EVALUASI STRATEGI PENINGKATAN MUTU DAN KESELAMATAN PASIEN DI RUMAH SAKIT X YOGYAKARTA

Totok Sundoro, Desi Wulan Sari, Indah Alvionita, Wirda Rahim Nuhuyanan, Annisah Bafadhal
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Abstract

The quality of health services is a guarantee for the community to obtain an optimal degree of health. There are still incidents in the hospital in Semester I of 2020, namely 4 (four) cases of unexpected incidents, 2 (two) cases of almost injury, 12 (twelve) cases of non-injury and 12 (twelve) cases of Potential Injury. In order to improve the quality of patient care and ensure patient safety, the hospital needs to have a strategy for improving the quality and patient safety that reaches all work units in the hospital. Objective: To evaluate strategies for improving the quality & patient safety at Hospital X. Data collection techniques used interview guidelines and observation sheets as instruments. Interviews were conducted with the Leader or Management, the Quality and Patient Safety Committee, the PPI Committee and staff. Interviews were conducted to find out regulations and efforts to improve quality and patient safety as well as to find obstacles faced by hospitals in their implementation. Observation and documentation activities related to the implementation of strategies carried out in an effort to improve the quality of patient safety in hospitals. The validity of the data was analyzed by triangulation technique. The implementation of the strategy to improve the quality of patient safety at Hospital X Yogyakarta refers to the National Standard for Hospital Accreditation 1stEdition. The implementation is good but there are still obstacles and shortcomings in supporting the strategy that has been implemented by the hospital. It is necessary to revise the director's policy regarding reporting time, provide new employee training education on data management systems and five mandatory trainings that support quality programs, information technology support in managing quality data, as well as achievement-oriented leadership styles to build commitment and monitoring strategies that can be used as methods monitoring in the implementation of patient safety efforts. Hospital X Yogyakarta has a strategy in improving the quality of patient safety through revision of the director's policy on quality data reporting, staff education in implementing quality programs, providing information technology support in quality data management and implementing management functions in patient safety quality management.
日惹 X 医院质量改进和患者安全策略评估
医疗服务质量是社区获得最佳健康水平的保障。在 2020 年第一学期,医院仍有事故发生,即 4(4)例突发事件、2(2)例几乎受伤、12(12)例未受伤和 12(12)例潜在受伤。为了提高病人护理质量和确保病人安全,医院需要制定一项覆盖医院所有工作单位的提高质量和病人安全的战略。 目标:数据收集技术使用访谈指南和观察表作为工具。访谈对象包括领导或管理层、质量与患者安全委员会、PPI 委员会和员工。访谈的目的是了解医院在提高质量和患者安全方面的规定和努力,以及在实施过程中遇到的障碍。对医院为提高质量和患者安全而实施的战略进行观察和记录。通过三角测量技术分析了数据的有效性。日惹 X 医院提高患者安全质量战略的实施参照了《国家医院评审标准》第一版。执行情况良好,但在支持医院已实施的战略方面仍存在障碍和不足。有必要修订院长关于报告时间的政策,为新员工提供有关数据管理系统的培训教育和支持质量计划的五项强制性培训,在管理质量数据方面提供信息技术支持,以及以成就为导向的领导风格,以建立承诺和监测策略,这些都可以作为监测患者安全工作实施情况的方法。日惹 X 医院通过修订院长关于质量数据报告的政策、对员工进行实施质量计划的教育、提供质量数据管理方面的信息技术支持以及实施患者安全质量管理方面的管理职能,制定了提高患者安全质量的战略。
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