18 staff taken to task at TTSH clinic over hy­giene lapse

The Myanmar Times - - Asean Focus -

EIGH­TEEN staff mem­bers at Tan Tock Seng Hospi­tal’s (TTSH) den­tal clinic will be coun­selled and dis­ci­plined fol­low­ing an in­ci­dent last year, where eight packs of den­tal equip­ment did not un­dergo the fi­nal step of ster­il­i­sa­tion and were used for treat­ment be­tween Nov 28 and Dec 5.

The dis­ci­plinary ac­tions against the em­ploy­ees — among them se­nior man­age­ment mem­bers and su­per­vi­sors — will in­clude warn­ings and fi­nan­cial penal­ties. They will also need to go through re­train­ing and ed­u­ca­tion.

In a state­ment on Tues­day (Jan 8), the Na­tional Health­care Group (NHG) said that its re­view com­mit­tee, which was es­tab­lished fol­low­ing the in­ci­dent, has com­pleted its in­de­pen­dent in­ves­ti­ga­tion and iden­ti­fied the main cause as “hu­man er­ror with a lapse in ad­her­ence to the es­tab­lished ster­il­i­sa­tion process and ver­i­fi­ca­tion pro­to­col”.

Weak ster­il­i­sa­tion pro­to­cols and work in­struc­tions were also found to be con­tribut­ing fac­tors. There were gaps, too, in the level of vig­i­lance, with staff fail­ing to ver­ify the steril­ity of the in­stru­ments be­fore use.

The com­mit­tee flagged the lack of time­li­ness in the re­port­ing of the in­ci­dent as well. “Ear­lier es­ca­la­tion and faster re­sponse could sig­nif­i­cantly re­duce the im­pact of the in­ci­dent,” the state­ment added.

The com­mit­tee was chaired by the chief ex­ec­u­tive of­fi­cer of the In­sti­tute of Men­tal Health, Pro­fes­sor Chua Hong Choon, as well as ex­perts from other health clus­ters.

It sub­mit­ted its full in­ves­ti­ga­tion re­port with fol­low-up ac­tions to the Min­istry of Health (MOH) on Tues­day. –

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