Presentasi berjudul: "CURRICULUM VITAE PELATIHAN PENDIDIKAN UMUM PENDIDIKAN MILITER 1 1"— Transcript presentasi:
1 CURRICULUM VITAE PELATIHAN PENDIDIKAN UMUM PENDIDIKAN MILITER 1 1 DATA PRIBADINama : dr.ADIB ABDULLAH YAHYA,MARSPangkat : Brigjen TNI (Purn)Tempat/tanggal lahir : Magelang,16 Februari 1949Jabatan : DIREKTUR UTAMA RUMAH SAKIT MMCAgama : IslamALAMAT : Jl. Punai H-24,Kel.Tengah,Jakarta Timur – 13540Telp : (021)Fax : (021)HP :PENDIDIKAN UMUMSMA Negeri Magelang 1966S1 : Fakultas Kedokteran Universitas Gajah Mada (UGM),Yogyakarta, 1973S2 : Fakultas Kesehatan Masyarakat, Universitas Indonesia (UI), Jakarta,Program Kajian Administrasi Rumah Sakit ( KARS )PENDIDIKAN MILITERSekolah Staf dan Komando TNI Angkatan Darat (SESKOAD), 1987/1988PELATIHANCombined Humanitarian Assistance Response Training, oleh Singapore Armed Forces (SAF), Singapura, 2000Health as a Bridge for Peace Workshop, oleh World Health Organization (WHO), Yogyakarta, 200011
2 PENGALAMAN JABATANKomandan Detasemen Kesehatan Pasukan Pengamanan Presiden (DanDenkes Paspampres),Kepala Rumah Sakit “Muhammad Ridwan Meuraksa”, Jakarta, 1992Kepala Kesehatan Daerah Militer (Kakesdam) Jaya, Jakarta, 1993Komandan Pusat Pendidikan Kesehatan TNI – AD,1995 – 1999Wakil Kepala Pusat Kesehatan TNI, 1999 – 2000Kepala RSPAD Gatot Soebroto, 2000 – 2002Dekan Fakultas Kedokteran UPN, Jakarta, 2000 – 2002Wakil Ketua Tim Dokter Kepresidenan RI, 2000 – 2002Direktur Kesehatan TNI Angkatan Darat (Dirkesad),Wakil Ketua Tim Pemeriksaan kesehatan untuk calon Presiden dan calon Wakil Presiden RI Th.2004DOSEN Pasca Sarjana FKM UI, Kajian Administrasi Rumah Sakit (KARS)DOSEN Pasca Sarjana URINDODIREKTUR UTAMA RUMAH SAKIT MMCORGANISASIKetua Ikatan Rumah Sakit Jakarta Metropolitan (IRSJAM),Ketua Umum Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI),Anggota Komnas FBPI.Ketua Komtap Bidang Kebijakan Kesehatan KADIN IndonesiaAngggota TNP2K.Dewan Pakar Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI)Dewan Pakar IDIAnggota Majelis Kehormatan Etik Kedokteran (MKEK) IDI PusatTim Konsultan Institut Manajemen Risiko Klinis ( IMRK )Anggota KNKPRSKoordinator Bidang 1 : KAJIAN KESELAMATAN PASIEN, IKPRS- PERSIInstruktur HOPE ( Hospital Preparedness for Emergencies and Disasters}PRESIDENT OF ASIAN HOSPITAL FEDERATION ( AHF ) 2009 – 201122
3 PERAN TENAGA TEKNIK PERUMAHSAKITAN DIBIDANG MFK DALAM PROGRAM KESELAMATAN DAN KEAMANAN RS Dr. Adib Abdullah Yahya, MARS DIREKTUR UTAMA RS MMCSEMILOKA DIT JEN DIKTI :“ PERAN TEKNIK PERUMAH SAKITAN DALAM MEMENUHI STANDAR AKREDITASIRUMAH SAKIT DIBIDANG MANAJEMEN FASILITAS DAN KESELAMATAN “JAKARTA, 20 MARET 2014
5 What is hospital engineering? : "Hospital engineering is defined as both an art and a science of efficiency planning, managing and maintaining the physical environment, equipment and systems for health care and includes plant operations, clinical engineering, biomedical engineering, safety technology and telecommunications“ (Justisiano Nurak)For a hospital to run efficiently, all the mechanical, electrical, fire, safety and building maintenance systems must be operating at optimum levels.A hospital engineer is in charge of observing these operations and keeping them functional.
