Curiculum Vitae

Nama : Prof. Dr. Nursalam, M.Nurs (Hons)

Tempat tanggal lahir : Kediri, 25 12 - 1966
Jenis Kelamin : Pria
Kewarganegaraan : WNI
Agama : Isalam
Alamat : Keputih Tegal Timur 62 Surabaya
No Telp & Email :081-3396-50000
nursalam@fkp.unair.ac.id
No. NIRA : 357-800-8897-1
 Riwayat Pendidikan
1. Akper Sutomo Surabaya lulus 1988
2. Lulus coursework Master of Nursing,
University of Wollongong Australia 1996
3. Lulus Honours Master of Nursing,
University of Wollongong Australia 1997
4. Lulus Doktor, Unair 2005
 Pengalaman Pembicara
1. International Nursing Conference
(Indonesia; Cina; Malaysia)
2. Seminar Nasional (>250 kali)
3. Workshop Nasional, Flinders Ausralia,
Malaysia, Netherlands, dan Chenkung
Taiwan
 Riwayat Pekerjaan
1. Dekan Fakultas Keperawatan (2008 2010) dan
(2015 2020)
2. Manajer Keperawatan Rumah Sakit Unair (2011
2015)
3. Dosen Fak Keperawatan Unair (1999 sekarang)
4. Dosen Akpernes Surabaya (1989 1998)
 DEVELOPMENT MODEL OF
QUALITY AND PATIENT SAFETY
BASED ON IT
CASE STUDY IN UNAIR HOSPITAL

By:
Prof. Dr. Nursalam, M.Nurs (Hons)
Professor in Nursing, Airlangga University & Hospital

nursalam-2014
 CURRICULUM VITAE

Name : Prof. Dr. Nursalam, M.Nurs (Hons)

Address : Jl. Keputih Tegal Timur 62 Surabaya 60111
E-mail : nursalam@fkp.unair.ac.id
HP : 081339650000
HIGHER, EDUCATION:
1. Doctor, Model of Nursing Care for HIV-AIDS, Postgraduate Programme,
Airlangga University, 2005
2. Honours Master of Nursing,, University of Wollongong, New South
Wales, Australia, 1997
3. Master of Nursing (Coursework), Univ. Wollongong, NSW, Australia,1996
4. Med. Surgical Nursing, Lambton College, Sarnia Ontario Canada, 1991
5. Diploma III in Nursing, Sutoma Surabaya 1988

ORGANISATION AND WORKING EXPERIENCES :

1. Lecturer and nurse in Diploma III in Nursing, Anesthesia, Ministry of Health, RI Surabaya (1988 1997)
2. Lecturer in School of Nursing, Faculty of Medicine / Faculty of Nursing, Airlangga University (since 1998)
3. Vice, Head, School of Nursing, Faculty of Medicine, UA (1999 2008)
4. Vice Head, PPNI Educatin & Training, East Java Nursing Association (2000 2010)
5. Dean, Faculty of Nursing Airlangga University (2008 2010) & 2015-2020
6. Nursing Manager, Airlangga University Hospital (2011-now)
7. Head, Nursing ethic commitee, PPNI Jawa Timur (2010-2015)
8. Head, Education and Trainning, INNA (PPNI) (2015-2020) & Chaiman DPW PPNI Jatim
PUBLICATION :
1. Books = 20
2. Acredited journal & (national & international)= 100
nursalam-2014
 OUTLINES
1. INTRODUCTION
2. MODEL OF QUALITY AND PATIENT SAFETY
IMPROVEMENT
(1) INPUT
(2) PROCESS CARING
(3) OUTPUT
A. PATIENT SAFETY
B. SATISFACTION
C. SELF CARE
D. COMFORT
E. ANXIETY
F. KNOWLEDGE
3. QUALITY IMPROVEMENT IN NURSING CARE UNAIR
4. CONCLUSION
 1 INTRODUCTON
ROLE OF NURSE ON QUALITY &
PATIENT SAFETY (ACCREDITATION)

Because the patient is in our hands

They trust us to do the best for them
Quality Primary Caring for the
21st Century

1. Safe Patient Care

2.Consistent Best Practices
3. Great Patient Service 9
 PRINCIPLES OF QUALITY AND
PATIENT SAFETY
Quality and Patient Safety are the responsibility of all employees
of a healthcare facility.

