KERANGKA ACUAN KESELAMATAN PASIEN (1).docx

KERANGKA ACUAN PEDOMAN KESELAMATAN PASIEN I . PENDAHULUAN A. LATAR BELAKANG Keselamatan (safety) tela men!a"# #s$ %l&'al temas$ !$%a $nt$ *$sesmas A"a l#ma #s$ *ent#n% yan% tea#t "en%an eselamatan (safety) "# *$sesmas ya#t$ + eselamatan *as#en (*at#ent safety), eselamatan *ee!a ata$ *et$%as eseatan, eselamatan  'an%$nan "an *ealatan "# *$sesmas yan% '#sa 'e"am*a tea"a* eselamatan *as#en "an  *et$%as , eselamatan l#n%$n%an (%een P&"$-t##ty) yan% 'e"am*a tea"a* *en-emaan l#n%$n%an "an eselamatan *$sesmas. Kel#ma as*e eselamatan tese'$t san%atla *ent#n% $nt$ "#lasanaan "# set#a* *$sesmas. Ha$s "#a$# ,*elayanan eseatan *a"a "asanya a"ala $nt$ menyelamatan *as#en ses$a# "en%an yan% "#$-a*an H#*&-ates #a/#a 0122 ta$n yan% lal$ ya#t$ P#m$m,n&n n&-ee (f#st,"& n& am), Nam$n "#a$# "en%an sema#n 'eem'an%nya #lm$ "an ten&l&%#  *elayanan eseatan $s$snya "# $ma sa#t men!a"# sema#n &m*les "an 'e*&tens# te!a"#nya Ke!a"#an T#"a D#aa*an/KTD (A"ese" eent) a*a'#la t#"a "#la$an "en%an at#/at# D# In"&ne In"&nes#a s#a "ata "ata tentan tentan% % KTD a*a'#l a*a'#laa e!a"# e!a"#an an Nya#s Nya#s Ce"ea Ce"ea (Nea (Nea M#ss) M#ss) mas# mas# lan%a,nam$n "#la#n *#a te!a"# *en#n%atan t$"$an 3mal *ate4,yan% 'el$m tent$ ses$a# "en%an *em'$t#an a#. Men%#n%at eselamatan *as#en s$"a men!a"# t$nt$tan masyaaat maa *elasanaan  *&%am eselamatan *as#en *$sesmas *el$ "#la$an. Kaena #t$ "#*el$an a-$an yan% !elas $nt$ melasanaan eselamatan *as#en tese'$t. B$$ Pan"$an Nas#&nal Keselamatan Pas#en R$ma R$ma Sa#t Sa#t yan% yan% te$ta te$tama ma 'e#s# 'e#s# Stan"a Stan"a Kesela Keselamat matan an Pas#en Pas#en R$ma R$ma Sa#t Sa#t "an T$!$a T$!$an n Lan%a Men$!$ Keselamatan Pas#en R$ma Sa#t "#aa*an "a*at mem'ant$ $ma sa#t "alam "alam melas melasana anaan an e%#ata e%#atanny nnya. a. B$$ B$$ Pan"$an Pan"$an #n# en-ana en-ananya nya aan "#len% "#len%a*# a*# "en%an "en%an Inst$men Pen#la#an yan% aan "#mas$an "# "alam *&%am ae"#tas# $ma sa#t. B. TU5UAN PEN6USUNAN BUKU TATA KELOLA TU5UAN UMUM + Mem'e#an #nf&mas# "an a-$an 'a%# P$sesmas Ben"a Ba$ "alam melasanaan  *&%am eselamatan *as#en P$sesmas. TU5UAN KHUSUS + 7. Telas Telasananya ananya *&%am eselamatan eselamatan *as#en P$sesmas P$sesmas Ben"a Ba$ se-aa s#stemat#s s#stemat#s "an teaa 0. Telasananya Telasananya *en-atatan #ns#"en "# P$sesmas Ben"a Ba$ "an *ela*&annya. 8. Se'a%a# a-$an *eny$s$nan #nst$ment ae"#tas# P$sesmas Ben"a Ba$. C.PENGERTIAN 7.Keselamatan Pas#en P$sesmas (Pat#ent Safety)

