KAIZEN ACTIVITIES AT A PUBLIC HOSPITAL IN A DEVELOPING ...
Transcript of KAIZEN ACTIVITIES AT A PUBLIC HOSPITAL IN A DEVELOPING ...
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KAIZEN ACTIVITIES AT A PUBLIC HOSPITAL IN A DEVELOPING COUNTRY: CHO RAY HOSPITAL, VIETNAM
Ton Thanh Tra MD.PhD
Head of Quality Management Department, Cho Ray hospital
Ho Chi Minh City- Vietnam
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CONTENTS
Brief introduction about Vietnam condition and Cho Ray hospital
Some examples on low cost Kaizen activities at Cho Ray hospital
Lessons learnt
Practitioner’s expectation for Kaizen
Conclusions
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• Our community get more expectation in health care services,
aging population
• Communicable and non communicable diseases
• Overload patients in public hospitals
• Staff has overload of work
• People centred care
• Patient safety becomes the most
Important thing in hospital management
HEALTH CARE QUALITY SHOULD BE IMPROVED
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BỘ Y TẾ Ministry of Health
VIETNAM HOSPITAL QUALITY CRITERIA 2.0 (Circular 6858/QĐ-BYT, dated November 18, 2016, by Minister, Ministry of Health )
3,48
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Workenvironment
Leadership
InternalRegulation and
Outcomes
Opportunitiesfor study and
Promotion
QUALITY IMPROVEMENT FROM MINISTRY OF HEALTH
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QUALITY MANAGEMENT ORGANIZATION
Ministry of Health
Department of Health
Quality management
division
Quality management
committee
HQM network
Patient safety
Board Satisfaction Guidelines Surveillance IT application
HQM departments
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HOSPITAL QUALITY MANAGEMENT SYSTEM
Hospital Director
Board
Quality management
Dept
Quality management
committee
Members of
Quality network
Patient safety Clinical
Indicators
Standariza
tion Satisfaction IT application
Supporting team
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Continuing quality
improvement 7
• Plan
• Doing
• Check
• Action
KAIZEN
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Make safety workplace with low cost.
ACTIVITIES IN LIMITED RESOURCE: 5 S
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4,1 3,7
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2009 2010 2012 2013 2014 2015 2016 2017
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76 80
130
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THE INCIDENT REPORT SYSTEM
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Hand hygiene compliances Hospital acquired infection
COMPLIANCES
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Inspection → Feedback → Monitoring → Evaluation
PATIENT SAFETY ROUND WITH MULTI-PROFESSIONAL TEAM
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• Pocket manual on patient
safety
• Training in patient safety
• Patient safety news letters
• Person in charge in patient
safety at clinical departments
OTHER ACTIVITIES
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Local government and Ministry of health commendations
MOH commemdations
AWARDS – COMMENDATIONS
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• The leadership
• Training, encouragement, motivation
• Using PDCA cycle
• Human resources (professional staff)
• Showing the data and outcomes
• Setting goals, sharing the outcomes
• Budget.
LESSON LEARNT
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• Patient safety needs support from government, local and
International organizations
• We need professional staff for patient safety
• Patient safety should be learnt in medical Universities and in
continuing medical education program for all medical staff
• Patient safety should be one of the priorities in hospital
management
A PRACTITIONER’S EXPECTATIONS
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• Continuing quality improvement (KAIZEN) would be done at
limited resources medical settings
• To be successful, Kaizen need support from Government,
Ministry of Health, Director of medical setting and all staff
• Kaizen is easy to start but difficult to keep sustain
CONCLUSIONS
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• Japanese Government for inviting me and supporting my country.
• JICA experts for supporting me a lot in doing Kaizen
• All my colleagues who have been doing together with me on patient
safety and quality improvement.
ACKNOWLEDGEMENTS