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This paper shows that Knight’s qualimetric approach to risk management can create added value by converting hidden cost-performance. This conversion helps to optimize the continuous function of marginal utility related to risk. The hidden cost-performance measures the negative value, generated by dysfunction in the organization and its management. As such, the hidden cost-performance measures risk taking into account only events with negative consequences (using probability math). The qualimetric approach therefore makes it possible to bridge the two categories of risk that are generally dissociated. Knight’s risk holds the possibility of achieving gains by optimizing the marginal utility function of risk. The qualimetric approach makes it possible to identify and measure the impact of organizational pathologies and to connect them to economic pathologies. In this respect, this paper introduces a clinical approach to activity using qualimetric methods.