01.ps is a key component of rm (dr.adib)

7/27/2019 01.PS is a Key Component of RM (Dr.adib)

1/55

11

CURRICULUM VITAEDATA PRIBADIDATA PRIBADI

Nama :Nama : dr.ADIB ABDULLAH YAHYA,MARSdr.ADIB ABDULLAH YAHYA,MARS

Pangkat : Brigjen TNI (Purn)Pangkat : Brigjen TNI (Purn)Tempat/tanggal lahir : Magelang,16 Februari 1949Tempat/tanggal lahir : Magelang,16 Februari 1949

Jabatan : Ketua Umum PERSI ( PerhimpJabatan : Ketua Umum PERSI ( Perhimpunan Rumah Sakit Seluruh Indonesia )unan Rumah Sakit Seluruh Indonesia )

Agama : IslamAgama : Islam

ALAMAT :ALAMAT : Jl. Punai HJl. Punai H--24,Kel.Tengah,Jakarta Timur24,Kel.Tengah,Jakarta Timur 1354013540

TelpTelp : (021)8404580: (021)8404580

Fax : (021) 8408047Fax : (021) 8408047

HP :HP : 0816180349708161803497

EE--MAIL :MAIL : [email protected]@yahoo.com

PENDIDIKAN UMUMPENDIDIKAN UMUM

SMA Negeri Magelang 1966SMA Negeri Magelang 1966

S1 : Fakultas Kedokteran Universitas Gajah Mada (UGM),S1 : Fakultas Kedokteran Universitas Gajah Mada (UGM),

Yogyakarta, 1973Yogyakarta, 1973

S2 : Fakul tas Kesehatan Masyarakat, Universi tas Indonesia (UI),S2 : Fakul tas Kesehatan Masyarakat, Universi tas Indonesia (UI), Jakarta,Jakarta,

Program Kajian Administ rasi Rumah Sakit ( KARS )Program Kajian Administ rasi Rumah Sakit ( KARS )

PENDIDIKAN MILITERPENDIDIKAN MILITER

Sekolah Staf dan Komando TNI Angkatan Darat (SESKOAD), 1987/1988Sekolah Staf dan Komando TNI Angkatan Darat (SESKOAD), 1987/1988

PELATIHANPELATIHAN

Combined Humanitarian Assistance Response Training, oleh SingapoCombined Humanitarian Assistance Response Training, oleh Singapore Armed Forces (SAF), Singapura, 2000re Armed Forces (SAF), Singapura, 2000

Health as a Br idge for Peace Workshop, oleh World Health OrganizHealth as a Br idge for Peace Workshop, oleh World Health Organization (WHO), Yogyakarta, 2000ation (WHO), Yogyakarta, 2000


2/55

22

PENGALAMAN JABATANPENGALAMAN JABATAN

Komandan Detasemen Kesehatan Pasukan Pengamanan Presiden (DanDenKomandan Detasemen Kesehatan Pasukan Pengamanan Presiden (DanDenkeskes

Paspampres), 1987Paspampres), 1987--19911991Kepala Rumah SakitKepala Rumah Sakit Muhammad Ridwan MeuraksaMuhammad Ridwan Meuraksa , Jakarta, 1992, Jakarta, 1992

Kepala Kesehatan Daerah Militer (Kakesdam) Jaya, Jakarta, 1993Kepala Kesehatan Daerah Mili ter (Kakesdam) Jaya, Jakarta, 1993

Komandan Pusat Pendidikan Kesehatan TNIKomandan Pusat Pendidikan Kesehatan TNIAD,1995AD,1995 19991999

Wakil Kepala Pusat Kesehatan TNI, 1999Wakil Kepala Pusat Kesehatan TNI, 1999 20002000

Kepala RSPAD Gatot Soebroto, 2000Kepala RSPAD Gatot Soebroto, 2000 20022002Dekan Fakultas Kedokteran UPN, Jakarta, 2000Dekan Fakultas Kedokteran UPN, Jakarta, 2000 20022002

Wakil Ketua Tim Dokter Kepresidenan RI, 2000Wakil Ketua Tim Dokter Kepresidenan RI, 2000 20022002

Direktur Kesehatan TNI Angkatan Darat (Dirkesad), 2002Direktur Kesehatan TNI Angkatan Darat (Dirkesad), 2002--20042004

