Page 95 - MALAYSIAN PATIENT SAFETY GOALS

TECHNICAL SPECIFICATIONS OF MALAYSIAN PATIENT SAFETY

GOALS & KPIs

Patient Safety To implement an Incident Reporting and

Goal No. 13 Learning System

Rationale The fundamental role of incident reporting
systems is to enhance patient safety by
learning from failures of the healthcare
system through the investigation of incidents

(e.g.through RCA).Inthis way,a“non-
blaming and learning culture” will be
nurtured.

Strategies & 1. An Incident Reporting and Learning

Implementation System with a mandatory reporting list
is implemented
2. Capability and capacity to perform
Root Cause Analysis (RCA) (or mini

RCA) to support Incident Reporting is
developed and strengthened

KPI No. 19 Implementation Of A Facility-Wide Incident
Reporting System (Including Root Cause
Analysis) Or Other Methods To Investigate

Incidents (e.g. Clinical Audit, Enquiries Etc.)

Target System implemented

Data collection at Yearly

facility level

Reference PAA Mohamed Nazir AR, Lily M & Kalsom
M. 2013. Incident Reporting & Learning

System From Information To Action
Manual. Medical care Quality Section,
Medical Development Division, Ministry

of Health Malaysia

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