Page 97 - MALAYSIAN PATIENT SAFETY GOALS

ROLES AND RESPONSIBILITIES OF NURSES

1. All nurses must understand the policies and procedures
regarding “Incident Reporting And Learning “.
(Refer: Incident Reporting & Learning System: From

Information to Action Manual 2013).
2. Take immediate action following incident
3. Assist in communication with patient/ family when incident

happen.
4. Report incident.
5. Inform supervisor

6. Involve in investigation as part of team member

EDUCATION AND TRAINING

1. To enhance knowledge and responsibility on incident by

conducting workshops for Training of Trainers in the hospital for
at least once in a year
2. Education and training must be provided especially for new

nurses in Mentor - Mentee program.
3. CME / CNE to be conducted at the unit / department /
hospital level.

ENSURING INCIDENT IS REPORTED IMMEDIATELY

1. During office hours, all incidents must be reported to the
Sister on duty and the parties concerned.

2. After office hours, all incidents must be reported to the
Sister on call and the parties concerned.
3. If Sentinel Incident occurs, it must be reported to the Sister

on call / duty, and the relevant authorities within 1 hour
(e.g.: involving death).

INCIDENT REPORTING

1. All incidents are reported and recorded using IR1.1 Form

2. All incident reporting and investigation must be documented
and filed for ease of discussion and to improve patient safety

through the lessons learned from the incident.

96