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Penelitian ini membahas tentang kesehatan kerja yang bertujuan untuk melakukan manajemen risiko, dimulai dengan identifikasi bahaya, analisis dan evaluasi risiko dan mengetahui besaran risiko bahaya yang terdapat pada kegiatan kerja di Instalasi Ptologi RSUP Fatmawati. Disain penelitian deskriptif kualitatif dengan pendekatan semikuantitatif untuk analisis risiko. Teridentifikasi bahaya risiko tinggi yaitu terpajan spesimen dan terpajan bahan infeksius pada penggunaan pipet. Risiko substansial yaitu pada bahaya kebakaran dan ledakan. Risiko sedang yaitu bahaya terkerna pecahan tabung, petridis, dan object glass yang mengandung bahan infeksius, tertusuk jarum suntik, bahaya zat kimia, terkena sengatan listrik, terkena siraman air panas dan mata lelah. Telah dilakukan pengendalian bahaya di laboratorium ini yaitu engineering control, standard operating procedures dan APD, namun masih terdapat risiko residu pada bahaya tersebut dan telah direkomendasi pengelolaan dan pengendalian risikonya. Kata Kunci: Laboratorium mikrobiologi klinik, manajemen risiko, penilaian risiko
This study discusses about the occupational health which aims to conduct risk management, it begins from hazards identification, risk analysis and risk evaluate, and find out the magnitude of risk hazards which found in work activities of Pathology Installation in RSUP Fatmawati. This research is qualitative descriptive interpretive with a semiquantitative approach to risk analysis. Identified of high risk hazards are specimen exposure and exposed to infectious material on the use of pipette. Substantial risk are fire and explosion hazards. Moderate risk are the fractional hazard of tube, petridisc, and objects glass that contain infectious material, needle stick, chemical hazards, electrical shock, exposure to hot water and eyes fatigue. Hazard control has been performed in this laboratory, that is engineering controls, standard operating procedures (SOP) and PPE, but there are still residual risks and hazards risk management and risk control has recomended. Key Word: Clinical microbiology laboratory, risk management, risk assessment
Work fatigue significantly affects hospital workers' performance, safety, and health. This study developed a fatigue risk management model using qualitative and quantitative approaches through literature review, FGD, interviews, and observations. The result is the ICHAFIT model (Integrated Collaboration Healthcare Adaptability for Fatigue Intervention and Tracking) comprising five key elements and a data-driven prevention strategy). It includes 24 valid and reliable indicators to assess implementation. ICHAFIT serves as both a conceptual framework and practical tool, and also produced a policy brief to support national advocacy for fatigue risk management in hospitals.
Penelitian ini bertujuan untuk mengetahui pengetahuan, persepsi dan pelaksanaan Manajemen risiko klinis mulai dari identifikasi, analisis, evaluasi, pengelolaan, monitoring, komunikasi dan pemetaan risiko. Penelitian dilakukan di 5 (lima) rumah sakit umum swasta dan pemerintah di DKI Jakarta dan Banten dengan 13 (tiga belas) informan yang terdiri dari para Direktur utama / CEO, Direktur Medik, Ketua Komite Medik dan Manajer risiko. Metode penelitian yang digunakan adalah metode kualitatif dan kuantitatif yaitu wawancara mendalam, telaah dokumen dan pengisian kuesioner. Analisis data dilakukan dengan metode analisis isi (Content analysis) yaitu membandingkan hasil penelitian dengan teori dalam kepustakaan.
Hasil penelitian didapatkan bahwa pengetahuan dan persepsi sebagian besar informan untuk definisi, macam risiko dan tujuan serta fungsi risiko secara umum sudah cukup baik. Mengenai pengetahuan dan persepsi pengorganisasian, kebijakan dan proses manajemen risiko sudah baik pada informan yang berasal dari dari rumah sakit yang telah menjalankan manajemen risiko secara formal dan terstruktur. Sedangkan untuk informan yang berasal dari rumah sakit yang belum melaksanakan manajemen risiko secara formal dan terstruktur belum memahami manajemen risiko. Untuk pelaksanaan manajemen risiko secara formal dan terstruktur, sudah dilaksanakan di 2 (dua) rumah sakit.
Kata kunci : Manajemen risiko klinis, Pengetahuan , Persepsi .
These days, medical industry is under the spotlight due to growing malpractice issues. Charges and sues on the improper medical treatment is heard more often. People become more critical and selective in choosing a medical service. As an institution providing medical service, a hospital should have implemented risk management to minimize and avoid charges and losses in both financial and reputation.
This research is aimed to understand the knowledge, perception, and implementation of clinical risk management starting from identification, analysis, evaluation, management, monitoring, communication, and risk mapping. Research was performed in 5 (five) private and public general hospitals in DKI Jakarta and Banten involving 13 (thirteen) information sources consisting of President Directors / CEOs, Director of Medic, Chief of Medical Committee, and Risk Manager. Research method used are both qualitative and quantitative methods i.e. in-depth interview, filling-in questioners, and document analysis. Data analysis was performed using Content analysis method i.e. comparing results of research to literature theory.
It was found from the research that the knowledge and perception of the information about definition, type of risk and aim and function risk management resources were good in general. About organization, judgement and process of risk management in hospital where implementing is good. The other side informant from the hospital where not implementing risk management yet, could not understand. Implementation of risk management in formal and structured forms has been performed in 2 (two) hospitals.
Key Words : Clinical Risk Management, Knowledge, Perception.