Wakil Ketua Tim Pemeriksaan kesehatan untuk calon Presiden dan cWakil Ketua Tim Pemeriksaan kesehatan untuk calon Presiden dan calon Wakilalon Wakil

Presiden RI Th.2004Presiden RI Th.2004

Ketua Tim Pemeriksaan Kesehatan calon Hakim Agung RI Th.2006Ketua Tim Pemeriksaan Kesehatan calon Hakim Agung RI Th.2006

ORGANISASIORGANISASI

Ketua Ikatan Rumah Sakit Jakarta Metropolitan (IRSJAM), 2000Ketua Ikatan Rumah Sakit Jakarta Metropolitan (IRSJAM), 2000--20032003

Ketua Umum Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI), 2Ketua Umum Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI), 2003003--sekarangsekarang

Anggota Majelis Kehormatan Etik Kedokteran (MKEK) IDI, 2003Anggota Majelis Kehormatan Etik Kedokteran (MKEK) IDI, 2003--sekarangsekarang

Ketua Tim Kajian Globalisasi IDI PusatKetua Tim Kajian Globalisasi IDI Pusat

Tim Konsultan Insti tut Manajemen Risiko Klinis ( IMRK )Tim Konsultan Institut Manajemen Risiko Klinis ( IMRK )InstrukturInstruktur HOPE ( Hospital Preparedness for Emergencies and DisastersHOPE ( Hospital Preparedness for Emergencies and Disasters

PRESIDENT ELECT OF ASIAN HOSPITAL FEDERATION ( 2009PRESIDENT ELECT OF ASIAN HOSPITAL FEDERATION ( 2009 2011)2011)


3/55

PATIENT SAFETY IS A KEY COMPONENT OFPATIENT SAFETY IS A KEY COMPONENT OF

RISK MANAGEMENTRISK MANAGEMENT

Dr. ADIB A YAHYA, MARSr. ADIB A YAHYA, MARSWorkshop Keselamatan Pasien dan Manajemen Risiko Klinis

Alam Asri, Cipanas Jawa Barat 18 s/d 20 Maret 2009


4/55

44

2. Why?

1. What?

3. How?


5/55

55

What ?What ?


6/55

66

DEFINISI RISIKODEFINISI RISIKO

RISIKO ADALAHRISIKO ADALAH ::

POTENSI TERJADINYA KERUGIANPOTENSI TERJADINYA KERUGIAN

YANG DAPAT TIMBUL DARI PROSESYANG DAPAT TIMBUL DARI PROSESKEGIATAN SAATKEGIATAN SAAT SEKARANGSEKARANGATAUATAU

KEJADIANKEJADIAN DIMASA DATANGDIMASA DATANG..

ERM, Risk Management Handbook for Health Care OrganizationERM, Risk Management Handbook for Health Care Organization


7/55

77

RISIKORISIKOADALAH :ADALAH :

PERISTIWA ATAU KEADAAN YANG MUNGKINPERISTIWA ATAU KEADAAN YANG MUNGKIN

TERJADI YANG DAPAT BERPENGARUHTERJADI YANG DAPAT BERPENGARUH

NEGATIF TERHADAP PERUSAHAAN.NEGATIF TERHADAP PERUSAHAAN. (ERM)(ERM)

PENGARUHNYA DAPAT BERDAMPAK TERHADAPPENGARUHNYA DAPAT BERDAMPAK TERHADAPKONDISI :KONDISI :

-- SUMBER DAYA (human and capital)SUMBER DAYA (human and capital)

-- PRODUK DAN JASA , ATAUPRODUK DAN JASA , ATAU-- PELANGGAN,PELANGGAN,

-- DAPAT JUGA BERDAMPAK EKSTERNAL TERHADAPDAPAT JUGA BERDAMPAK EKSTERNAL TERHADAP

MASYARAKAT,PASAR ATAU LINGKUNGAN.MASYARAKAT,PASAR ATAU LINGKUNGAN.


8/55

88

RISIKO ADALAHRISIKO ADALAH ::

SUATUSUATU

FUNGSIFUNGSI

DARIDARI

PROBABILITASPROBABILITAS

(CHANCE,LIKELIHOOD) DARI SUATU KEJADIAN YANG(CHANCE,LIKELIHOOD) DARI SUATU KEJADIAN YANG

TIDAK DIINGINKAN,DANTIDAK DIINGINKAN,DAN TINGKAT KEPARAHANTINGKAT KEPARAHANATAUATAU

BESARNYA DAMPAK DARI KEJADIAN TERSEBUT.BESARNYA DAMPAK DARI KEJADIAN TERSEBUT.

