Analisis Penyebab Ketidaktepatan Waktu Pelaporan Insiden Keselamatan Pasiendi RSU Bunda Thamrin

Dyna Safitri Rakhelmi Rangkuti, Mangatas Silaen, Jamalludin Jamalludin

Abstract


Pendahuluan Keselamatan pasien rumah sakit adalah suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman yang meliputi asesmen risiko, identifikasi dan pengelolaanhal yang berhubungan dengan risiko pasien, pelaporan dan analisis insiden Tujuan Penelitian ini bertujuan untuk menganalisis penyebab ketidak tepatan waktu pelaporan insiden keselamatan pasien di RSU Bunda Thamrin Metode Desain penelitian ini adalah penelitian kualitatif dengan menggunakan pendekatan study fenomenology. Informan dalam penelitian ini adalah, Direktur, perawat, ketua KPRS dan champion tim KPRS Hasil penelitian menunjukkan bahwa ketidak tepatan waktu pelaporan insiden keselamatan pasien di RSU Bunda Thamrin disebabkan oleh rasa malas dan takut  sehingga enggan untuk menuliskan kronologis insiden karena budaya keselamatan pasien yang belum menyeluruh di lingkungan rumah sakit Kesimpulan penelitian ini menyatakan bahwa ketidaktepatan waktu pelaporan insiden keselamatan pasien (IKP) disebabkan oleh gagalnya sosialisasi dan edukasi yang dilakukan oleh tim KPRS kepada seluruh karyawan rumah sakit.


Keywords


Budaya Keselamatan Pasien, Insiden Keselamatan Pasien, Laporan Insiden Keselamatan Pasien

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References


Iskandar H, Maksum H, Studi P, Manajemen M, Sakit R, Kedokteran F, et al. Faktor Penyebab Penurunan Pelaporan Insiden Keselamatan Pasien Rumah Sakit Factors Influencing Low Hospital Patient Safety Incident Reporting. 28(1):72–7.

Herkutanto H. Panduan Nasional Keselamatan Pasien Rumah Sakit. J Manaj Pelayanan Kesehat. 2009;12(03).

Kesehatan D. Peraturan Menteri Kesehatan Republik Indonesia Nomor 903/Menkes. Per; 2011.

Gunawan, Fajar Yuli Widodo TH. Analisis Rendahnya Laporan Insiden Keselamatan Pasien di Rumah Sakit. J Kedokt Brawijaya, [Internet]. 2015;28(2):206–13. Available from: jkb.ub.ac.id/index.php/ jkb/article / download/962/479

Iskandar H, Maksum H, Nafisah N. Faktor Penyebab Penurunan Pelaporan Insiden Keselamatan Pasien Rumah Sakit. J Kedokt Brawijaya. 2014;28(1):72–7.

Kingston MJ, Evans SM, Smith BJ, Berry JG. Attitudes of doctors and nurses towards incident reporting: a qualitative analysis. Med J Aust. Sydney, Australia: Australian Medical Association, 1914-; 2004;181(1):36–9.

Tamuz M, Thomas EJ, Franchois KE. Defining and classifying medical error: lessons for patient safety reporting systems. BMJ Qual Saf. BMJ Publishing Group Ltd; 2004;13(1):13–20.

Lawton R, Parker D. Barriers to incident reporting in a healthcare system. BMJ Qual Saf. BMJ Publishing Group Ltd; 2002;11(1):15–8.

Sari AB-A, Sheldon TA, Cracknell A, Turnbull A. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Bmj. British Medical Journal Publishing Group; 2007;334(7584):79.

Mahajan RP. Critical incident reporting and learning. Br J Anaesth. 2010;105(1):69–75.

Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general practice: a qualitative study. Scand J Prim Health Care. Taylor & Francis; 2012 ; 30(4):199–205.

Pham JC, Girard T, Pronovost PJ. What to do with healthcare incident reporting systems. J Public health Res. PAGEPress; 2013;2(3).

Pfeiffer Y, Manser T, Wehner T. Conceptualising barriers to incident reporting: a psychological framework. Qual Saf Heal Care. BMJ Publishing Group Ltd; 2010;19(6):e60–e60.

Waring JJ. A qualitative study of the intra-hospital variations in incident reporting. Int J Qual Heal Care. Oxford University Press; 2004;16(5):347–52.

Weissman JS, Annas CL, Epstein AM, Schneider EC, Clarridge B, Kirle L, et al. Error reporting and disclosure systems: views from hospital leaders. Jama. American Medical Association; 2005;293(11):1359–66.

Vincent CA, Coulter A. Patient safety: what about the patient? BMJ Qual Saf. BMJ Publishing Group Ltd; 2002;11(1):76–80.

Vincent CA. Analysis of clinical incidents: a window on the system not a search for root causes. BMJ Publishing Group Ltd; 2004.

Hutchinson A, Young TA, Cooper KL, McIntosh A, Karnon JD, Scobie S, et al. Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. BMJ Qual Saf. BMJ Publishing Group Ltd; 2009;18(1):5–10.

Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. BMJ Qual Saf. BMJ Publishing Group Ltd; 2005;14(6):401–7.

Taylor JA, Brownstein D, Christakis DA, Blackburn S, Strandjord TP, Klein EJ, et al. Use of incident reports by physicians and nurses to document medical errors in pediatric patients. Pediatrics. Am Acad Pediatrics; 2004;114(3):729–35.

Weingart SN, Pagovich O, Sands DZ, Li JM, Aronson MD, Davis RB, et al. What can hospitalized patients tell us about adverse events? Learning from patient‐reported incidents. J Gen Intern Med. Wiley Online Library; 2005;20(9):830–6.

Shojania KG, Duncan BW, McDonald KM, Wachter RM, Markowitz AJ. Making health care safer: a critical analysis of patient safety practices. Evid Rep Technol Assess. 2001;43(1):668.

Najihah N. Budaya Keselamatan Pasien Dan Insiden Keselamatan Pasien Di Rumah Sakit: Literature Review. J Islam Nurs. 2018;3(1):1–8.




DOI: https://doi.org/10.33085/jrm.v1i2.3978

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