Tonny-Tumwesigye-Session-3A-CCIH-2017

Uganda Protestant Medical Bureau
Ensuring Quality of Health Care services
and Improving Patient Safety-adapting
Comprehensive Unit Based Safety
Program (CUSP) Model
Dr. Tonny Tumwesigye-Executive Director

www.upmb.co.ug Health in Totality
• UPMB Founded in 1957,
• National Coordinating body for Protestant health
services in Uganda.
• Network of 291 Health Institutions in Uganda
• Approximately 80% of the member institutions are
located in rural and poor communities across Uganda.
• PNFP Network provides about 45% of Health Services
delivery and 60% of Nursing Training
• UPMB covers about 50% of the Facility based PNFP

Kiwoko Hospital
Kiwoko is a General Hospital that also Serves as a District Hospital

Five Pillars Central to Sustained Improvements in Patient Safety
Client
Focus
Transparent
&
Accountable
Continuously
Improving
Clinical
Services
Continuous
Learning
A Safe High Quality Health Care System
Governance &
Leadership

Client Focus
Yes No
Patients have opportunities to provide input on what is
important to them in the delivery of their care.
X
Patients have the information they need to help them make
decisions about their care.
X
Patients are treated equitably and their cultural values are
respected.
X
Patients are considered active partners in their care and treated
as member s of the health-care team.
X

Client Focus
Yes No
Patients are encouraged to ask questions and provide feedback
about their experience of care.
X
If patients are harmed in the course of care, they are openly
informed of the harm.
X
The hospital team involve patients in incident discussions and
the actions being undertaken to reduce the chances of future
similar incidents occurring.
X

Transparent and Accountable
Yes No
Leaders and boards are undertaking actions on a continuous
basis to evaluate the safety of care in the environments they lead
and working to improve safety . X
Improvements and challenges in advancing patient safety are
openly disclosed to consumers of health-care services. X
If patients encounter problems in their care, they are listened
to and their concerns are acted on.
X

Governance and Leadership
Yes No
There are policies, procedures and processes to guide
the delivery of safe, quality care.
X
Leaders have the education necessary to promote and
sustain a just culture of care. X
Leaders demonstrate the behaviours expected of all
members of the health care team by promoting
openness, transparency and are client focused. X

Continuously Improving Clinical Services
Yes No
Monitor medication reconciliation on admission. X
Monitor of pressure ulcer development during the
provision of health care services(Stage 3, Stage 4 and
unstageable)
X

Yes No
Hospital standardized mortality ratio
X
Critical incident reporting.
X
Policies and procedures are in place and regularly
audited to ensure improvement efforts are
undertaken and being sustained.
X

Client Focus
Customer Care Services Desk Suggestion Box for Feedback

Safety Science Training Safety Science Training

Celebrating World
Hand Washing
Day at Kiwoko
Hospital

Hand Hygiene Monitoring Waste Management Training

Surgical Checklist Implementation
Safes Life
Safety Culture a Hindrance to
Surgical Checklist Implementation

Innovation-Kisiizi vs WHO Surgical Checklist

Surgical Checklist Use Induction Dr James Supports Surgical Checklist

Infection Prevention & Control

Manufacturing Own Hand Rubs Incinerator for Waste Management

Continuous Learning
Staff Training on Safety Science Participants Award Certificates

Transparent and Accountable
Yes No
Patients are provided services in an accredited hospital.
X
The hospital is held accountable to the quality and patient
safety standards of their profession through their regulating
bodies.
X

Yes No
Patient safety is paramount in all organizational
decisions.
X
The hospital is actively working with its partners to
ensure patient safety across the continuum of care. X

Yes No
Monitor Hand hygiene compliance
X
Monitor Key indicators of Healthcare acquired
infections– including surgical site infections, urinary
tract infections and, and C. difficile infections. X
Monitor Surgical safety checklist compliance
X

Continuous Learning
Yes No
Health-care professionals and administrators have the
training and information they need to provide safe care. X
Health care providers practice according to professional
standards.
X
On-going learning is encouraged and supported.
X

Continuous Learning
Yes No
Hospital administrators and providers have processes
in place to learn from patient safety events and patient
feedback.
X

Conclusion
• Strengthened further patient safety collaborations.
• Promoting and enhancing cultural safety.
• Action to improve patient experiences and based on data &
evidence.
• Actively engaging clients and staff.
• Reflecting client values as organizational values.
• Supporting continuous learning and improvement.

• Committing to implementing Quality Health care services
and patient safety initiatives and regularly tracking
progress, achieving high-quality health care at Kiwoko
Hospital is possible.

The future is bright…

•
THANK YOU

Tonny-Tumwesigye-Session-3A-CCIH-2017

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