Th is article presents risk management issues in hospitals. It explains changing legal and economical environment of hospitals in Poland, where certain factors brings activity of the hospital close to the activity of the entrepreneur. Th e article presents mutual connection between quality management and risk management. Authors explains essence of risk management in hospital, which is deepened on the basis of the example of hospitools® by Ecclesia. Th is system rely on practical, legal and medical approach. From the practical perspective it uses claims database of the whole market in order to establish and classify adverse events in the medical treatment process and to identify risks in this process. From the legal perspective risk management system refers in particular to patient consent and its scope, as well as to the requirements regarding medical documentation. Medical aspect of the risk management system refers to information on medical treatment process, patient consent, organization and documentation from the biggest in Europe adverse events database collected by Ecclesia and applying it to the particular hospital in order to identify and eliminate critical points of its risk management system. Present article also presents analysis of the existing mandatory liability insurance of hospitals, which also constitutes element of risk management system. Authors presents key legal provisions regulating system of this insurance and impact of liability changes in legal, economical and social environment on that. Th is issue has been deepened by the analysis of the excess insurance, in particular suffi ciency of the sum guaranteed and existence of necessary insurance coverage in time of the hospital.