Hospitals as healthcare service providers face various potential risks that may affect patient safety, including both clinical and non-clinical risks. The complexity of inpatient services, the involvement of multiple units, and a low culture of incident reporting make patient safety risk management a critical aspect that requires systematic analysis. This study aimed to analyze the implementation of patient risk management at RSUD (Regional Public Hospital) dr. R. Goeteng Taroenadibrata, Purbalingga. This study employed a mixed-methods approach with a sequential explanatory design. Quantitative data were obtained from patient safety incident reports, visit statistics, and the risk register. Qualitative data were collected through in-depth interviews, observations, and document review. Quantitative data were analyzed using univariate descriptive analysis, while qualitative data were analyzed through coding and thematic analysis. The findings indicated that patient safety risks consisted of both clinical and non-clinical risks. The most frequently occurring clinical risks were patient falls and patient identification errors. Most identified risks were classified as moderate to high based on likelihood and consequence assessments in accordance with SNI ISO 31000:2018. Risk mitigation measures had been implemented through standard operating procedures (SOPs) and incident reporting systems; however, challenges remained regarding compliance and documentation completeness. Patient safety risk management at RSUD dr. R. Goeteng Taroenadibrata, Purbalingga, has been implemented but has not yet reached an optimal level. Strengthening the patient safety culture, improving adherence to SOPs, developing a non-punitive reporting system, and conducting regular risk evaluations are necessary to enhance the effectiveness of patient safety management.