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INDONESIA
Majalah Kedokteran Andalas
Published by Universitas Andalas
ISSN : 01262092     EISSN : 24425230     DOI : https://doi.org/10.25077
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Majalah Kedokteran Andalas (MKA) (p-ISSN: 0126-2092, e-ISSN: 2442-5230) is a peer-reviewed, open-access national journal published by Faculty of Medicine, Universitas Andalas and is dedicated to publish and disseminate research articles, literature reviews, and case reports, in the field of medicine and health, and other related disciplines
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 16 Documents
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Search results for , issue "Vol 37 (2014): Supplement 1 | Published in March 2014" : 16 Documents clear
PERAN ASPEK ETIKA TENAGA MEDIS DALAM PENERAPAN BUDAYA KESELAMATAN PASIEN DI RUMAH SAKIT Ahmad Ahid Mudayana
Majalah Kedokteran Andalas Vol 37 (2014): Supplement 1 | Published in March 2014
Publisher : Faculty of Medicine, Universitas Andalas

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Abstract

AbstrakPermasalahan etik didunia rumah sakit seperti halnya fenomena gunung es. Dilndonesia ba-nyak permasalahan yang tidak terungkap. Mulai dari kasus dugaan malpraktik,kelalaian dalam penanganan pasien, diskriminasi terhadap pasien, sampai tindak kriminallainnya. Tenaga medis memiliki peran penting dalam menciptakan pelayanan kesehatan yangbermutu. Di antaranya dalam menerapkan budaya keselamatan pasien. Saat ini keselamatanpasien belum sepenuhnya menjadi budaya dalam pelayanan kesehatan. Hal ini terlihat darimasih adanya kasus seperti malpraktik, diskriminasi, dan lainnya. Setiap profesi kesehatanmemiliki kode etik masing-masing. Keberadaan kode etik seharusnya menjadi aspek dalampenerapan budaya keselamatan pasien. Undang-undang Rumah Sakit nomor 44 tahun 2009sudah jelas mengatakan bahwa keselamatan pasien adalah faktor yang harus diutamakan olehpetugas kesehatan dibandingkan faktor yang lain. Metode: metode yang digunakan yaitumenelaah dari berbagai sumber publikasi ilmiah secara online. Dari hasil pencarian kemudiandiolah dan dianalisis sehingga menghasilkan sebuah pembahasan dan kesimpulan dari topikyang ditetapkan. Hasil: Kode etik yang dimiliki oleh profesi tenaga kesehatan harus selaluditerapkan sebagai upaya untuk menerapkan budaya keselamatan pasien. Pasien akan merasapuas apabila terlayani dengan baik oleh tenaga kesehatan. Untuk menerapkan budayakeselamatan pasien dan menjalankan kode etik profesi diperlukan iklim berorganisasi yang baik.Aspek etika menjadi bagian penting dalam melakukan pelayanan kepada pasien.Kata kunci: etika, petugas kesehatan, keselamatan pasienAbstractEthical probiem in hospital is iceberg phenomena. .ln lndonesia, many problems are noirevealed; cases of suspecfed maipractice, negligence in handling of patients, discriminateagainst patients and others. Medical personnel have an important role in creating a quality healtltservtces including implementing patient safety culture. Currently patient safety citlture does notexist yet in health care. The evidence are the persistence reports of malpracfrce cases,discrimination, and others. Each health profession has a code of ethics. The existence of a codeof ethics should be an aspecf in the implementation of safety culture pasien. Hospitals Actnumber 44 of 20A9 it was clear to say that patient safety is a factor that should be prioritized byhealth v,iorkers compared to other factors. Method: The method used is the examinaticn andanalysis of variety scientific publications published online. Resu/ts; The code of conduct ownedby personnel of health professions should always be applied in an attempt to implement a patientsafety culture. Patients will feel satisfied when served professionalty by health workers. Toimplement the patient safety citlture and run code of professional conduct require goociorganizational climate. Ethicalaspecfs become an imporlant part of patient serviceKeyworcis: ethic, health care personnei, patient safety
ETIKA RUMAH SAKIT DALAM MENJAMIN KESELAMATAN PASIEN MELALUI PENERAPAN MANAJEMEN RESIKO KLINIS Adila Kasni Astiena
Majalah Kedokteran Andalas Vol 37 (2014): Supplement 1 | Published in March 2014
Publisher : Faculty of Medicine, Universitas Andalas

