A to Z Manajemen Risiko di RS

Manajemen Risiko RS
Lecture # 4
by: Hafizurrachman
Fakultas Kesehatan Masyarakat
Universitas Indonesia
2008
 Lecture Review
RISK MANAGEMENT:
DEFINITIONS, TYPES,
OBJECTIVES and FUNCTIONS
 What is RISK?

A POSSIBILITY
that something
BAD or DANGEROUS
MAY happen
(LONGMAN Active Study Dictionary, 2004)
What is Hospital Risk Management?
… consists of clinical & hospital administration
activities to identify, evaluate, & reduce the risk for
patients, doctors, hospital employee, & visitors.
(JCAHO - Join Commission on Accreditation of Healthcare Organization)

… activities to minimize potential harms to the

patients, as well as providing a safe environment for
patients, employees, and visitors.
(ASHRM - American Society for Healthcare Risk Management)

… a framework for a systematic identification,

assessment, manage, treatment and monitoring of
risk. Its purpose is to prevent or minimize the
possibility of the recurrence of risk and their
associated consequences
(Liverpool Women’s National Health System ( NHS ) Foundation Trust)
 OUR DEFINITION…

… clinical & hospital administration activities

to anticipate, minimize, prevent the
recurrence of risk on both internal (patients,
doctors, employee) and external (visitors)
customers of a hospital by identifying,
analyzing, managing, evaluating, &
monitoring the potential risks.
 HOW???
• Preparing Context
– Strategy Context, Organization Context, Risk
Management Context, developing Criteria, and
deciding structure
• Risk Identification
– What & How Risk can occur
• Risk Analysis
– Determining controlling, frequency or probability,
impact or consequence of the Risk
• Risk Evaluation
– Comparing the risk degree & criteria and
preparing risk priority
• If accepted, followed by Managing the Risk
– Identifying, Evaluating, List Options, Selecting &
Preparing the Option
• Plan Implementation
 Classification of
TYPES OF RISK Hospital Risk
(Jacobalis, Samsi)
1. Medical Risk
2. Non-medical Risk
3. Risk on Resources Corporate Risk
• Financial
4. Risk on Service • Behavior
Procedure • Under-skilled Assistant
5. Behavior & Financial • Unstandardized Procedure
Risk
6. Clinical Risk Clinical Risk
7. Non-clinical Risk: • Malpractice
• Mistreatment
• Operational Risk
• Post-Operative Cut Infection
• Compliance Risk • Phlebitis
• Legal Risk • Insufficient Equipment &
• Risk on Image & Facilities
Reputation • Instrument
8. Credential Risk
 Objectives & Function
• To reduce the incidence of preventable injuries &
accidents
• To minimize the financial loss to the institution
should an injury or an accident occur
(Smith, Dean G.; Wheeler, John R.C.)
• Managing the Risk so it can give a high quality of
service and safe environment for its patients and
visitors (East Sussex)
• The ultimate output of Risk Management is an
improvement in quality of service & patient safety,
with the spirit of not “zero defect” but more towards
“no accident”.
 Conclusion
Risk can not be eliminated but it should be
minimized, for that we have to manage the
risk so the image and reputation of the
hospital would not be damaged.
Should that ever happen, it could diminish
the trust of our consumer, which would
decrease the amount of visit, in which would
lead to the decrease of hospital income.