IMPLEMENTASI MANAJEMEN RISIKO KLINIS DAN FAKTOR-FAKTOR YANG MEMPENGRUHI PADA RUMAH SAKIT DI KOTA MAKASSAR
Abstract
Keselamatan pasien masih menjadi fokus perhatian utama dalam pelayanan kesehatan karena risiko yang terkait dengan pemberian pelayanan tersebut tidak akan dapat dihilangkan secara total dan insiden terkait pelayanan kesehatan masih sangat tinggi. Penelitian ini ingin melihat sejauh mana tingkat implementasi MRK pada rumah sakit di Kota Makassar dan faktor-faktor apa yang mempengaruhi implementasi tersebut. Metode yang digunakan dalam penelitian ini adalah metode penelitian kombinasi dengan desain sequential explanatory (urutan pembuktian). Data diperoleh melalui kuesioner dan wawancara mendalam. Pada tahap pertama dilakukan analisa dengan menggunakan metode kuantitatif deskriptif untuk menentukan tingkat kemapanan implementasi MRK di rumah sakit dan pada tahap kedua digunakan metode kualitatif untuk mengeksplorasi faktor-faktor yang mempengaruhi tingkat implementasi tersebut. Dari 9 rumah sakit sakit yang dilakukan penelitian, 7 diantaranya memiliki tingkat kemapanan implementasi MRK yang tinggi (77,78%). Beberapa karakteristik struktural organisasi menunjukkan kecenderungan positif terhadap implementasi MRK, yaitu kelas dan status kepemilikan rumah sakit, sedangkan jenis rumah sakit tidak menunjukkan kecenderungan adanya hubungan. Terdapat 5 faktor yang berhasil diidentifikasi dan memiliki kecenderungan positif terhadap implementasi MRK yaitu kepemimpinan, pengetahuan staf, kordinator dan kebijakan rumah sakit, dan akreditasi.
References
Adibi, H., Khalesi, N., Ravaghi, H., Jafari, M. & Jeddian, A. R. 2012. Development Of An Effective Risk Management System In A Teaching Hospital. Journal Of Diabetes And Metabolic Disorders, 11, 1-7.
Andaleeb, S. S. 2000. Public And Private Hospitals In Bangladesh: Service Quality And Predictors Of Hospital Choice. Health Policy And Planning, 15, 95-102.
Braithwaite, J., Greenfield, D., Westbrook, J., Pawsey, M., Westbrook, M., Gibberd, R., Naylor, J., Nathan, S., Robinson, M., Runciman, B., Jackson, M., Travaglia, J., Johnston, B., Yen, D., Mcdonald, H., Low, L., Redman, S., Johnson, B., Corbett, A., Hennessy, D., Clark, J. & Lancaster, J. 2010. Health Service Accreditation As A Predictor Of Clinical And Organisational Performance: A Blinded, Random, Stratified Study. Quality And Safety In Health Care, 19, 14-21.
Briner, M., Kessler, O., Pfeiffer, Y., Wehner, T. & Manser, T. 2010. Assessing Hospitals' Clinical Risk Management: Development Of A Monitoring Instrument. Bmc Health Services Research, 10, 1-11.
Briner, M., Manser, T. & Kessler, O. 2013. Clinical Risk Management In Hospitals: Strategy, Central Coordination And Dialogue As Key Enablers. Journal Of Evaluation In Clinical Practice, 19, 363-369.
Carroll, R. 2009. Risk Management Handbook For Health Care Organizations, John Wiley & Sons.
Dehnavieh, R., Ebrahimipour, H., Jafari Zadeh, M., Dianat, M., Noori Hekmat, S. & Mehrolhassani, M. H. 2013. Clinical Governance: The Challenges Of Implementation In Iran. International Journal Of Hospital Research, 2, 1-10.
Dinkes 2016. Profil Kesehatan Kota Makassar, Dinas Kesehatan Kota Makassar.
El-Jardali, F., Dimassi, H., Jamal, D., Jaafar, M. & Hemadeh, N. 2011. Predictors And Outcomes Of Patient Safety Culture In Hospitals. Bmc Health Services Research, 11, 1.