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Abstract

AbstrakEtika tidak hanya dimiliki oleh individu atau kalangan profesi tertentu, tapi juga olehsebuah organisasi/institusi yang diterapkan individu yang berada dalam organisasi/intitusitersebut. Contohnya etika dalam pelayanan pelanggan oleh sebuah bank yang diterapkanmelalui performance karyawan dalam melayani setiap nasabah. Tidak semua orang menyadari,bahkan kalangan tenaga kesehatan dan rumah sakit bahwa potensi resiko yang terjadi di rumahsakit lebih tinggi dari jatuhnya pesawat terbang. Menurut lnstitute of Medicine (lOM), potensiresiko pada pelayanan kesehatan sama dengan jatuhnya sebuah pesawat jumbo (360penumpang) setiap dua hari dan menyebabkan semua penumpang meninggal. Resiko di rumahsakit tidak hanya merugikan pasien, tapi juga praktisi kesehatan, maupun rumah sakit sebagaikorporasi. Diperlukan penerapan manajemen resiko klinis di sebuah rumah sakit dalammenjamin keselamatan pasien (patient safety). Tujuan penulisan ini adalah untukmendeskripsikan secara mendalam tentang Etika Rumah Sakit Dalam Menjamin KeselamatanPasien Melalui Penerapan Manajemen Resiko Klinis. Metode Penulisan menggunakan studiliteratur pustaka (literature review) dengan kerangka pengertian resiko, jenis resiko di rumahsakit, definisi manajemen resiko klinis (MRK), kepentingan, tujuan dan manfaat penerapan MRKserta langkah-langkah penerapan MRK di rumah sakit. Manajemen resiko klinis adalahpengelolaan ketidak pastian (resiko) yang berpotensi merugikan, yang bersumber dari perawatanpasien sehingga pasien mendapatkan pelayanan yang bermutu dan berasas keselarnatan(patient safety). Rumah sakit hendaknya mengembangkan system untuk mengidentifikasi resikodengan beberapa pilihan cara yaitu, melalui system oelaporan (incident report), mempelajarirekam medis, analsis penyimoangan clinical pathway, audit medis, audit pembahasan kasusmorbiditas dan mortalitas, keluhan pasien serta surveillance. Analisis resiko dilakukan gunapenilaian i'esiko, dilakukan dengan membuat grading resiko yaitu frekuensi kejadian dikalidampak resiko sehingga dapat dikategorir<an tidak signifikan, resiko minor (dapat diterima),moderat, mayor (tidak dapat diterima), maupun katastropik. Evaluasi resiko dilakukan gunamenentukan apakah resiko akan diterima, diti"ansfer, diintervensi atau ditunda, kemudian dikelolauntuk dipindahkan ke asuransi (apabila resiko ditansfer) atau dibuatkan strategi reduksi/mitigasi.Monitoring dan pengkajian resiko dilakukan untuk keberlanjutan penerapan strategi yangdirencanakan dengan tidak melupakan komunikasi dan konsultasi dengan pihak stakeholdersinternal dan eksternal. Manajemen resiko klinis merupakan langkah-langkah yang harusditerrrpuh rumah sakit guna mengantisipasi kejadian yang berpotensi merugikan sehingga dapatditerapkan dalam pelayanan pasien. Perlu dibentuk Manajemen Resiko ktinit< Oi rumah sakitsehingga pelayanan pasien yang berorientasi mutu dan keselamatan (patient safety) dapatdiwujudkan.Kata kunci: Etika, Rumah Sakit, Manajemen Resiko KlinisAbstractEthics is not only