RiskRisk == ProbabilityProbability (of the Event)(of the Event) ConsequenceConsequence


9/55

99

RISK MAPPING

Impact vs. ProbabilityImpact vs. Probability

C o n t r o l

Sh a r e M i t i g a t e & Co n t r o l

A c c e p t

High Risk

Medium Risk

Medium Risk

Low Risk

High

I

M

P

A

C

T

Low PROBABILITY High


10/55

1010

RisikoRisiko didi RumahRumah SakitSakit

RISIKO KLINISRISIKO KLINIS ::

SEMUA ISU YANG DAPAT BERDAMPAKSEMUA ISU YANG DAPAT BERDAMPAKTERHADAPTERHADAP PENCAPAIAN PELAYANAN PASIENPENCAPAIAN PELAYANAN PASIEN

YANG BERMUTU TINGGI,AMAN DAN EFEKTIF.YANG BERMUTU TINGGI,AMAN DAN EFEKTIF.

RISIKO NONKLINISRISIKO NONKLINIS/ Corporate Risk/ Corporate Risk ::

SEMUA ISSU YANG DAPAT BERDAMPAKSEMUA ISSU YANG DAPAT BERDAMPAKTERHADAP TERCAPAINYA TUGAS POKOKTERHADAP TERCAPAINYA TUGAS POKOK

DANDAN KEWAJIBAN HUKUMKEWAJIBAN HUKUM DARI RUMAH SAKITDARI RUMAH SAKIT

SEBAGAI KORPORASISEBAGAI KORPORASI..


11/55

1111

KATEGORI RISIKO DI RUMAH SAKITKATEGORI RISIKO DI RUMAH SAKIT ::

(( Categories of RiskCategories of Risk ))

Patient carePatient care

--related risksrelated risks

Medical staffMedical staff--related risksrelated risks

EmployeeEmployee--related risksrelated risks

PropertyProperty--related risksrelated risks

Financial risksFinancial risks

Other risksOther risks


12/55

1212

Risiko yang berhubungan dengan perawatan pasienRisiko yang berhubungan dengan perawatan pasien

((Patient care related risksPatient care related risks))

Direct association with patient careDirect association with patient careConsequences of inappropriate or incorrectly performedConsequences of inappropriate or incorrectly performed

medical treatmentsmedical treatments

ConfidentialityConfidentiality and appropriate release of informationand appropriate release of information

Protection fromProtection from abuseabuse,, neglectneglect and assaultand assaultWas patientWas patient informed of risksinformed of risks??

NondiscriminatoryNondiscriminatory treatmenttreatment

Protection ofProtection ofpatient valuablespatient valuables from loss or damagefrom loss or damage

AppropriateAppropriate triage and transfertriage and transferof patients from ERof patients from ERPatient participation inPatient participation in research studiesresearch studies and use ofand use of experimentalexperimental

drugsdrugs -- was consent obtained?was consent obtained?

WasWas patient dischargedpatient discharged appropriately?appropriately?


13/55

1313

Risiko yang berhubungan dengan tenaga medisRisiko yang berhubungan dengan tenaga medis

((Medical staffMedical staff-- related risksrelated risks))

-- CredentialCredential terhadap staf medis ?terhadap staf medis ?

-- Tindakan medis sesuaiTindakan medis sesuai kompetensikompetensi dandan prosedur bakuprosedur baku ??

-- Was patientWas patient properly managedproperly managed ??

-- Do we have adequatelyDo we have adequately trained stafftrained staff??


