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Praktek Bermutu dan  Manajemen Risiko
Kematian BAYI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kredensial SIKAP Akreditasi Standar  Profesi AD/Statuta RS Komite Medik Ijin Praktek
MASALAH-TUNTUTAN ,[object Object],[object Object],[object Object],[object Object],[object Object]
Kenapa ada tuntutan  ? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Seksio sesarea ,[object Object],[object Object],[object Object],[object Object]
Definisi ,[object Object],[object Object]
LAPORAN KEJADIAN ,[object Object],[object Object],[object Object]
MUTU >< RISIKO ,[object Object],[object Object],[object Object],[object Object],[object Object]
Komite Medik ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PENERIMAAN DOKTER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Akreditasi ,[object Object],[object Object],[object Object],[object Object],[object Object]
Standar pelayanan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Manajemen Risiko ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Manajemen Risiko Klinik ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maternity clinical incident report Events that could result in important short- or long-term adverse effects for the mother or baby should be based on local consensus but would probably include:  Maternal/delivery incident loss >1500 ml Cord accident Deep venous thrombosis Duration 2nd stage >3hrs (prim) Duration 2nd stage >1hr (parous) Duration established labour >18 hrs Eclampsia Hb <8g/dl postpartum Hysterectomy/laparotomy Fetal/neonatal incident  APGAR <7 at 5 minutes Birth trauma Cord pH <7.2 Neonatal death Neonatal seizures Stillbirth >500g Shoulder dystocia Small for gestational age Term baby admitted to paediatric unit Unsuspected fetal anomaly Organisational incident  Blood-Anaesthetic complications ITU admission Maternal death Pulmonary embolism Third degree tear Unsuccessful forceps/ventouse Uterine rupture Delay >30mins for emergency CS Delay following call for assistance Delivery outwith labour suite Faulty equipment Interpersonal conflict over case management Potential service user complaint Prescribing/administration error Retained swab/instrument Violation of local protocol/guideline
Kompetensi  ,[object Object],[object Object],[object Object],[object Object]
Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perbaikan pelayanan ? ,[object Object],[object Object],[object Object],[object Object]
Kredensial SIKAP Akreditasi ,[object Object],[object Object],[object Object],Standar  Profesi AD/Statuta RS Komite Medik Ijin Praktek POGI Panduan Etik
CLINICAL GOVERNANCE
A Working Definition ,[object Object]
Why do we need Clinical Governance? ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Partnership for quality
Accountability for quality ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Echoes Principles of Corporate Governance
To whom does it apply? ,[object Object],[object Object]
[object Object],[object Object],[object Object],Accountability locally
Coherent programme for quality improvement ,[object Object],[object Object],[object Object],[object Object]
What should it mean for patients? ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],How can Clinical Governance help you?
NHSE Clinical Governance  Key Steps Year 1 ,[object Object],[object Object],[object Object],[object Object]
Baseline Assessment of Capability and Capacity (1) ,[object Object],[object Object],[object Object]
Baseline Assessment of Capability and Capacity (2) ,[object Object],[object Object],[object Object]
6. Gynaecology clinical incident report   ,[object Object],[object Object],[object Object]
Organisational incidents ,[object Object]
Organisasi  POGI POGI JAYA ,[object Object],[object Object],[object Object],Rumah Sakit AD Audit M - P Dewan Pertimbangan Cabang Ko-POGI ,[object Object],[object Object],[object Object]
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03 manajemen risiko klinik (mrk)

  • 1. Praktek Bermutu dan Manajemen Risiko
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  • 3. Kredensial SIKAP Akreditasi Standar Profesi AD/Statuta RS Komite Medik Ijin Praktek
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  • 16. Maternity clinical incident report Events that could result in important short- or long-term adverse effects for the mother or baby should be based on local consensus but would probably include: Maternal/delivery incident loss >1500 ml Cord accident Deep venous thrombosis Duration 2nd stage >3hrs (prim) Duration 2nd stage >1hr (parous) Duration established labour >18 hrs Eclampsia Hb <8g/dl postpartum Hysterectomy/laparotomy Fetal/neonatal incident APGAR <7 at 5 minutes Birth trauma Cord pH <7.2 Neonatal death Neonatal seizures Stillbirth >500g Shoulder dystocia Small for gestational age Term baby admitted to paediatric unit Unsuspected fetal anomaly Organisational incident Blood-Anaesthetic complications ITU admission Maternal death Pulmonary embolism Third degree tear Unsuccessful forceps/ventouse Uterine rupture Delay >30mins for emergency CS Delay following call for assistance Delivery outwith labour suite Faulty equipment Interpersonal conflict over case management Potential service user complaint Prescribing/administration error Retained swab/instrument Violation of local protocol/guideline
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