Malaysia Patient Safety Goals (MPSG 2.0)

National Patient Safety Goals, clinical indicator mappings, and WHO Global Patient Safety Action Plan 2021–2030 targets.

AccrediSense Intelligence — Bridging the MPSG ↔ Indicator Disconnect

One of the commonest survey findings in MSQH audits is that hospital ward staff can recite the 7 Patient Safety Goals from memory, yet cannot identify the specific clinical indicators measuring them. AccrediSense unifies every national goal with its live numerator/denominator tracking.

Malaysia Patient Safety Goals (MPSG 2.0) Board

National Patient Safety Goals, WHO Global Patient Safety Action Plan (GPSAP 2021–2030) alignment, and clinical indicators.

1

Goal 1: Correct Patient Identification & Safe Clinical Transfusion

MPSG 2.0

100% compliance with dual patient identifiers (Name & MRN) prior to all diagnostic, surgical and blood transfusion interventions.

2 Linked Indicators
WHO Alignment (GPSAP 2021–2030):WHO SO 1: Policies to eliminate avoidable harm in healthcare

Global Target 1.2: Standardized identification protocols across 100% of acute inpatient admissions

2

Goal 2: Catheter-Associated Infection Control & Diagnostic Communication

MPSG 2.0

Timely closed-loop critical panic result reporting within 15 minutes and zero avoidable line-associated bacteremias.

0 Indicators Linked
WHO Alignment (GPSAP 2021–2030):WHO SO 2: High-reliability clinical communication and device safety systems

Global Target 2.1: 50% global reduction in healthcare-associated bloodstream and device infections

Measurement Gap: No clinical indicator is currently assigned to track Catheter-Associated Infection Control & catheter-associated bloodstream infection.
3

Goal 3: Safe Medication Practices & Multidisciplinary Reconciliation

MPSG 2.0

Formal medication reconciliation completed within 24 hours of admission for ≥ 90% of adult acute inpatients.

2 Linked Indicators
WHO Alignment (GPSAP 2021–2030):WHO SO 3: Medication safety and elimination of harmful medication errors

Global Target 3.1: 50% global reduction in severe avoidable medication-related harm (Medication Without Harm Challenge)

4

Goal 4: Safe Surgical & Invasive Procedures

MPSG 2.0

≥ 98% 3-phase compliance with the WHO Surgical Safety Checklist (Sign In, Time Out, Sign Out) across all operative theatres.

1 Linked Indicators
WHO Alignment (GPSAP 2021–2030):WHO SO 4: Safe surgical care and high-reliability operating suites

Global Target 4.1: Implementation of verified surgical pause protocols in 100% of operating suites

5

Goal 5: Infection Prevention & Clean Care for All

MPSG 2.0

≥ 85% overall direct-observation compliance with the WHO 5 Moments for Hand Hygiene across all inpatient wards.

3 Linked Indicators
WHO Alignment (GPSAP 2021–2030):WHO SO 5: Infection prevention and control and antimicrobial stewardship

Global Target 5.1: 100% institutional compliance with basic hygiene and clean care standards

6

Goal 6: Inpatient Fall Risk Mitigation & Pressure Injury Prevention

MPSG 2.0

Maintain inpatient falls with injury rate under 2.0 per 1,000 occupied patient bed days with universal risk screening.

1 Linked Indicators
WHO Alignment (GPSAP 2021–2030):WHO SO 6: Patient engagement and clinical nursing safety measures

Global Target 6.1: Systematic risk assessment and reduction of avoidable inpatient injuries

7

Goal 7: Incident Reporting, Significant Incident (SIQ) Investigation & Open Disclosure

MPSG 2.0

Timely notification, multidisciplinary root cause analysis and verified closure for 100% of significant clinical events.

1 Linked Indicators
WHO Alignment (GPSAP 2021–2030):WHO SO 7: Safety culture, continuous learning and transparent incident notification

Global Target 7.2: Closed-loop learning systems with systemic root cause analysis operationalized