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Kata kunci: Akreditasi Rumah Sakit, keselamatan pasien.
Hospital Accreditation Standards is an assessment for hospitals to implementpatient safety programs in accordance with the Regulation of the Minister ofHealth No. 1691 of 2011. Hospital X wasnot yet fully implementing patient safetybased on the Hospital Accreditation 2012.Descriptive research with quantitative method continued by qualitative methodwas implemented to study the preparation of Hospital X which will undergoAccreditation in 2016.The research also developed questionnaire on Patient Safety based on TheHospital Accreditation 2012. Reliability test was done with the result of that 47out of 65 questionnaires were reliable. The research found 17 points of TheHospital Accreditation 2012 still need improvement in implementation at HospitalX.
Keywords: Hospitals Accreditation, patient safety.
Goals Hospitals in providing public health services should be able to maintain quality of services. One of the government's efforts to improve the quality of home services through accreditation, which is compulsory and required by government regulation. This study focus on two goals of Prima Medika Hospital in preparation of KARS 2012 accreditation: International Patient Safety Goals and Millennium Development Goals. The purpose of this study is to determine the stages, problems and monitoring in the preparation process of accreditation on the patient's safety goals and the Millennium Development Goals. This research uses qualitative method by involving 7 participants working group of accreditation. Data collected by in-depth interview technique and document tracing, then analyzed using content analysis. The results of the interviews show that the preparation phase begins with the commitment of all hospitals, the accreditation working group established by the director, the compilation of documents of the assessment elements according to the accreditation standards, program dissemination to medical and non-medical staff, then the implementation. The next stage are monitoring and evaluation, through monev report, quality indicator and field inspection. In conclusions, the very important stages in preparation process are: commitment from all level of hospital, approaches to the specialist doctors formally or informally, more internal training. Keywords: preparation, accreditation, international patient safety, Millennium Development Goals
Tesis ini membahas perbedaan variabel penilaian kinerja tehnis keperawatan dalam Instrumen Keperawatan Rumah Sakit 'X' dengan Elemen Penilaian Standar Akreditasi Rumah Sakit KARS tahun 2011 karena adanya perubahan Sistem Akreditasi Rumah Sakit dari sistem akreditasi berorientasi input and dokumentasi menjadi sistem akreditasi berorientasi proses dan pasien Tujuan dari penelitian ini adalah menemukan persamaan dan perbedaan variabel dan elemen penilaian untuk kemudian dianalisa dan dirumuskan menjadi sebuah insrumen penilaian kinerja tehnis keperawatan adaptasi dari instrumen penilaian kinerja tehnis yang saat ini digunakan oleh Rumah Sakit 'X' sehingga sesuai dengan elemen penilaian Standar Akreditasi Rumah Sakit KARS tahun 2011 Penelitian ini merupakan penelitian kualitatif dengan desain deskriptif Hasil penelitian memperlihatkan bahwa terdapat sebanyak 28 variabel Instrumen Penilaian Kinerja Keperawatan Rumah Sakit 'X rsquo yang sudah sesuai dengan elemen penilaian Standar Akreditasi Rumah Sakit KARS tahun 2011 40 variabel Instrumen Penilaian Kinerja Keperawatan Rumah Sakit 'X rsquo masih berbeda dengan Elemen Penilaian Standar Akreditasi Rumah Sakit KARS tahun 2011 dan akan dimasukkan kedalam draft revisi Instrumen Penilaian Kinerja Rumah Sakit 'X' serta 2 variabel dalam Instrumen Penilaian Kinerja Keperawatan Rumah Sakit 'X rsquo akan dimasukkan kedalam draft revisi Instrumen Penilaian Kinerja Rumah Sakit walau tidak terdapat dalam elemen penilaian Standar Akreditasi Rumah Sakit KARS tahun 2011.
