title: [Not Available].
abstract: BACKGROUND
  The purpose of this article is to present a model for clinical risk management based on technological and organisational advances with proven effect. Designed for a single clinical Unit, the model is open to other notification systems and health care clinical units.
  
  
  METHODS
  The model has three implementation phases. The first phase involved studying the existing safety system and objectively measured the culture of patient safety. The second phase included development and implementation of a system for the management of critical incidents with creation of a team of specialists. The third phase was the development of the technological and organizational base for horizontal and vertical integration, for internal and external training, and opening the system to other clinical units.
  
  
  RESULTS
  We found an unstructured, non-confidential, potentially punitive model of clinical risk management without efficacy criteria. There was an unsatisfactory safety culture level for all of the evaluation issues. The introduction of a system for critical incident management gave the basis for the optimization and evaluation of the patient safety related processes.
  
  
  CONCLUSIONS
  Our model for clinical risk management is a simple, useful and efficient example for introducing a patient safety strategy in a hospital clinical unit.
authors.affiliation: Área de Críticos. Hospital Son Llàtzer. Palma de Mallorca. Islas Baleares. España. Electronic address: igrigoro@hsll.es.
authors.forename: Ivaylo
authors.initials: I
authors.lastname: Grigorov Tzenkov
authors.forename: Silvia
authors.initials: S
authors.lastname: Fernández
authors.forename: Ana
authors.initials: A
authors.lastname: Ferrer
authors.forename: Miriam
authors.initials: M
authors.lastname: Baena
authors.forename: Pedro
authors.initials: P
authors.lastname: Valentí
authors.forename: Marc
authors.initials: M
authors.lastname: Tomas
authors.forename: Jaime
authors.initials: J
authors.lastname: Poua
authors.forename: José
authors.initials: J
authors.lastname: Luis Aguilara
authors.forename: Freyga
authors.initials: F
authors.lastname: Gargoulas