INTERNATIONAL SEMINAR 2022

STIKES RS BAPTIS KEDIRI

Optimizing Hospital
Accreditation through the
Implementation of Patient
Safety
Erlin Kurnia
 Hospital

Accreditation
 Definition
Accreditation
Recognition of the quality of hospital services, after an
assessment has been made that the hospital has met the
Accreditation Standards.
What are

the
legal
basis?
Legal Aspect
PERATURAN PEMERINTAH REPUBLIK INDONESIA
NOMOR 47 TAHUN 2O2I
TENTANG
PENYELENGGARAAN BIDANG PERUMAHSAKITAN
Independent agency for accreditation
 Standart of
Accreditati
on
Guidelines that contain the level of achievement that must
be met by the hospital in improving the quality of service
and patient safety.
 Improving the quality of hospital services in a
sustainable manner and protecting the safety
Purpose of hospital patients

Increasing protection for the community,

Accreditati human resources in hospitals, and hospitals as

institutions

on Improving Hospital governance and

clinical governance

Support government programs in

the health sector.
 Have standardized service

Able to minimize risks so that patient

safety is maintained
Opportunities Can create a safe and efficient work
for hospitals in environment
Increase public trust in hospital services
carrying out
accreditation As negotiating capital with insurance or other
sources of payment

Creating employee satisfaction so that it has

an impact on increasing employee recruitment
and retention
 Commitment of Owner,
Comply with Director and all staff
applicable
regulations Challenges for
Availability of
competent human
Fulfillment of hospital
facilities and
hospitals
resources according infrastructure according
to regulations to regulations

Building a Building a
learning Culture of
culture Safety / Openness
Hospital patient safety culture
 In hospitals

The number of types of drugs, types of examinations

and procedures, as well as the large number of
patients and hospital staff, are potential things for
errors to occur.
 Medical Error

Errors that occur in the process of medical care that result

in or have the potential to result in injury to the patient.
(KKP-RS)
 Adverse Event

An event that results in unexpected injury to the patient

due to an action (commission) or for not acting
(ommision), and not because “underlying disease” or
the patient's condition (KKP-RS).
 Near Miss

An event that results in unexpected injury to the patient

due to an action (commission) or for not acting
(ommision), that could injure the patient, but no
serious injury occurs
 The role of students / graduates /
hospital employees in optimizing
accreditation through patient safety
Hospital Patient rights Educate patients and families

Patient Patient safety and continuity of care

Use of performance improvement methods to

Safety evaluate and improve patient safety programs

Standards The role of leadership in improving patient safety

Educate staff about patient safety

Communication is key for staff to achieve

patient safety
 1. Build a safety culture that is open and fair
2. Lead and support your staff in patient
Seven Steps safety
to Patient 3. Integrate your risk management activity
Safety 4. Promote reporting
5. Involve patients and the public
6. Learn and share safety lessons
7. Implement solutions to prevent harm
 1. Identify patient correctly
2. Improved effective communication
Six Patient
3. Improve the safety of high-alert medication
Safety Goals
4. Ensure Correct-site, Correct-procedure,
Correct-patient surgery
5. Reduce the risk of health care-associated
infections
6. Reduce the risk of patient harm resulting
form falls
WHO Global Patient Safety
Action Plan 2021-2030
Framework for action

The framework includes seven strategic

objectives, which can be achieved through 35
specific strategies.
 Accreditation and Patient safety must
Summary be built into all aspect of healthcare

Action oriented, mindset and

behaviour

Patient safety requires a partnership

with patients, their families and
communities
Summary

Thank you….