Keselamatan pasien - KMPK

Structure and process• Contributing factors: : the reason(s), situational factor(s), orlatent condition(s), that played a role in the genseis of an adverseoutcome• Cause: : an antecedent set of actions, circumstances or conditionsthat produce an event, effect, or phenomenon• Root cause analysis: : a systematic process of investigating acritical incident or an adverse outcome to determine the multiple,underlying contributing ti factors. The analysis focuses onidentifying the latent conditions• Failure Mode and Effect Analysis: Alat untuk mengkaji suatuprosedur secara rinci, dan mengenali model-model adanyakegagalan/kesalahan pada suatu prosedur, melakukan penilaianterhadap tiap model kesalahan/kegagalan, dengan mencaripenyebab terjadinya, mengenali akibat dari kegagalan/kesalahan,dan mencari solusi dengan melakukan perubahandisain/prosedur42