14/55

1414

Risiko yang berhubungan dengan karyawanRisiko yang berhubungan dengan karyawan

((Employee related risksEmployee related risks))

-- RisikoRisiko keselamatan dan kecelakaan kerjakeselamatan dan kecelakaan kerja-- Maintaining aMaintaining a safe environmentsafe environment -- Employee Health PolicyEmployee Health Policy ::

. reducing risk of. reducing risk ofoccupational illness and injuryoccupational illness and injury

. providing for the. providing for the treatment and compensationtreatment and compensation ofofworkers for workworkers for work--related illnesses or injuriesrelated illnesses or injuries


15/55

1515

Risiko yang berhubungan dengan propertyRisiko yang berhubungan dengan property

((Property related risksProperty related risks))

Protect assets from losses due toProtect assets from losses due to firesfires,, floodsfloods, etc, etc

Paper and/or electronic recordsPaper and/or electronic records -- patient, businesspatient, business

and financialand financial -- protected from damage orprotected from damage ordestructiondestruction

Procedures forProcedures forhandling cashhandling cash and safeguardingand safeguarding

valuablesvaluables

Bonding andBonding and insurancinsurance to protect facility frome to protect facility from

losseslosses


16/55

1616

Risiko keuanganRisiko keuangan((Financial risksFinancial risks))

Bad DebtBad Debt

Meningkatnya suku bungaMeningkatnya suku bunga

Global FinancialGlobal Financial tsunamitsunami


17/55

1717

Risiko lainRisiko lain

((Other risksOther risks))

-- Hazardous materialHazardous material management :management :chemical, radioactive, infectious biologicalchemical, radioactive, infectious biological

waste managementwaste management

-- Legal & regulatoryLegal & regulatory risksrisks


18/55

HospospRiskiskMgtgt

Patient carePatient care

RelatedRelatedRisksRisks

Medical StaffMedical StaffRelated RisksRelated Risks

EmployeeEmployee

RelatedRelatedRisksRisks

PropertyPropertyRelatedRelated

RisksRisks

OtherOther

RisksRisks

Roberta Caroll, editor : Risk Management Handbook for

Health Care Organizations, 4th edition, Jossey Bass, 2004

FinancialFinancialRisksRisks


19/55

1919

DIDALAM SISTEM KITA YANG SANGAT KOMPEKS INI ..BAGAIMANA KITA AKAN MENDARAT DENGAN SELAMAT ?

BAHAYA / HAZARD / RISIKO YANG MANA

YANG HARUS KITA TANGANI TERLEBIH DAHULU ?


20/55

2020

WHY ?WHY ?


21/55

2121

MENGAPA MANAJEMEN RISIKO MENJADI ISUMENGAPA MANAJEMEN RISIKO MENJADI ISU

PENTING DALAM PELAYANAN KESEHATAN?PENTING DALAM PELAYANAN KESEHATAN?

.KARENA PELANGGARAN/KELALAIANTERHADAP DUTY OF CARE DAPAT MENIMBULKAN

DAMPAK YANG SERIUS DAN TAK TERBAYANGKAN.

PELAYANAN KESEHATAN ADALAH KEGIATAN YANG

PENUH RISIKO :

- RISIKO BISNIS/KEUANGAN- RISIKO HUKUM/TUNTUTAN

- RISIKO TERHADAP PASIEN

- RISIKO TERHADAP PETUGAS/STAF


22/55

2222

HOSPITALHOSPITAL

System made up of thousands ofSystem made up of thousands ofinterinter--linked processeslinked processes....

things can go wrongthings can go wrong


23/55

2323

Errors are inevitable

.but most are preventable


24/55

2424

PERMASALAHAN

DALAM PELAYANAN KESEHATAN

BANYAKNYA KEJADIAN YANG MENYANGKUTPERORANGAN

TINGKAT OTONOMI PROFESI YANG TINGGI

TINGKAT REGULASI YANG RENDAHTINGGINYA TINGKAT EKSPEKTASI/HARAPAN

PASIEN DAN MASIH RENDAHNYA

PEMBERDAYAAN PASIENHUBUNGAN ANTARA RISIKO DAN TUNTUTAN

( DEMAND )


25/55

2525

HOW ?HOW ?


26/55

2626

How is risk managed in Hospital ?How is risk managed in Hospital ?

In Hospital risk is managed at two overlappingIn Hospital risk is managed at two overlapping

levels:levels:

-- Strategic/Strategic/managementmanagement levellevel

-- DayDay--toto--day staff/patientday staff/patient operationaloperational level.level.

Risk management in Hospital includes theRisk management in Hospital includes thewhole spectrumwhole spectrum of things that could andof things that could and

can go wrongcan go wrong..


27/55

2727

Basic questions addressed by risk management

What could go wrong?

What are the chances of it

going wrong and whatwould be the impact ?

