Overview
Performance Indicators
Medical & Dental Advisory Committee
Nursing Advisory Council
Overview
Performance Indicators
Based on the following performance indicators, we have met and exceeded MSQH’s benchmark standard for Financial Year 2018 (July 2017 to June 2018):
Accident & Emergency
Indicator | MSQH Benchmark |
---|---|
Waiting time relative to triage category- Red zone seen immediately |
100% |
Waiting time relative to triage category – Yellow zone seen within 30 minutes |
≥85% |
Waiting time relative to triage category- Green zone seen within 90 minutes |
≥85% |
Cathlab
Indicator | MSQH Benchmark |
---|---|
Major Complication Rates during Percutaneous Coronary Intervention | < 1% |
Major Complication Rates during Diagnostic Coronary Angiogram | < 1% |
Electrocardiogram taken within 10 minutes after triaging as possible Acute Coronary Syndrome patients | 100% |
Housekeeping
Indicator | MSQH Benchmark |
---|---|
Customer satisfaction feedback survey | 80% satisfaction |
Infection Control
Indicator | MSQH Benchmark |
---|---|
Percentage of healthcare associated infections | <5% |
Number of Resistant Organisms to Antibiotics within a specified period of time | MRSA <0.3% ESBL <0.3% |
Internal Medicine
Indicator | MSQH Benchmark |
---|---|
Percentage of patients passed away due to Dengue | 0% |
Labour Delivery Services
Indicator | MSQH Benchmark |
---|---|
Incidence of massive Post-Partum Haemorrhage (PPH) of total deliveries should be less than 1% (exclusion criteria: placenta previa and adherence placenta) | <1% |
Occupational Therapy
Indicator | MSQH Benchmark |
---|---|
Percentage of stroke patients with improvement of activities of daily living (ADL) independence after ADL intervention | >75% |
Operating Suite Services
Indicator | MSQH Benchmark |
---|---|
Rate of compliance to Safe Surgery Saves Lives (SSSL) practice | 100% |
Pathology
Indicator | MSQH Benchmark |
---|---|
Laboratory Turnaround Time (TAT) for urgent Full Blood Count within 45 minutes | > 90% |
Pharmacy
Indicator | MSQH Benchmark |
---|---|
Average time for a prescription to be dispensed from time received at counter to time given to patient | >90% of outpatient prescriptions prepared within 12 minutes |
Physiotherapy
Indicator | MSQH Benchmark |
---|---|
Incidence of Burns sustained during delivery of Electrotherapeutic Modalities or Thermal Agents | 0% |
Radiology
Indicator | MSQH Benchmark |
---|---|
Perfect, Good, Moderate, Inadequate (PGMI) audits for mammography | > 97% for Perfect, Good & Moderate |
Surgical Disciplines
Indicator | MSQH Benchmark |
---|---|
Percentage of unplanned re-admission within 72 hours of discharge | < 0.5% |
Medical & Dental Advisory Committee
The doctors at Mahkota are represented in MDAC whose members are elected from the pool of doctors who practice full time in Mahkota. The establishment of MDAC is a regulatory requirement under the Private Healthcare Facilities and Service Act 1998. The MDAC shall have due regard to the safety and interest of patients and maintenance of ethical and professional standards.
Head of MDAC Sub-Committee / Member
Dr Hasleani Bt Ibrahim
Head of Blood Bank and Tissue Review
Dr Ang Choon Chin
Head of Continuing Medical Education
Dr Yip Sek Onn
Head of Drugs and Therapeutics
Dr Cheng Kok Hong, Michael
Head of Hospital Infection Control
Dr Ahmad Saifuddin Bin Ahmad Yahaya
Head of Medical Records
Dr Yew Shiong Shiong
Head of Mortality and Morbidity Review
Dr Ng Kim Swan
Head of Operating Theatre, ICU and Critical Care
Dr Sivanesan Thirumurthi
Member
Dr S R Shashi Raj Selvaraj
Member
Nursing Advisory Council
Ee Lin Neo
Chairperson
Lee Yee Kew
Member
Lucia Voon
Member
Sally Tan
Member