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trauma and may experience their treatment as a betrayal of trust. They may become angry, depressed, and bitter, and their problems are often compounded by a protracted adversarial legal process (Vincent, 1995a; Vincent, 1995b). Staff, on the other hand, may experience guilt, shame, and depression after making a mistake. Litigation and complaints impose an additional burden on them. A doctor, for example, whose confidence has been reduced will probably work less effectively and efficiently. Sometimes, doctors even abandon medicine as a career (Vincent, 1995b; Genn, 1995). 3. Clinical Risk Management
Risk Management can be broadly defined as the reduction of harm to an organisation, by identifying and, as far as possible eliminating risk. In a clinical setting, the primary focus is on malpractice, which causes financial losses but also affects the reputation and morale of a trust and its staff. Clinical risk management also involves the continuing care of the injured patients and rapid settlement of justified claims (Clements, 1995). According to a working definition by Dingwall and Fenn (1991), the aim of clinical risk management is threefold: (1) Prediction of losses and ensuring that adequate levels of reserves have been allocated to meet them.
(2) Active management in order either to prevent the lodging of a claim or to promote an early resolution which will limit the legal costs.
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