What is JCI Accreditation?
April 4, 2017DELEGATION OF SAFETY CULTURE PROGRAM
April 4, 2017PATIENT SAFETY & HARM REDUCTION COLLABORATIVE
To maintain and improve patient safety, departments/ units partnered/ collaborated with other departments/ units to be able to formulate measures/ indicators that focuses in patient safety and harm reduction. Some of the above measures/ indicators have been around for years, modified/ revised according to new requirements while others are newly created. Hospital leaders fully supported for these significant improvements to be carried out for patient care outcomes which includes (but not limited to):
- 100% compliance with patient identification
- 95% compliance with the use of SBAR in Nursing
- Consistent Hand Hygiene compliance of 9o%
- 0% of patients on ventilator contracted VAP
- 0% incidents of Surgical Site Infection (551)
- Central line bloodstream infection rate sustained at o%
- 100% compliance with completion of WHO Surgical Safety Checklist in OR setting (SIGN IN, TIME OUT, SIGN OUT) and TIME OUT in Non-OR setting
- 0% incident of Medication Error
- Zero incident on Patient Fall
- > 95% compliance with antibiotic prophylaxis given within 6o minutes before surgical incision
- 95% compliance with VTE assessment on admission (including prescribing prophylaxis)
- Reduction of Hospital Acquired Pressure Ulcer (HAPU) to 03%
- 95% compliance in Pain assessment and documentation
PATIENT SAFETY & HARM REDUCTION COLLABORATIVE
