Sasaran Keselamatan Pasien (SKP)

 

QMQ QMQMYM MYMD D LHQHFM LHQ(QLS) HFMNM NMU UMD SMQ@ MQ@HD HD

Soljm QLS

 

QMQMYMD LHQHFMNMUMD SMQ@HD =.Nhdk` =. Nhdk`ehdt`b` ehdt`b`lms` lms` pms`hd ehdkmd ihdmr  9.N 9. Nhd`dklmtlmd lonud`lms` ymdk hbhlb  1. Nhd`dklmtlmd lhmnmdmd oimt-oimtmd ymdk gmrus e`wmspmem`< 5. Lhp Lhpmst mst`md `md thpmt thpmt s`s`, thpm thpmtt pr pros oshe heur ur, thpm thpmtt pms pms`hd `hd ophrms`.

8.N 8. Nhdkurmdk` r`s`lo `dbhls` ml`imt phrmwmtmd Lhshgmtmd

2. Nhdkurmdk` r`s`lo ahehrm pms`hd ml`imt jmtug

QLS =

 

YQ NHDHYMSLMD SYOQHQ XDUXL NHDJMN@D LHUHSMUMD @EHDU@B@LMQ@ SMQ@HD.

HFHN HF HNHD HD S SHD HD@F @FM@ M@MD MD QLS. = m.  i.

YQ thfmg nhdhtmplmd rhkufms` thrlm`t QLS =-2 . YQ thfmg nhdhrmplmd proshs `ehdt`b`lms` pms`hd n`d 9 `ehdt`tms, nhnhdug` tujumd `ehdt`b`lms` pms`hd

a.

Sms`hd thfmg e``ehdt`b`lms` n`d 9 `ehdt`tms (m-

e)

emfmn nmlsue emd tujumd e.

pms`hd emd thr`ehdt`b`lms` ehdkmd thpmt YQ nhnmst`lmd pmem s`tums` lgusus, phdkkudmmd fmihf shphrt`

thramdtun emfmn nmlsue emd tujumd.  

Uujumd `ehdt`b`lms` pms`hd shamrm ihdmr

: =. nhdk`e nhdk`ehdt hdt`b` `b`lms lms`` pms` pms`hd hd shimkm shimkm`` `de`v `de`v`eu `eu ymdk mlmd e`ihr` fmymdmd / t`demlmd / phdkoimtmd thrthdtu shamrm thpmt< 9. nhdaoa nhdaoaoll ollmd md fmymdm fmymdmd d / phrm phrmwmt wmtmd md ymdk mlmd ymdk mlmd nhdhr`nm fmymdmd ehdkmd pms`hd

e`ihr`lmd

@ehdt`b`lms` @ehdt`b`lm s` pms pms`hd `hd n`d 9 `ehdt`t `ehdt`tms ms : Dmnm fhdklmp emd Umdkkmf fmg`r / Imr aoeh

 

Nmlsue & tujumd

Lmpmd nhfmlulmd `ehdt`b`lms` nhdkkudmlmd n`d`nmf 9 `ehdt`tms? ` ehdt`tms?

m. t`deml t`demlmd md `dthrv `dthrvhds hds`` / thr thrmp mp``

(n`s. phnihr`md oimt,

 phnihr`md emrmg / proeul proeul emrmg, thrmp` rme`ms`)< i. t`de t`deml mlmd md pros proshe heur ur

(n`s nhnmsmdk jmfur `dtrmvhdm /

ghnoe`mf`s`s)< a. shihf shihfun un t`d t`deml emlmd md e`mkdo e`mkdost` st`l l

(n`s nhdkmni`f emrmg emd sphs`nhd fm`d udtul phnhr`lsmmd fmi, shihfun lmththr`sms`

 jmdtudk, t`demlmd rme`ofok` rme`ofok` e`mkdost` e`mkdost`l). l). e. nhdymj`lmd nmlmdmd

pms`hd

 

@ehdt`blms` Sms`hd pmem Q`tums` Lgusus • pms`hd lonm • imy` imru fmg`r ymdk t`eml shkhrm e`ihr` dmnm • pms`hd pmem pmem smmt thrjme` emrurmt ihdamdm. • Qmmt e`kudmlmd emfmn phfmihfmd. n`s, smnphf emrmg emd smnphf pmtofok`, dmnpmd nmlmdmd pms`hd, fmihf MQ@ ymdk e`s`npmd udtul imy` ymdk e`rmwmt e`rmw mt e` YQ.

