Press

Press Statement DG of Health 3 July 2018 – Launching Of The Second Edition Of ‘Guidelines On Safe Surgery Saves Lives Programme’

Screen Shot 2018-07-03 at 14.41.14

The Ministry of Health Malaysia today launched the second edition of the ‘Guidelines on Safe Surgery Saves Lives Programme’ in conjunction with a two-day Patient Safety Seminar in Putrajaya. The seminar is themed ‘Enhancing Surgical Safety’ which aligns with the World Health Organisation’s agenda to ensure universal access to quality, safe and affordable surgery throughout the world. Apart from promoting these new guidelines, the Patient Safety Seminar also aims to disseminate crucial information on various aspects of patient safety especially surgical safety and the latest improved version of the ‘Safe Surgery Checklist’ based on the invaluable feedback from end users. More than 450 healthcare staff throughout Malaysia are in attendance to listen and learn from experienced speakers who are critical experts in their field.

It has been estimated that for the year 2012, the total global volume of surgery performed was 312.9 million operations with the mean global surgical rate of 4,469 operations per 100,000 people per year. In Ministry of Health Malaysia facilities alone, about 1.103 million surgical procedures were performed in 2016. Although surgery is beneficial, there are risks related to it. In industrialised countries, major complications during surgery have been documented to occur in 3 to 22% of inpatient surgical procedures with the death rate at 0.4 to 0.8%.  Nearly 50% of the adverse events in these studies were deemed to have been preventable.  Studies in developing countries suggest a death rate of 5–10% associated with major surgery. In Malaysia, there were only a few cases of wrong surgery and unintended retained foreign body, which involved various surgical disciplines.

Screen Shot 2018-07-03 at 14.35.26

To improve patient safety and avoid preventable harm in surgery, Ministry of Health has taken proactive measures to become one of the pioneer countries implementing the ‘World Health Organization Second Global Patient Safety Challenge – Safe Surgery Saves Lives Programme’ since 2009. We also produced our very own ‘Safe Surgery Checklist’ based on the World Health Organization’s Checklist.  The mandatory use of Safe Surgery Checklist during surgery is the primary element in this programme. This checklist is a simple tool designed to improve the safety of surgical procedures by bringing together the whole operating team to perform key safety checks during vital phases of perioperative care. This checklist also encourages communication and teamwork within multidisciplinary teams. Worldwide studies have shown that the implementation of this checklist managed to reduce morbidity and mortality.

Screen Shot 2018-07-03 at 13.59.49

We also use various strategies to make this ‘Safe Surgery Saves Lives Programme’ part of our safe work culture. Besides policies, we also conduct promotional activities and specific training throughout the country. This programme has also been included in the mandatory ‘Patient Safety Course for House Officers and Post-graduate Surgical Training’ in Malaysia. In order to ensure nationwide implementation, this programme has been made one of the 13 Malaysian Patient Safety Goals, with the targets of “zero incidences of wrong surgery” and “zero incidences of unintended retained foreign body”.

Ministry of Health has always been committed to improving the quality of healthcare service throughout the country. Patient safety has always been our priority, and it is hoped that with the latest version of the ‘Safe Surgery Checklist’ and the availability of these new guidelines, surgical safety will be further improved. This initiative will also increase the confidence of our ‘rakyat’ to the surgical service in this country.

 

Datuk Dr. Noor Hisham Abdullah

Director General of Health Malaysia

3 July 2018

 

Pelancaran Edisi Kedua Garis Panduan Program

Safe Surgery Saves Lives

Kementerian Kesihatan Malaysia pada hari ini telah melancarkan edisi kedua ‘Garis Panduan Program Safe Surgery Saves Lives’ sempena Seminar Keselamatan Pesakit yang berlangsung selama dua hari di Putrajaya. Seminar bertemakan ‘Pengukuhan Keselamatan Pembedahan’ ini selari dengan agenda Pertubuhan Kesihatan Sedunia (World Health Organization, WHO) untuk memastikan akses kepada perkhidmatan pembedahan yang menyeluruh, berkualiti, selamat serta dengan kos yang berpatutan di seluruh dunia. Selain daripada mempromosikan garis panduan tersebut, Seminar Keselamatan Pesakit ini turut bertujuan untuk memberi pengetahuan berkenaan pelbagai aspek keselamatan pesakit, khususnya keselamatan pembedahan serta ‘Senarai Semak Keselamatan Pembedahan’ yang telah ditambahbaik berdasarkan maklumbalas pengguna. Lebih daripada 450 anggota kesihatan dari seluruh Malaysia menghadiri seminar ini yang menampilkan para pembentang yang berpengalaman dan mahir dalam bidang masing-masing.

