Improving Occupational Safety for Healthcare Workers in Public Hospitals in Thailand

Occupational safety for healthcare workers has been emphasized as one of the most important components and indicators of the quality in the national health care standard and has been identified as the main important goal by WHO and the government of Thailand to ensure the long-term sustainability of the healthcare system development of the country. However, there is still a gap in theoretical and practical knowledge on the proper implementation of occupational safety at the operational basis among the healthcare workers in Thailand, which results in the risk of developing work-related diseases, stress and injuries from work. In addition to potentially jeopardize the safety and wellness of healthcare workers, unsafe procedures and behaviors are also leading to increased costs for the hospitals and the national healthcare system. In the present, the majority of public hospitals in Thailand are still facing with the following constraints: 
- Limited knowledge on clinical standards and proper usage of medical instruments among healthcare workers 
- Insufficient training provided, including inadequate information received, on occupational safety and efficient clinical procedures for healthcare workers and hospital managers   
- Underdeveloped accurate monitoring system to enforce and encourage hospitals to improve safety for healthcare workers
With the realization on the importance of improving occupational safety for healthcare workers in Thailand, the Bureau of Health Administration Division, Office of Permanent Secretary Ministry of Public Health and the Healthcare Accreditation Institute (Public Organization) in collaboration with the German International Cooperation (GIZ), which operates on behalf of the German Ministry for Economic Cooperation and Development (BMZ), and B. Braun (Thailand) Ltd. and Aesculap Academy have jointly developed and implemented the “Improving Occupational Safety for Healthcare Workers in Public Hospitals in Thailand” project to promote and enhance the occupational safety among Thai healthcare workers, which will result in the increasing safety of both personal and patient safety in the future.
To create an enabling environment to enhance the safety and effectiveness of health care services by reducing the major work risks for health care personnel in Thailand

The project comprises of 4 main working approaches as follow;
Competency standard, curriculum and guiding manual development: To develop a competency standard, curriculum and guiding manual based on the international standard, guideline and curriculum and course materials for the four areas;
1) Role of Hand Hygiene in healthcare-associated infection prevention
2) Peripheral Intravenous Cannula Insertion and Management
3) The Safety of IV Chemotherapy for Healthcare Professional
4) The Ergonomic problem and solution for Healthcare Worker
Personnel capacity development: To improve capacities of healthcare workers in the 4 areas above
Promote occupational safety measures in hospitals for healthcare workers: To support the middle and top management of hospitals to apply occupational safety measure standards
Quality assurance and policy framework: To enforce nationwide application of the revised standards by establishing a quality assurance system, including e-reporting and surveillance, to monitor nurses’ work performances and develop improvement measures 

Main Financiers 
- German Ministry for Economic Cooperation and Development (BMZ)
- B. Braun Melsungen AG
Implementing Agencies
1) Ministry of Public Health of Thailand
    - Bureau of Health Administration Division, Office of Permanent Secretary Ministry of Public Health 
2) GIZ Thailand 
3) B. Braun (Thailand) Ltd.
4) Aesculap Academy 
Duration: 2017-2019              

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