Jalan PB Sudirman No.

81 T (0334) 321004
Lumajang, Jawa Timur F (0334) 322378
www.nusamed.co.id E djatirotohospital@gmail.com

NOTULEN

HARI :
TANGGAL :
JAM :
HADIR :
ACARA :

PELAKSANA :
ISI RAPAT :.........................................................................................................
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www.nusamed.co.id
 Jalan PB Sudirman No. 81 T (0334) 321004
Lumajang, Jawa Timur F (0334) 322378
www.nusamed.co.id E djatirotohospital@gmail.com

KESIMPULAN :.........................................................................................................
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SARAN :
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TINDAK LANJUT :
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PIMPINAN RAPAT NOTULIS

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www.nusamed.co.id
 Jalan PB Sudirman No. 81 T (0334) 321004
Lumajang, Jawa Timur F (0334) 322378
www.nusamed.co.id E djatirotohospital@gmail.com

NOTULEN

HARI : Kamis
TANGGAL : 20 Desember 2018
JAM : 12.00
HADIR :
ACARA : Pelatihan Inseden Keselamatan Pasien

PELAKSANA :
ISI RAPAT :
1. Pemahaman pentingnya pelaporan insiden
2. Tujuan pelaporan insiden
3. Sistem pelaporan insiden RS meliputi kebijakan, alur pelaporan, formulir dan
prosedur
4. Jenis insiden : KTD ( Kejadian Mengakibatkan Cidera )
Kejadian Sentinel ( Kejadian Yang Mengakibatkan Kematian )
KNC ( Suatu Insiden Yang Belum Terpapar Pasien Sehingga Pasien Tidak Cidera )
KTC ( Kejadian Sudah Terpapar Pasien tapi Tidak Cidera )
KPC ( Sangat Berpotensi Cidera )
5. Semua karyawan wajib melaporkan insiden
6. Alur Pelaporan :
- Wajib segera ditindak lanjuti
- Paling lambat 24 jam
- Selesai pelaporan serahkan ke atasan
- Buat Grading ( Bila Biru, Hijau : Cukup Darurat, Bila Kuning,
Merah akan dilaporkan di PMKP alias dibuat RCA di evaluasi
7. Pengisian formulir insiden
8. Cara Grading Resiko dengan cara Probagditas / Liletud/ Frewelisi & Potensial /
Konsekuensi / Dampak Klinis

KESIMPULAN :
- Pelaporan kejadian keselamatan pasien bermanfaat dalam banyak hal terutama
pembelajaran agar kasus serupa tiak terulang kembali.

www.nusamed.co.id
 Jalan PB Sudirman No. 81 T (0334) 321004
Lumajang, Jawa Timur F (0334) 322378
www.nusamed.co.id E djatirotohospital@gmail.com

- Rumah Sakit sebagai pemberi layanan kesehatan harus memperhatikan dan

menjamin keselamatan pasien.

SARAN :
Salah satu strategi merancang sistem keselamatan pasien bagaimana mengenai
kesalahan sehingga dapat diambil tindakan dan upaya untuk pelaporan.

TINDAK LANJUT :
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PIMPINAN RAPAT NOTULIS

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www.nusamed.co.id
 Jalan PB Sudirman No. 81 T (0334) 321004
Lumajang, Jawa Timur F (0334) 322378
www.nusamed.co.id E djatirotohospital@gmail.com

ISI RAPAT : .........................................................................................................

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www.nusamed.co.id
 Jalan PB Sudirman No. 81 T (0334) 321004
Lumajang, Jawa Timur F (0334) 322378
www.nusamed.co.id E djatirotohospital@gmail.com

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www.nusamed.co.id
 Jalan PB Sudirman No. 81 T (0334) 321004
Lumajang, Jawa Timur F (0334) 322378
www.nusamed.co.id E djatirotohospital@gmail.com

www.nusamed.co.id