Farokhzadian, J., Nayeri, N. D. & Borhani, F. 2015. Assessment Of Clinical Risk Management System In Hospitals: An Approach For Quality Improvement. Global Journal Of Health Science, 7, 294.
Goeschel, C. A., Wachter, R. M. & Pronovost, P. J. 2010. Responsibility For Quality Improvement And Patient Safety: Hospital Board And Medical Staff Leadership Challenges. Chest Journal, 138, 171-178.
Irfan, S. & Ijaz, A. 2011. Comparison Of Service Quality Between Private And Public Hospitals: Empirical Evidences From Pakistan. Journal Of Quality And Technology Management, 7, 1-22.
Kemenkes 2014. Peraturan Menteri Kesehatan Republik Indonesia Nomor 56 Tahun 2014 Tentang Klasifikasi Dan Perizinan Rumah Sakit. In: Indonesia, K. K. R. (Ed.).
Kemenkes, K. 2011. Standar Akredtasi Rumah Sakit [Online]. Direktorat Jenderal Bina Upaya Kesehatan Kementerian Kesehatan Ri Dengan Komisi Akreditasi Rs (Kars)
Mostafa, M. M. 2005. An Empirical Study Of Patients' Expectations And Satisfactions In Egyptian Hospitals. International Journal Of Health Care Quality Assurance, 18, 516-532.
Needleman, J. & Hassmiller, S. 2009. The Role Of Nurses In Improving Hospital Quality And Efficiency: Real World Result. Health Affair.
Pretagostini, R., Gabbrielli, F., Fiaschetti, P., Oliveti, A., Cenci, S., Peritore, D. & Stabile, D. Risk Management Systems For Health Care And Safety Development On Transplantation: A Review And A Proposal. Transplantation Proceedings, 2010. Elsevier, 1014-1016.
Rozita Davoodi, Azadeh Soltanifar, Shaghayegh Rahmani, Golnaz Sabouri, Mahboubeh Asadi, Maryam Zare Hoseini & Afsaneh Takbiri, F. K. 2014. Clinical Governance: Efficacy Of Establishment In Mashhad Hospital. Journal Of Patient Safety & Quality Improvement, 2, 48-52.
Scully, M. 2005. Clinical Risk Management Guidelines For The Western Australian Health System Information Series No. 8. East Perth, Western Australia: Department Of Health, Government Of Western Australia.
Sheikhtaheri, A., Sadoughi, F., Ahmadi, M. & Moghaddasi, H. 2013. A Framework Of A Patient Safety Information System For Iranian Hospitals: Lessons Learned From Australia, England And The Us. International Journal Of Medical Informatics, 82, 335-344.
Soesanto, R. & Efendy, H. 2017. Leadership Management Of Military Hospital In Effort To Improve The Patient Safety (Case Study Of Rsal Dr.Mintoarjo). International Journal Of Human Resource Studies, 8.
Sugiyono 2015. Metode Penelitian Kombinasi, Bandung, Cv. Alfabeta.
Verbano, C. & Turra, F. 2010. A Human Factors And Reliability Approach To Clinical Risk Management: Evidence From Italian Cases. Safety Science, 48, 625-639.
Vincent, C. 2011. Patient Safety, John Wiley & Sons.
Webb, V., Stark, M., Cutts, A., Tait, S., Randle, J. & Green, G. 2010. One Model Of Healthcare Provision Lessons Learnt Through Clinical Governance. Journal Of Forensic And Legal Medicine, 17, 368-373.
Who 2014. 10 Facts On Patient Safety. World Health Organization.
Yousapronpaiboon, K. & Johnson, W. C. 2013. A Comparison Of Service Quality Between Private And Public Hospital In Thailand. International Journal Of Business And Social Science, 4.
Zaboli, R., Karamali, M., Salem, M. & Rafati, H. 2011. Risk Management Assessment In Selected Wards Of Hospitals Of Tehran. Iranian Journal Of Military Medicine, 12, 197-202.
Zimmer, M., Wassmer, R., Latasch, L., Oberndörfer, D., Wilken, V., Ackermann, H. & Breitkreutz, R. 2010. Initiation Of Risk Management: Incidence Of Failures In Simulated Emergency Medical Service Scenarios. Resuscitation, 81, 882-886.
