kaizen activities at a public hospital in a developing
TRANSCRIPT
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
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
1
2
3
4
5
• 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
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
3,78
3,55
3,64 012345
Workenvironment
Leadership
InternalRegulation and
Outcomes
Opportunitiesfor study and
Promotion
QUALITY IMPROVEMENT FROM MINISTRY OF HEALTH
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
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
Continuing quality
improvement 7
• Plan
• Doing
• Check
• Action
KAIZEN
Make safety workplace with low cost.
ACTIVITIES IN LIMITED RESOURCE: 5 S
5,5
15,5
25,2
4,1 3,7
26,6
5,9
0
10
20
30
0
100
200
300
2009 2010 2012 2013 2014 2015 2016 2017
28 28 59
76 80
130
214
270
THE INCIDENT REPORT SYSTEM
Hand hygiene compliances Hospital acquired infection
COMPLIANCES
Inspection → Feedback → Monitoring → Evaluation
PATIENT SAFETY ROUND WITH MULTI-PROFESSIONAL TEAM
• Pocket manual on patient
safety
• Training in patient safety
• Patient safety news letters
• Person in charge in patient
safety at clinical departments
OTHER ACTIVITIES
Local government and Ministry of health commendations
MOH commemdations
AWARDS – COMMENDATIONS
• 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
• 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
• 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
• 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
