Strategi Rumah Sakit Pendidikan dalam Mencapai Sertifikasi ...

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Strategi Rumah Sakit Pendidikan dalam Mencapai Sertifikasi ...

• Research• 70% of top twenty AMC’s are integrated• 50% of ranked 21-30 AMC’s are integrated• Medical services and general quality (US News andWorld report)• 11 of the 17 top hospitals are integrated at some form• Only 44% of American have an integrated structured


CRITERION 6 :Oversight of students and those in trainingWhen the organization is a training site for health careprofessional students,there is adequate oversight of the students and trainees to ensurethat they are known to staff,that their current competence matches any patient careresponsibilities they may have,that they have the appropriate level of supervision, andthat the training program is integrated into the quality and patientsafety program.


Levels of effort• Level 0 : there is no oversight of the trainees in theorganization.• Level 1 : the number of trainees and their assignmentare known.• Level 2 : the current competence (level of training) ofeach trainee is known and used to makeassignments and indicate level of requiredsupervision.• Level 3 : the overall training activities are wellcoordinated and managed and integrated into theorganization’s quality and patient safety program.


• Physicians should be involved in the full scope of thedelivery of health care and fully understand thebusiness of health care• Hospitals have a role in educating and involvingphysicians in their quality improvement and patientsafety projects


• Safety is a system-based activity and requires that allparts of the system work together• For positive change to take place, all members of theteam need to be educated in improvement science• Early involvement of students and residents, as well asa drive to all clinicians, will enhance the ability of thesystem to improve


Integrating Patient Safety& Quality into ResidencyTraining


Quality & Safety Workshop For Patient Safety Officers


Fire Safety Workshop For Residents


Verschiedene Systemeverteiltes SystemAuf allen Rechnern oderOrdnern ist die gesamteHistorie verfügbar.Download:git-scm.comOberflächengittk Anleitungzentrales SystemDie Historie ist nur auf demServer gespeichert.Download:subversion.apache.orgOberflächentortoisesvn.netSebastian Jeworutzki | LAT E X-Einführung | 09.12.2011 22


DepartemenIdentitasPasienIdentitasDokterPenulisanDiagnosisPenulisanDaftarTerapiLaporanTindakanMedisDischarePlaningHakPasienKIEResumeMedisTotalPasienPenyakitDalam75% 66% 84% 98% 31% 30% 69% 54% 67%Obs - Gin 94% 80% 85% 77% 55% 22% 66% 59% 100% 66Bedah 80% 72% 78% 80% 53% 37% 68% 59% 98% 41BedahUrologiBedahOrtopedi85% 67% 100% 58% 79% 8% 50% 75% 100%96% 73% 76% 73% 80% 27% 75% 80% 100%Neurologi 56% 76% 79% 95% 9% 8% 24% 54% 100% 37Bedah53% 78% 83% 93% 39% 4% 60% 56% 72%Saraf18THT 92% 87% 60% 98% 57% 23% 83% 70% 100% 10Mata 89% 52% 37% 100% 52% 0% 75% 100% 100% 7Kulit 53% 100% 67% 100% 0% 0% 8% 100% 100% 3Anak 98% 88% 94% 89% 14% 4% 37% 88% 100% 42KelasKhusus99% 71% 75% 84% 24% 26% 55% 77% 98%Rata - Rata Pengisian1134543T O T A L S A M P L I N G P A S I E N 38981% 76% 77% 87% 41% 16% 56% 73% 95%


REKAPITULASI PENGISIAN REKAM MEDIS OLEH DPJPPERIODE AGUSTUS 2012DepartemenIdentitasPasienIdentitasDokterPenulisanDiagnosisPenulisanDaftarTerapiLaporanTindakanMedisDischargePlaningHakPasienKIEResumeMedisTotalPasienIPSG COP AOPIPSG -MMUASC -AOPACC PFR PFE ACCPenyakit DalamObs - GinBedahBedah UrologiBedah OrtopediNeurologiBedah SarafTHTMataKulitAnak91% 86% 99% 99% 85% 56% 85% 98% 100%97% 87% 92% 81% 85% 45% 85% 100% 100%89% 100% 87% 100% 100% 71% 100% 100% 100%86% 80% 68% 88% 88% 54% 100% 88% 63%100% 100% 80% 100% 100% 100% 100% 100% 100%100% 90% 96% 100% 90% 93% 100% 100% 100%100% 100% 93% 100% 100% 89% 100% 100% 100%100% 100% 100% 100% 88% 88% 100% 75% 88%97% 100% 100% 100% 71% 33% 96% 29% 100%100% 67% 100% 100% 100% 67% 67% 67% 100%97% 99% 89% 96% 51% 81% 91% 100% 100%5989158210387337T O T A L S A M P L I N G P A S I E N 241Rata - Rata Pengisian96% 92% 91% 97% 87% 71% 93% 87% 96%


The JointCommissionInternationalAccreditation•On site survey•OrganizationalReport andInformation•ExtranetInformationJointCommissionInternational•Consultation•Education•Publications28


Organizational Strengths• Strong engagement by the Residents• Effective Leadership Team• Excellent Data Collection and Presentation• Highly Inquisitive and Involved Staff• Effective upgraded facility and services• World Class Eye Center29

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