1. MEDICAL SERVICE ADMINISTRATION VIETNAM MINISTRY OF HEALTH
DEPARTMENT OF
MEDICAL SERVICE ADMINISTRATION
VIETNAM MINISTRY OF HEALTH
Dr. VUONG ANH DUONG. MBA. PhD
HEAD OF QUALITY MANAGEMENT DIVISION
Conference on Patient Safety
23-26 June 2014, Manila Philippine

2. Country profile of hospitals at country level
Conference on Patient Safety
23-26 June 2014, Manila Philippine

3. MEDICAL SERVICE NETWORK OVERVIEW
Public Private
(164,800 beds)
Ratio 22,5 beds/10,000 pop.
National level
Provincial level
Local level
(6.289 beds)
121
Private hospitals, (05 with foreign investment)
Private clinics 38
hospitals
409
hospitals
645 district hospitals and 48 departmental hospitals
10,748 Commune health stations
Conference on Patient Safety
23-26 June 2014, Manila Philippine

4. How safe of health services in vietnam ???
Medical errors
How safe of health services in vietnam ???
Conference on Patient Safety
23-26 June 2014, Manila Philippine

5. SOME FIGURES ON MEDICAL ERRORS IN VIETNAM
Hospital acquired infection rate: 5,4-8,0%
Operation infection rate: ,5-8,5%
Ventilator associated Pneumonia: %
Obstetric complications:
9 months of 2013: 4.366/ cases
Obstetric complication Incidence of 2,8‰
One study in GIZ program show that: The rate of irrational treatment to diagnosis: 10-50% (31%)
Conference on Patient Safety
23-26 June 2014, Manila Philippine

6. Violate doctor/ hospital
Social requirement..
Bring to the court
Lowing down the reputation of health sector/ doctors
Requiring MOH to annually report incident rate of medical error/ accident
Accuse the errors’ doctor/ force to compensate (money)

7. Law of examination and treatment 2009
Article 60. Drug use in impatient healthcare facilities
Item 1. Drug use principles
Item 2. Prescription regulations
Item 3. Drug distribution
Item 4. follow up complications after drug use
Article 62. Infection controls in healthcare facilities
Item 1. Infection control mesures
Item 2. Health care facilities responsibilities
Item 3. Health care staff responsibilities
Conference on Patient Safety
23-26 June 2014, Manila Philippine

8. Law of examination and treatment 2009
Chapter 7. Medical errors, complaints resolution and disputes, accusations of medical treatment and examination
Item 1. Medical errors in medical treatment and examination
Article 73. Identify malpractice or not of practionners
Article 74. Establishment of professional boards
Article 75. Components, operating principles and duties of the professional Board
Article 76. Responsibilities of practionners, medical facilities when complications occur in health care.
Article 77. Determine level of the compensation due to technical errors causing complications in health care
Article 78. Liability insurance in medical examination and treatment
Conference on Patient Safety
23-26 June 2014, Manila Philippine

9. Hospital regulations Was issued with the decision1895/1997/QD-BYT
Hospital Regulations comprise 5 elements, 153 rules and regulations
Some regulations related to patient safety:
Regulation on permanent emergency
Regulation on diagnosis, medical records and prescriptions
Regulation on hospital infection control (18/2009/TT-BYT Circular dated 14/10/2009)
Regulation on comprehensive patient care (07/2011/TT-BYT Circular dated 26/01/2011 guiding nursing care of patients in the hospital).
Regulation on the use of drugs (Circular23/2011/TT-BYT dated 10/6/2011)
Conference on Patient Safety
23-26 June 2014, Manila Philippine

10. Circular No.19 - guiding quality management of medical services in hospitals
Hospitals need to build quality indicators, database and hospital quality measurement
Hospitals need to implement regulations, professional guidances
Hospitals need to implement measures to ensure safety for patients and medical staff
Hospitals need to apply standards, criteria for hospital quality management
Hospitals need to assess hospital’s quality
Conference on Patient Safety
23-26 June 2014, Manila Philippine

11. Hospital Hotline
To enhance receiving and handling feedback of citizens regarding Quality of Medical Service through hotline
Focus on “hot” topics: “5 topics”
Publicize director’s telephone number to supervise
Publicize Department of Health’s hotline to supervise
Establishing Ministry of Health’s hotline number
Having system of monitoring, reporting; supporting technology
Having sanctions (on-site) for violating, not handling
Conference on Patient Safety
23-26 June 2014, Manila Philippine

12. Other activities related to PS
Survey on patient/ staff satisfaction
Set of hospital quality criteria assessment (83 criteria in 6 dimentions)
Hospital infection control (committee, network in hospital, checklist, protocol)
Out-patient examination: Reducing waiting time, cutting down administration procedures
Conference on Patient Safety
23-26 June 2014, Manila Philippine

13. Other activities related to PS
Developing guideline:
Standard guideline on diagnosis and treatment
Medical professional procedure protocols
Training materials:
Hospital management
Patient safety
Hospital quality management
Pilot quality and patient safety improvement piloted in different projects
Annual workshops to advocate and share experience: quality management; patient safety
Conference on Patient Safety
23-26 June 2014, Manila Philippine

14. The structure of hospital quality management
Hospital quality Council
Patient safety Committee
Environment safety Committee
Infection Control Committee
Patient and staff satisfaction assessment Committee
Quality M Department
Network of quality management and patient safety in all Depts
Conference on Patient Safety
23-26 June 2014, Manila Philippine

15. Role and responsibility of patient safety Committee
Developing medical errors and potential risk collecting and reporting system
Implementation of “learning from mistakes”
Developing standardized materials on patient safety to give training
Developing reminding system in hospitals
Establishing the system of monitoring - feedback
Establishing system of analyzing complication and causes
Implementing patient safety interventions
Monitoring and evaluating
Conference on Patient Safety
23-26 June 2014, Manila Philippine

16. Form to report the potential risks
Conference on Patient Safety
23-26 June 2014, Manila Philippine

17. Form to report the potential risks
Conference on Patient Safety
23-26 June 2014, Manila Philippine

18. Reports Conference on Patient Safety
23-26 June 2014, Manila Philippine

19. Content of reports Conference on Patient Safety
23-26 June 2014, Manila Philippine

20. CHALLENGES
Quality Management is quite a new area, which still hasn’t appropriate attention and direction of the units’ leader.
No task forces or persons in charge, lack of human resources on QM, no specialized train.
Limited qualification of the executives, mostly not yet been appropriately trained, educated on quality management.
Lack of budget for quality management operation.
Legal documents, needs time for medical service facilities to implement and achieve results…
Patient safety issue is now the big concern of publicity and government
Conference on Patient Safety
23-26 June 2014, Manila Philippine

21. Overcome
Hospital Quality Management Committee/ Department/ Team establishment
Hospital quality accreditation
Hospital quality assurance
Hospital quality continuous improvement
Establishing medical error reporting system: check list, template to report potential risk…
Developing & issuing Circular on medical error prevention and management:
Guidance how to prevent the potential risk
Manage and treat when the errors/complications occurred
Conference on Patient Safety
23-26 June 2014, Manila Philippine

22. THANK YOU FOR YOUR ATTENTION
Conference on Patient Safety
23-26 June 2014, Manila Philippine