Dianggarkan bahawa pada tahun 2012, sejumlah 312.9 juta pembedahan telah dijalankan di seluruh dunia dengan kadar purata 4,469 pembedahan per 100,000 individu pada setiap tahun.  Pada tahun 2016, sejumlah 1.103 juta prosedur pembedahan telah dijalankan di fasiliti-fasiliti Kementerian Kesihatan Malaysia. Sungguhpun pembedahan mempunyai banyak faedah, ia juga turut mempunyai risiko. Di negara-negara maju, komplikasi major semasa pembedahan adalah antara 3 hingga 22% bagi prosedur pembedahan yang dijalankan di hospital dengan kadar kematian 0.4% hingga ke 0.8%. Hampir 50% daripada insiden buruk yang tidak diingini semasa pembedahan adalah boleh dielakkan. Kajian di negara-negara membangun mendapati kadar kematian adalah antara 5 hingga 10% bagi pembedahan major. Di Malaysia, hanya terdapat beberapa kes kesilapan pembedahan dan kes bendasing yang tidak diingini tertinggal selepas pembedahan dilaporkan melibatkan pelbagai disiplin pembedahan.

Bagi mempertingkatkan aspek keselamatan pesakit dan mengelakkan daripada berlakunya kesilapan atau insiden yang tidak diingini, Kementerian Kesihatan telah mengambil langkah-langkah proaktif di mana Malaysia merupakan salah satu negara pelopor dalam menjalankan ‘World Health Organization Second Global Patient Safety Challenge – Safe Surgery Saves Lives Programme’ sejak tahun 2009.  Pihak KKM turut menghasilkan ‘Senarai Semak Keselamatan Pembedahan’ versi Malaysia berdasarkan senarai semak daripada WHO. Penggunaan senarai semak ini secara mandatori adalah merupakan elemen utama dalam Progam ‘Safe Surgery Saves Lives’. Senarai semak ini adalah alat bantuan mudah yang direka bagi mempertingkatkan keselamatan pembedahan dengan cara memastikan pasukan bedah menjalankan prosedur semakan keselamatan utama. Senarai semak ini juga menggalakkan komunikasi dan kerja berpasukan pasukan bedah yang terdiri daripada pelbagai kategori anggota dan disiplin. Kajian di serata dunia telah membuktikan bahawa penggunaan senarai semak ini dapat mengurangkan morbiditi dan kematian.

Pelbagai strategi turut digunakan bagi memastikan program ini menjadi sebahagian daripada budaya kerja selamat. Selain daripada polisi, aktiviti promosi dan latihan khusus turut dijalankan di serata negara.  Program ini juga telah dijadikan sebahagian daripada ‘Kursus Mandatori Keselamatan Pesakit bagi Pegawai Perubatan Siswazah dan Kursus Pasca-Siswazah Kepakaran Pembedahan’ di Malaysia.  Demi memastikan pelaksanaan menyeluruh di seluruh negara, program ini turut dijadikan salah satu daripada 13 Matlamat Keselamatan Pesakit dengan sasaran “sifar insiden kesilapan pembedahan” dan “sifar insiden bendasing yang tidak diingini tertinggal selepas pembedahan”.

Kementerian Kesihatan Malaysia sentiasa komited dalam mempertingkatkan kualiti perkhidmatan kesihatan di seluruh negara. Aspek keselamatan pesakit sentiasa menjadi prioriti dan diharapkan dengan penghasilan senarai semak yang baru ini serta Garispanduan Program Safe Surgery Saves Lives Edisi Kedua dapat mempertingkatkan kualiti perkhidmatan kesihatan di seluruh negara. Inisiatif ini juga dapat mempertingkatkan keyakinan rakyat terhadap perkhidmatan pembedahan di negara ini.

Datuk Dr. Noor Hisham Abdullah

Ketua Pengarah Kesihatan Malaysia

3 Julai 2018

Categories: Press

Tagged as: ,