6 Engineering Services are perhaps the most vital of the utility services in the hospital. The efficiency of entire patient care delivery system of the hospital depends on their efficiency.Even the slightest breakdown of power supply system, information system communication system or malfunctioning of vital equipment can havecatastrophic effects.
12 The hospital develops and maintains Standard FMS.2The hospital develops and maintainsa written program(s) describing the processes to manage risks topatients,families, visitors, and staff.
13 To manage the risks within the environment in which patients are treated and staff work requires planning.The hospital develops one master program or individual programs that include the following:a) Safety and SecuritySafety—The degree to which the hospital’s buildings, grounds, and equipment do not pose a hazard or risk to patients, staff, and visitorsSecurity—Protection from loss, destruction, tampering, or unauthorized access or useb) Hazardous materials—Handling, storage, and use of radioactive and other materials are controlled, and hazardous waste is safely disposed.c) Emergencies—Response to epidemics, disasters, and emergencies is planned and effective.d) Fire safety—Property and occupants are protected from fire and smoke.e) Medical technology—Technology is selected, maintained, and used in a manner to reduce risks.f) Utility systems—Electrical, water, and other utility systems are maintained to minimize the risks of operating failures.
14 to reduce and control risks in the care environment. Standard FMS.3One or more qualified individuals oversee the planning and implementation of the facility management programto reduce and control risksin the care environment.
15 Hospitals need to develop a facility/environment risk management program that addresses managing environmental risk through the development of facility management plans and the provision of space, technology, and resources. One or more individuals provide oversight to the program. In a small hospital, one individual may be assigned part-time. In a larger hospital, several engineers or other specially trained individuals may be assigned.
16 Safety and SecuritySafety refers to ensuring that the building, property, medical and information technology, equipment, and systems do not pose a physical risk to patients, families, staff, and visitors.Security, refers to protecting the organization’s property and the patients, families, visitors, and staff from harm.
17 Prevention and planning are essential to creating a safe and supportive patient care facility. Effective planning requires the hospital to be aware of all the risks present in the facility.The goal is to prevent accidents and injuries; to maintain safe and secure conditions for patients, families, staff, and visitors; and to reduce and to control hazards and risks.This is also important during periods of construction or renovation.
18 As part of the safety program, the hospital develops and implements a comprehensive, proactive risk assessment to identify areas in which the potential for injury exist.Examples of safety risks that pose a potential for injury or harm include sharp and broken furniture, linen chutes that do not close properly, broken windows, water leaks in the ceiling, and locations where there is no escape from fire.This periodic inspection is documented and helps the hospital design and carry out improvements and budget for longer-term facility upgrading or replacement.Construction and renovation pose additional risks to the safety of patients, families, visitors, and staff, and include risk related to infection control, ventilation, traffic flow, garbage/refuse, and other risks. A preconstruction risk assessment is helpful in identifying these potential risks, as well as the impact of the construction project on services provided. The risk assessment should be performed during all phases of construction.
19 In addition to the safety program, the hospital must have a security program to ensure that everyone in the hospital is protected from personal harm and from loss or damage to property.Restricted areas such as the newborn nursery and the operating theatre must be secure and monitored. Children, elderly adults, and other vulnerable patients unable to protect themselves or signal for help must be protected from harm.In addition, remote or isolated areas of the facility and grounds may require the use of security cameras.
