Keselamatan pasien - KMPK

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System approach to patient safetyContributing factorsRCA, FMEAAdverse eventIncident & Critical IncidentStructure – Process – OutcomeStandard of careHazardLatent ConditionNotes:Term to be avoided:Blame, Fault, Negligence,RecklessnessActive Failure: Accident:• Unsafe acts Complication• Errors• Violation• Sabotage• Errors:• Human (slips, lapses, mistakes)• Medical• MedicationSumber:The Canadian Patient SafetyDictionary, October 200336
Structure• Structure: a supporting framework or essential parts, including:the health care system that exist before any actions or activitiestake place. Structure represents all components of the facility,organization or department: administration, physical facility,environment, personnel, equipment.• Standard of care: a set of steps that would be followed or anoutcome that would be expected, that can be found in a policy orclinical guideline• Hazard: : a set of circumstances or a situation that could harm aperson’s interests, such as their health or welfare• Latent condition: : the structural flaws in the system thatpredispose to adverse outcomes, and that it be used as a terminstead of “latent failure”37
Page 1 and 2: Keselamatan pasien1
Page 3 and 4: Risiko yang mungkin terjadi padasar
Page 5 and 6: Keselamatan pasien di rumahsakit•
Page 7 and 8: Tujuh standar keselamatan pasien•
Page 9 and 10: Tujuh langkah menuju kesematanpasie
Page 11 and 12: Beberapa istilah yang terkait denga
Page 13 and 14: Adverse eventManagement processRisk
Page 15 and 16: Diskusi• Lakukan identifikasi kej
Page 17 and 18: Sering FrequentKemungkinan besar te
Page 19 and 20: Analisis akar penyebabRoot Cause An
Page 21 and 22: Investigasi kejadian• menentukan
Page 23 and 24: Analyze causes• Identify root cau
Page 25 and 26: Susun rencana tindakan• menetapka
Page 27 and 28: Memahami penyebab kejadian• Kegag
Page 29 and 30: Failure mode andeffect analysis29
Page 31 and 32: Langkah-langkah• Bentuk tim FMEA:
Page 33 and 34: FailureModeCauseoffailureEffectsoff
Page 35: Pengertian Patient Safety• Upaya
Page 39 and 40: Process• Error or medical error:
Page 41 and 42: Process and outcome• Incident: :
Page 43 and 44: Upaya untuk menghilangkanatau memin
Page 45 and 46: PatientNeeds & expectClinical GovCo
Page 47 and 48: Rantai efek perbaikanmutu Donald Be
Page 49: Rantai efek dalam perbaikan mutu pe

Keselamatan pasien - KMPK

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