All our hospitals adhere to the
six International
Patient Safety Goals
set by the World Health Organisation
CLINICAL POLICIES
Ensuring patient safety and best clinical practices
is an integral part of KPJ’s corporate culture. Our
clinical governance framework aims to
continuously safeguard and improve the standard
of these attributes.
The Group Medical Advisory Committee (MAC)
develops and monitors clinical governance
activities and guidelines and oversees a range of
Clinical Governance Committees, including the
Clinical Governance Policy Committee, the Clinical
Governance Action Committee, the Clinical Risk
Management Committee, the Central Mortality
Review Committee, the Clinical Ethics Committee
and the Research and Development Committee.
At the individual hospital level, the Hospital MAC,
under the chairmanship of a medical director,
facilitates the implementation and oversees
compliance with clinical governance through
various clinical sub-committees.
All our hospitals adhere to the six International
Patient Safety Goals set by the World Health
Organisation, namely:
• Identify patients correctly
• Improve effective communication
• Improve the safety of using medication
• Ensure correct-site, correct-procedure and
correct-patient surgery
• Improve hand hygiene to prevent health care
associated infection
• Reduce the risk of patient harm resulting from
falls
MEDICAL ACCREDITATIONS
In recognition of our high medical standards, KPJ
holds a range of certifications from prestigious
medical bodies including the Malaysian Society for
Quality in Healthcare (MSQH) and Joint
Commission International (JCI). 15 KPJ hospitals
have been accredited by MSQH and four hold JCI
accreditation. We also hold the Integrated
Management System certification and 5S which
covers proper documentation and processes.
15 KPJ
hospitals
have been accredited by MSQH
and four hold JCI accreditation
135
KPJ Healthcare Berhad annual report
2014
