Contoh Kasus Patient Safety

 

H. Madt Madtae ae Fhs Fhsus us Phtgbdt ]hobty Rshg Pbshjgdhd Arkhd [hdgth Yaibf 

Gdcasg Gdc asghr. hr.man man,, Lbnibr Lbnibr-- Fhsus Fhsus cukhhd cukhhd nhjprh nhjprhftb ftbf f fbnihj fbnihjgg tbr tbrlhc lhcg. g. Cg Lbnibr Lbnibr Lhwh Lhwh Sgnur, sbarhdk giu nuch nbdkhjhng jufh raibf cgihkghd hdusdyh, sbegdkkh tgchf igsh iuhdk hgr. Cgcukh farihd yhdk fgdg ehrus iuhdk hgr ibshr nbjhjug arkhd fbwhdgthhddyh, cgsbihifhd fbjhjhghd igchd yhdk nhsge nhkhdk cgpusfbsnhs sbtbnpht nbdhdkhdg pbrshjgdhddyh. Fgdg fhsus cukhhd nhjprhftbf gdg cgthdkhdg cgdhs fbsbehthd Fath Lbnibr. Fhsus cukhhd nhjprhftgf gdg cghjhng Gfh Hkustgdhwhtg, whrkh Cbsh ]bniara Fgcuj, Fbmhnht Fbmh nhthd hd ]bniar ]bniara, a, Lbnibr Lbnibr.. Giu nuch nuch ibrusg ibrusghh 99 theud theud gdg gdg,, nbdlhc nbdlhcgg farihd farihd cukhhd cukhhd nhjprhftbf, ushg nbdlhjhdg prasbs pbrshjgdhd hdhf pbrthnhdyh, Grzh Yhcgtyh Hfihr, yhdk fgdg  ibrusgh 8 iujhd. Cgcukh Cgc ukh fhrbdh fhrbdh fbmbra fbmbraiaeh iaehd d yhdk nhsge nhsge nhkhdk nhkhdk shht shht nbdaja nbdajadk dk pbrshj pbrshjgdh gdhddyh ddyh cg Pusfbsnhs Shdkka, Gfh nbdkhjhng jufh raibf cgihkghd arkhd vgthj egdkkh fbihkghd hdus. Hfgihtdyh, Hfgiht dyh, sbjhgd sbjhgd tbrus-tbr tbrus-tbrushd ushd nbdkhjhng nbdkhjhng fbshfgthd, fbshfgthd, sblhf sbiujhd sbiujhd jhju farihd tbrphfsh tbrphfsh  iuhdk fatarhd nbjhjug hjht fbjhngddyh. ]hht nbdlhjhdg prasbs pbrshjgdhd = Obiruhrg jhju, farihd cgihdtu ajbe ibibrhph igchd nhkhdk, hths pbdkhwhshd igchd pusfbsnhs. Dhnud, shjhe sbarhdk igchd nhkhdk cgcukh nbjhfufhd fbshjhehd shht nbdkkudktgdk cgdcgdk fbnhjuhd farihd. Sbrfhgt fhsus gdg Pusfbsnhs Shdkkuj shht gdg ibjun nbnibrgfhd fbtbrhdkhd rbsng.  Dhnud, Fbphjh Cgdhs Fbsbehthd Fath Lbnibr tbdkhe nbdhdkhdg fhsus gdg.

 

Lgfh tbriuftg tbrlhcg nhjprhftbf, Cgdhs Fbsbehthd ibrlhdlg hfhd nbdlhtuefhd shdfsg tbrehchp pbtukhs pbrshjgdhd tbrsbiut, sbsuhg fbtbdtuhd yhdk ibrjhfu. (Sany Gsfhdchr/]up) I. Hdhj Hdhjgs gsh h Fhs Fhsus us

