6.2.5Safety Standard
Special requirementsOutbreak Preparedness and Management Plan
An outbreak response protocol is established with rapid cluster investigation, isolation capacity scaling and statutory communicable disease notification.
Compliance Criteria
- 1Written Outbreak Preparedness and Response Protocol with escalation triggers
- 2Statutory electronic notification of infectious diseases (e-Notifikasi) within legal timeframes
- 3Contact tracing procedure for multidrug-resistant organisms (MDRO) and viral clusters
- 4Debrief reports following cluster containment with documented systemic improvements
Hospital Self-Rating
Rated by Dr. Tan Mei Ling on 24 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"Outbreak preparedness protocols and e-Notifikasi procedures for communicable diseases are established with rapid contact tracing mechanisms."
thin
Evidence documents establish procedural intent but lack documented verification records for the current audit period.
Unverified criteria:
- Contact tracing procedure for multidrug-resistant organisms (MDRO) and viral clusters
- Debrief reports following cluster containment with documented systemic improvements
Derived from AccrediSense Evidence Engine · 1 document(s) attached with 2 unverified criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (1)
PolicyAcceptedScore: 91/100
Hospital Outbreak Management Plan & Communicable Disease Protocols
36 pages · EN, MSValid: 2025-05-01 to 2028-05-01
TL
Person-in-ChargeInfection Control Officer & Consultant Microbiologist
Head of DepartmentHead of Clinical Services & Consultant Physician
AR
Surveyor Authority PaneAssigned: Dr. Mohd Anis Haron (Lead Surveyor)