Safety.

Beyond Quality…
 Safety First : Analytical Work
• Mem-fasilitasi tersedianya pengetahuan yang lebih dalam dan
menyeluruh (deeper and comprehensive knowledge) tentang
Keselamatan / Safety dari sudut pandang konsumen dan penyedia
pelayanan kesehatan (health provider) untuk memperoleh kerangka
konsep yang efektif dan tepat bagi Keselamatan / Safety
• Menemukan isu-isu kritis yang strategis / taktis untuk memperkecil
dampak perubahan, terutama pada aspek kelangsungan upaya
Keselamatan / Safety

• Dalam rangka konsep Keselamatan ini :

• Review of PERSI/KARS Customers/Product Users (Current &
Potential)
• Highlight strategies and “products”
• Discuss strategy, positioning and lessons learned
• Clarify overall PERSI/KARS positioning and rationale
• Redefine PERSI/KARS Position and Comunication agenda
 Kerangka Konsep Keselamatan Pasien Rumah Sakit
KKPRS-PERSI

Patient Care Patient

Related Risks Safety

Employee Hospital Medical

Related Risk Staff
Risks Management Related
Risks

Property
Health Risk Mgt for Related Other
HCO/Hospital :
Risks Risks*
Health Care Org/Hosp
Risk Management is
concerned with a
tremendous variety of
issues & situations that
hold the potential for
liability or casualty Dr. Nico A. Lumenta, MM – Chairperson,
losses National Committee for Hospital Patient Safety, presented at Annual
Convention of Indonesian Association of Medical Directors, 14 January 2006
 Transisi Konseptual…
Risk
Management
SAFETY
SAFETY of
Patients

Patient Care
Related Risks

Hospital Medical SAFETY of

SAFETY of Employee Risk Staff Health Care
Health Care Related Management Related
Workers
Risks Risks
Workers
Property Other
Related Risks* SAFETY of
SAFETY of Risks Business
Environment
SAFETY of
Institution
 of
The
of
Patient of
The The
Health Care
Business Safety Worker
of of
The The
Environment Institution

Beyond Quality…
 for The Patient:
Prevent Blood-borne
for The and Iatrogenic for The
HealthCare
Business: Diseases Worker:
Ensure Prevent
Continuity and Needle-Stick
Sustainability Safety Injury
for The for The
Environment: Institution:
Provide “Green” Prevent Litigations
Products & Prevent & Financial
Pollution Loss

Beyond Quality…
 Safety Stakeholders
• “Customers”
Mereka yang menjadi “sasaran” utama
dan diharapkan berubah perilakunya
• “Allies”
Mereka yang merupakan “panutan” dan
berpengaruh terhadap keberhasilan
perubahan perilaku Customer
 Safety “Stakeholders”
(Current & Potential “Customers”)
• Hospitals :
– Level : A, B, C+, C, Teaching, Army
– Type : General, Special (Cancer, Heart, Surgery, Infections,
Psychiatric etc.)
– Services : ERs, ORs, ICUs, Special Wards (Surgery,
Pediatric, Ob-Gyn, Psychiatry), Clinical Lab,
• Clinics : MCH, Specialists/Group Practices
• Individual/Private Practices : GPs, Midwives,
Specialists.
• Non-Clinics: Beauty Parlors, Spas, Slimming
Centers
• Laboratories : Clinical, Microbiology
• Individuals : Diabetic Patients
• Health Programs : EPI, Family Planning
 Safety Stakeholders
(Current & Potential “Allies”))

• Organizations :
– Health Services : Medical, Nursing, Midwives, Clinical Labs,
Hospital Assoc., Health Offices, Cancer Society, etc
– Non-Health Services : Consumers’ Watch, Business
(Drugstores, Distributors, Spas), Charities, Environment,
Media, Women Assoc, etc.
– Academia : Medical, Biology, Economics, Research Centers

• Individuals : Diabetics, Cancer Patients

• Decision Makers : EPI, Family Planning

 What To Do : externally….
• Awareness Building (Importance AND Benefits of
Safety, Media-Blitzes, Building Alliances)
• Knowledge & Skills Dissemination (Safety
Concept Campaign/Field Seminars, Finalize
National Standards & Guidelines on Reporting &
Processes)
• Action Research (Reporting System Development,
Safety Conversion Program, Product Trials)

Beyond Quality…
 When to do: 2006 time frame…
• Feb-March : Program Development including Guidelines
finalization (Professional Health Org., GOI/KARS);

• Apr-August: Alliance Building (Academia, Media,

Consumers Associations, Lawyers?), Field Seminars (for
Trend Setters, MUKISI, E. Java, INOC); Action Research
(Incident Reporting System, Safety Conversions/Product
Trials); Strategic Planning with other Oteher Relevant
Professional Organization
•
• Sept-October : Consolidation/Prepare for PERSI
Conventions (Nov).

Beyond Quality…
Safety.
Beyond Quality…