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Prof. Kadar - Trend Peningkatan Mutu PATIENT SAFETY 2017 JKT
Prof. Kadar - Trend Peningkatan Mutu PATIENT SAFETY 2017 JKT
Kadar Marikar
CEO Malaysian Society of Quality in Health
Introduction to Malaysia
Key Patient Safety Strategies
Patient Safety Initiatives In Malaysia
Recent Achievement
The Success Factors
Challenges
Statistics
POPULATION (2013) 28.3 million
Life expectancy male (2010) 71.9
Life expectancy female (2010) 77
Annual population growth rate 1.3
( 2011)
Total expenditure on health 4.96%
per GDP (2009)
MOH Hospitals & Institutions 138
(2011)
Private hospital s (2011) 220
132 HOSPITAL 879 HEALTH CLINIC 106 MOTHER & CHILD CLINIC
SPECIAL MEDICAL 6
6 INSTITUTIONS NATIONAL INSTITUTE 16 SPECIAL INSTITUTIONS
185 AMBULANCE 7 FLYING DOCTOR SERVICE
1MALAYSIA MOBILE CLINIC 12
MOBILE DENTAL
25 MOBILE DENTAL CLINIC MOBILE DENTAL TEAM
410 136 SCHOOL TEAM
Research
Policies &
Guidelines
PATIENT
SAFETY
Specific Organisational
Programmes Structure
Monitoring
System
KEY PATIENT SAFETY STRATEGIES
• Malaysian Society for • Healthcare standards (Hospitals, • 1st National Patient Safety
Clinics,Chronic dialysis, Dental Campaign 2013
Quality in Health (MSQH) Services…)
• Specific patient safety areas
• Patient Safety Council • Malaysian Patient Safety Goals
• Safety Culture
Malaysia (at MoH) • Clinical Governance
• Incident Reporting & RCA • Malaysian Patient Safety
• Patient Safety Committee Goals
• Safe Surgery Saves Lives
(at health facility ) • Clinical Governance
• Peri-operative Mortality
• PATIENTS for Patient Notification & Review • Incident Reporting, Root
Safety Malaysia • Independent Inquiry cause analysis
• Transfusion Safety • Patient for Patient Safety
• Clinical Practice Guidelines Malaysia in 2014
KEY PATIENT SAFETY STRATEGIES
Specific Research/Systematic
Monitoring System
Programmes Review
• “Clean Care is Safer Care” • PRIMARY STUDIES
•Accreditation of • “Safe Surgery Saves Lives” • Medical Safety - Inpatient Care
Healthcare Facilities and • Tackling Antimicrobial Resistance • Medical safety – Primary care
• Medication Safety
Services. • Improve accuracy of patient • Blood Transfusion Safety
identification • Vaccine Safety
•Malaysian Patient Safety • Transfusion Safety • Laboratory Safety
Goal • Medication Safety • Culture – the patient perception
• Critical value program • Handoff Communication
•Hospital Indicator • Fall prevention • Dental Safety
• Patient Falls
Performance for • Healthcare- associated pressure ulcer
prevention • Patient Safety Culture
Accountability (HPIA) • Catheter-Related Bloodstream
Infection Prevention • SYSTEMATIC REVIEW
•Clinical Indicators • Ventilator Associated Pneumonia
• Culture
• Handoff Communication
Prevention
• Medication
• Incident Reporting and Learning • Patients unvoiced needs
System
PATIENT SAFETY COUNCIL MALAYSIA
Currently 36 members
11
PATIENT SAFETY COMMITTEE
(at facility level)
To lead patient safety initiatives To discuss incidents, complaints
in the facility and patient safety issues; take
To plan and establish ways, appropriate actions and assess
work system and programme to its effectiveness
ensure patient safety To plan and implement
To ensure implementation promotional and educational
Malaysian Patient Safety Goals activities related to patient
safety
To monitor and assess status
of patient safety using “e-goals Others deem necessary
patient safety”
Consortium of Association Ministry of Health
of Medical Clinics Malaysia
MSQH Committee Members
PATIENTS FOR PATIENT SAFETY MALAYSIA
“PATIENTS For Patient Safety Country
Workshop” conducted by MSQH & Ministry
of Health in collaboration with WHO on
5th-6th Sept 2013.