Phch fhsus cghths sbarhdk igchd yhdk nbdhdkhdg phsgbd dhnud tgchf nbnbdtgdkfhd fbsbjh fbs bjhnht nhthd hd phsgbd phsgbd hthu hthu phsgbd phsgbdtt shobty shobty.. Ibrchs Ibrchshrf hrfhd hd tbfdgs tbfdgsdyh dyh fhsus fhsus tbr tbrnhs nhsuf uf tgpb tgpb chrg chrg nbcgmhj brrar yhgtu brrar ao angssgad. Nbcgmhj brrar chjhn fhsus tbrsbiut cgsbihifhd ajbe eunhd brrar yhgtu fbjhjhghd igchd chjhn pbnhdthuhd pastphrtun. ]bchdkfhd nbdurut prasbs tbrlhc tbrlhcgdy gdyh, h, fhsus fhsus tbrsbi tbrsbiut ut tbrnhs tbrnhsuf uf fbchjhn fbchjhn tgpb tgpb prbvbd prbvbdtgv tgvbb fhrbdh fhrbdh igchd igchd sbehru sbehrusdy sdyhh nbjhfufhd pbnhdthuhd fbphch giu pastphrtun. Phch fhsus tbrsbiut igchd ehrusdyh nbdkbtheug tbdthdk fbhchhd phsgbd. ]bjhgd gtu, lgfh  igchd shjhe nbjhfufhd tgdchfhd bpgsgatang, sbehrusdyh cglhegt jhkg cbdkhd rhpg hkhr tgchf  nbdgni nbd gniujfh ujfhd d ehj yhdk yhdk tgchf tgchf cggdkg cggdkgdfhd dfhd sbpbrt sbpbrtgg fhsus fhsus cghths cghths.. Fbn Fbnucg ucghd hd fbshjh fbshjhehd ehd igchd igchd chjhn fhsus tbrsbiut hchjhe tgchf nbnhdthu fbhchhd phsgbd sbtbjhe nbjhegrfhd. Pbnhdthuhd fadcgsg phsgbd cg nujhg 9 lhn sbtbjhe pastphrtun udtuf nbdkbtheug fadcgsg giu tbrnhsuf jufh bpgsgatangdyh. ]begdkkh igchd chpht nbdkbtheug jbige cgdg tbdthdk kblhjh yhdk tgniuj. ]bjhgd gtu, furhdkdyh gdoarnhsg yhdk cgtbrgnh ajbe phsgbd sbtbjhe nbdbrgnh hsuehd yhdk cgibrgfhd ajbe igchd nbniuht phsgbd tgchf nbdkbtheug hph yhdk tbrlhcg phch cgrgdyh sbjhnh  prasbs pbrshjgdhd. Ehj gdg ibrfhgthd cbdkhd furhdkdyh fanudgfhsg bobftgo hdthrh pbtukhs fbsbehthd cbdkhd phsgbd chpht nbnibrgfhd chnphf iuruf phch tbnpht pbnibrg pbjhyhdhd sbegdkkh chpht nbnibrgfhd rhsh fehwhtgr fbphch phsgbd ibrgfutdyh yhdk hfhd ibrshjgd cg tbnpht tbrsbiut. Phch fhsus fhsus tbrsbi tbrsbiut ut chpht cgjgeht cgjgeht

sgsg sgsg pasgt pasgtgod godyh, yh, igchd nhkhdk nhkhdk gdkgd gdkgd nbnihdtu nbnihdtu

 pbrshjgdhd giu tbrsbiut cbdkhd ibkgtu gh hfhd nbdchphtfhd pbdkhjhnhd yhdk jbige ihdyhf.

 

]bchd ]bc hdkfh kfhd d ch chrg rg sg sgsg sg db dbkh khtg tgod odyh, yh, igch igchd d tb tbrs rsbiu biutt furhd furhdk k eh ehtg tg-e -eht htgg fh fhrb rbdh dh fb fbjh jhjh jhgh ghd d ch chd d fbmbraiaehddyh sbegdkkh tbrlhcg fbshjhehd. M. Ybdmhdh Ybdmhdh Pbdhdkh Pbdhdkhdhd dhd Nhshjhe Nhshjhe

Ibrchshrfhd fhsus cghths, rbdmhdh pbdhthjhfshdhhd sbsuhg fhsus c