INTERNATIONAL EXPERIENCE IN THE IMPLEMENTATION

OF PATIENT ENGAGEMENT IN PATIENT SAFETY:

ROLES OF POLICY MAKERS & HEALTHCARE PROVIDERS
IN MALAYSIA
Patient Engagement Workshop 2015
Patient Safety Week, Doha, Qatar
18th & 19th January 2015
DR. NORAISHAH ABU BAKAR
PUBLIC HEALTH PHYSICIAN
S E N I O R P R I N C I PA L A S S I S TA N T D I R E C T O R
H E A D O F PAT I E N T S A F E T Y U N I T
S E C R E T A R I A T, P A T I E N T S A F E T Y C O U N C I L M A L AY S I A
M I N I S T R Y O F H E A L T H M A L AY S I A
1

CONTENT
Patient safety in Malaysia
Approach to patient safety in Malaysia

Patient safety & patient engagement in Malaysia

Key patient safety strategies in Malaysia
Role of Ministry of Health in facilitating patient engagement
Secret to Malaysia success

PATIENT SAFETY IN MALAYSIA

Patient Safety in Malaysia started with the

establishment of Patient Safety Council Malaysia in
2003 chaired by the Director General of Health
Malaysia
Patient safety evolved tremendously for past few
years.
Various programs were developed following WHO
World Alliance for Patient Safety call to improve
patient safety.
Biggest
achievement
of
Malaysia
is
the
development of Malaysian Patient Safety Goals in

APPROACH TO PATIENT SAFETY IN MALAYSIA

WORLD HEALTH ORGANIZATION & WORLD ALLIANCE FOR
PATIENT SAFETY

PATIENT SAFETY COUNCIL &

MINISTRY OF HEALTH MALAYSIA
HEALTH CARE FACILITIES Hospitals, Health Clinics, Dental
Clinics, GP Clinics
PATIENT ORGANIZATION/MOVEMENT (PFPSM)

IMPLEMENTATION OF PATIENT SAFETY INITIATIVES

FROM GLOBAL TO LOCAL ACTION
MALAYSIA EXPERIENCE

NATIONAL
GLOBAL
(WHO)

WHO Global
Patient Safety
Challenges
Patient Safety
Program Areas

(Malaysian Patient Safety Council /Ministry

of Health Malaysia)
(PATIENTS For Patient Safety Malaysia)

LOCAL
(Patient Safety Committee)
(Patient for Patient Safety)

M E D I C A L D E V E L O P M E N T D I V I S I O N
MINISTRY OF HEALTH MALAYSIA

PATIENT SAFETY & PATIENT ENGAGEMENT

Patient engagement means patient is engaged in his/her own

health, own care and treatment
Requires close collaboration between patients and clinicians
In Malaysia, patient engagement is initially integrated as
part of patient safety program
In 2013, specific organisation/ movement was established to
facilitate patient engagement in improving patient safety
using patients to improve patient safety.
PATIENTS for Patient Safety Malaysia est. 2013

EVOLUTION OF
PATIENT ENGAGEMENT IN PATIENT SAFETY
MALAYSIA EXPERIENCE

Patient engagement is integrated

as part of patient safety programs
developed by policy makers &
healthcare providers

Specific voluntary organisation was

developed by WHO, MSQH &
Ministry of Health
to facilitate patient engagement in
Malaysia (PFPSM)

PFPSM is now part of policy maker

(Patient Safety Council)

PFPS is involved in improving

patient safety in hospital

PATIENT SAFETY & PATIENT ENGAGEMENT

IN MALAYSIA
Inter-agency Collaboration
World Health Organization
Country, Regional, HQ
Patient Safety Programme
Patients for Patient Safety (PFPS)
Global Network

Patients, Consumers
Community
Civil Society

Ministry of Health
Malaysia
& Malaysian Society for
Quality in Health

Professionals:
Health-care providers
Professional associations
Academic and research institutions

Patient
education

Patients view of patient

engagement
it is a step wise process
(2nd Incountry Workshop 2014)
Patient
partnership
Patient
engagement

Government
National bodies
Organizational management
Institutional leaderships
8

KEY PATIENT SAFETY STRATEGIES IN MALAYSIA

Organisational
Structure

Networking
&
collaboration

Research

PATIENT
SAFETY
Malaysia

Monitoring
System

Specific
Programme

Policies &
Guidelines

Promotion &
Education

ORGANISATIONAL
STRUCTURE

PATIENT SAFETY
ORGANISATIONAL STRUCTURE AT VARIOUS LEVEL
Patient Safety Council
Malaysia + Ministry of
Health
(National)
PATIENTS For Patient Safety Malaysia
(National)

Patient Safety Committee (Healthcare Facility)

11

PATIENT SAFETY COUNCIL MALAYSIA

Formed following directive from Malaysian cabinet on 29th January 2003.

Functions:
Advise the honorable health minister on national patient safety policies,
strategies and action plans
Enhance implementation of patient safety strategies
Monitor and evaluate achievement of the Malaysian Patient Safety Goals and
take action at national level
Promote and facilitate national, regional and international collaboration in
patient safety.

