· New Zealand edition: online, self-paced courses with certificate

Patient safety and medicines

Clinical Risk Management

Identifying, assessing and controlling clinical risk under the Code of Rights, Ngā Paerewa, the HQSC adverse events policy and the Health and Safety at Work Act 2015

  • 3hours (estimated)
  • 10sections
  • 20final questions
  • 80%pass mark
  • PDFcertificate
  • Online and self-paced, on any device
  • Reflective account template
  • Knowledge checks in every section
  • Instant certificate of completion

Written for New ZealandUpdated 5 October 2026

What you will learn

  • Define hazard, risk, near miss and adverse event, and distinguish proactive from reactive risk management.
  • Explain how the Code of Rights (Right 4 and clause 3), the HPCA Act, Ngā Paerewa, the HQSC national adverse events policy and the Health and Safety at Work Act 2015 shape clinical risk management in New Zealand.
  • Identify high-risk clinical processes and use internal and external sources of risk intelligence, including whānau concern and HDC opinions.
  • Apply human factors principles to explain why competent practitioners make predictable errors.
  • Assess risks using likelihood and consequence, and distinguish a prospective risk rating from the Severity Assessment Code.
  • Select controls using the hierarchy of controls, and use checklists, standardisation, supervision and delegation as genuine safeguards.
  • Apply HSWA duties (PCBU, officer, worker, overlapping duties, notifiable events) to health care workplaces.
  • Report incidents and near misses effectively and describe SAC ratings, ARR events and national reporting timeframes.
  • Write strong, owned and measurable recommendations and check that improvements are sustained.
  • Demonstrate insight and remediation in clinical risk practice with evidence suitable for recertification and regulatory processes.

Who this course is for

Registered health practitioners in Aotearoa New Zealand: doctors, nurses, midwives, dentists and oral health practitioners, pharmacists, paramedics and allied health professionals, including those in quality, risk and leadership roles.

After a concern

Structured learning and a written reflection to show insight after a complaint, an investigation or a responsible authority inquiry.

Routine CPD

Focused learning on a core standard of practice, with a certificate and reflection for your portfolio.

About this course

This course teaches the practical discipline of clinical risk management as it works in Aotearoa New Zealand: finding hazards before they harm anyone, judging how much they matter, choosing controls that work for real people under pressure, and learning from incidents so that fixes last. It covers Right 4 of the Code of Rights, the HPCA Act and professional standards, Ngā Paerewa Health and Disability Services Standard NZS 8134:2021, the Health Quality & Safety Commission's national adverse events policy 2023 (including SAC ratings, the Always Report and Review list and national reporting timeframes), national tools such as the New Zealand Early Warning Score and the Surgical Safety Checklist, and the Health and Safety at Work Act 2015.

It is written for registered health practitioners in every setting: doctors, nurses, midwives, dentists and oral health practitioners, pharmacists, paramedics and allied health professionals, in hospitals, general practice, community and aged residential care, pharmacies and private practice. It suits practitioners who want to strengthen everyday safety practice, those taking on quality, risk or leadership roles, and those who need to show insight and change after an incident.

New Zealand holds organisations and individuals to account for avoidable harm through HDC, responsible authorities, certification audits and, for worker safety, WorkSafe. Each asks a different question about the same event. Practitioners who manage risk well, escalate what they cannot control, report honestly and document their reasoning protect patients and whānau and are able to show that they acted reasonably. Each section uses New Zealand case examples across the professions and ends with a knowledge check.

Course details

Learning time
Approximately 3 hours (estimated learning time including knowledge checks, reflection and assessment)
Standards covered
Code of Health and Disability Services Consumers' Rights (Right 4, Right 5, clause 3); Health Practitioners Competence Assurance Act 2003; Ngā Paerewa Health and Disability Services Standard NZS 8134:2021 and the Health and Disability Services (Safety) Act 2001; HQSC Healing, learning and improving from harm: National adverse events policy 2023, SAC guidance and Always Report and Review list; Health and Safety at Work Act 2015 (ss 22, 30, 34, 36, 44, 45, 55–57); RNZCGP Foundation Standard indicators 13.1 and 13.3; professional codes and standards of the Medical, Nursing, Midwifery, Dental and Pharmacy Councils
Format
Self-paced, gated lessons with knowledge checks, case studies and reflection
Assessment
20 scenario-based questions, 80% to pass (16 of 20)
Outcome
Certificate of completion and a written reflection for your CPD record
Alignment
Mapped to the safe-practice standards of New Zealand's responsible authorities under the HPCA Act and to the national quality and safety framework; suitable for a professional development plan or recertification activity where relevant