What can we do tominimise the chance of thishappening or to mitigatedamage when it has gonewrong?

What can we learn fromthings that have gone

wrong ?

Risk identification.

Risk analysis and

evaluation.

Risk treatment.The cost of prevention iscompared with the cost ofgetting it wrong.

Risk control; sharing and

learning


28/55

2828

MANJEMEN RISIKO

. . . ADALAH PENDEKATAN PROAKTIFUNTUK MENGIDENTIFIKASI,MENILAI

DAN MENYUSUN PRIORITAS RISIKO,DENGAN TUJUAN UNTUK

MENGHILANGKANATAUMEMINIMALKAN DAMPAKNYA.

MANAJEMEN RISIKO RUMAH SAKITMANAJEMEN RISIKO RUMAH SAKIT


29/55

2929


Kegiatan berupa identifikasi dan evaluasi untuk

mengurangi risiko cedera dan kerugian padapasien, karyawan rumah sakit, pengunjung dan

organisasinya sendiri

(The Joint Commission on Accreditation of Healthcare Organizations / JCAHO).

Kegiatan meminimalkan bahayaterhadap pasien, kegiatan untuk

menciptakan lingkungan yang amanbagi karyawan, pasien dan pengunjung

(ASHRM)


30/55

3030

BASIC CONCEPTBASIC CONCEPT


31/55

PRIMUM, NON NOCERERIMUM, NON NOCEREFIRST, DO NO HARMFIRST, DO NO HARM

HIPPOCRATESHIPPOCRATES

S TENETS TENET

(460(460--335 BC)335 BC)


32/55

3232

RisikoRisiko SELALU MELEKATSELALU MELEKAT dengandenganprosesproses pengobatanpengobatan kepadakepada

pasienpasien ituitu sendirisendiri

RISIKO MENYATU DENGAN SEMUA ASPEK


33/55

3333

RISIKO MENYATU DENGAN SEMUA ASPEK

PELAYANAN KESEHATAN,TERMASUK :

pengobatan dan perawatan kepada pasien;

menentukan prioritas pelayanan ;

pengembangan proyek dan pelayanan ; pembelian obat dan produk kesehatan lain;

instruksi dan follow up kepada pasien.



34/55

3434

ADALAH TENTANG :ADALAH TENTANG :

MEMINIMALKAN KEMUNGKINANMEMINIMALKAN KEMUNGKINAN TERJADINYA CIDERATERJADINYA CIDERA

PADA PASIENPADA PASIEN

MENCIPTAKANMENCIPTAKAN LINGKUNGAN YANG AMANLINGKUNGAN YANG AMAN BAGIBAGI

KARYAWAN DAN PENGUNJUNGKARYAWAN DAN PENGUNJUNG

MEMPERTAHANKANMEMPERTAHANKAN REPUTASI RSREPUTASI RS DENGANDENGAN

MENGEMBANGKAN HUBUNGAN YANG TERBUKA DANMENGEMBANGKAN HUBUNGAN YANG TERBUKA DAN

JUJUR SERTA MEMBERIKAN PELAYANAN YANGJUJUR SERTA MEMBERIKAN PELAYANAN YANG

EFEKTIF DAN EFISIENEFEKTIF DAN EFISIEN


35/55

3535

MANAJEMEN RISIKO RUMAH SAKIT. . . .MANAJEMEN RISIKO RUMAH SAKIT. . . .

MENJAGAMENJAGA KEPATUHANKEPATUHAN TERHADAP ATURANTERHADAP ATURANATURANATURAN

YANG BERLAKUYANG BERLAKU

MELAKSANAKANMELAKSANAKAN PENDEKATAN MENYELURUHPENDEKATAN MENYELURUH

TERHADAP PENILAIAN DAN MANAJEMEN RISIKOTERHADAP PENILAIAN DAN MANAJEMEN RISIKO

MENINGKATKANMENINGKATKAN BUDAYA ADIL DAN TERBUKABUDAYA ADIL DAN TERBUKA

SEHINGGA PETUGAS BERANI MELAPORKAN TENTANGSEHINGGA PETUGAS BERANI MELAPORKAN TENTANG

RISIKO ,INSIDEN DAN KEJADIAN NYARIS CEDERARISIKO ,INSIDEN DAN KEJADIAN NYARIS CEDERA


36/55

3636

RISK MANAGEMENT PROCESSRISK MANAGEMENT PROCESS


37/55

3737

risk management approach involves:risk management approach involves:

communicate and consultcommunicate and consult :: Who will need to know about and beWho will need to know about and beinvolved at each stage of the risk management process?involved at each stage of the risk management process?