20 PROSES MANAJEMEN RISIKO TEGAKKAN KONTEKSIDENTIFIKASI RISIKOKOMUNIKASI DAN KONSULTASIANALISA RISIKOMONITOR DAN REVIEWASESMEN RISIKOEVALUASI RISIKOKELOLA RISIKORISK REGISTER
21 Contoh Risiko yang biasanya harus diketahui terkait Safety 1. Luka Tusuk Jarum2. Cedera Punggung3. Terpapar radiasi atau hazmat lain4. Pasien agresif5. Terpeleset, Tersandung dan Jatuh6. Kekerasan di Tempat Kerja7. Tersengat Listrik8. Luka Bakar9. Properti Rusak10. Pasien dengan TBC11. Penyakit yang ditularkan melalui darah12. Kebakaran13. Banjir dan disaster alam lain14. Kebisingan15. Risiko yang menyebabkan gangguan muskuloskeletal
22 Insiden Security * Pasien Bunuh Diri * Penculikan bayi / anak * Pasien kabur* Ancaman bom* VIP* Perampokan bersenjata* Informasi yang bersifat rahasia /Information security
23 Area Rawan SecurityMenambahkan Perangkat Keamanan khusus untuk Area yang rawan :Contoh area:* Unit Perawatan bayi* Unit psikiatri* Farmasi* Unit Gawat Darurat :* Ruang tunggu* Ruang Triage* Ruang Tindakan* Ruang Seklusi* Ruang Polisi* Safe room
24 Security / Safety Plan Purpose * Goals * Responsible Individual * Safety Risk Assessment* Facility Inspections* Preventive safety program strategies* Active safety program* Roles of Safety / security Committee* Monitoring data (measures) for improvements in the safety and security program* Training / Education Program* Annual program Evaluation
25 The Impact of Facility Design on Patient Safety
26 The Impact of Facility Design on Patient Safety Recent attention in health care has been on the actual architectural design of a hospital facility, including its technology and equipment, and its effect on patient safety.To address the problems of errors in health care and serious safety issues, fundamental changes of health care processes, culture, and the physical environment are necessary and need to be aligned, so that the caregivers and the resources that support them are set up for enabling safe care.
27 Contributary Factors Influencing Clinical PracticeOrganisational & Corporate CultureDefence BarriersTaskManagementDecisions/OrganisationalProcessesErrorProducingConditionsErrorViolationProducingConditionsViolationLatent FailuresActive Failures( “sharp end “ )-ProcedureProfessionalismTeamIndividualEnvironmentEquipmentPATIENTTASK AND TECHNOLOGYINDIVIDUALTEAMWORK ENVIRONMENTPlanning,Designing ,Policy-making,CommunicatingEmergencyDiagnosePemeriksaanPengobatanPerawatanAdapted from Reason (revised)
28 With human factors in mind, there are several aspects of the built environment that should be considered.The following design elements were identified as critical in ensuring patient safety and quality care, based on the six quality aims of the Institute of Medicine’s report, Crossing the Quality Chasm: A New Health System for the 21st Century:1. Patient-centeredness, includingusing variable-acuity rooms and single-bed roomsensuring sufficient space to accommodate family membersenabling access to health care informationhaving clearly marked signs to navigate the hospital2. Safety, includingapplying the design and improving the availability of assistive devices to avert patient fallsusing ventilation and filtration systems to control and prevent the spread of infectionsusing surfaces that can be easily decontaminatedfacilitating hand washing with the availability of sinks and alcohol hand rubspreventing patient and provider injuryaddressing the sensitivities associated with the interdependencies of care, including work spaces and work processes
29 3. Effectiveness, including use of lighting to enable visual performanceuse of natural lightingcontrolling the effects of noise4. Efficiency, includingstandardizing room layout, location of supplies and medical equipmentminimizing potential safety threats and improving patient satisfaction by minimizing patient transfers with variable-acuity rooms5. Timeliness, byensuring rapid response to patient needseliminating inefficiencies in the processes of care deliveryfacilitating the clinical work of nurses6. Equity, byensuring the size, layout, and functions of the structure meet the diverse care needs of patients