KPJ Healthcare Berhad - Annual Report 2014 - page 183

4. PATIENT SAFETY
Since the launch of the 13 National Patient Safety Goals
(NPSG) by MOH Malaysia, the data has been submitted
online via ‘e-goals patient safety’ for the year 2014:
i. To implement Clinical Governance;
ii. To implement 1st Global Patient Safety Challenge:
“Clean Care is Safer Care”;
iii. To implement the 2nd Global Patient Safety
Challenge: “Safe Surgery Saves Lives”;
iv. To implement the 3rd Global Patient Safety
Challenge: “Tackling Antimicrobial Resistance”;
v. To improve the accuracy of patient identification;
vi. To ensure the safety of transfusions of blood and
blood products;
vii. To improve medication safety;
viii. To improve clinical communication by
implementing critical value programme;
ix. To reduce patient fall;
x. To reduce the incidence of health care associated
pressure ulcer;
xi. To reduce Catheter Related Bloodstream Infection
(CRBSI);
xii. To reduce Ventilator Associated Pneumonia (VAP);
and
xiii. To implement the Patient Safety Incident Reporting
and Learning System.
QUALITY JOURNEY
In the journey towards continuously improving the quality of
care and ensuring patient safety, the Group embarked on
various quality improvement programmes. This included the
following certifications; Integrated Management Systems
(IMS) which consists of Occupational Safety and Health (OSH)
and Environmental Management System certification; 5S that
focuses on enhancing productivity by properly kept
documentation and processes; followed by Malaysian Society
for Quality in Healthcare (MSQH) accreditation and Joint
Commission International (JCI) accreditation programme
(Figure 4).
In addition to this quality journey, four (4) of our hospitals
have been identified by Malaysia Productivity Corporation
(MPC) to implement Lean Management and one (1) hospital
(KPJ Perdana) has completed the programme and been
recognised by MPC. Three (3) other hospitals, namely KPJ
Johor, KPJ Kajang and the Kedah Medical Centre are still in
the process of completing the programme. The Lean
Management programme helps hospitals eliminate waste and
adds value into the process by minimising cost.
Figure 4: Certifications and Accreditation
Certifications JCI
ACCRD
MSQH
MEDICAL
CLINICS
MSQH IMS BHFI 5S
Total Certified 4 14 5 15 11 21
Total KPJ hospitals/Clinics as at Dec 2014 25 25 14 25 25 25
Throughout 2014, to ensure patient safety, KPJ Healthcare also embarked on Medical Clinic Accreditation by MSQH for our Klinik
Wakaf An Nur (KWAN). Even though KWAN Clinics are part of our Corporate Social Responsibility, patient safety remains our
priority. Five (5) clinics have already been certified – KWAN Bukit Indah, KWAN Ijok, KWAN Sungai Buloh, KWAN Kuching and
KWAN Seremban.
181
KPJ Healthcare Berhad annual report
2014