02 - Manajemen Risiko.pdf

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IN HOUSE TRAINING PMKP

PENINGKATAN MUTU DAN KESELAMATAN PASIEN

~ Basic Level ~ RSIA Pala Raya, 14 Maret 2019 dr. Fakih N.S. Latief, S.H.

MANAJEMEN RISIKO

DEFINISI RISIKO Potensi terjadinya kerugian. Dapat timbul dari proses / kegiatan saat sekarang atau kejadian yang akan datang.

DEFINISI RISIKO The chance of loss. Pure risk is uncertainty as to whether loss will occur.

Speculative risk is uncertainty about an event that could produce loss. Pure risk is insurable but speculative risk usually is not. Roberta Caroll, Riski Management Handbook for Health Care Organizations, 4th edition, Jossey Bass, 2004

RISIKO DI RUMAH SAKIT Risiko Klinis :

• Semua isu yang dapat berdampak terhadap pencapaian pelayanan pasien yang bermutu, aman dan efektif. Risiko Nonklinis / Corporate Risk : • Semua isu yang dapat dapat berdampak terhadap tercapainya tugas pokok dan kewajiban hukum dari RS sebagai korporasi

HOSPITAL RISK MANAGEMENT Clinical and administrative activities undertaken to identify, evaluate, and reduce the risk injury to patients, staff, and visitors, and the risk of loss to the organization itself. Serangkaian kegiatan administratif maupun klinis yang dilakukan dalam rangka mengidentifikasi, mengevaluasi dan mengurangi risiko kecelakaan pada pasien, pegawai maupun pengunjung, serta risiko kerugian yang diterima rumah sakit itu sendiri.

MANAJEMEN RISIKO PADA POKJA SKP

HPK

PPI

KKS

AP

ARK

PAP

PAB

MKE

PKPO

MIRM

PRONA

TKRS

MFK

PMKP

RISK ASSESMENT Operational / Clinical Financial

Human Capital Strategic

Legal / Regulatory Technology Natural Disaster / Hazard

Modul In House Training QIPS 1.0 GEMILANG Training Center

RISK ASSESMENT TOOLS Risk Grading Matrix

Root Cause Analysis Failure Mode and Effect Analysis

RISK =

Probability (of the event) x

Consequence (impact)

Potential Consequences / Impact

Probability / Likelihood

Risk Assesment Matrix

Insignificant

Minor

Moderate

Mayor

Catastrophic

1

2

3

4

5

Almost Certain (per week / per Month)

5

MODERATE

MODERATE

HIGH

EXTREME

EXTREME

Likely (per Year)

4

MODERATE

MODERATE

HIGH

EXTREME

EXTREME

Posible (per 1-2 year)

3

LOW

MODERATE

HIGH

EXTREME

EXTREME

Unlikely (per 2-5 Year)

2

LOW

LOW

MODERATE

HIGH

EXTREME

Rare (> 5 Year)

1

LOW

LOW

MODERATE

HIGH

EXTREME

PROBABILITY / LIKELIHOOD SCORE Score Very Low (1) Low (2) Medium (3) High (4)

Criteria 0–5% – extremely unlikely or virtually impossible HAMPIR TIDAK MUNGKIN TERJADI 6–20% – low but not impossible JARANG TAPI BUKAN TIDAK MUNGKIN TERJADI 21–50% – fairly likely to occur MUNGKIN TERJADI / BISA TERJADI

51–80% – more likely to occur than not SANGAT MUNGKIN

81–100% – almost certainly will occur Very High (5) HAMPIR PASTI AKAN TERJADI

Impact Score Cedera Pasien Pelayanan / Operasional Biaya / Keuangan Publikasi

Reputasi

1 Insignificant

2 Minor

3 Moderate

4 Mayor

5 Catastrophic

Dapat diatasi dengan pertolongan pertama

Berkurangnya fungsi motorik / sensorik. Setiap kasus yang memperpanjang lama perawatan.

Cedera luas. Kehilangan fungsi permanen

Kematian

Terhenti lebih dari Terhenti lebih dari Terhenti lebih dari Terhenti lebih dari 1 jam 8 jam 1 hari 1 minggu

Terhenti permanen

Tidak ada cidera

Kerugian kecil

Kerugian lebih dari 0,1% anggaran

Kerugian lebih dari 0,25% anggaran

Kerugian lebih dari 0,5% anggaran

Kerugian lebih dari 1% anggaran

Rumor

Media lokal. Waktu singkat.

Media lokal. Waktu lama.

Media nasional. Waktu <3 hari.

Media nasional. Waktu >3hari.

Dampak kecil terhadap moril karyawan dan kepercayaan masyarakat

Dampak bermakna terhadap moril karyawan dan kepercayaan masyarakat

Dampak serius terhadap moril karyawan dan kepercayaan masyarakat

Rumor

Menjadi masalah besar bagi PR

WHAT ACTION SHOULD BE TAKEN? Low Can be manage by Procedure Accept risk

Moderate

High

Extreme

Clinical Manager / Detailed review & Lead Clinician Immediate review urgent treatment should & action required should be assess the at Board level. undertaken by consequences Director must be senior againts cost of informed management treating the risk

TERIMA KASIH

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