Following this, “PATIENTS For Patient
Safety Malaysia (PFPSM)”, voluntary
organization was established.
PFPSM was launched by Honorary Minister
of Health on 29th April 2014
PFPSM promotes partnership between
patients- healthcare providers -consumers in
enhancing patient safety.
Patients engagement & empowerment to
improve patient safety
15
MSQH Accreditation Standards
Malaysian Hospital
Accreditation Standards (1999)
22
e-goals patient safety
(online notification of MPSG performance)
(http://patientsafety.moh.gov.my/)
25
MALAYSIAN PATIENT SAFETY GOALS
NOTIFICATION 2013 VIA ‘e-goals patient safety’
(1st 6 months of implementation)
26
38 indicators
e.g.: Percentage of issues raised in the meeting with the Board of
Visitors whereby response and action had been taken (Standard ≥70%)
270 indicators
42 specialties and subspecialties
e.g.: Percentage of Post Partum Haemorrhage (Standard ≤1%)
Lists of Accredited Programme
Malaysian Hospital Accreditation Program is a voluntary,
independent programme conduct by Malaysian Society for
Quality in Health (MSQH); a member of the International Society
for Quality in Health (ISQua)
5th Edition Malaysian Hospital Accreditation Standards
Surveyor Training Programme
Guidelines produced by Ministry of Health Malaysia :
82 Clinical Practice Guidelines
1ST NATIONAL PATIENT SAFETY CAMPAIGN
33
1ST NATIONAL PATIENT SAFETY CAMPAIGN, SEMINAR
&
LAUNCHING OF MALAYSIAN PATIENT SAFETY GOALS 24TH JUNE 2013
Malaysian International
Healthcare Tourism Expo
2.5
1.54
2
1.5
1
0.5
0
March Sept March Sept March Sept March Sept March Sept
2008 2009 2010 2011 2012 44
SECOND GLOBAL PATIENT SAFETY CHALLENGE
“SAFE SURGERY SAVES LIVES”
THEME MINISTRY OF HEALTH MALAYSIA
“ S A F E R S U R G E RY PERIOPERATIVE CHECKLIST
THROUGH BETTER
COMMUNICATION”
Launching of Safety
Surgery Saves Lives
2009 45
IMPROVE PATIENT IDENTIFICATION
46
MEDICATION SAFETY
47
RCA workshop for state health Content of Workshop:
department, hospitals & health Concept of Incident Reporting &
clinics: Learning System
State Directors & officers Flow of reporting
Hospital Directors Concept of RCA
Doctors
Paramedics How to do RCA
have been conducted since 2005. Examples of case presentation
According to zone, states and Group discussion on how to conduct
facilities. RCA based on scenarios
3-2 days workshop Group presentation
30-50 people, 6-10 per group
Latest Training on Incident Reporting & Learning System and RCA was
conducted in MSQH, The National Cancer Institute Malaysia and Kuala
Lumpur State Health Dept.
LESSONS LEARNT FROM INCIDENT
Why Patient Safety Incident Happen?
“Multi” Lack of
“OK” Culture “supervision”
tasking
51
RECENT ACHIEVEMENTS OF 2017
Quality & patient safety now included in 11th Malaysia Plan (2016-2020)
Patient Safety Council of Malaysia (13th January 2014) agreed to implement WHO Multi-
professional Patient Safety Curriculum Guide in:
Medical, Pharmacy, Dental, Allied Health and Nursing undergraduate programs
Housemanship training
Malaysian Patient Safety Goals notification (June- Dec 2013) received for the first time
PFPS Malaysia activities (Pilot project with 13 public & private hospitals in 2016)
52
SUCCESS FACTORS
Commitment of top leaders
Increase
workload
Staff
factors
Limited
resources
Patient &
family factors
ACKNOWLEDGEMENT
Thank you
www.msqh.com.my
kadar@msqh.com.my
“Always remember to be safety conscious and
above all do no harm”
…
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