. 2010;12:587–591.PubMedGoogle Scholar
  18. 18.
    Jayaram G, Triplett P. Quality improvement of psychiatric care: challenges of emergency psychiatry. Am J Psychiatry. 2008;165:1256–1260.PubMedCrossRefGoogle Scholar
  19. 19.
    Reed J. Risk management and clinical risk management: the lessons from recent inquiries. Br J Psychiatry. 1997;170:4–7.Google Scholar
  20. 20.
    Poythress Jr NG. Avoiding negligent release: contemporary clinical and risk management strategies. Am J Psychiatry. 1990;147:994–997.PubMedGoogle Scholar
  21. 21.
    Callaly T, Dinesh A, Minas H. Quality, risk management and governance in mental health: an overview. Aust Psychiatry. 2005;13:16–20.Google Scholar
  22. 22.
    Israeli Patient’s Rights Law – 1996, articles 19, 20.Google Scholar
  23. 23.
    Engel G. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–136.PubMedCrossRefGoogle Scholar
  24. 24.
    Pilgrim D. The biopsychosocial model in Anglo-American psychiatry: past, present and future? J Mental Health. 2002;11(6):585–594.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Zefat Bioethics ForumZefat Academic CollegeZefatIsrael
  2. 2.Beer–Yaacov Mental Health CenterBeer–YaacovIsrael
  3. 3.Department for Mental Health, Law and EthicsInternational Center for Health, Law and Ethics, Haifa UniversityHaifaIsrael

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