Course curriculum

10 sections · 24 lessons · 3 hours (estimated) · 20-question final assessment

  1. 1Clinical risk in Aotearoa New Zealand: concepts and framework3 lessons
    • What clinical risk management is, and why it is everyone's job
    • The New Zealand framework: who sets the rules for clinical risk
    • Equity, Te Tiriti o Waitangi and cultural safety as risk issues
  2. 2Identifying clinical risks and hazards3 lessons
    • Where risk intelligence comes from
    • High-risk processes in New Zealand health care
    • Human factors: why skilled people make predictable errors
  3. 3Assessing and prioritising clinical risk3 lessons
    • Likelihood, consequence and the risk matrix
    • Individual patient risk assessment at the point of care
    • Residual risk, risk registers and escalating what you cannot control
  4. 4Controlling clinical risk: barriers, checks and teamwork4 lessons
    • The hierarchy of controls applied to clinical care
    • Standardisation, checklists and safety-critical routines
    • Scope, competence, supervision and delegation as risk controls
    • Communication controls: handover, speaking up and closed loops
  5. 5Workplace health and safety: the Health and Safety at Work Act 2015 in clinical settings2 lessons
    • HSWA duties for health practitioners, practices and services
    • Hazards to health workers, and why they become patient risks
  6. 6Incidents, reporting and learning that changes practice3 lessons
    • Reporting incidents and near misses well
    • Severity, national reporting and the other agencies
    • Learning reviews and making improvements stick
  7. 7Governance, accountability and what regulators expect3 lessons
    • Clinical governance and the practitioner's place in it
    • Individual and organisational accountability: how HDC and regulators see risk failures
    • When a risk concern involves your practice: insight, remediation and evidence
  8. 8Conclusion and key points1 lesson
    • Conclusion and key points
  9. 9References and further reading1 lesson
    • References and further reading
  10. 10Your reflective account1 lesson
    • Your reflective account

Assessment and certificate

Final assessment

20scenario-based questions

  • Pass mark 80%: 16 correct out of 20
  • Knowledge checks in each section as you go
  • Tests whether you can apply the standards, not recall a page
  • Not passed yet? Review the sections and retake it

Certificate of completion

A certificate of completion for your learning portfolio.

  • Your name, the course title and the estimated learning time (record the time you actually spend)
  • Completion date and a unique certificate ID that can be verified
  • Ready to download as a PDF as soon as you complete the course

Your reflective account

The course includes a structured reflective account template: guided prompts to record what you learned, how you will apply it and how the change will show in your practice. It gives you written evidence of insight after a concern, and a ready record for your CPD portfolio.

Write it in your own words and leave out anything that could identify a patient, a colleague or a case. If you have an open complaint or case, talk to your adviser before reflecting on it in writing.

Questions about this course

How is clinical risk management different from incident reporting?

Incident reporting is reactive: it starts after an event. Risk management is mainly proactive: finding high-risk processes before harm, rating risks by likelihood and consequence, and choosing controls. The course covers both and explains how a prospective risk rating differs from the Severity Assessment Code.

Does the course explain Health and Safety at Work Act duties in health care?

Yes. It applies the HSWA 2015 duties of the PCBU, officers and workers, overlapping duties and notifiable events to clinical workplaces, including where patient safety and worker safety meet, such as violence, fatigue and hazardous substances. Officers' due diligence duties are also explained.

What makes a risk control strong?

The course uses the hierarchy of controls to show why design changes and forcing functions beat warnings and training, and how checklists, standardisation, supervision and delegation can be genuine safeguards rather than paperwork. It ends with writing strong, owned and measurable recommendations.

Where does useful risk intelligence come from?

From internal sources such as incidents, audits and complaints, and external ones such as HDC opinions and national alerts. The course treats whānau concern as risk information and uses national tools such as NZEWS and the Surgical Safety Checklist as worked examples.

Will my council accept the risk management course for CPD?

Councils and boards do not approve individual outside courses, so we make no credit claim; you may record it where it fits your PDP and scope. About 3 hours (estimated) online for NZ$139; 16 of 20 final questions answered correctly earns the certificate, plus a reflection on risks in your own setting.

How this course was built

Official sources only

Every legal and regulatory point comes from primary sources: the HPCA Act 2003, the responsible authorities' standards and the Code of Health and Disability Services Consumers' Rights. Anything we cannot confirm is left out.

Original, edition by edition

Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.

Reviewed when rules change

When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.

Page updated 5 October 2026

Related courses

All courses
Patient safety and medicines3 hours

Human Factors and Patient Safety

Why capable practitioners make errors and what to do about it: cognition, workload, fatigue, situational awareness, design, teamwork and speaking up.

20-question final assessment, 80% pass

Records, competence and development3 hours

Clinical Documentation and Record Keeping

Accurate, honest and defensible notes: what a good entry contains, late entries and corrections, AI scribes, access requests and the 10-year retention rule.

20-question final assessment, 80% pass

NZ$1393 hours (estimated) · 20 questions
Enrol now