RINGKASAN RISET OPERASIONAL UPAYA PENINGKATAN KINERJA TIM PATIENT SAFETY RUMAH SAKIT IBU DAN ANAK NYAI

AGENG PINATIH GRESIK BERDASARKAN STANDAR SIX GOAL INTERNATIONAL PATIENT SAFETY DARI JOINT COMMISSION INTERNATIONAL

Keselamatan (safety) telah menjadi isu global dan patient safety merupakan salah satu isu utama dalam pelayanan kesehatan. Para pengambil kebijakan, pemberi pelayanan kesehatan, dan konsumen menempatkan keamanan sebagai prioritas pertama pelayanan. Patient safety merupakan sesuatu yang jauh lebih penting daripada sekedar efisiensi pelayanan. Patient safety rumah sakit adalah suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman, sistem tersebut meliputi assessment risiko, identifikasi dan pengelolaan masalah yang berhubungan dengan risiko pasien, pelaporan dan analisis insiden, kemampuan belajar dari insiden dan tindak lanjut penanganan serta implementasi solusi untuk mereduksi timbulnya risiko. Rumah Sakit Ibu dan Anak Nyai Ageng Pinatih Gresik dalam memberikan pelayanan kesehatan dan menghadapi akreditasi rumah sakit tidak terlepas dari masalah adanya kejadian terkait keselamatan pasien yang pada tahun 2010 tercatat ada 60 insiden kejadian terkait keselamatan pasien, dan kondisi ini tidak sesuai dengan misi rumah sakit yang berupaya memberikan pelayanan kesehatan yang profesional dan aman. Untuk itu diperlukan suatu pemahaman dalam bentik pelatihan keselamatan pasien, sosialisasi standar keselamatan pasien yang dalam hal ini menggunakan standar six goal international patient safety dari JCI. Masalah dalam penelitian ini adalah Bagaimana kondisi pelaksanaan kegiatan patient Safety berdasarkan standar Six Goal International Patient safety dari JCI, seberapa besar gap dalam pelaksanaan kegiatan Patient Safety di RSIA Nyai Ageng Pinatih Gresik terhadap standar enam goal patient safety dari JCI sebelum dan sesudah intervensi program patient safety berdasakan standar Internasional patient safety dari JCI sebelum dan sesudah

intervensi, bagaimana awareness ketua dan anggota tim patient safety RSIA Nyai Ageng

Pinatih Gresik terhadap pelaksanaan kegiatan patient safety berdasarkan standar six goal international patient safety JCI di RSIA Nyai Ageng Pinatih sebelum dan sesudah intervensi, bagaimana personal objectives, partisipasi, dan knowledge anggota tim patient safety RSIA Nyai Ageng pinatih Gresik, Bagaimana coaching, monitoring, eliminate performance problem, dan set and update objectives ketua tim patient safety RSIA Nyai Ageng Pinatih Gresik, serta bagaimana proses kegiatan intervensi berupa pelatihan patient safety dan

sosialisasi standar internasional patient safety dari JCI di RSIA Nyai Ageng Pinatih Gresik.
Tujuan umum penelitian ini adalah Meningkatkan kinerja tim patient safety RSIA Nyai

Ageng Pinatih Gresik berdasarkan standar Six Goals International patient Safety dari JCI. Penelitian ini adalah penelitian riset operasional. Responden dalam penelitian ini adalah anggota tim patient safety RSIA Nyai Ageng Pinatih Gresik sebanyak 41 orang. Intervensi dilakukan pada tanggal 7 Mei 2011 sampai dengan 31 Mei 2011. Pengamatan pra intervensi dilakukan pada tanggal 25 April 2011, dan pengamatan pasca intervensi dilakukan pada bulan Juli 2011. Penelitian ini menghasilkan kesimpulan bahwa perubahan awareness, personal objectives, partisipasi, dan knowledge anggota tim patient safety RSIA Nyai Ageng pinatih Gresik, coaching, monitoring, eliminate performance problem, dan set and update

objectives ketua tim patient safety RSIA Nyai Ageng Pinatih Gresik berpengaruh pada kinerja tim patient safety RSIA Nyai Ageng Pinatih Gresik. Tingkat implementasi standar six goal international patient safety di RSIA Nyai Ageng Pinatih setelah intervensi tetap dalam kondisi Not Meet msekipun ada peningkatan nilai implementasi standar patient safety menurut JCI. Rekomendasi bagi pelaksanaan kegiatan keselamatan pasien di RSIA Nyai Ageng Pinatih Gresik adalah Rumah Sakit harus menetapkan kebijakan pelaksanaan program

