S23: Cultivating a culture of continuous improvement and patient safety
Friday 15 August 2025 | 15:20-15:45
Format: Presentation
Stream: People
Part 1: From Concept to Impact: Designing a QI Framework and Training Programme Inspired by the IHI Dosing Approach
Jurong Health Campus (JHC), a new healthcare system with a focus on Quality and Patient Safety, recognised the importance of establishing an organisation wide practice of Quality Improvement (QI).Referencing the IHI white paper “Sustaining Improvement” (Scoville R. et al), we developed our QI framework tailored to our local organisation roles, then designed QI training using the IHI dosing approach. The goal was to achieve the tipping point of 25% staff trained in QI (Centola D. et al).Beyond training, the QI team coached, monitored and tracked QI projects for improvements. As of March 2024, 22% of staff have been trained in at least 1 QI Programme in JHC, with increased quantity and quality of QI project submissions.
Our journey was published on BMJ Open Quality in Sept 2024 titled “Building capacity and capability for quality improvement: insights from a nascent regional health system
Key session outcomes:
1. Understand the importance of a structured QI framework based on organisation roles
2. Learn how to apply the dosing approach to tailor QI training to different staff level roles
3. Identify key strategies to support sustainable QI capacity and capability within healthcare institutions
Ng Yan Jun Ng Teng Fong General Hospital; Singapore
Kelvin Lew Ng Teng Fong General Hospital; Singapore
Part 2: Empowered Care: Improving Healthcare Quality Through Patient Engagement Tools
This engaging campfire-format session will provide delegates with an innovative perspective on using Patient-Reported Experience Measures (PREMs) as a tool to verify the implementation of patient safety protocols by healthcare professionals.
The session is designed to foster interactive learning through a combination of expert presentations and practical exercises.
Presentation 1: The first speaker will highlight the critical need for integrating clinical PREMs into patient safety frameworks.
Presentation 2: The second speaker will share insights from our experience co-producing validated, context-specific clinical PREMs tailored to patient safety initiatives.
Following each 10-minute presentation, delegates will participate in a DIY workshop. Participants will work collaboratively to design PREM questionnaires for a clinical care area related to patient safety.
By the end of this session, delegates will be equipped with practical skills and a structured approach to develop customized PREM tools for use in their organizations.
Key session outcomes:
1. Understand innovative method of using PREMs
2. Co-produce context-specific PREMs questionnaire with patients
3. Master validation of the PREMs tools
Lallu Joseph Christian Medical College; India
Rahul Deshmukh Medcare Orthopaedics and Spine Hospital; Dubai
Part 3: Impact of Ensure Safer Systems Program on Clinical and Environmental Safety in Singapore
Singapore’s Ensure Safer Systems (ESS) is a joint initiative between the Ministry of Health (MOH), Joint Commission International (JCI), and the public healthcare institutions. It aims to create sustainable quality improvement and patient safety systems through fostering high reliability leadership, empowering workforce, and assessments using internationally recognized yet locally contextualized standards. Now in its third year, the ESS program has demonstrated measurable impact on leadership engagement, safety culture, and outcomes in both clinical and environmental safety. The session will discuss interim national and institutional results, with a highlight on the National Facility Management & Safety (FMS) Workgroup as an exemplar of cross-institutional learning and collaboration.
Key session outcomes:
1. Strengthen quality and safety systems by adopting high reliability leadership practices and internationally aligned, locally relevant standards.
2. Empower healthcare teams through structured assessments and workforce engagement to drive measurable improvements in safety culture and outcomes.
3. Foster cross-institutional collaboration by leveraging national workgroups like the Facility Management & Safety (FMS) initiative to share learning and scale best practices.
Soon Kee Lim Ministry of Health; Singapore
Oviliani Wijayanti Joint Commission International; Singapore