Electronic Theses and Dissertation

PROGRAM STUDI MAGISTER KESEHATAN MASYARAKAT
FAKULTAS KESOKTERAN UNIVERSITAS SYIAH KUALA

Tesis, Juni 2023
Mutiawati

Analisis Penerapan Manajemen Risiko di Instalasi Rawat Inap RSUD Meuraxa Banda Aceh

107 Halaman + 19 Tabel + 18 Gambar + 11 Lampiran

ABSTRAK
Latar Belakang: Beberapa penelitian menunjukkan sulit menghilangkan risiko di fasilitas pelayanan kesehatan seperti insiden pasien jatuh, kejadian yang tidak diharapkan yang mengakibatkan kerugian sementara, cacat, bahkan kematian. Solusi terbaik untuk mengatasinya adalah dengan mengembangkan program keselamatan pasien dan menerapkan manajemen risiko. RSUD Meuraxa telah membentuk komite mutu yang salah satu tugasnya yaitu menerapkan manajemen risiko di rumah sakit. kendala penerapan manajemen risiko di rumah sakit tidak semua petugas penanggung jawab mendapatkan pelatihan, unit di instalasi rawat inap hanya menyerahkan register risiko kepada komite mutu rumah sakit, sedangkan proses identifikasi, analisis dan evaluasi dilakukan oleh masing masing unit. Tujuan : Menganalisis penerapan manajemen risiko berdasarkan komitmen pimpinan, ketersediaan penanggung jawab, pelatihan serta pemantauan secara terus menerus di Instalasi Rawat Inap. Metode Penelitian: Jenis penelitian kuantitatif rancangan Cross sectional. Penentuan jumlah sampel dengan purposive sampling yaitu paramedis di Instalasi Rawat Inap Kelas III yang terlibat dalam penerapan manajemen risiko dan masa kerja lebih dari 2 (dua) tahun. Jumlah sampel penelitian 80 orang. Analisis statistik yang digunakan adalah Parsial Least Square dengan smartPLS 4.0 . Hasil : Nilai R-square untuk penerapan manajemen risiko sebesar 0.892. Hasil ini menunjukkan bahwa komitmen pimpinan, adanya penanggung jawab, pelatihan dan pemantauan secara terus menerus mampu mempengaruhi penerapan manajemen risiko sebesar 89 %, sisanya 11 % dipengaruhi oleh faktor lain diluar model. Terdapat hubungan yang signifikan antara komitmen pimpinan, penanggung jawab, dan pemantauan secara terus menerus terhadap penerapan manajemen risiko di Instalasi Rawat Inap Kelas III. Kesimpulan: Berdasarkan model SmartPLS disimpulkan bahwa komitmen pimpinan, adanya penanggung jawab, pelatihan dan pemantauan terhadap penerapan manajemen risiko di Instalasi Rawat Inap Kelas III RSUD Meuraxa Banda Aceh memiliki kesesuaian model dan secara keseluruhan model dapat dikatakan fit.
Kata Kunci : manajemen risiko, identifikasi, analisis, evaluasi, kelola, komitmen, penanggun jawab, pemantauan
Daftar Pustaka : 11 buku+29 Jurnal Penelitian (2014-2023)

MASTER OF PUBLIC HEALTH STUDY PROGRAM FACULTY OF MEDICINE SYIAH KUALA UNIVERSITY Thesis, June 2023 Mutiawati Analysis of the Application of Risk Management in the Inpatient Installation of the Meuraxa Hospital in Banda Aceh 107 Pages + 19 Tables + 18 Pictures + 11 Attachments ABSTRACT Background:Several studies have shown that it is difficult to eliminate risks in health care facilities such as patient falling incidents, unexpected events that result in temporary loss, disability, and even death. The best solution to overcome this is to develop a patient safety program and implement risk management.RSUD Meuraxa has formed a quality committee. The obstacle to implementing risk management in hospitals is that not all officers in charge receive training, units in inpatient installations only submit risk registers to the hospital's quality committee, while the processes of identification, analysis and evaluation are carried out by each unit. Purpose: MAnalyzing the implementation of risk management based on leadership commitment, availability of person in charge, training and continuous monitoring at the Inpatient Installation.Research methods:This type of quantitative research is cross sectional design. Determining the number of samples by purposive sampling, namely paramedics in Class III Inpatient Installation who are involved in the application of risk management and have worked for more than 2 (two) years. The number of research samples is 80 people. The statistical analysis used is Partial Least Square with smartPLS 4.0 . Result : Nthe R-square value for implementing risk management is 0.892. These results indicate that the leadership's commitment, the person in charge, training and continuous monitoring can influence the implementation of risk management by 89%, the remaining 11% is influenced by other factors outside the model.There is a significant relationship between the commitment of the leadership, person in charge, and continuous monitoring of the implementation of risk management.The factor that most influences the implementation of risk management in Class III Inpatient Installations is the availability of a person in charge of risk management with a t statistic value of 4.618. Conclusion: Based on the SmartPLS model, it can be concluded that the commitment of the leadership, the person in charge, training and monitoring of the application of risk management at the Class III Inpatient Installation of Meuraxa Hospital in Banda Aceh has model fit and overall the model can be said to be fit. Keywords: risk management, identification, analysis, evaluation, manage, commitment, person in charge, training, monitoring Bibliography: 11 books+29 research journals (2014-2023)