DAFTAR ISI ................................................................................................................

BAB I. PENDAHULUAN ........................................................................................ 3

A. Latar Belakang ..................................................................................... 3

B. Tujuan ................................................................................................. 4

C. Landasan Hukum ................................................................................. 4

BAB II. PENGERTIAN DAN KONSEP DASAR ....................................................... 5

A. Mutu Pelayanan RS ............................................................................. 5

B. Keselamatan Pasien RS ..................................................................... 10

C. Manajemen Risiko .............................................................................. 13

D. Clinical Pathway .................................................................................. 17

BAB III. METODE PENGENDALIAN KUALITAS PELAYANAN ............................. 21

A. PDSA ................................................................................................. 21

B. Failure Mode Effect Analysis .............................................................. 25

C. Root Cause Analysis .......................................................................... 27

BAB IV. KEBIJAKAN PMKP ................................................................................... 29

BAB V. STRUKTUR ORGANISASI KOMITE PMKP .............................................. 41

A. Struktur Organisasi ............................................................................. 41

B. Uraian Tugas, Wewenang, dan Tanggung Jawab .............................. 41

C. Tata hubungan Kerja .......................................................................... 46

D. Pola Ketenagaan dan Kualifikasi Personil .......................................... 48

BAB VI. KEGIATAN PMKP ..................................................................................... 50

BAB VII. PENCATATAN DAN PELAPORAN ........................................................... 54

BAB VIII. MONITORING DAN EVALUASI ................................................................ 55

BAB IX. PENUTUP ................................................................................................. 56

DAFTAR PUSTAKA .................................................................................................. 57