 

  

I@YX : SMQ@HD FML@-FML@ NHYMG NHYM G : SMQ@HD SMQ@HD SHY SHYHNS HNSXMD XMD SXU@ SX U@G G : SMQ@ SMQ@HD HD LHFM LHFMN@ N@D D KMD KMDEM

  ` t hnp hnphf hf`` lf lf`` p ph phdm dmde dem m rh rhs` s`lo lo wmrd wmrdm m:

Nhrmg : pms`hd mfhrk` Lud` Lu d`d dk : pms` pms`hd hd rhs` rhs`lo lo jmtu jmtug g Xdku : pms`hd yk nhdofml e`fmlulmd rhsus`tms`

 

AMYM @EHDU@B@LMQ@ SMQ@HD Shthnumd Shrtmnm shormdk phtukms ehdkmd pms`hd YM[MU @DMS: =. Qhamrm vhrimf: Umdymlmd dmnm pms`hd emd tmdkkmf fmg`rdym 9.

Qhamrm v`sumf: F`gmt lh khfmdk pms`hd eum emr` t`km `ehdt`tms,

1.

aoaollmd ehdkmd emtm rhlmn nhe`s. Shrthnumd ihr`lutdym f`gmt shamrm v`sumf lh khfmdk pms`hd, eum `ehdt`tms emr` t`km `ehdt`tms

5.

J`lm pms`hd/lhfumrkm empmt nhdyhiutlmd tmdkkmf fmg`r ehdkmd pms`hd ihdmr, t`eml vhr`blms` nhdkkudmlmd dmnm emd donhr rhlmn nhe`s.

 

Amrm @ehdt`blms` Sms`hd e` YM[MU JMFMD • U`eml nhdkkudmlmd khfmdk `ehdt`tms • nhdmdymlmd `ehdt`tms pms`hd ihrupm dmnm emd tmdkkmf

fmg`r ymdk shsum` ehdkmd `ehdt`tms pms`hd lhnue`md e` lodbrnms` lodb rnms` ehdkmd ihrlms rhlmn nhe`s pms`hd • J`lm pms`hd rmwmt jmfmd t`eml i`sm nhdk`ehdt`blms`

e`r`dym shde`r, vhr`blms` emtm ehdkmd nhdmdymlmd lhfumrkm/phdkmdtmr lhfumrk m/phdkmdtmr pms`hd

 

Amrm `ehdt`blms` pmem px lonm, t`eml smemr mtmu kmdkkumd j`wm =.

Nhn`f`l` lhfumrkm mtmu phdudkku : •

•

Fmlulmd vhr`blms` `ehdt`tms pmem pms`hd ehdkmd nhn`dtm lhfumrkm/phdudkku pms`hd nhdyhiutlmd dmnm, unur/tmdkkmf fmg`r pms`hd. Aoaollmd `ehdt`tms pms`hd ymdk e`shiutlmd lhfumrkm / phdudkku ehdkmd `ehdt`tms ymdk thramtmt pmem khfmdk `ehdt`tms pms`hd thrshiut shrtm emtm ymdk thramtmt pmem Yhlmn Nhe`s pms`hd/fhnimr phrn`dtmmd t`demlmd/ fmihf pmem iotof smnphf ymdk mlmd e`mni`f

 

Amrm `ehdt`blms` pmem px lonm, t`eml smemr mtmu kmdkkumd j`w m 9. U`eml nhn`f`l` lhfumrkm mtmu phdudkku :

Fmlulmd vhr`blms` ehdkmd eouifh aghal ym`tu eum phtukms rumdkmd ymdk mlmd nhfmlulmd t`demlmd shamrm ihrsmnm nhf`gmt emtm `ehdt`tms pms`hd pmem khfmdk pms`hd emd nhdaoaollmd ehdkmd emtm `ehdt`tms pms`hd ymdk thramdtun pmem Yhlmn Nhe`s pms`hd/fhnimr phrn`dtmmd smnphf ymdk mlmd e`mni`f t`demlmd/ fmihf pmem iotof

 

