DAFTAR ISI

1. BAB I PENDAHULUAN .......................................................................................

1) Latar Belakang ..................................................................................................
2) Tujuan Pencatatan dan Pelaporan Insiden Keselamatan Pasien ........................
a. Tujuan Umum ...................................................................................
b. Tujuan Khusus....................................................................................
2. BAB II DEFINIS..........................................................................................
1) Pencatatan dan Pelaporan Insiden..............................................................
2) Insiden Keselamatan Pasien.............................................................................
3) Analisis Matrik Resiko....................................................................................
4) Investigasi..............................................................................................
5) Fomulir Pelaporan Insiden........................................................................
3. BAB III RUANG LINGKUP..........................................................................
1) Jenis Insiden yang di laporkan..................................................................
a. Kejadian Near Miss (Close Call )/Kejadian Nyaris Cidera/ KNC............
b. Kejadian Tidak Cidera (KTC)/ No Harm Incident..................................
c. Kejadian Tidak Diharapkan (KTD)/ Adverse event................................
d. Sentinel Event……………………………………………………………..
2) Pelaporan Insiden Internal……………………………………………………..
3) Analisis Matriks Risiko / Matrix Grading………………………………………….
4) Investigasi……………………………………………………………………..
5) Tindak Lanjut…………………………………………………………………
6) Rekomendasi…………………………………………………………………
7) Sosialisasi…………………………………………………………………….
8) Pelaporan Insiden External…………………………………………………..
9) Evaluasi………………………………………………………………………
4. BAB IV TATA LAKSANA PENCATATAN DAN PELAPORAN INSIDEN..
1) Penemuan insiden dari unit…………………………………………………..
2) Pengisian formulir Insiden…………………………………………………...
a. KPC………………………………………………………………………
b. INSIDEN ( KNC,KTC.KTD,Sentinel)…………………………………..
3) Matrix Grading/ Band Risiko………………………………………………..
 a. Band Risiko/ Matrix Grading……………………………………………………
b. Dampak/ Consequences……………………………………………………
4) Investigasi Sederhana…………………………………………………………..
5) Root Cause Analysis (RCA).......................................................................
a. Pelaporan Inseden................................................................................
b. Analisis Matriks Grading Risiko............................................................
6) Pelaporan Eksternal ke Komite Keselamatan Pasien Rumah Sakit (KKP-RS)..
a. Laporan insiden keselamatan pasien KKP-RS (Eksternal).........................
b. Formulir Pelaporan Eksternal.................................................................
5. BAB V DOKUMENTASI.................................................................................
6. PENUTUP................................................................................................................
7. DAFTAR PUSTAKA.......................................................................................
8. LAMPIRAN.............................................................................................................