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  • Deprecated function: Return type of DatabaseStatementBase::execute($args = [], $options = []) should either be compatible with PDOStatement::execute(?array $params = null): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2244 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/database.inc).
  • Deprecated function: Return type of DatabaseStatementEmpty::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/database.inc).
  • Deprecated function: Return type of DatabaseStatementEmpty::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/database.inc).
  • Deprecated function: Return type of DatabaseStatementEmpty::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/database.inc).
  • Deprecated function: Return type of DatabaseStatementEmpty::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/database.inc).
  • Deprecated function: Return type of DatabaseStatementEmpty::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/database.inc).
  • Deprecated function: strlen(): Passing null to parameter #1 ($string) of type string is deprecated in drupal_random_bytes() (line 2268 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/bootstrap.inc).
  • Deprecated function: Creation of dynamic property SelectQuery::$alterTags is deprecated in SelectQuery->addTag() (line 978 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/select.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: rtrim(): Passing null to parameter #1 ($string) of type string is deprecated in url() (line 2349 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/common.inc).
  • Deprecated function: Creation of dynamic property SelectQuery::$alterTags is deprecated in SelectQuery->addTag() (line 978 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/select.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property SelectQuery::$alterTags is deprecated in SelectQuery->addTag() (line 978 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/select.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: strpos(): Passing null to parameter #1 ($haystack) of type string is deprecated in url_is_external() (line 2393 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/common.inc).
  • Deprecated function: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in url_is_external() (line 2395 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/common.inc).
  • Deprecated function: ltrim(): Passing null to parameter #1 ($string) of type string is deprecated in url() (line 2311 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/common.inc).
  • Deprecated function: Creation of dynamic property SelectQuery::$alterTags is deprecated in SelectQuery->addTag() (line 978 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/select.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property SelectQuery::$alterTags is deprecated in SelectQuery->addTag() (line 978 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/select.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1865 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/query.inc).

Contoh Prosedur dalam Melakukan Root Cause Analysis (RCA) Rumah Sakit

1.    Siapkan laporan insiden yang akan di investigasi
2.    Tentukan tim investigasi
3.    Lakukan Investigasi insiden 
4.    Kumpulkan data, dengan cara:
       a.    Observasi        : Kunjungan langsung
       b.    Dokumentasi    : Apa yang terjadi sesuai data observasi dan inspeksi
        ( foto, foto copy, laporan dll) 
       c.    Interview    : Mengetahui kejadian secara langsung untuk pengecekan pada hasil observasi dan data dokumentasi                        
5.    Petakan informasi kronologis insiden
a.    Kronologis masalah: disiapkan untuk lebih memudahkan analisa
b.    Timeline: rantai insiden, mencari bagian dalam proses dimana masalah terjadi
c.    Tabular Timeline: sama dengan timeline, namun lebih detil, menginformasi kan good practice/SPO,  identifikasi masalah
d.    Time person grid: melacak gerak/kehadiran personel, sebelum dan sesudah insiden
e.    Flowchart        : Serangkaian kejadian secara sederhana
6.    Identifikasi masalah /Care Management Problem /CMP
        Prinsip dasarnya;     
        ⦁    Semua bentuk pelayanan yang menyimpang dari standar pelayanan yang ditetapkan
        ⦁    Penyimpangan yang terjadi, memberikan dampak yang langsung dan tidak langsung terhadap IKP
7.    Analisa informasi
       a.    5 Why: Why why chart, menanyakan setiap penyebab masalah yang teridentifikasi dan untuk mengidentifikasi
       b.    Change analysis    : 
              ⦁    Analisa proses yang tidak bekerja sesuai dengan rencana (what & why change)
              ⦁    Merupakan metode sederhana yang dapat membantu membandingkan proses yang berjalan efektif atau gagal
              ⦁    Apa yang berubah dan dampaknya (potensial & actual)
              ⦁    Digunakan bila; system/tugas yang awalnya berjalan efektif, kemudian terjadi kegagalan/terdapat sesuatu yang menyebabkan perubahan situasi dan mencurigai suatu perubahan tersebut menyebabkan ketidak sesuaian tindakan atau kerusakan alat.
      c.    Barrier analysis
            ⦁    Prospectively/kemungkinan, untuk identifikasi potensial hazards (bahaya), target dan potensial solusi
            ⦁    Reactively, mengikuti insiden untuk  identifikasi penghalang yang harusnya ada untuk mencegah atau memitigasi insiden (tuntutan)
            ⦁    Ada 4 tipe: Physical barrier, Natural barrier, Human Action barrier, Administrative barrier (mis SPO, supervise & training, dll)
      d.    Fishbone
Buat rekomendasi dan rencana tindakan perbaikan

Kategori: 
Akreditasi Rumah Sakit

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