Amrm `ehdt`blms` pmem imy` imru fmg`r =. Q`mplmd khfmdk `e `ehdt`tms hdt`tms shsum` jhd` jhd`ss lhfmn`d imy` imru imru fmg`r , wmrdm i`ru udtul fml`-fml`, wmrdm p`dl udtul phrhnpumd. 9. Uuf`s `ehdt`tms imy` ymdk ihfun e e`` ihr` dmnm ehdkmd nhdkkudmlmd dmnm `iu imy` ( Iy.Dy Iy.Dy....... ....... ) emd tmdkkmf fmg`r imy`. 1. shthfmg Smsmdklmd phrkhfmdkmd phrkhfmdk imy`khfmdk fmg`r ( e`e`RL , @IQ ) md tmdkmd mtmu e` lml` shsmmt 5. Emtmrlmd imy` imru fmg`r lh lh folht phdemtmrmd phdemtmrmd rmwmt `dmp udtul nhdempmtlmd donhr rhk`sthr. 8. Uuf`s donhr rhk`sthr pm pmem em khfmdk `ehdt`tms imy`. imy`.

 

Amrm `ehdt`blms` pms`hd ymdk `ehdt`tmsdym t`eml e`lhtmgu` • Shdkhrt`md

: Umtm amrm emfmn nhihr` `ehdt`tms pms`hd ymdk t`eml e`lhtmgu`

`ehdt`tmsdym n`smflmd pmem smmt thrjme` ihdamdm mfmn, lhahfmlmmd fmfu f`dtms eff • Amrm : =. Mpmi`fm mem pms`hd nmsul e` @KE, @KE, smemr mtmu t`eml smemr smemr,, tmdpm tmdem phdkhdmf memymdk lhfumrkm, lh udtul folht phdemtmrmdemd ofhgt`eml phtukms jmkm smmtpms`hd `tu im`le`emtmrlmd phrmwmt/i`emd nhdempmtlmd khfmdk `ehdt`tms. 9. Sms`hd e``ehdt`blms` ehdkmd amrm phnihr`md donor rhlmn nhe`s emd dmnm pms`hd ym`tu ‖Nr. W„ udtul pms`hd fml`-fml` ymk ihfun e`lhdmf mtmu ‖Nrs. W„ udtul pms`hd phrhnpumd ymdk ihfun e`lhdmf. 1. I`fm pmem gmr` ymdk smnm, mem pms`hd tml e`lhdmf ihr`lutdym ehdkmd phnihr`md phdudjul mdklm Mrmi shamrm ihrurutmd nufm` mdklm = emd shthrusdym udtul nhdkg`demr` eupf`lms` `ehdt`tms. ( Nr Nr.. W =, Nr W 9 est ) 5.

Shnihr`md `ehdt`tms ‖Nr. W„ mtmu ‖Nrs. W„ e`kmdt` smnpm` ehdkmd `ehdt`tms pms`hd e`thnulmd

 

QLS. 9 YQ nhdhrmplmd proshs nhd`dklmtlmd nhd`dklmtlmd hbhlt`v`tms lonu lonud`lms` d`lms` f`smd emd / mtmu thfhpod e` mdtmrm SS SSM, M, proshs phfmpormd gms`f lr`t`s pmem phnhr`ls phnhr`lsmmd mmd e`mkdost`a thrnmsul SOAU emd emd proshs lonud`lms` smmt shrmg thr`nm. HFHNHD SHD@FM@MD QLS. 9

m. YQ th thfm fmgg nhd hdhr hrmp mplm lmdd lonud`lms` smmt nhdhr`nm `dstruls` nhfmfu` thfpod : nhduf`s / nhdk`dput lh lonputhr ‑ nhnimamlmd ‑ lodb`rnms` lhnimf`„ emd QI QIMY MY shrtm e` eolunhdtms`lmd emfmn YN. i. lonud` ud`lm lms` s` smm smmtt ph phfmp fmpor ormd md gms gms`f `f lr lr`t` `t`s s YQ thfmg nhdhrmplmd lon phnhr`lsmmd phdudjmdk e`mkdost`a nhfmfu` thfpod : nhduf`s / nhdk`dput lh lonputhr ‑ nhnimamlmd nhnimamlmd ‑ lodb`rnms` lhnimf`„ lhnimf`„ emd e` eolunhdtms`lmd emfmn YN. a. lonud`l ud`lms` ms` smmt shrm shrmg g thr thr`nm `nm shsu shsum` m` ehdkmd ehdkmd YQ th thfm fmgg nhdh nhdhrm rmpl plmd md lon  jhd`s shrmg thr`nm thr`nm nhf`put` nhf`put` m-a emfmn nmlsue emd tujumd

 

Nhtoeh Lonud`lms` =.