This Thesis discuss the variable difference between nursing technical performance appraisal instrument of Hospital 'X' dan KARS Hospital Accreditation of 2011 due to a change of standard within the Hospital Accreditation System from input and document oriented system into a process and patient oriented system The goal of this research is to find the similarities dan differences between Nursing Technical Performance Appraisal Instrument of Haspital 'X' dan KARS Hospital Accreditation of 2011 to then be analyzed and be made into a draft for Hospital 'X' Nursing Appraisal Instrument revision so that the current Nursing Appraisal Instrument template still can be used with a revision to accomodate KARS Hospital Accreditation of 2011 This research is a qualitative research with a descriptive design The research show a similarities of 28 variables and a difference of 40 variabels between nursing technical performance appraisal instrument of Haspital 'X' dan KARS Hospital Accreditation of 2011 In addition there are 2 more variables derived from the current nursing technical performance appraisal instrument of Hospital 'X' that have no similarities with KARS Hospital Accreditation of 2011 which will be made into a draft for Hospital 'X' Nursing Appraisal Instrument revision.
it is necessary to measure patient safety culture especially among nurses.This study aims to describe the nurses perception about patient safety culture andhow the implementation of patient safety goals at Setia Mitra Hospital. Thisdescriptive research conducted with quantitative and qualitative approaches.Population in this study is all nurses in Setia Mitra hospital that consist of 77 nurseswith sample 68 nurses.The result of study shows the nurse's perception about patient safety in SetiaMitra hospitals is 72.1% good. Dimension with the most good nurse perception ishospital handoffs and transitions dimension by 75% and at least perceived good ismanagement support dimension of 1.5%. Statistically, age (p value = 0.048), workperiod (p value = 0.016) and the level of nurses (p value = 0.049) have arelationship with the nurses perception on patient safety culture (p <0.05). In theimplementation of patient safety goals in Setia Mitra Hospital, namely 55.15% with agood understanding. It is recommended that patient safety team in the Setia MitraHospital further optimized its duties and functions so that the patient safety culture inhospitals can be improved.Keywords : Patient Safety Culture, Nurse Perception, Patient Safety Goal.
ABSTRAK Budaya keselamatan pasien baru mulai tumbuh di RSU Manuaba setelah dicanangkan dan dibentuknya Tim Keselamatan Pasien Rumah Sakit RSU Manuaba tahun 2009. Belum berjalan dengan baiknya sistem pelatihan yang ada terutama dalam konsep keselamatan pasien menggambarkan belum adanya upaya rumah sakit dalam meningkatkan mutu rumah sakit terutama mutu SDMnya. Oleh karena itu peneliti ingin mengetahui kesiapan perawat dalam menerapkan konsep keselamatan pasien di Rumah Sakit. Penelitian ini menggunakan menggunakan desain operational research dengan pendekatan kualitatif jumlah sampel sebanyak 51 orang, yang merupakan jumlah total perawat RSU Manuaba. Hasil penelitian ini menunjukkan bahwa bahwa untuk saat ini perawat belum siap untuk menerapkan konsep keselamatan pasien di rumah sakit, kebijakan keselamatan pasien dan SOP sudah ada tapi belum disosialisasikan dengan baik dan berkelanjutan. Ada perubahan nilai pengetahuan dan sikap perawat ketika diukur sebelum dan sesudah diberikan pelatihan. Anggaran mengenai pendidikan dan pelatihan keselamatan pasien belum ada. Pihak rumah perlu meningkatkan pendidikan dan pelatihan mengenai konsep keselamatan pasien agar terwujud budaya keselamatan pasien di lingkungan perawat RSU Manuaba. Kata Kunci : Keselamatan Pasien, Perawat, Pendidikan, Pelatihan.