owned by individuals or among ceflain professions, but alsc by anorganization / institution will be appliecl by individuals who are in the organization / institution that.For examples, efhlcs in customer service by a bank employee who applied througti performancein serving each customer. Not everyone is aware of, even among ntedical practitioners andhospitals that the potential risks that occur in hospitals is higher than the plane crash. Accordingto the lnstitute of Medicine (OM), the potential risks of health seryices as much as the fatl of aiumbo aircraft (360passengers) every two days and caused alt of the passengers died. Risk inthe hospital is not only disserve the patient, but also heatth practitioners and hospitats. CtinicatSupplemen Majalah Kedokteran Andalas' Vol' 37 No Supl 1' Maret 2014IEEXRisk Management is required to ensure patient saiety (patient safety) in hospitals 'The purposeof this paper is to describe Hospitat Ethics ti Ensuring Patient Safety Through thelmptementation of crinicat Risk Management. writing metiod using the ribrary riterature(titerature review) with a framework undetrstanding of risk' types of risk in the hospital' thedefinition of ctinicat- risk management (MRK), inierests, goits and benefits as well as theapptication of MRK in hospitats.btinicat ris;k management is the management of uncertainty (risk)that is potentiatty harmfur, which is sourced from patient care, so fhaf patients receive quarity andsafety care (patieni ,ir"tvl Hosprfa/s shoutd deverop a system to identify risks with severaloptionssuch as, *iign a' reporling ,v't"ii'";ident'reports)' sfudied the medical records' theanalysis of irregutariilJs ctinical pathways, iedicat audit' audit of discussio n of morbidity andmortality cases, patient complaints and surveiltance' Risk analysis was conducted to riskassessrnen t, risk grading is done ov ^ui'i lne frequency of occurrence multiplied by the impactthat risks can be categorized so insignicant' minor risk (acceptable)' moderate' maior (notacceptabte), o, ,"t"iiiJpthic.Risk evaluation was conducted to determine whether the risk will beaccepted, transferred, or delayed intervention, then managed to be transferred to the insurance(if the risk transferriil o, made reductio,n itrategiedmitigation. Monitoring and rrsk assessmenfcarried out for the imptementation of sustainabiity strategies pranned without not forgetting thecommunication and consurtation with internat or externar stakehorders.ctinicat risk managementrs fhe sfeps that must be taken by the io,riitut in anticipation of potentiatty adverse events thatcoutd be imptemented in the service of patient. tt is need to estabtish ctinicar Risk Managementin the hospitar, ,o ti",t the quatity and iafety oriented in patient care (patient safety) can berealized.Keywords: Ethics, Hospitals' Clinical Risk Management
CLINICAL BIOETHICS AND MEDICALLY ASSISTED REPRODUCTIVE TECHNOLOGI ES Russel D&#039;Souca
Majalah Kedokteran Andalas Vol 37 (2014): Supplement 1 | Published in March 2014
Publisher : Faculty of Medicine, Universitas Andalas