MEMBERS OF
PATIENT SAFETY COUNCIL MALAYSIA
Chairman
(Director General of Health Malaysia)
Appointed Members (3)

Private
Sectors/NGOs
(8)

Ministry of
Health
(19)

Ministry of Higher
Education (3)
UMMC, UKMMC,
HUSM

Ministry of
Defense

PATIENTS for
Patient Safety
Malaysia

Secretariat
(Quality in
Medical Care
Section, MOH)

Currently 36 members

PATIENT SAFETY COMMITTEE

(AT HEALTHCARE FACILITY LEVEL)
To lead patient safety initiatives in the
facility
To plan and establish ways, work
system and programme to ensure
patient safety
To ensure implementation Malaysian
Patient Safety Goals
To monitor and assess status of
patient safety using e-goals patient
safety

To discuss incidents, complaints and

patient safety issues; take
appropriate actions and assess its
effectiveness
To plan and implement promotional
and educational activities related to
patient safety
Others deem necessary

MEMBERS OF PATIENT SAFETY COMMITTEE

Health administrators

Clinicians, Allied Health

Paramedics

Board of visitor member or patient representative

PATIENTS FOR PATIENT SAFETY MALAYSIA

PATIENTS for Patient Safety Country Workshop
conducted by MSQH & Ministry of Health in
collaboration with WHO on 5th-6th Sept 2013.
Following this, PATIENTS For Patient Safety Malaysia
(PFPSM), voluntary organization was established.
Currently under Malaysian Society for Quality in
Health (MSQH) NGO / national accreditation body

PFPSM was launched by Honorary Minister Of Health

on 29th April 2014
PFPSM promotes partnership between patientshealthcare providers -consumers in enhancing patient
safety.
Patient engagement & empowerment to improve
patient safety

1ST Incountry Workshop

PATIENTS For Patient Safety
Malaysia, Putrajaya 16
5th-6th Sept 2013

Official Launching of PATIENTS For Patient

Safety Malaysia
29th April 2014

Director, General of Health Malaysia

Datuk Dr. Noor Hisham Abdullah with PFPSM members

Minister of Health Malaysia Datuk Dr. S. Subramaniam,

Dr. Graham from WHO & Mr Manvir PFPSM
during launching

17

2ND MALAYSIA INCOUNTRY WORKSHOP

29TH-30TH SEPT 2014, PUTRAJAYA

PATIENT ENGAGEMENT
Director General of Health Malaysia
Datuk Dr. Noor Hisham Abdullah

Dr. Nittita Prasopa Plaizer

WHO Officer Geneva as facilitator

interested

willingness

commitment

2- way

NEW PILOT
PROJECT ON
PATIENTS FOR PATIENT
SAFETY IN HOSPITALS
14 Hospitals public 8, private 6

2 hospital representatives from

each hospital
1 hospital director, 1 patient

Identify selected hospitals & patients

Train them - patient roles

Discuss on small projects

Implement

Two projects selected:

Prevention of medication error
Prevention of fall

Measure after 6 months

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POLICIES
&
GUIDELINES

POLICY -D.G HEALTH CIRCULAR NO 2/2013

-ESTABLISHMENT OF PATIENT SAFETY COMMITTEE &
IMPLEMENTATION OF MALAYSIAN PATIENT SAFETY GOALS

The Star Newspaper

Monday 20th May 2013
D.G Health Circular 2/2013

MALAYSIAN PATIENT SAFETY GOALS

1) *To Implement Clinical Governance
2) To Implement Whos 1st Global Patient
Safety Challenge: Clean Care Is Safer
Care
3) To Implement Whos 2nd Global Patient
Safety Challenge: Safe Surgery Saves
Lives
4) To Implement Whos 3rd Global Patient
Safety Challenge: Tackling
Antimicrobial Resistance

5) To Improve The Accuracy Of Patient

Identification
6) To Ensure The Safety Of Transfusions
Of Blood And Blood Products
7) *To Improve Medication Safety

8) To Improve Clinical Communication By

Implementing A Critical Value Program
9)* To Reduce Patient Fall
10)to Reduce The Incidence Of HealthcareAssociated Pressure Ulcer

11) To Reduce Catheter-related Bloodstream

Infection (CRBSI)
12) To Reduce Ventilator Associated Pneumonia
(VAP)
13) *To Implement The Patient Safety Incident
Reporting And Learning System

*Applicable for clinics also

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GUIDELINES
Guidelines produced by Ministry of Health Malaysia :

