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Fungsi Risk Register di Rumah Sakit

Risk Register merupakan catatan dari segala risiko yang dapat mengancam Rumah Sakit dalam mencapai targetnya sehingga memungkinkan suatu organisasi memahami profil risiko secara menyeluruh. Dokumen ini menjelaskan prosedur identifikasi, kategorisasi, penilaian, dan tindak lanjut risiko di setiap unit kerja Rumah Sakit berdasarkan peraturan dan pedoman yang berlaku.

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Yuni Setyawati
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0% menganggap dokumen ini bermanfaat (0 suara)
32 tayangan3 halaman

Fungsi Risk Register di Rumah Sakit

Risk Register merupakan catatan dari segala risiko yang dapat mengancam Rumah Sakit dalam mencapai targetnya sehingga memungkinkan suatu organisasi memahami profil risiko secara menyeluruh. Dokumen ini menjelaskan prosedur identifikasi, kategorisasi, penilaian, dan tindak lanjut risiko di setiap unit kerja Rumah Sakit berdasarkan peraturan dan pedoman yang berlaku.

Diunggah oleh

Yuni Setyawati
Hak Cipta
© All Rights Reserved
Kami menangani hak cipta konten dengan serius. Jika Anda merasa konten ini milik Anda, ajukan klaim di sini.
Format Tersedia
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RISK REGISTER

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Ditetapkan :
DIREKTUR
STANDAR Tanggal terbit :
PROSEDUR
OPERASIONAL

Sam Askari Soemadipradja, dr.,[Link]


Risk Register merupakan catatan dari segala risiko yang dapat mengancam
PENGERTIAN Rumah Sakit dalam mencapai targetnya sehingga memungkinkan suatu
organisasi memahami profil risiko secara menyeluruh.
Sebagai acuan untuk membuat program manajemen risiko seluruh rumah
TUJUAN sakit
1. SK Direktur RS AMIRA, Nomor : 045/001/KMKM/VIII/2015
KEBIJAKAN tentang Kebijakan Umum Peningkatan Mutu, Keselamatan Pasien,
dan Manajemen Risiko RS AMIRA
2. SK Direktur RS AMIRA, Nomor : 045/003/KMKM/VIII/2015
tentang penetapan dan pemberlakuan Pedoman Pelayanan
Peningkatan Mutu, Keselamatan Pasien, dan Manajemen Risiko RS
AMIRA
3. SK Direktur RS AMIRA, Nomor : 045/010/KMKM/VIII/2015
tentang Pemberlakuan Manajemen Panduan Manajemen Risiko
Klinis RS AMIRA
RISK REGISTER

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PROSEDUR 1. Risk Register berisi :


a. Risiko yang diidentifikasi dalam 1 tahun di setiap unit kerja
Rumah Sakit dengan mengisi formulir risk register
b. Informasi insiden keselamatan pasien, klaim ligitasi, dan
komplain, investigasi eksternal dan internal, hasil internal dan
external audit ataupun dari surveyor Komite Akreditasi RS
(KARS)
c. Informasi potensial risiko maupun risiko aktual menggunakan
RCA dan FMEA
2. Sub Komite Manajemen Risiko melakukan identifikasi risiko dengan
menemukan, mengenal dan mendeskripsikan risiko setiap unit kerja.
Unit kerja mengisi form risk register dengan mencatat risiko masing-
masing unit kerja dan melaporkannya ke Sub Komite Manajemen
Risiko.
3. Sub Komite Manajemen Risiko membuat kategori risiko dan akar
masalah masing-masing unit kerja.
4. Sub Komite Manajemen Risiko membuat skor risiko dengan
melakukan perkalian tiga komponen, yaitu Severity (S), Probability (P)
dan Detectibility (D).
5. Setelah itu, dilakukan tindak lanjut terhadap risiko dengan cara
transfer, mitigasi, acceptance, dan avoidance dengan memperhatikan 3
pertimbangan :
a. Nilai hasil (outcome) yang diharapkan
b. Gambaran skenario terburuk dimana dampaknya diakibatkan
dengan biaya terhadap respon tersebut
c. Gambaran skenario terbaik dimana tidak terjadi insiden.
RISK REGISTER

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PROSEDUR 6. Sub Komite Manajemen Risiko melakukan biaya terhadap risiko, yaitu
biaya jika risiko terjadi dan jika risiko ditangani, untuk mengetahui
biaya mana yang lebih besar, dan menggunakan kisaran kasar.

UNIT TERKAIT 1. Direktur


2. Komite terkait
3. Instalasi/Unit/Bagian terkait

Common questions

Didukung oleh AI

The risk register should include risks identified in each hospital unit over one year, patient safety incidents, litigation claims, external and internal investigations, results from audits or surveys by the Komite Akreditasi RS, and information on potential and actual risks assessed using methods such as RCA and FMEA .

The roles of directors and related committees in the risk management process include setting the broad policies and standards for risk management, supporting the implementation of these policies, and ensuring that the risk management processes align with the hospital's overall mission and safety objectives. The director is responsible for approving risk management guidelines, while committees play a role in specific risk identification, analysis, and reporting processes .

The procedures outlined in the Risk Register support patient safety improvements by systematically identifying and managing risks that could affect patient safety. By recording incidents, claims, and external and internal audit results, the risk register helps in promptly addressing potential and actual safety issues, thereby enhancing overall patient safety through informed risk management actions .

The concept of an organizational risk profile is utilized within the risk management strategy of a hospital by enabling the organization to fully understand and address the various risks that may impede its objectives. It serves as a basis for designing and implementing targeted risk management programs, as it comprehensively covers potential and actual risks faced across different units of the hospital .

Transferring, mitigating, accepting, and avoiding risks are key strategies in hospital risk management. Transferring involves shifting the risk to another party, such as through insurance. Mitigating includes actions to reduce the likelihood or impact. Acceptance is acknowledging the risk without action, often when the cost is disproportionate. Avoidance involves changing plans to eliminate the risk. These strategies allow hospitals to balance risk exposure with resource constraints and operational priorities, ensuring patient safety and organizational resilience .

The Sub Komite Manajemen Risiko categorizes risks by identifying and describing risks in each hospital unit and recording them in the risk register form. They score risks by multiplying three components: Severity, Probability, and Detectibility. This scoring helps in the assessment and prioritization of risks which informs decision-making on actions like transfer, mitigation, acceptance, or avoidance .

The primary purpose of the Risk Register in a hospital setting is to serve as a reference for implementing risk management programs across the hospital. This involves understanding the comprehensive risk profile that could threaten the hospital's ability to achieve its objectives .

Cooperation between different units and committees is crucial for maintaining an effective risk management system in a hospital, as it allows for comprehensive identification and management of risks. Different units are responsible for identifying and recording risks pertinent to their functions and then reporting these to the Sub Komite Manajemen Risiko, which is responsible for categorization and evaluation. This collaborative effort ensures a holistic approach to risk management, leveraging varied expertise and perspectives .

Worst-case and best-case scenarios are used in risk management decisions to assess the potential outcomes of risks and the impacts of responses. Evaluating worst-case scenarios involves analyzing potential damages and costs if the risk materializes, whereas the best-case scenario assesses situations where no incident occurs. These analyses help determine the most cost-effective and strategically sound responses to risks, considering the expected outcomes .

A hospital assesses the financial implications of managing risks by calculating the costs if a risk occurs and the costs associated with its management, using a rough range. This assessment helps determine whether the risk management costs are justified compared to the potential financial impact of unmitigated risks. It is important because it ensures that resources are allocated efficiently, maximizing the hospital's ability to prevent or mitigate risks effectively .

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