Page 48 - MALAYSIAN PATIENT SAFETY GOALS

TECHNICAL SPECIFICATIONS OF MALAYSIAN PATIENT SAFETY GOALS &

KPIs
Patient Safety To ensure medication safety

Goal No. 7

Rationale Medication errors may occur at various points of care and
often go undetected. Some error may lead to serious
morbidity and even mortality. Hence, ensuring medication
safety is vital.
Strategies & 1. Implement information technology to support
prescribing, dispensing and administering medicine –
Implementation
example: Computerised Prescribers’ Order Entry
(CPOE)
2. Report medication errors through the Medication Error
Reporting System (MERS) to enable sharing of lesson

learnt
3. Implement safety solutions for “Look Alike Sound Alike
(LASA) medication”
4. Control of concentrated electrolyte solutions
5. Application of 7Rs and verbalization when
administering injectable medication

KPI No. 11 Number of Medication Errors (“Actual”)
Target Zero (0) cases

KPI No. 12 Number of Medication Errors (“Near Misses”)

Target To be determined later pending national data analysis and
trending
Definition of • Medication error: an error occurred and reached the
patient
Terms
• Near miss: any medication error that doesn’t reach
patient
• Concentrated Electrolyte Solution:examples include
Sodium Chloride more than 0.9%, Potassium Chloride

or Phosphate
• 7Rs: During administering any medication; it is

proposed that the healthcare providers check whether
it is the RIGHT patient, medication, time, dose and
route ( per oral, sublingual, patch, etc), documentation
Types of Prescribing error, Omission error, Wrong time error,
Unauthorized drug error, Dose error, Dosage form error,
medication error
Drug preparation error , Route of administration error,

Administration Technique error, Deteriorated drug error,
Monitoring error, Compliance error (from MERS,
Pharmaceutical Service Division, MOH)
Data collection Monthly

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