S$at$ s#stem "#mana P$sesmas mem'$at as$an *as#en le'# aman, Hal #n# Temas$+asesmen es#&9 #n"ent#f#as# "an *en%el&laan al yan% 'e$'$n%an Den%an es#&  *as#en9 *ela*&an "an anal#s#s #ns#"en9 emam*$an 'ela!a "a# Ins#"en "an t#n"a lan!$tnya seta #m*lementas# s&l$s# $nt$ mem#n#malan T#m'$lnya #s#&. S#stem #n# men-e%a &le esalaan a#'at melasanaan s$at$ T#n"aan ata$ t#"a men%am'#l t#n"aan sea$snya. 0. Ke!a"#an T#"a D#aa*an(KTD) (A"ese eent) S$at$ e!a"#an yan% t#"a "#aa*an yan% men%a#'atan -e"ea *as#en a#'at Melasanaan s$at$ t#n"aan ata$ t#"a men%am'#l t#n"aan yan% sea$snya D#am'#l, "an  '$an aena *enya#t "asanya ata$ &n"#s#nya *as#en.Ce"ea Da*at "#a#'atan &le esalaan me"#s ata$ '$an esalaan me"#s aena T#"a "a*at "#-e%a. 8.KTD yan% "a*at "#-e%a (Un*eenta'le a"ese eent) S$at$ KTD a#'at yan% t#"a "a*at "#-e%a "en%an *en%eta$an yan% m$ta#. 1.Ke!a"#an Nya#s Ce"ea (KNC) (Nea m#ss) S$at$ esalaan a#'at melasanaan s$at$ t#n"aan (-&mm#ss#&n) ata$ t#"a Men%am'#l t#n"aan yan% sea$snya "#am'#l (&m#ss#&n), yan% "a*t men-e"ea# Pas#en,teta*# -e"ea se#$s t#"a te!a"#,aena4e'e$nt$n%an4(m#ss,*as#en Te#ma s$at$ &'at &nta #n"#as# teta*# t#"a  t#m'$l eas# &'at),aena 3*en-e%aan4(s$at$ &'at "en%an &e"&s#s letal aan "#'e#an,teta*# staf la#n Men%eta$# "an mem'atalannya se'el$m &'at "#'e#an),ata$ 3*e#n%anan4 (s$at$ &'at "en%an &e"&s#s letal "#'e#an,"#eta$# se-aa "#n# lal$ "#'e#an ant#"&tenya). :.Kesalaan Me"#s (Me"#-al e&s) Kesalaan yan% te!a"# "alam *&ses as$an me"#s yan% men%a#'atan ata$ Be*&tens# men%a#'atan ata$ 'e*&tens# men%a#'atan -e"ea *a"a *as#en. Kesalaan temas$ %a%al melasanaan se*en$nya s$at$ en-ana ata$ Men%%$naan en-ana yan% sala $nt$ men-a*a# t$!$annya.Da*at a#'at melasanaan se*en$nnya s$at$ en-ana ata$ men%%$naan en-ana yan% sala $nt$ men-a*a# t$!$annya. Da*at a#'at melasanaan s$at$ t#n"aan (-&mm#ss#&n) ata$ t#"a men%am'#l t#n"aan yan% sea$snya "#am'#l (&m#ss#&n) ;.Ins#"en Keselamatan Pas#en (Pat#ent Safety In-#"ent) Set#a* e!a"#an yan% t#"a "#sen%a!a "an t#"a "#aa*an,yan% "a*at men%a#'atan ata$ 'e*&tens# men%a#'atan -e"ea *a"a *as#en. .Mana!emen R#s#& (R#s Mana%ement) Dalam $'$n%an/nya "en%an &*eas#&nal $ma sa#t,#st#la mena!emen #s#& D#a#tan e*a"a at##tas *el#n"$n%an "## yan% 'eat# men-e%a an-aman 6an% nyata ata$ 'e*&tens# nyata tea"a* e$%#an e$an%an a#'at Ke-elaaan, -e"ea ata$ mal*at# me"#s. 72. Ke!a"#an Sent#nel (Sent#nel Eent) S$at$ KTD yan% men%a#'atan emat#an ata$ -e"ea yan% se#$s9 '#asanya D#*aa# $nt$ e!a"#an yan% san%at t#"a "#aa*an ata$ t#"a "a*at "#te#ma Se*et# + &*eas# *a"a  'a%#an t$'$ yan% sala.Pem#l#an ata 3Sent#nel4 tea#t Den%an ese#$san -e"ea yan% te!a"#

(m#s.Am*$tas# *a"a a# yan% sala,"s') Se#n%%a *en-a#an fata tea"a* e!a"#an #n# men%$n%a*an a"anya masala 6an% se#$s *a"a e'#!aan "an *&se"$ yan% 'ela$. D.STANDAR KESELAMATAN PASIEN RUMAH SAKIT RADEN SAID SUKANTO Stan"a Keselamatan *as#en tese'$t te"## "a# t$!$ stan"a ya#t$ + 7. Ha Pas#en 0. Men"#"# *as#en "an el$a%a 8. Keselamatan *as#en "an ese#m'an%an *elayanan 1. Pen%$naan met&"a/met&"a *en#n%atan #ne!a $nt$ melasanan eal$as# "an P&%am *en#n%atan eselamatan *as#en :. Pean e*em#m*#nan "alam men#n%atan eselamatan *as#en ;. Men"#"# staf tentan% eselamatan *as#en