2. THIRD GLOBAL PATIENT SAFETY CHALLENGE:
“TACKLING ANTIMICROBIAL RESISTANCE”
– ANTIBIOTIC STEWARDSHIP PROGRAMME
The emergence of multi-resistance organisms especially to
Carbapenem group of antibiotics as identified by the Ministry
of Health (MOH) recently caused the red alert flag to be
raised at KPJ Hospitals too. In view of this, the Antibiotic
Stewardship Programme (Phase 1) that focused on
monitoring the use of Carbapenem Group of antibiotics was
initiated in July 2014. Antibiogram, Antibiotic Resistance
Pattern and Antibiotic Usage of specific micro-organism were
closely monitored and reported to the Infection Control
Committee. Continuous monitoring was carried out to ensure
the resistance pattern remained below the stipulated range.
3. MONITORING OF MEDICATION ERROR/ADVERSE
EVENTS
New initiatives and innovations were implemented to reduce
Look Alike and Sound Alike (LASA)-related medication error. In
2014, we had reduced LASA errors by 25%
Our on-going emphasis on voluntary reporting has increased
vigilance amongst the staff and we achieved an 80% increase in
near-miss reporting, thus ensuring that errors were detected
before it reached our patients. This demonstrated that the
culture of safety was upheld by our staff at all times.
New initiatives at Pharmacy Services to address patient safety
included:
i.
Introduction of Tall-Man Lettering to prevent LASA related
Medication Error;
ii.
Colour coding for LASA & storage of High Alert Medication
(HAM);
iii. Red font highlight for Psychotropics & HAM medications in
KCIS Screen;
iv. MIMS Integrated Module for KCIS hospitals and Gateway
for the non-KCIS hospitals; and
v.
Standardisation of medication label.
180
KPJ Healthcare Berhad annual report
2014
Medical Advisory Committee
(MAC) Report
