MRLRYSIRN PRTIENT SRFETY 6ORLS 2.

0
Ministry of Health
SPECIFICATIONS FOR IMPLEMENTATION OF THE NEW MPSG 2.0
Malaysia

GOAL INFECTION PREVENTION AND CONTROL

Applicable to Hospital/ Medical Institution

KPI 1 : Hand Hygiene KPI 2: Rate of Catheter Associated

Compliance Rate Blood Stream Infection
Target: ≥75% Target: ≤0.5 per 100 admissions
monthly audit Once/ year (point prevalence survey)

SAFE SURGERY SAVES LIVES

Applicable to Hospital/ Medical Institution with OT
GOAL
KPI 3: No. of 11 Wrong KPI 4: No. of 11 Unintended
Surgery Performance'' retained surgical item'' (URSI)
Target: Zero Cases Target : Zero Cases of category 2 & 3
Monthly data collection Monthly data collection

GOAL MEDICATION SAFETY

Applicable to Hospital/ Medical Institution/ Clinics

KPI 5: No. of Medication Error Leading to Severe Harm or Death

Target: Zero Cases
Monthly data collection

TRANSFUSION SAFETY GOAL

Applicable to Hospital/ Medical Institution
A+
KPI 6: No. of Incorrect Blood Component Transfused (IBCT)
Target: Zero Cases
Monthly data collection

GOAL FALL PREVENTION

Applicable to Hospital/ Medical Institution/ Clinics

KPI 7: Rate of Patient Fall

Target : Inpatient: ≤5 per 1000 patient-days
Outpatient & Primary Healthcare facilities : ≤5%
Monthly data collection

PATIENT IDENTIFICATION GOAL

Applicable to Hospital/ Medical Institution/ Clinics

KPI 8: No. of Patient Safety Incidents Caused by Wrong Patient

Identification (Detected by incident reporting & investigation)
Target: Zero Cases
Monthly data collection

GOAL INCIDENT REPORT AND LEARNING SYSTEM

Applicable to Hospital/ Medical Institution/ Clinics

KPI 9: Implementation of Incident Reporting System

Target: Implementation of Patient Safety Incident Report
and Learning System
Monthly data collection
Patient Safety Unit , Medical Care Quality Section , Medical Developlement Division , Ministry of Health Malaysia