MeDICAL ADVISorY

committee

KpJ's 7 patient safety goals

identify patient correctly

improve the effectiveness of communication among caregivers

improve the safety of using medication

accurately and completely reconcile medication across the continuum of care

ensure correct-site, correct-procedure, correct-patient surgery

improved Hand Hygiene to prevent Health care-associated infection

reduce the risk of patient Harm resulting from falls

clinical indicators 2010

Surgical Indicators

mild & moderate head injury case fatality rate

rate of white appendix

laparoscopic cholecystectomy discharged within 48 hours

incidence of casting complications

rate of reactionary post-tonsillectomy bleeding

percentage of post-operative cataract patients with bcva less than 6/9

(3 monthly post-operatively)

Medical Indicators

percentage of myocardial patients receiving thrombolytic therapy within 1 hour of their

presentation at the emergency department

percentage of myocardial patients undergoing primary ptca / pci

myocardial infarction case fatality rate

dengue fever case fatality rate

O&G Indicators

percentage of patients with length of hospital stay > 5 days after elective

caesarean section

percentage of patients with length of hospital stay > 5 days after emergency

caesarean section

adequacy of pap smear

Anaesthesia Indicators

occurrence of adverse events during the recovery period

unplanned admission to the intensive care unit within 24 hours of surgery

Paediatric Indicators

incidence rate of neonatal hyperbilirubinemia >20mg/dl

top 5 diagnostic groups admitted to KpJ group of Hospitals

(according to icd 10 code system)

diseases of the circulatory system

­

34.3%

certain infections & parasitic diseases

­

16.4%

neoplasm

­

16.3%

diseases of the respiratory system

­

11.2%

diseases of the genitourinary system

­

4.7%

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KPJ HEALtHCARE BERHAD (Company no. 247079 M)

AnnuAL REPoRt 2010