patient safety secara umum, dan juga kebijakan operasional pelaksanaannya, melaksanakan

kegiatan peningkatan kesadaran (awareness) terhadap program patient safety di unit kamar bersalin RSIA Nyai Ageng Pinatih Gresik, Memberikan contoh-contoh pembuatan sasaran pribadi melalui pertemuan rutin tim patient safety; diperlukan dukungan rumah sakit untuk meningkatkan kemampuan tim terhadap pelaksanaan program patient safety, serta membuat pengkajian dan kebijakan tentang prosedur pembuatan resep dan sesegera mungkin di implementasikan di unit unit rumah sakit serta secara terus menerus melakukan pengawasan dan umpan balik kepada pihak terkait sehubungan kejadian yang berkaitan dengan keselamatan pasien di Unit Farmasi RSIA Nyai Ageng Pinatih Gresik.

SUMMARY

Patient Safety Team Improvement Efforts Based on Six Goal International Patient Safety Standards from The Joint Commission International (Operational Research at Nyai Ageng Pinatih Mother and Children Hospital) Patient safety is a new healthcare discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events. Safety has become a global issue and patient safety is one of the major issues in health care. Hospital Patient safety is a system in which hospitals make patient care safer. The system includes risk assessment, identification and management of problems associated with patient risk, incident reporting and analysis, ability to learn from incidents and follow-up treatment and implementation of solutions to reduce onset of risk. Nyai Ageng Pinatih Hospital (NAPH) has contributed health services to communities in need, one of those contribution is the patient safety program and the hospital acreditation can not separated from issues of patient safety. Patient safety related incident in 2010 were 60 incidents. This condition was incompatible with the hospital mission to provide professionals and safety health care. That conditions require an understanding of safety, and the patient safety standards which in this case using the six goals international patient safety standard from Joint Commission International (JCI).. The general purpose of this research was to improve the performance of patient safety team based on The Six Goals International Patient Safety standards from JCI. This research was an operational research. Respondents in this study was 41 people patient safety team members. The intervention took on May 7, 2011 until June 31, 2011. Pre-intervention observations made on April 25, 2011, and post-intervention observations conducted in July 2011. The intervention was a workshop of patient safety, the sosialization of JCI patient safety standards, and the training to find the root cause analysis of the incidents. Based on the results of the study concluded that the changes in team member parameters such as awareness, personal objectives, participation, and knowledge, and team leader parameters such as coaching, monitoring, Eliminate performance problems, and set and update objectives could be use to increase the team performance based on six goal international patient safety. JCI Patient safety standar on Nyai Ageng Pinatih Hospital in this research stll at Not Met grade, although there was point increase. Recommendations for implementation of patient safety is to establish a policy to implementing patient safety programs, and also the implementation of standar operational procedure and policies, carry out awareness raising activities of the patient safety program in

labor unit, Gives examples of making personal goals through regular meetings of the patient safety team; hospitals support is required to improve the teams ability, and make the standard operational procedure to recipes policy should be implemented as soon as possible in hospitals units and continuous monitoring and feedback to stakeholders regarding events related to patient safety in Pharmacy Unit.

ABSTRACT Patient Safety Team Improvement Efforts Based on Six Goal International Patient Safety Standards from The Joint Commission International (Operational Research at Nyai Ageng Pinatih Mother and Children Hospital)

Patient safety is a new healthcare discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events.. Nyai Ageng Pinatih Hospital in providing health services can not be separated from issues of patient safety. In 2010, there were 60 incidents related to patient safety, and this condition was incompatible with the hospital mission attempt to provide health care professionals and safety. The general objective of this research was to improve the performance of patient safety team at RSIA Nyai Ageng Pinatih Gresik based on Six Goals International Patient Safety standard from JCI. This research was an operational research. Respondents in this study was 41 patient safety team members of Nyai Ageng Pinatih Hospital. The intervention took on May 7, 2011 until June 30, 2011. Pre-intervention observations made on April 2011, and post-intervention observations conducted in July 2011. The study produced the conclusion that changes in awareness, personal objectives, participation, and knowledge of patient safety team member, coaching, monitoring, Eliminate performance problems, and set objectives and update patient safety team leader contribute to patient safety team performance in that hospital based on six goal international patient safety and could be use to increase the team performance.

Keywords: patient safety, Six Goal International Patient Safety, team.