CLINICAL RISK MANAGEMENT
Clinical Risk Management Approach is to improve the quality
and safe delivery of care by identifying situations that may put
patients at risk and acting to prevent or control those risks.
MANAGEMENT BY WALK ABOUT
These executive walk-about offer insight into the care process
and the potential of harm to the next patient. Team
representatives from the Quality & Safety, Clinical Risk
Management, unit/area management, a senior executive and
the hospital’s Medical Director walk a particular unit/area on
a monthly basis.
The goals of these rounds are to:
1.
Demonstrate to frontline staff, senior leadership’s
commitment to patient safety and develop an ongoing
relationship with the staff
2.
Emphasise dual ownership for unit level safety i.e. both
staff and senior leadership
3.
Facilitate a non-punitive just culture of safety
4.
Encourage reporting of safety opportunities
5.
Speak directly to frontline staff regarding how we can
improve our systems and processes.
INCIDENT REPORTING SYSTEM
KPJ’s Incident Reporting System allows any employee to report
a near miss, process problem, or a patient event. An event is
anything that occurs in the hospital or outpatient setting that
caused or has the potential to cause a medical error or injury.
Our doctors and employees are encouraged to report events
even if it did not cause harm to the patient. Reporting of “near
misses” provides an opportunity for the Risk Management
Committee to identify flaws in the system and to implement
changes before they impact the patient adversely.
INFECTION CONTROL
Infection Control practitioners diligently work to improve the
quality of healthcare through infection control practices and
ongoing education. KPJ is dedicated to improve patient care,
preventing adverse outcomes and promoting patient safety
while minimising occupational hazards for our employees.
A new initiative is the Antibiotic Stewardship program. The
objective is to improve patient outcome (e.g. Reduce morbidity
and mortality from infection) and to optimise antimicrobial
therapy, by promoting judicious use of antimicrobials,
optimising antimicrobial selection, dosing, route and duration
of therapy in order to maximise clinical cure or prevent
hospital acquired infections.
HAND HYGIENE
Clean hands are the best protection against infection. With an
increase in drug-resistant bacteria present in all hospital
settings, it is increasingly important for healthcare personal to
follow hand hygiene guidelines.
When you clean your hands, you reduce the likelihood of
spreading bacteria from one patient to another. In fact, KPJ
hospitals are part of a growing number of hospitals that
monitor hand hygiene among doctors and staff. Look for
alcohol-based hand sanitisers around our facilities to protect
the health of patients, visitors and staff.
NATIONAL PATIENT SAFETY GOALS
These goals are designed to ensure all KPJ hospitals are
offering patients the best care possible. Medication safety
measures, following hand hygiene guidelines and preventing
patient falls are examples of these goals.
FALL REDUCTION PROGRAM
Reducing the risk of patient harm resulting from falls is one of
the National Patient Safety Goals. KPJ has a fall-reduction
program that provides guidelines for everyone involved in the
care of patients in our hospitals. The fall-reduction program
includes patient evaluation, interventions, staff education and
training, patient education and outcomes assessment.
201
KPJ Healthcare Berhad
Annual Report
2015