The Role of Clinical Governance to Implement Patient Safety

Standards and Excellence in Services at Malaysian Hospitals

 Malaysia Hospital
Background
Developed at 1990-ish by England

HOSPITAL VISIT Field Report

knowing the role of clinical governance to Too many malpractices
implement patient safety standards and
excellent service in Malaysian hospitals.

Clinical
Service Excellence Governance
minimize and prevent risks from the
consequences of medical action
Framework
improve the quality of health services and
maintain various standards by creating an
environment with excellent service
delivery
Patient Safety
First priority

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Clinical Governance
Ministry of Health
Malaysia

http://patientsafety.
moh.gov.my/v2/

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 Method
Journal

Observation Literature

Interview Descriptive
Discussion Textbook

Website

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 3 Hospitals
MMC
• MSQH, ISO accredited
• Fall risk 0.26%
• Lab results < 2 hours
Institut Jantung
Negara
• JCI, MSQH, ISO accredited
• Rate of infection 0.04%
• Hand hygiene >85% Al-Islam
• All data visible at • accredited by Ministry of
https://www.ijn.com.my/ Health
• Service excellence in
helping patient doing their
shalat

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 PRINCIPLES
Educational and training

Clinical audit

Clinical
Clinical effectiveness
Governance
Research and development

Opennes and Risk Management

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Research & Analysis
Clinical Governance Differentiation
• Ministry of Health Malaysia applies
Clinical Practice Guideline (CPG) as a
guide to clinical governance
• Service excellence, which requires
doctors to provide full time for hospital
services
• Audit systems conducted every 3
months
• Open source E-data National Health
Indicator
• CPG vary between hospitals, no
intervention by MOH
• Core business still old fashioned (visiting
doctors, profit vs non profit)
• Result oriented accreditation, no follow
up after
• No E-data
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 Key takeaways
Good Clinical Governance Government
a system that ensures that health service facilities
Clear, consistent and integrated systems, policies and
are responsible for continually improving the quality
procedures need to be established regarding clinical
of their services and ensuring the implementation of
governance that can be applied in government hospitals and
health services with high standards
private hospitals in Indonesia.

Gold Standard
Habit
The implementation of good clinical governance that is periodically
creating a work culture that prioritizes patient safety to
evaluated in all hospitals in Indonesia
create excellent service

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Thank you!
Any Questions?