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  2. Vol 5, No 1 (2020)
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POLICY OF PATIENT SAFETY GOVERNANCE FOR HOSPITALIZED PATIENT AT THE KOJA PUBLIC HOSPITAL IN 2019

Tiara Fani Yolanda, Masyitoh Masyitoh

Abstract


AbstractClinical governance is a structured organizational framework to improve the quality and safety of patients in the hospital which made by the NHS into seven pillars and adjusted to RI Law No. 44 of 2009. The evaluation results from the quality and patient safety team of Koja Public Regional Hospital in 2018, showed that there is Fall Patient incidents (6 events), KTD and KNC (13 events) which is not following the 0 % of the target from Patient Safety Goals by the Ministry of Health. The study was conducted to analyze patient safety governance for hospitalized patients at the Koja Public Regional Hospital in 2019 based on 4 of the Clinical Governance theories, which are clinical leadership, clinical audit, clinical effectiveness (guidelines); and education, training, and development of conservation profession. This study is using in-depth interview methods through the Purposive Sampling method and also reviewing documents conducted from May to June 2019. The results of the study found that the implementation of Clinical Leadership in Koja Public Hospital was running quite well but not yet optimal because the leadership system, which used the Line Organization to help to faster the decision-making process, is still weak in monitoring. From the Clinical Pathway (CP) evaluation,  The medical audit was done well, but the monitoring and evaluation aspects are not yet optimal. The evaluation of clinical effectiveness showed that the compliance to fill the CP form was not optimal because of the lack of CP benefit socialization. Training and courses were done pretty well but have not been evaluated yet. The management team recommends monitoring, collaborating with the medical committee to evaluate the CP usage, providing training related to CP procurement to increase understanding, and also providing necessary training and its evaluation.Abstrak Tata kelola klinis merupakan kerangka organisasi yang bertujun untuk meningkatkan mutu dan keselamatan pasien di rumah sakit yang diciptakan oleh NHS ke dalam 7 pilar dan disesuaikan kedalam UU Nomor 44 tahun 2009. Hasil evaluasi tim mutu dan keselamatan pasien RSUD Koja pada tahun 2018 menunujukan tingginya angka kejadian pasien jatuh ( 6 kejadian) , KTD dan KNC (13 kejadian) dimana hal ini tidak sesuai dengan Patient Safety Goals yang ditargetkan oleh kemenkes 0 %.   Penelitian dilakukan untuk menganalisis gambaran tata kelola keselamatan pasien rawat inap di RSUD Koja berdasarkan 4 dari teori Clinical Governance yaitu kepemimpinan klinis, audit klinis, efektivitas klinis (Guideline), serta pendidikan, pelatihan dan pengembangan profesi berkelanjutan  dengan menggunakan metode kualitatif melalui wawancara mendalam menggunakan  Purposive Sampling , serta melakukan telaah dokumen yang dilakukan pada bulan Mei hingga Juni 2019. Hasil penelitian menemukan bahwa pelaksanaan kepemimpinan klinis di RSUD Koja berjalan cukup baik namun belum optimal karena sistem kepemimpinan menggunakan Line Organization yang  membantu dalam pengambilan keputusan yang cepat namun lemah dalam  pengawasan, Pelaksanaan audit medis dilaksanakan dengan baik namun monitoring dan evaluasi masih belum optimal dari hasil evaluasi Clinical Pathway (CP)., Evaluasi  efektifitas klinis menunjukan kepatuhan  pengisian form CP  belum optimal karena kurangnya sosialisasi terhadap manfaat CP,  Pelatihan dan pendidikan sudah terlaksana cukup baik namun belum adanya kegiatan evaluasi.  Saran penelitian adalah pihak manajemen melakukan monitoring, melakukan kerjasama dengan tim komite medis melaksanakan evaluasi penggunaan CP dan memberikan pelatihan terkait pentingnya pengisian CP  untuk meningkatkan pemahaman, serta memberikan pelatihan dasar dan  mengevaluasi penerapan pelatihan  pendidikan.

Keywords


Clinical Governance; Patient Safety; Hospitalization

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DOI: http://dx.doi.org/10.7454/ihpa.v5i1.3243

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