Objective To investigate the application effect of nursing risk management among severe burn patients in intensive care unit ( ICU). Methods To select patients who were treated by nursing risk management intervention before was as control group, and the patients after nursing risk management intervention were chosen as observation group. We comparatively analyzed the knowledge control of nursing risk management before and after the intervention, adverse events of the patients, BICU hospitalization time, and the nursing work quality. Results The knowledge related severe burn acquired the average score of (78. 3 ± 10. 8) before intervention and (87. 6 ±11. 3) after intervention (t =2. 524,P <0. 05). During the treatment in the observation group, there were 14 cases pressure ulcer, 2 cases nosocomial infection, and 22 cases wound sepsis, all which were lower than those of the control group (χ2 =5. 340,5. 273,9. 877,respectively;P <0. 05). Conclusions The implementation of the nursing risk management can effectively improve the nurses′ risk consciousness and coping capacity, and it has great significance in reducing the occurrence of nursing adverse events and nursing disputes, so it is worth of popularization and application.