ANALISIS PELAKSANAAN PATIENT SAFETY DI RUMAH SAKIT

Abstract

50% kejadian buruk pada pasien dapat dicegah, hal ini karena kesalahan terhadap pasien mayoritas berkaitan dengan factor fisiologis manusia, kognitif manusia dan perspektif organisasi. Menurut data WHO kejadian efek samping yang tidak diinginkan pada pasien di seluruh dunia lebih kurang 10%. Infeksi nosokomial yang belum terlaporkan, terdapat kesalahan dalam pemberian obat serta kondisi tidak diinginkan lainnya yang belum di evaluasi dengan baik. Tujuan penelitian untuk mengetahui pelaksanaan pasien safety. Desain penelitian menggunakan deskriptif  analitik dengan multistage randon sampling Sample sebanyak 45 orang sesuai dengan kriteria inklusi. Pengumpulan data penelitian menggunakan kuesioner. Hasil penelitian menunjukkan Distribusi konflik pekerjaan yang negative ada 19 orang (42,2%) dan konflik positif ada 26 orang (57,8), distribusi manager  yang tidak professional ada 19 orang (42,2%) dan manager yang professional ada 26 orang (57,8). Distribusi komunikasi yang negatif ada 19 orang (42,2%) dan komunikasi positif  ada 26 orang (57,8). Laporan Suatu Kejadian tidak diinginkan  mengatakan  tidak terlapor sebanyak 20 orang (44,4%), sedangkan terlapor sebanyak mengatakan terlapor ada sebanyak 25 orang (55,6%). Peringkat patient safety tergolong dalam peringkat rendah sebanyak 14 orang(31,1%) dan patient safety yang tergolong tinggi ada sebanyak 31 orang (68,9%). Iklim kerja Rumah sakit  tidak baik sebanyak 22 orang (48,9%) dan yang mengatakan baik ada sebanyak 23 orang (51,1%). Kesimpulan dibutuhkannya  pengalaman pembelajaran standar mencakup pesan teks dengan 3 pertanyaan yang dirancang untuk mendorong diskusi tentang mengidentifikasi peristiwa keselamatan dan melaporkan peristiwa terkait keselmatan pasien, menerapkan catatan mingguan terkait keselamatan pasien, pentingnya melibatkan pasien dan keluarga dalam mengidentifikasi resiko kesalahan data klinis, tindakan,dan efek samping tindakan. Disarankan terapi mindfulness meditasi  untuk dokter, perawat dan tenaga kesehatan lainnya dalam meningkatkan keselamatan pasien. Disarankan menerapkan aplikasi keselamatan pasien dalam mengurangi kesenjangan social saat terjadi kejadian tidak diinginkan yang dilakukan oleh sesame team kerja.

50% of adverse events in patients can be prevented, this is because the majority of errors in patients are related to human physiological factors, human cognitive and organizational perspectives. According to WHO data, the incidence of unwanted side effects in patients worldwide is approximately 10%. Nosocomial infections that have not been reported, errors in drug administration and other undesirable conditions that have not been properly evaluated. The aim of the research is to determine the implementation of patient safety. The research design used descriptive analytic with multistage random sampling. The sample was 45 people according to the inclusion criteria. Research data collection uses a questionnaire. The results showed that the distribution of negative work conflicts was 19 people (42.2%) and positive conflicts were 26 people (57.8), the distribution of unprofessional managers was 19 people (42.2%) and there were 26 professional managers. (57.8). The distribution of negative communication was 19 people (42.2%) and positive communication was 26 people (57.8). Reports of an undesirable incident said that 20 people (44.4%) said it was not reported, while 25 people (55.6%) said it was reported. There were 14 people (31.1%) with low patient safety ratings and 31 people (68.9%) with high patient safety ratings. The hospital work climate was not good as many as 22 people (48.9%) and 23 people (51.1%) said it was good. Conclusion: the need for a standardized learning experience includes a text message with 3 questions designed to encourage discussion about identifying safety events and reporting patient safety related events, implementing weekly patient safety records, the importance of involving patients and families in identifying risks of clinical data errors, actions, and effects. next to the action. Mindfulness meditation therapy is recommended for doctors, nurses and other health workers to improve patient safety. It is recommended to implement patient safety applications to reduce social disparities when undesirable incidents occur which are carried out by fellow work teams.