Nhtoeh lonud`lms` smmt nhdhr`nm `dstruls` nhfmfu` thfpod:‖nhduf`s / nhdk`dput lh lonputhr-

nhnimamlmd ‑ lodb`rnms` lhnimf`„. Lodb`rnms` gmrus e`fmlulmd smmt `tu jukm nhfmfu` thfpod udtul nhdmdymlmd mpmlmg mpm lmg ‖ymdk ‖ymdk e`imaml e`imamlmd„ md„ suemg suemg shsum` shsum` ehdkmd ehdkmd `dstru `dstruls` ls` ymdk ymdk e`ihr`lmd. Nhtoeh lonud`lms` lonud`lms` smmt nhfmporlmd lode`s` lode`s` pms`hd lhpmem lhpmem ESJS ESJS

empmt nhdkkudmlmd : QIMY.

 

Q I M Y  Q`tumt`od :

Imalkroude

Msshsnhdt

Yhaonhdemt`od

@ehdt`tmspms`hd pms`hdsmmt nhdamlup dmnm, unur, thnpmt e`rmwmt emd lhfugmd `d` `dbornms` phdt`dk mpm ymdk ihrguiudkmd ehdkmd lode`s`  pms`hd thrl`d`, shjml lmpmd e`rmwmt, e`mkdosm, t`demlmd lheolthrmd/t`demlmd lhphrmwmtmd, oimt-oimtmd thrmlg`r e`ihr`lmd Lhmemmd smmt `d` ymdk nhdjme` phrgmt`md, mpm ymdk e`thnulmd: lhmemmd unun, v`tmf s`kd, gms`f fmi, rme`ofok` emd  phnhr`lsmmd phdudjmdk fm`d. fm`d. U`demlmd/rhdamdm mpm ymdk phrfu e`fmlulmd, e`mdtmrmdym  phnihr`m oimt, t`demlmd mtmupud phnhr`lsmmd phdudjmdk ymdk e`rmsmlmd phrfue`fmlulmd lofmiorms` ehdkmd ek ESJS thrnmsul `dthrvhds` nmde`r` emd

 

QSO : lonud`lms` hhlt` ek nhdkkudmlmd QIMY =.Amtmt Uhr`dthkrms` gmf phrfu e`fmporlmd e` eol YN px pmem born Shdamtmtd emd Shrhdamdmmd 9.Xamplmd smfmn, shiut dmnm phfmpor emd rumdkmd 1. QIMY  5.I`fm prokrmn eolthr, eolthr, ihrupm phnihr`md nhe`lms` fmlulmd : m. Uuf`s dmnm oimt pmem YN px  i. Imam lhnimf` dmnm oimt, hjm dmnm oimt phrgurub ek gurub mfbmiht `dthrdms`odmf. a. Lodb`rnms` lhnimf` ek nhdyhiutlmd `s` phr`dtmg 8. Smst`lmd lhnimf` lhnimf` pmem eolthr igw lodb`rnms lodb`rnms`` seg ihdmr  2. Uutup suemg phni`amrmmd e`ihr`lmd. ek nhdk`dkmtlmd eolthr shkhrm emtmdk utl UUE prokrmn yk

 

EOLXNHDUMQ@ Shduf`smd phfmpormd ehdkmd nhdkkudmlmd QIMY mem e` born thr`dthkrms` ehdkmd e`ihr` sthnphf vhr`b`lms` QIMY emd e`tmdem tmdkmd` ofhg ESJS emfmn wmltu 95 jmn

 

 

Nhtoeh Lonud`lms` 9. Nht Nhtoeh oeh l lonu onud`l d`lms` ms` s smmt mmt nhf nhfmpo mporlm rlmd d d` d`fm` fm` lr` lr`t`s phnhr`lsmmd e`mkdost`l nhfmfu` thfpod :t`s

‖nhduf`s / nhdk`dput lh lonputhr ‑ nhnimamlmd ‑ lodb`rnms` lhnimf`„ . •

•

•

•

Gms`f lr`t`s : pms`hd rmwmtphnhr`lsmmd  jmfmdr`lsmmd nmupudfmi, rmw mt `dmp. / rme`ofok`, e`mkdo Shnhr`lsmmd ex : shnum phnh fmirmwmt , phda`trmmd e`mkdost`l st`l  jmdtudk, SOAU SOAU.. Sms`hd Y.@dmp phfmpormd gms`f lr`t`s empmt e`fmporlmd nhfmfu` phrmwmt emd e`fmporlmd lh ESJS ymdk nhn`dtm phnhr`lsmmd. Yhdtmdk lr`t`s e`thdtulmd 13 nhd`t nhd`t shjml gms`f e` vhr`b`lms`wmltu ofhg phfmpormd SS SSM M ymdkgms`f ihrwhdmdk e` ud`t 6 phnhr`lsmmd phdudjmdk e`mkdost`l.

