Page 24 - MALAYSIAN PATIENT SAFETY GOALS

TECHNICAL SPECIFICATIONS OF MALAYSIAN PATIENT SAFETY GOALS & KPIS
Patient Safety Goal To implement the WHO’s 2 nd Global Patient Safety

No.3 Challenge: “Safe Surgery Saves Lives”
Rationale The regular use of Surgical Checklists can increase
adherence to safety standards and prevent errors during
surgery. It can also reduce the rate of complications and
mortality associated with surgical care.

Strategies As per the WHO “Safe Surgery Saves Lives” implementation
& Implementation guidelines. Each healthcare facility is required to establish
the relevant committees and to either adopt the WHO
check-list or develop their own local check-list to suit their
local conditions. The related WHO videos on this topic can
be downloaded from the WHO website.

KPI No. 3 Number Of “Wrong Surgeries” Performed
Target Zero (0) cases

KPI No. 4 Number Of Cases Of “Unintended Retained Foreign Body”

Target Zero (0) cases

Definitions of Terms • Wrong surgeries performed: surgery which involved
wrong-procedure, wrong-person or wrong-site surgery.
Risks can be reduced with compliance to Surgical Safety
Peri-operative Checklist, pre-operative verification
process, surgical site marking and conducting a time-
out.
• Unintended retained foreign body in patients: surgical

instruments, gauze, abdominal packs or any unintended
objects that were left in the patients’ body peri-
operatively.
• Surgical Safety Checklist: This is a check list developed
by World Health Organization to ensure surgical safety.
This check list was adapted, modified and standardized
for the used in MOH hospitals and known as the ‘Peri-
operative Check List’.

Inclusion Criteria Surgery involving general or regional anesthesia.

Data collection at Data (numbers of cases) to be collected on a monthly basis.
facility level

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