9. TECHNICAL SPECIFICATION OF MSIA PATIENT SAFETY GOALS
9. TECHNICAL SPECIFICATION OF MALAYSIA PATIENT SAFETY GOALS (2013)SOURCE: Malaysia Patient Safety Goals. Guidelines on Implementation
1. 7. To Ensure Medication Safety
1.1. KPI 11: NUMBER OF MEDICATION ERRORS ("ACTUAL")
1.1.1. TARGET: 0 CASES
1.2. KPI 12: NUMBER OF MEDICATION ERRORS ("NEAR MISSES")
1.2.1. TARGET: TO DETERMINED LATER PENDING NATIONAL DATA ANALYSIS & TRENDING
1.3. DATA COLLECTION MONTHLY
2. 8. To Improve Clinical Communication by Implementing Critical Value Programme
2.1. Page 1
2.2. Page 2
2.3. KPI 13: PERCENTAGE OF CRITICAL VALUES NOTIFIED WITHIN 30 MINS OR LESS
2.3.1. TARGET: 100%
2.4. DATA COLLECTION MONTHLY
3. 9. To Reduce Patient Fall
3.1. KPI 14: PERCENTAGE REDUCTION IN NO OF FALLS (ADULTS)
3.1.1. TARGET: 10% REDUCTION OR MORE
3.2. KPI 15: PERCENTAGE REDUCTION IN NO OF FALLS (PEDIATRICS)
3.2.1. TARGET: 10% REDUCTION OR MORE
3.3. DATA COLLECTION MONTHLY
4. 10. To Reduce Incidence of Healthcare Associated Pressure Ulcers
4.1. KPI 16: INCIDENCE RATE OF PRESSURE ULCERS
4.1.1. TARGET: < THAN 3%
4.2. DATA COLLECTION 3 MONTHLY
5. 11. To Reduce Catheter- Related Blood Stream Infection in ICU
5.1. KPI 17: RATE OF CRBSI (NUMBER OF CRBSI PER 1000 CATHETER-DAYS)
5.1.1. TARGET: < THAN 5 PER 1000 CATHETER-DAYS
5.2. DATA COLLECTION MONTHLY
6. 12. To Reduce Ventilator Associated Penumonia in ICU
6.1. KPI 18: RATE OF VAP (NO OF VAP PER 1000 VENTILATOR DAYS
6.1.1. TARGET: < THAN 10 PER 1000 VENTILATOR DAYS
6.2. DATA COLLECTION MONTHLY
7. 13. To Implement an Incident Reporting & Learning System
7.1. KPI 19: IMPLEMENTATION OF FACILITY WIDE INCIDENT REPORTING SYSTEM OR OTHER METHODS TO INVESTIGATE INCIDENT
7.1.1. TARGET- SYSTEM IMPLEMENTED
7.1.2. DATA COLLEECTION YEARLY
8. Source: Malaysia Patient Safety Goals. Guidelines in Implementation & Surveillance by MOH Malaysia & Patient Safety Council Malaysia ( 2013)
9. 1. TO IMPLEMENT CLINICAL GOVERNANCE
9.1. KPI 1: IMPLEMENTATION OF CLINICAL GOVERNANCE
10. 2. To Implement WHO 1st Global Patient Safety Challenge: " Clean Care is Safer Care"
10.1. KPI 2: HAND HYGEINE COMPLIANCE RATE
10.1.1. TARGET: 75% COMPLIANCE RATE EACH AUDIT
10.1.2. EVERY 3 MONTHS
11. 3. To Implement the WHOs 2nd Global Patient Safety Challenge: " Safe Surgery Saves Lives"
11.1. KPI 3: NO OF "WRONG SURGERIES" PERFORMED
11.1.1. TARGET: 0 CASES
11.2. KPI 4: NO OF CASES " UNINTENDED RETAINED FOREIGN BODY"
11.2.1. TARGET: 0 CASES
11.3. DATA COLLECTION MONTHLY
12. 4. To Implement WHOs 3rd Global Patient Safety Challenges- " Taking Antimicrobial Resistance"
12.1. Page 1
12.2. Page 2
12.3. KPI 5: INCIDENCE RATE OF MRSA INFECTION
12.3.1. TARGET: < THAN 0.4 %
12.4. KPI 6: INCIDENCE RATE OF ESBL KLEBSIELLA PNEUMONIA INFECTION
12.4.1. TARGET: < THAN 0.3 %
12.5. KPI 7: INCIDENCE RATE OF ESBL- E.COLI INFECTION
12.5.1. TARGET: < THAN 0.2%
12.6. DATA COLLECTION MONTHLY
13. 5. To Improve Accuracy of Patient Identification
13.1. KPI 8: COMPLIANCE RATE FOR "AT LEAST 2 IDENTIFIERS IMPLEMENTED"
13.1.1. TARGET: 100% COMPLIANCE RATE EACH AUDIT
13.2. DATA COLLECTION 6 MONTHLY
14. 6. To Ensure Safety Transfusion of Blood & Blood Products
14.1. KPI 9: NUMBER OF TRANSFUSION ERRORS ("ACTUAL")
14.1.1. TARGET: 0 CASES
14.2. KPI 10: NUMBER OF TRANSFUSION ERRORS ("NEAR MISSES")
14.2.1. TARGET: TO DETERMINED LATER PENDING NATIONAL DATA ANALYSIS & TRENDING