 

Nhtoeh Lonud`lms` 1.

Nhtoeh lonud`lms` smmt shrmg thr`nm e`stmdemr`sms` pmem jhd`s shrmg thr`nm ymdk smnm n`s. mdtmrm rumdkmd e` Ymwmt `dmp. • Xdtul jhd`s shrmg thr`nm ymdk ihrihem, empmt nhdkkudmlmd nhtoeh, bornuf`r emd mfmt ymdk ihrihem.

YQ gmrus nhnmst`lmd imgwm proshs proshs shrmg thr`nm thfmg thfmg e`fmlulmd. e`fmlulmd. N`s. SSM SS M nhdamtmt shrmg thr`nm thfmg e`fmlulmd, lhpmem s`mpm tmdkkudk jmwmi  phfmymdmdd e`shrmg thr`nmlmd, lhnue`md  phfmymdm lhnue`md e` UUE, tmdkkmf & wmltu). wmltu).

 

Jhd`s Qhrmg Uhr`nm • Jhd`s

shrmg thr`nm (gmdeovhr) e` YQ tee : m. mdt mdtmrm mrm SS SSM M (n`s., mdtmr mdtmr eolth eolthrr, eolt eolthr hr   phrmwmt, mdtmr phrmwmt,

i. mdtmr mdtmrm m ud`t ud`t phr phrmw mwmt mtmd md ymdk ymdk ihr ihrihe ihem m e` YQ (n`s. emr`

rumd rumdk k

phrmwmtmd `dthds `dthds`b `b lh rumdk phrmwmtmd mtmu emr` @KE lh OL)< a. emr` rumd rumdk k phr phrmw mwmt mtmd md pms`hd lh ud`t fmymdmd fmymdmd e`mkdos e`mkdosl l shph shphr r rme`ofok` mtmu s`othrmp`<

Nhtoeh, bornuf`r emd mfmt imdtu e`thtmplmd shsum` jjhd`s hd`s lonud`lms`, e`fmlulmd shamrm lods`sthd emd fhdklmp.

 

QLS 1 YQ nhdhrmplmd proshs udtul nhd`dklmtlmd lhmnmdmd phdkkudmmd oimt ymdk nhnhrfulmd lhwmspmemmd t`dkk` (g`kg (g`kg mfhrt nhe`amt`od) thrnmsul oimt FMQM.

HFHN HF HNHD HD SHD HD@F @FM@ M@MD MD QL QLS S 1 oimt lhwmspmemmd t`dkk` ( G`kg Mfhrt  m. YQ nhdhtmplmd embtmr ) thrnmsul oimt FMQM.

 i. YQ nhdhrmplmd nhdhrmplmd phdkhfofmmd oimt lhwmspmemmd t`dkk` (G`kg Mfhrt ) thrnmsul oimt FMQM shamrm shrmkmn e` shfurug shfurug runmg sm sml`t l`t udtul nhdkurmdk` r`s`lo emd ahehrm a. YQ nhdkhvmfums` emd nhnphrimgmru` embtmr oimt G`kg- Mfhrt emd oimt FMQM ymdk shlurmdk-lurmdkdym smtu tmgud shlmf`  ihremsmrl  ihremsmrlmd md fmpormd `ds`ehd `ds`ehd folmf, dms`odmf emd `dthrdms`odmf `dthrdms`odmf

 

Oimt-oimtmd ymdk phrfu e`wmspmem` Oimt-oimtmd ymdk phrfu e`wmspmem` (g`kg-mfhrt nhe`amt`ods)

memfmg oimt-oimtm oimt-oimtmdd ymdk nhn`f`l` r`s`lo n nhdyhimilmd hdyhimilmd ahehrm shr`us pmem pms`hd j`l j`lmm e`kudmlmd ehd ehdkmd kmd t`eml thpmt. Oimt g`kg mfhrt nhdamlup :

: oimt ek zmt mlt`b yk empmt nhd`niuflmd lhnmt`mdmtmu lhamamtmd i`fm thrjme` lhsm