establish the contextestablish the context:: How will you assess andHow will you assess and analyseanalyse thetherisk?risk? What are the criteria you will use to judge the likelihood andWhat are the criteria you will use to judge the likelihood andconsequences of risk?consequences of risk?

identify risksidentify risks:: What could stop you achieving your objectives andWhat could stop you achieving your objectives andoutcomes?outcomes?

analyseanalyse risksrisks:: Are our existing risk controls working and what areAre our existing risk controls working and what arethe potential consequences of risks happeningthe potential consequences of risks happening

evaluate risksevaluate risks:: What is the balance between potential benefits andWhat is the balance between potential benefits andadverse outcomes of managing these risks?adverse outcomes of managing these risks?

treat riskstreat risks :: How can we develop and implement specific costHow can we develop and implement specific cost--effective strategies to increase benefits and reduce potential ceffective strategies to increase benefits and reduce potential costs?osts?

monitor and reviewmonitor and review:: Are we achieving the right outcomes and howAre we achieving the right outcomes and howdo we know?do we know?


38/55

3838

PROSES MANAJEMEN RISIKO


39/55

3939

MENEGAKKAN KONTEKS : - TETAPKAN KEGIATAN

- TUJUAN DAN SASARAN

IDENTIFIKASI RISIKO : - APA YANG DAPAT TERJADI- BAGAIMANA HAL ITU TERJADI

PENILAIAN RISIKO : - BAGAIMANA RISIKO BISA TERJADI

- APA DAMPAKNYA BILA SUDAH TERJADI- BAGAIMANA HAL ITU BISA DIKURANGI

EVALUASI DAN PERINGKAT:

- EVALUASI PILIHAN UNTUK MENGURANGI RISIKO- HITUNG BEAYA UNTUK MENGURANGI RISIKO

- IDENTIFIKASI KEGIATAN YANG DAPATMENGURANG BEAYA RISIKO

- BANDINGKAN BEAYA DENGAN BENEFIT

PROSES MANAJEMEN RISIKO .


40/55

4040

PENGELOLAAN RISIKO :

- DIHINDARI: TIDAK MELAKSANAKAN KEGIATAN YANGMENIMBULKAN RISIKO

- DIKURANGI: MENGURANGI ATAU MENGANDALIKAN DAMPAKYANG MUNGKIN TERJADI

- DIPINDAHKAN: MENGATUR AGAR PIHAK LAIN IKUT LAINMENANGGUNG ATAU BERBAGI SEBAGIANRISIKO,MELALUI KONTRAK,KERJASAMA,JOINT VENTURE

- DITERIMA: BEBERAPA RISIKO SANGAT RINGAN SEHINGGADAPAT DITERIMA/DIKELOLA SENDIRI

MONITOR DAN REVIEW :

- MONITOR DAMPAK RISIKO

- DIKAJI KEMBALI/REVIEW EFEKTIFITAS KEGIATAN

- PERUBAHAN PRIORITAS RISIKO

DIKOMUNIKASIKAN DAN DIKONSULTASIKAN :

- SIAPA SAJA YANG PERLU TAHU ( INTERNAL/EKSTERNAL )

- SIAPA SAJA YANG TERLIBAT

RISK MANAGEMENT TECHNIQUES/TREATMENTSRISK MANAGEMENT TECHNIQUES/TREATMENTS


41/55

4141

RISK CONTROLRISK CONTROL ::

-- EXPOSURE AVOIDANCEEXPOSURE AVOIDANCE-- LOSS PREVENTIONLOSS PREVENTION

-- LOSS REDUCTIONLOSS REDUCTION

-- SEGREGATION (SEPARATION OR DUPLICATION)SEGREGATION (SEPARATION OR DUPLICATION)-- CONTRACTUAL TRANSFER FOR RISK CONTROLCONTRACTUAL TRANSFER FOR RISK CONTROL

RISK FINANCINGRISK FINANCING ::

