1-2 patients or 3-4 patients share a bed is a condition that has lasted for decades. It is the obsession with millions of people while hospitalized. But in 2015, it has gradually changed which results from the efforts of physicians across the entire hospital system all over the country to apply “83 criteria of Quality Management” by Health ministry in 2013, especially the part of “Ensure sufficient infrastructure quality to serve patients”.
Efforts to change
In the years before 2013, share bed existed everywhere. In Hanoi, a pediatrics department of Saint Paul hospital was equipped with 120 beds but inpatient number was always above 400; the number at Bach Mai hospital’s pediatrics department was 60 beds and 140 – 150 inpatients a day. In Cho Ray Hospital, 1,800 beds for 2500 inpatients a day and 4,500 if short-term inpatients included. This overloading situation led to “share bed” or temporary sub-bed in the corridor despite all medical staff were fully aware of increasing risk of medical error and infection.
After the quality management criteria with 83 parts was issued and firmly applied by Ministry of Health, many short-term and long-term methods have been applied to reduce “share bed” such as: categorize hospitalization case, whether categorized as outpatients or send back to primary care hospitals. Build new facilities or renovate, expand existing hospital, develop network of satellite hospitals, train family doctor and enhance the quality of health care have been also implemented.
Until early on May 4th 2015, 23 central-level hospitals and 18 other hospitals in HCMC signed commitments to ensure no more “share bed”, including the most overloaded hospitals such as Vietnam Germany Hospital, E Central Hospital, Hue Central Hospital, Pediatrics Hospital I and Blood Transfusion Haematology Hospital, etc.
Training to ensure the quality of inpatient care
Through training programs on August 28th and 29th, Dr Phan Thi Ngoc Linh instructed for medical staff in Khanh Hoa hospital when overloaded conditions happened and how to explain for patient’s relative the priority cases requiring hospitalization as well as process improvement to reduce “share bed” and ensure efficiency of examination and treatment.
(The training of medical staff at Khanh Hoa hospital)
Through this training, medical staff have been updated knowledge and motivated to change and apply Hospital quality and patient safety management in order to regain patient’s trust on the quality of healthcare.
In 2015, Gonsa will increase support and companionship with Dr Linh to help many hospitals participate in the “Hospital Quality and Patient Safety Management” program. It is our promise to contribute for an increasing national healthcare quality and better patient’s health, as well as express our concern for community and society.