Patient safety culture has just begun at Manuaba General Hospital after declerated and performed patient safety team at 2009. The Patient Safety concept had not worked out properly,the hospital had not strongly forced to improve quality of human resources. The study investigated the preparation of nurses in managing patient safety concept at Manuaba General Hospital. The study used research operational design with qualitative method, total sample were 51 nurses who worked at Manuaba General Hospital. The result showed nurses had not ready to implemantation patient safety concept, patient safety policy and standart operational procedure had established but not been good and continously sosialized. There was proggression of knowledge and attitude of nurses pre and post training.There was no budget for patient safety training. The manangement of Hospital need to increase education anda training of patient safety to create it concept as a culture in Manuaba General Hospital. Key words : Patient Safety, Nurse, Education, Training
Keselamatan pasien rumah sakit adalah sistem rumah sakit untuk membuat asuhan pasien lebih aman. Aman dari kemungkinan terjadinya risiko Insiden Keselamatan Pasien (IKP). Keselamatan pasien merupakan bagian dari manajemen risiko klinis rumah sakit. Salah satu tujuan terpenting implementasi sistem keselamatan pasien rumah sakit adalah mencegah dan mengurangi risiko terjadinya Kejadian Tidak Diharapkan (KTD) terkait dengan proses pelayanan kesehatan. Sistem keselamatan pasien rumah sakit di Indonesia masih menghadapi permasalahan dalam implementasinya. Materi sistem keselamatan pasien rumah sakit dalam penerapannya di rumah sakit mengacu pada panduan nasional sistem keselamatan pasien, pedoman pelaporan IKP dan materi Joint Commission International (JCI) yang meliputi International Patient Safety Goals (IPSG) 1sampai dengan 6. Penelitian ini menggunakan pendekatan kuantitatif dengan rancangan cross sectional bertujuan untuk mengetahui bagaimana gambaran pengetahuan, sikap, kualitas kehidupan kerja dan kinerja perawat dalam penerapan sistem keselamatan pasien di rumah sakit berkaitan materi tersebut serta apakah ada hubungan di antara variabel-variabel tersebut. Perawat menjadi subyek penelitian berkaitan dengan proses pelayanan kesehatan kepada pasien di rumah sakit. Hasil penelitian dari 57 responden perawat tentang materi sistem keselamatan pasien menunjukkan nilai pengetahuan subyek klasifikasi baik lebih banyak dibanding klasifikasi kurang, demikian pula sikap perawat menunjukkan klasifikasi baik lebih banyak dibanding klasifikasi kurang, tetapi kualitas kehidupan kerja menunjukkan nilai hampir sama antara klasifikasi baik dengan klasifikasi kurang. Kinerja perawat menunjukkan klasifikasi baik jauh lebih banyak dibanding klasifikasi kurang. Hasil uji statistik dengan Chi-Square Test menunjukkan tidak ada korelasi secara signifikan antara pengetahuan, sikap dan kualitas kehidupan kerja dengan kinerja perawat dalam penerapan Sistem Keselamatan Pasien (SKP) di rumah sakit XY tahun 2011. Dengan uji Fisher Exact Test menunjukkan ada korelasi secara signifikan antara komponen partisipasi dengan kinerja perawat. Direkomendasikan untuk meningkatkan kualitas kehidupan kerja rumah sakit XY dengan memperbaiki cara-cara penyelesaian masalah dengan tidak menyalahkan dan menghukum.
Patient Safety is a system whereby the hospital made a patient?s safer. The safety is in the firm of occurrence patient safety incidents (IKP). Patient Safety can be defined as prevention and amelioration of adverse outcomes or injuries stemming of the health care process in hospital. Patient Safety is a part of clinical risk management hospital. One of the most important purpose the implementation of hospital patient safety system is to prevent and reduce of the risk of the occurence of unexpected events (KTD) associated eith the healthcare process. Patient safety system of hospital in Indonesia still faces problem and implementation substantial system of hospital patient safety in its application in the hospital refering to national patient safety guidance system, reporting guidelines IKP and substantial Joint Commission International (JCI) which includes the International patients Safety Goals (IPSG) 1 to 6. This research using quantitiative approach with cross sectional design aims to know how crosssectional picture of the knowledge, attitude, quality of work life and work performance of the nurse in the application system patient safety related substantial materials. The nurses is a subject the research related to an identify whether any relationship among variables health service to the patient in the hospital. The results of 57 respondents about nurse patient safety system substantial showed the value of knowledge and attitude of a better classification is more than a less classification, however the quality of work life showed that a better classification remains somewhat similiar to a less classification. Work performance of nurses demonstrating well classification is much more on appeal the less classification. The statistical test results with Chi-square test shows there are no significant correlation among knowledge, attitude and quality of work life with the work performance in the implementation of the system of nursing patient safety (SKP) in XY private hospital in 2011. Using Fisher exact test indicate that there is a significant correlation among variables of participations with work performance of a nurse. Recommended for develop of quality of work life of the XY hospital with improve problem solving and no blaming culture.