-- RISK RETENTIONRISK RETENTION

-- RISK TRANSFERRISK TRANSFER


42/55

4242

PATIENT SAFETY,QUALITY OF CAREPATIENT SAFETY,QUALITY OF CARE

AND RISK MANAGEMENTAND RISK MANAGEMENT

risk management contextrisk management context


43/55

4343

risk management contextrisk management context

DuluDulu ::asuransiasuransi

litigasilitigasi

SekarangSekarang ::clinical governanceclinical governance

patient safetypatient safety

ImprovingImproving quality of carequality of care

The basic principles for safety andThe basic principles for safety and

lit flit f


44/55

4444

quality of carequality of care

The basic principles for patient safety are theThe basic principles for patient safety are theprinciples for quality of careprinciples for quality of care::

-- toto do the right thingdo the right thing for thefor the right patientright patientusing theusing the right methodright method and at theand at the

right timeright time, and, and

-- toto communicate wellcommunicate well with the patient andwith the patient andthe rest of the clinical teamthe rest of the clinical teamrecordrecordfindings, planning actions promptly andfindings, planning actions promptly and

clearly, ensure that instructions areclearly, ensure that instructions areunderstood and carried out, and reportunderstood and carried out, and reportconcerns to a senior colleague whenconcerns to a senior colleague whennecessary.necessary.


45/55

4545

Quality in HealthcareQuality in Healthcare

. begins with. begins with ensuring patient safetyensuring patient safety

KKey reasons


46/55

4646

Key reasonsKey reasons

Patients arePatients are more at riskmore at risk than nonthan non--patientspatients

Medical interventions are, by their nature,Medical interventions are, by their nature,

highhigh--risk proceduresrisk procedures -- small error marginssmall error marginsMedicine remains anMedicine remains an inexactinexact, hands, hands--onon

endeavourendeavour

Risk Management and Patient SafetyRisk Management and Patient Safety


47/55

4747

g yg y

PastPast

Clinical risk managementClinical risk management

CompetenceCompetence

Individual orientedIndividual oriented

Voluntary codeVoluntary code

ClinicianClinician centred

PresentPresent

Patient safetyPatient safety

PerformancePerformance

Team and systemsTeam and systemsorientedoriented

Regulatory frameworkRegulatory framework

PatientPatient centredcentredcentred

RISK MANAGEMENT & CLINICAL GOVERNANCERISK MANAGEMENT & CLINICAL GOVERNANCE


48/55

4848

The Elements of Clinical Governance

Clinical governance is an aggregation of service improvement processes

that are regulated by a single ideology.

PATIENT SAFETY AND CLINICAL GOVERNANCEPATIENT SAFETY AND CLINICAL GOVERNANCE


49/55

4949

PATIENT SAFETY AND CLINICAL GOVERNANCEPATIENT SAFETY AND CLINICAL GOVERNANCE

Patient safety in contextPatient safety in context


50/55

5050

Patient safety in contextPatient safety in context

Patient safetyPatient safety is an important component ofis an important component of

risk managementrisk management,, clinical governanceclinical governance, and, andquality improvementquality improvement..

Risk managementRisk management is an important andis an important andnecessary component of bothnecessary component of both

clinical and corporate governanceclinical and corporate governance, and the, and the

quality improvement systemsquality improvement systems..


51/55

5151Australian Patient Safety Foundation


52/55

5252

Patient safety is a key component ofRisk management, and should be integrated

with staff safety, complaints management,

litigation and claims handling, and

financial and environmental risk.

CONCLUSIONSONCLUSIONS


53/55

5353

I. Risk management is not primarily about avoiding ormitigating claims; rather, it is a tool forimproving the quality of care.

II. Incident reporting is only one aspect of the identification of

risk. Incident reporting is on the reactive side of risk

management. More emphasis needs to be placed on

the proactive side.III. Risk management is actually

the business of all stakeholders in theorganisation, clinicians and nonclinicians.

IV. The primary focus of risk management should now beclinical governance and patient safety.


54/55

5454

FINAL WORDFINAL WORD

Safe care is not an option.It is the right of every patientwho entrusts their care to our Healthcare systems

Sir Liam Donaldson,

Chair, WHO World Alliance for Patient Safety,

Forward Programme, 20062007


55/55

5555TERIMAKASIHTERIMAKASIH

01.ps is a key component of rm (dr.adib)

Documents