PROMOTION
&
EDUCATION

LAUNCHING OF 1ST MALAYSIAN PATIENT SAFETY

CAMPAIGN & LAUNCHING OF PATIENT SAFETY GOALS

drnoraishah@moh.gov.my

25

1ST NATIONAL PATIENT SAFETY CAMPAIGN, SEMINAR

&
LAUNCHING OF MALAYSIAN PATIENT SAFETY GOALS 24TH JUNE 2013

D.G of Health with stakeholders

Signing of Malaysian Patient Safety

Goals Replica By D.G of Health

Press Conference 1st National

Patient Safety Campaign

26

PUBLIC MEDIA CAMPAIGN ON PATIENT SAFETY

Dr Lee Fatt Soon,

(Hello on 2) Patient Fall

Dr NorAishah Abu Bakar

(Good Morning Malaysia During
Flowers Fiesta, Putrajaya)
Patient Safety Campaign

Mr. John Chong Chew Pheng

(Hello on 2) Medication Safety

CONFERENCES, CAMPAIGN AT FACILITY LEVEL &

EXHIBITION ON PATIENT SAFETY
MSQH-MOH Patient Safety
International Conference

Malaysian International
Healthcare Tourism Expo

Campaign & Seminar at

UMMC

Patient Safety Campaign in

Private Hospital
28

Malaysian International Healthcare Tourism Expo (MIHTE) 20-22

October 2013
MSQH-MOH Patient Safety Conference

The participants with the Honourable Minister of Health

YB Datuk Seri Dr. S. Subramaniam

MSQH-MOH International Patient Safety Conference 2013

talking about patient engagement

Dr. Taneda
Technical Officer (Patient Safety & Quality)
WHO Western Pacific Regional Office
The participants

Ms Stephanie Newell
WHO Patients for Patient Safety Champion,
Australia

Patient Safety Campaign in Hospitals

drnoraishah@moh.gov.my

31

INTEGRATION OF PATIENT SAFETY IN CURRICULUM

Patient Safety Council Of Malaysia meeting
1/2014- on 13th January 2014 agreed to
implement WHO multi-professional patient safety
curriculum guide in:
Medical , pharmacy ,dental, allied health and
nursing undergraduate programmes
Housemanship training, Masters training
The objective is to introduce patient safety concept
and important patient safety issues at the earlier
stage of health care professionals training
Had meetings with Dean of Medical Schools, Dean
of Allied Health School, Postgraduate Masters
Program
Pilot project for Patient Safety Awareness Course
on 10th Feb 2014 1 state was selected

SPECIFIC
PROGRAMMES

1st GLOBAL PATIENT SAFETY CHALLENGE

CLEAN CARE IS SAFER CARE

The Hon.Minister of Health, affirmed

Malaysia's commitment, 15th May 2006
witnessed by Professor Didier Pittet, leader
of the Global Patient Safety Challenge

INFECTION PREVENTION & CONTROL THROUGH INNOVATION

15th January 2014

Prof. Diedier Pittiet

Director, Infection Control Program, WHO
Collaborating Centre on Patient Safety
-Delivering lecture Infection Control: From
Rubbing to Dancing Around The World

Datuk Dr. Noor Hisham

Abdullah
Director General of Health
35
-Delivering keynote address

2nd GLOBAL PATIENT SAFETY CHALLENGE

SAFER SURGERY THROUGH BETTER COMMUNICATION
MINISTRY OF HEALTH MALAYSIA
PERIOPERATIVE CHECKLIST

36

COMMUNICATION WITH PATIENT IS PART OF SAFE

SURGERY PROGRAMME

37

3rd GLOBAL PATIENT SAFETY CHALLENGE

TACKLING ANTIMICROBIAL RESISTANCE

Pledge Taking Ceremony During Annual Scientific Meeting

On Antimicrobial Resistance 2014
Antimicrobial resistance
information to public

TV advertisement
Infection Control Unit, Quality in Medical Care Section, Medical Development Division, MOH

IMPROVE PATIENT IDENTIFICATION

39

PATIENT ENGAGEMENT IN IDENTIYING

RIGHT SIDE/SITE OF SURGERY

40

MEDICATION SAFETY EDUCATION

Know Your Medicine Pamphlet

Know Your Medicine Campaign

psc report 1/2012 dna & dmn

41

Patient Allergic Card

RESEARCH ON
PATIENT SAFETY

RESEARCH RELATED TO PATIENT ENGAGEMENT

- PATIENT AUTONOMY & COMMUNICATION
Patient Autonomy & Discharge
Communication In MOH Hospitals
1008 patients ( 2007)
- 91.2 % felt that involvement in decision making
was very important
- 54.8% felt they were provided with
information in deciding treatment

- 58.6% felt never/seldom able to make decision

for treatment

Patients Unvoiced Needs

1829 Patients ( 2006)
1 in 5 patients reported to have unvoiced
needs (patient planned to share or present
their problems or healthcare providers during
their visit to clinics)

*Healthcare providers should explore

unvoiced needs of patients

* Discharge communication is still inadequate

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Source: Institute of Health System Research, MOH

ROLE OF MINISTRY OF HEALTH MALAYSIA IN FACILITATING

PATIENT ENGAGEMENT
Have various strategies in ensuring patient safety
Integrate patient engagement in patient safety programme
Promote patient engagement as essential component in improving
patient safety among healthcare staff and patients
Collaborate with WHO, NGO, healthcare providers and patients to
establish a specific patient movement
Provide assistance logistic, education, technical support to patient
movement

SECRET TO
MALAYSIA SUCCESS IN
PATIENT SAFETY
From Global To Local Action
Leadership
National Agenda
Patient Engagement