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# Hazard, Hazardous Situation, and Harm

ISO 14971 distinction underpinning all medical-device risk analysis.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 5, 2026 

## Definition

A hazard is a potential source of harm. A hazardous situation occurs when people, property, or the environment are exposed to a hazard. Harm is injury or damage to health that results from exposure during a hazardous situation. 

What the regulation says

Under  [ISO 14971](/terms/iso-14971):2019, the international standard for risk management of medical devices, these terms are fundamental to the risk management process. Regulators worldwide, including the FDA and those enforcing the EU  [MDR](/terms/mdr-reporting), expect manufacturers to identify hazards, characterize hazardous situations, and estimate harm as part of a comprehensive risk analysis, as outlined in ISO 14971:2019 clause 4.3 and Annex E. The  [IMDRF](/terms/imdrf) also emphasizes these distinctions in its guidance on MedTech risk management. 

## What this means in practice

Many risk tables conflate these terms. Correctly modeling the chain hazard → sequence of events → hazardous situation → harm is essential for defensible risk control decisions. 

## Examples

-   A sharp edge on a device (hazard) moving into proximity with a patient during use (hazardous situation) could cause a laceration (harm).
-   A software defect (hazard) that causes incorrect data display (hazardous situation) could lead a clinician to administer an incorrect dose of medication (harm).
-   A power supply failure (hazard) during a surgical procedure (hazardous situation) could result in the loss of critical device function and injury to the patient (harm).

Common pitfalls

-   • Conflating "hazard" with "hazardous situation" can lead to an incomplete or inaccurate risk analysis, potentially missing crucial risk controls. 
-   • Failing to clearly define the sequence of events leading from a hazard to a hazardous situation and then to harm can obscure the true risk. 
-   • Assuming all hazards will automatically lead to harm without considering intervening events or mitigating factors is a common error. 
-   • Overlooking indirect or latent harms that may manifest after a significant time delay can lead to underestimation of risk. 
-   • Not comprehensively identifying all potential hazardous situations for a given hazard can result in inadequate risk control measures. 

## Frequently asked questions

How do these terms relate to cybersecurity risks? 

In cybersecurity, a vulnerability in a medical device can be considered a hazard. A hazardous situation arises when that vulnerability is exploited, potentially leading to unauthorized access, data compromise, or device malfunction, which then results in harm to the patient or operator. 

Why is it important to distinguish between these terms? 

Can a single hazard lead to multiple types of harm? 

## Cross-references

### Used by

Things that build on this term.

-   [
    
    ISO 14971
    
    
    
    ](/terms/iso-14971)

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Quality & Risk

Risk Management File(RMF) 

Set of records and outputs from the ISO 14971 risk management process.





](/terms/risk-management-file)[

Standards

ISO 14971

International standard for the application of risk management to medical devices.





](/terms/iso-14971)[

Standards

ISO/TR 24971

Guidance on the application of ISO 14971 to medical devices.





](/terms/tr24971)

### More in Quality & Risk

· Same category 

[

Quality & Risk

Biocompatibility

Ability of a material to perform with an appropriate host response in a specific application.





](/terms/biocompatibility)[

Quality & Risk

CAPA Effectiveness Check

Verification step confirming a corrective or preventive action actually fixed the problem.





](/terms/capa-effectiveness)[

Quality & Risk

Change Control

Formal QMS process for evaluating, approving, and implementing changes that could affect product quality or compliance.





](/terms/change-control)[

Quality & Risk

Complaint Handling

Process for receiving, evaluating, and responding to device complaints.





](/terms/complaint-handling)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Quality System](/ecosystems/quality-system)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

ISO· 2 AAMI· 1 

1.  [1 
    
    ISO 14971:2019
    
    Verified 
    
    ISO · iso.org 
    
    
    
    ](https://www.iso.org/standard/72704.html)
2.  [2 
    
    ISO 13485 Standard Page
    
    Verified 
    
    ISO · iso.org 
    
    
    
    ](https://www.iso.org/iso-13485-medical-devices.html)
3.  [3 
    
    AAMI - Quality Systems Resources
    
    Verified 
    
    AAMI · aami.org 
    
    
    
    ](https://www.aami.org/standards)

Inline markers like \[1\]  jump to the matching reference above.

Sponsor note

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MedTech Terms is a community resource sponsored by [Blue Goat Cyber](https://bluegoatcyber.com). Definitions are independent of any vendor.

On this term

Category

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Updated

5/5/2026

[Compare with another term](/compare?a=hazard-vs-harm)

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Card Lesson Quiz

ISO 14971 distinction underpinning all medical-device risk analysis.

-   · Many risk tables conflate these terms. 
-   · Correctly modeling the chain hazard → sequence of events → hazardous situation → harm is essential for defensible risk control decisions. 
-   · A hazardous situation occurs when people, property, or the environment are exposed to a hazard. 

Remember this

Watch out: Conflating "hazard" with "hazardous situation" can lead to an incomplete or inaccurate risk analysis, potentially missing crucial risk controls.

Related terms

-   [ISO 14971 ](/terms/iso-14971)
-   [ISO/TR 24971 ](/terms/tr24971)
-   [Risk Management File(RMF) ](/terms/risk-management-file)

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