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  • Konsep Dasar Patient Safety Sesi 2

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    Rahmat Dinejad
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    1) Patient safety is a current global issue that is important in hospital services, which began gaining attention after the 2000 IOM report. 2) WHO began a Patient Safety Program in 2004 to promote safety as fundamental to patient care and quality management. In Indonesia, the Patient Safety Committee in Hospitals was formed in 2005. 3) Various countries have established organizations dedicated to patient safety such as AHRQ in the US (2001), the Australian Council for Safety and Quality in Health Care (2000), and the National Patient Safety Agency in the UK (2001).

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    Pasien Safety Sesi 2

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    1) Patient safety is a current global issue that is important in hospital services, which began gaining attention after the 2000 IOM report. 2) WHO began a Patient Safety Program in 2004 to promote safety as fundamental to patient care and quality management. In Indonesia, the Patient Safety Committee in Hospitals was formed in 2005. 3) Various countries have established organizations dedicated to patient safety such as AHRQ in the US (2001), the Australian Council for Safety and Quality in Health Care (2000), and the National Patient Safety Agency in the UK (2001).

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    10 views8 pages

    Konsep Dasar Patient Safety Sesi 2

    Uploaded by

    Rahmat Dinejad
    1) Patient safety is a current global issue that is important in hospital services, which began gaining attention after the 2000 IOM report. 2) WHO began a Patient Safety Program in 2004 to promote safety as fundamental to patient care and quality management. In Indonesia, the Patient Safety Committee in Hospitals was formed in 2005. 3) Various countries have established organizations dedicated to patient safety such as AHRQ in the US (2001), the Australian Council for Safety and Quality in Health Care (2000), and the National Patient Safety Agency in the UK (2001).

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    of 8

    Konsep Dasar Patient Safety

    Sesi 2

    Dr Yuli P Satar MARS

    Patient Safety adalah isu terkini, global, penting


    (high
    profile), dalam Pelayanan RS, praktis belum
    lama, dimulai sejak Landmark Laporan IOM
    th
    2000.
    WHO memulai Program Patient Safety th 2004 :
    Safety is a fundamental principle of patient
    care and
    a critical component of quality management.
    (World
    Alliance for Patient Safety, Forward Programme WHO,2004)

    KOMITE KESELAMATAN PASIEN RUMAH SAKIT


    (KKPRS) dibentuk PERSI, pd tgl 1 Juni 2005
    MENTERI KESEHATAN bersama PERSI & KKP-RS

    Patient Safety di berbagai negara


    1. Amerika : AHRQ (Agency for Healthcare Research and
    Quality), 2001
    2. Australia : Australian Council for Safety and Quality in
    Health Care, 2000
    3. Inggeris : NPSA (National Patient Safety Agency), 2001
    4. Canada : NSCPS (National Steering Committee on
    Patient Safety), CPSI (Canadian Patient Safety
    Institute), 2003
    5. Malaysia : Patient Safety Council, 2004
    6. Denmark : UU Patient Safety, 2003
    7. Indonesia : KKP-RS, 2005

    JCAHO (Joint Comm. On Accreditation for Healthcare


    organization)
    - Setiap tahun menetapkan National Patient Safety
    Goals(sejak 2002)
    - Juli 2003 : Pedoman The Universal Protocol for
    Preventing Wrong Site, Wrong Procedure, Wrong
    Person Surgery
    - Maret 2005 mendirikan International Center for Patient
    Safety

    WHO
    - Pada World Health Assembly ke 55 Mei 2002 ditetapkan
    suatu resolusi yang mendorong (urge) negara untuk
    memberikan perhatian kepada problem Patient Safety
    meningkatkan keselamatan dan sistem monitoring
    Okt 2004 WHO dan berbagai lembaga mendirikan World
    Alliance for Patient Safety dgn tujuan mengangkat
    Patient
    Safety Goal First do no harm dan menurunkan
    morbiditas,
    cidera dan kematian yang diderita pasien

    KESELAMATAN PASIEN RS (KPRS)


    PATIENT SAFETY

    A Protocol For the Investigation and analysis Of Clinical Incidents.CRU & ALARM

    Near Miss

    Accident Model

    MISS!!

    Management
    Decisions/
    Organisational
    Processes

    Latent Failures

    Defences

    Background
    Factors:
    workload
    supervision
    equipment
    knowledge
    training

    Unsafe Acts:
    mistakes
    omissions
    violations

    Work
    Active Failures
    Conditions

    Multi-Causal Theory Swiss


    Cheese diagram (Reason, 1991)

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