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Abstract

CLINICAL BIOETHICS AND MEDICALLY ASSISTED REPRODUCTIVE TECHNOLOGI ES
HUBUNGAN ANTARA PERILAKU PROFESIONAL DOKTER DI AWAL PEMERIKSAAN DAN KEPUASAN PELAYANAN DOKTER Arif Wicaksono
Majalah Kedokteran Andalas Vol 37 (2014): Supplement 1 | Published in March 2014
Publisher : Faculty of Medicine, Universitas Andalas

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Abstract

HUBUNGAN ANTARA PERILAKU PROFESIONAL DOKTER DI AWAL PEMERIKSAAN DAN KEPUASAN PELAYANAN DOKTER
EARLIER FORMAL ETHICS EDUCATION, THE IMPORTANCE OF MEICAL ETHICS AND EXPECTATION OF ETHICS DOCTOR IN FIRST GRADE MEDICAL STUDENTS OF MEDICAL FACULTY UNIVERSITAS TANJUNGPURA PONTIANAK Ita Armyanti; Mardhia Mardhia; Arif Wicaksono
Majalah Kedokteran Andalas Vol 37 (2014): Supplement 1 | Published in March 2014
Publisher : Faculty of Medicine, Universitas Andalas

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Abstract

AbstractHealth care decisions are based not only on clinical and technical grounds, but also onethical grounds. Although we carefully weigh the clinical and technical aspects, ethical issuesinvolved may be overlooked. A legal framework or code of conduct governing doctor's decisionsand behaviour may help overcome this problem but they often provide rigid guidelines for alimited number of situations. Earlier education in ethics might have some advantages to build agood medical character. The perception of the importance of medical ethics could also had aneffect to the expectation of a good medical doctor should be. This research was a cross sectionalstudy in first grade medical students of medical faculty Universitas Tanjungpura Pontianak,conducted in the last week of April, 2014. All of first grade medical students participated in thisstudy. This subjects given questionaire contained several questions : did they ever get a lessonof ethics in their Senior high schcol, how important the medical ethics and after studied medicalethics, what were their expectation ?. 86 subjects participated, 3'1 (36,05%) subjects are maleand 55(63,95%) subjects are female. The Age range from 16-20 years old, median 1B years oldand mode 1B years old. The subject came from 39 senior high school, was spread from papua,java dan kalimantan. Only 10(25,64%) senior high school had been given ethics in theircurriculum and this'1C school all located in Kalinrantan. One subject (1,16%)stated that ethicsjust a common lesson while 35 (40,7A %)subjects stated ihat ethics was inrportani and most ofthe subjects, 50(58,14%) subjects stated that ethics was very important lesson. The expectationafter studying medical ethics are : 39(45,35 o/o) subjects: respect and emphatize the other people,17 (19.77%) subjeets : be a betier person, 14(16,28o/c) subjeets: hospitable docior, 11 (12,79o/o)sub;ects :Apply the basic principle of bioethics and 5 (5,81%) sublects :treat the other like we'dlike to be treated. Twenty five point sixtyfour percent of the prirhary school of first year medicalstudent gave ethics lesson. Most of Subject stated that medical ethics is a very important lesson.The expectation after studying medical ethics varies: respect and emphatize the other people, bea better person, hospitable doctor, Apply the basic principle of bioethics and treat the other likewe'd like to be treated.Affiliasi Penulis: l.Departement of Pharmacology, Medical Faculty Universitas Tanjungpura,2.Depa(ement oftr4icrobiology Medical Faculty Universitas Tanjungpura, 3. Departement of Anatomy Medical Faculty UniversitasTanjungpura, Korespcndensi :Arif Wicaksono, email :drarii,vicaksono@gmail.com.*@TEilSupplen-ren Majalah Kedokteran Andalas' Vol' 37' No Supl'1' Maret 2014ETIKoLEGAL,SEcoNDoPINIONDENGANSENGKETAMEDISNoorman HerryadiKorespondensi : Noorman Herryadi' email : noormanherryadi@yahoo'com'oortr"lu,,.anini mencoba mengetengahkan hubungan antara second opinion dengan sengketamedis dari aspek Etikolegal Kedokteran, kaitannya dengan perlindungan bagi dokter dan bagipasien. Second Opinion Jdatan hak pasien dan kewajiban dokter untuk melaksanakannya dalammenjalankan profesi r"oort","nnya. Dalam kenyataan banyak sengketa medis, dimana pasienatau keluarga/ahli warisnya melakukan fenuntutan hukum kepada dokter atau Rumah Sakityang merawatnya, v*g olr"nabkan oten-reterangan atau opini dokter lain atau pihak lain yangdianggap berkompeten-untuf memberi keterangan atau opini'r{nkrar - nerlindunoarKata kunci: second opinion - sengketa medis - perlindungan dokter perlindungan paslen
ETIKA PENELITIAN: APA DAN BAGAIMANA? Rianto Setiabudy
Majalah Kedokteran Andalas Vol 37 (2014): Supplement 1 | Published in March 2014
Publisher : Faculty of Medicine, Universitas Andalas

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ETIKA PENELITIAN: APA DAN BAGAIMANA?

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