SOUTHERN PHILIPPINES

MEDICAL CENTER
OBJECTIVES:

1. To discuss the context of risk management

in patient safety in SPMC.
2. To share best practices on management /
minimization of risks associated with
programs and core mandates related to
health.
UNDERSTANDING THE ORGANIZATION AND ITS
CONTEXT:

Southern Philippines Medical Center (SPMC) is a

government hospital in the island of Mindanao, also
considered to be the largest in the Philippines with its 1,500
bed capacity. Our vision is to become a world class service
oriented apex hospital leading in the provision of
healthcare for all Filipinos.
The provision of health care is not without risk. Every
year, millions of patients suffer injuries or die because
of unsafe and poor-quality health care. Many medical
practices and risks associated with health care are
emerging as major challenges for patient safety and
contribute significantly to the burden of harm due to
unsafe care, (WHO, 2019).
CORE MANDATE:

Patient Safety is a fundamental element of health care

and is regarded as an essential component for
improving health outcomes. The provision of safe and
quality health service that is responsive to the needs of
the people is a vital pillar in helping achieve universal
health care (DOH, 2022).
BASIS FOR RISK MANAGEMENT:

DOH AO No. 2020-0007 “National Policy on Patient

Safety in Health Facilities”

Identifies Risk Management as a key element of the

program wherein clinical and administrative activities
are undertaken to identify, evaluate, and reduce the
risk of injury to patients, staff, and visitors and the risk
of loss to the organization itself.
BASIS FOR RISK MANAGEMENT:

IS0 -9001 - Quality Management Systems

This International Standard employs the process

approach, which incorporates the Plan-Do-Check-Act
(PDCA) cycle and risk-based thinking. As well as
address risks and opportunities associated with its
context and objectives.
LEADERSHIP COMMITMENT AND
IMPLEMENTATION:

Hospital Memorandum No. 227 series of 2017 also

known as “The Creation of Patient Safety And
Pharmacovigilance Unit”

ALLOCATION OF RESOURCES:
1. Physical Office, office equipment
2. Dedicated Personnel:
• Medical Specialist IV (Unit Head)
• 5 Nurses
• 1 Clinical Pharmacist
• 1 Administrative Staff
OVERSIGHT:

PSPVU is given authority and responsibility to perform risk

management activities to mitigate risks due to adverse events
and learn to prevent future recurrences.
(Hospital Memorandum No. 216 s. 2022, also known as
“Patient Safety and Pharmacovigilance Unit Functions.” )
PSPVU RISK MANAGEMENT ACTIVITES:

• Patient Safety Events Monitoring

• Patient Safety Monitoring Rounds
(Root Cause Analysis)
• Case Conferences
• ADR Monitoring
• Continuous Quality Improvement
GENERAL RISK MANAGEMENT ACTIVITIES
IN SPMC

• Failure Mode Effects Analysis

• Risk And Opportunity Registry
• State of the Hospital Address
• Contingency Planning
• Linkages and Partnerships
• Annual Management Review
MAJOR RISKS AND THREATS FACED BY SPMC
WITH REGARD TO PATIENT SAFETY RECENTLY
COVID-19 INFECTION, REINFECTION,
AND SURGES
• Structural renovations to reinforce social
distancing and efficient patient flow
• Revision of processes and services to
minimize the risk of transmission of infection
• Ensure adequate supplies (buffer stock) for
PPEs.
• Employee vaccination program
• Fast lane for personnel experiencing
covid-19 symptoms
COVID-19 INFECTION, REINFECTION,
AND SURGES
• Strategic staffing and hybrid work operations
• Improved online capabilities to support a
surge of online operations
• Back-up worksites (container vans, tents)
• Multi-level contingency response plan per
health alert levels
• Linkages, partnerships, donors (donation of
material resources and staff augmentation),
expertise and resource sharing.
 NATURAL CALAMITIES
• Disaster preparedness / response plans
(contingency and business continuity)
• Collaborative contingency plans with LGUs
and other government agencies
• Back-up worksites (container vans, tents)
• Linkages, partnerships, donors (donation of
material resources and staff augmentation)
• Emergency protocols (recall of on call health
personnel)
ATTRITION DUE TO COMPETITIVE OFFERS AND
LUCRATIVE OPPORTUNITIES ABROAD

• Efforts are focused on aggressive hiring and

immediate replacement of employees.
• Improving the hiring process to make it lean,
seamless and friendly to applicants.
Any questions or clarifications?
THANK YOU!!!