Quality of Care:
The degree to which health services for individuals
and populations increase the likelihood of desired
health outcomes and are consistent with current
professional knowledge.
Patient Safety:
is defined as: the prevention of harm to patients.
 ISSUES .. Quality - Safety
STEEEP
Safe: avoiding injuries to patients from the care that is intended to help them
Timely: reducing waits and sometimes harmful delays for both those who
receive and those who give care
Effective: providing services based on scientific knowledge to all who
could benefit and refraining from providing services to those not likely to
benefit (avoiding underuse and overuse)
Efficient: avoiding waste, in particular waste of equipment, supplies, ideas,
and energy
Equitable: FAIR, providing care that does not vary in quality because of
personal characteristics such as gender, ethnicity, geographic location, and
socioeconomic status
Patient-Centered: providing care that is respectful of and responsive to
individual patient preferences, needs, and values and ensuring that patient
values guide all clinical decisions
nursalam-2014
STEEEP Framework outlined by the Institute of Medicine (IOM)
Meeting clients needs now
and in the future

SUSTAIN
Making good contributions QUALITY AND
to Patient safety PRODUCTIVITY
(REMEMBER
A-P-I)

Building skills and

competency
of nurses

mtrla/13072010 14
 2
MODEL OF QUALITY & PATIENT
SAFETY IMPROVEMENT

Nursalam-07
QUALITY IMPROVEMENT & PATIENT
SAFETY (PMKP)

KARS (2015)
 MODEL Q & PS IMPROVEMENT (KOPELMEN)
1. INPUT:
2. PROCESS POAC /
M1,M2,M3
P-D-S-A ...... MAKP 3. OUTPUT
,M4,M5
- ORGANIZATION
Reward system
1.PLANNING -JCI
Goal setting and MBO * harian, bulanan, Triwulan/Semester dan
1. PATIENT CENTER CARE
Selection tahunan

Training and development 2. ORGANIZING 2. HOSPITAL MANAGEMENT

Leadership *MAKP atau Metode Tim 3. IPSGs
Organization structure Tenaga
NURSE & STAFF * Uraian tugas dan pengembangan
4. MDGs
Knowledge, tugas
Skills,
Ability, 4. ACTUITING
-INDIKATOR (Indonesia)
Motivation
Attitudes 1.Patient safety
5. CONTROLLING
Value & Norm 2. Self care
* Audit mutu dan Umpan Balik( Askep
3. Patient Satisfaction
JOB dan pelayanan/kinerja
4. Comfortability
Objective performance
5. Anxiety
Feedback
Correction
6. Knowledge - DP
Job design
Work schedule
ANALYSIS - PROBLEM IDENTIFICATION

Nursalam-07
STRATEGIC PLANNING
 (1). INPUT - BSC
4. FINANCIAL

Customer
Value
Proposition
3.
CUSTOMER

Operation
Management
Processes
2. SERVICE:
Internal Business Innovation
Customer
Process Processes
Management
Processes

1. SDM:
Learning and
Growth ORGANIZATION CAPITAL
- Culture
HUMAN CAPITAL - Leadership
- A: Attitude - Alignment
- K: knowledge INFORMATION CAPITAL - Teamwork
- S: skill - System - Penataan Mindset
- I: insight - Database
- Information Technology
BSC-RSPHC
 (2). PROCESS
INTI - MANAJEMEN

THE POWER OF CARING

 Caring is Universal
Influences theway people think, feel and act
Many nursing theorists have tired to define
caring Nightingale was first

Caring is the heart of nursing

Caring is a nurturing way of relating to a

valued other toward whom one feels a
personal sense of commitment and
responsibility (Swanson)
 Care

Love

Care
Professio Conscious
nalism ness
 10 Cs
CARING
COMMUNICATION
COLLABORATION
CONSITENCE
CAREFULNESS
COMPASSION
COURTESY
COMPETENT
CONFIDENCE
COMMITMENT

11/15/2017 CARE 22
 Caring
Nursing is described as a caring relationship, an
enabling condition of connection and concern. -Dr.
Benner
Caring is primary because caring sets up the
possibility of Giving and Receiving Help. -
KAYA (SUPAYA BISA MEMBERI)
Nursing is viewed as a caring practice whose science
is guided by the moral art and ethics of care and
responsibility.
Nursing practice as the care and study of the lived
experience of health, illness, and disease and the
relationships among the three elements (Dr. Benner)
nursalam-2014
 1. Golden heart; 2. Kaya Ilmu;
3. Kaya beneran
Allah Maha Penyayang adalah Maha Kaya, Maha
Berterima Kasih dan Maha pembalas Kebaikan.
Dengan sedekah kita akan mendaptkan keuntungan
tidak terhingga. Keuntungan itu bisa berupa
ketentraman hati, dihindarkan dari bencana,
bertambahnya sahabat, berlipatgandanya aset bisnis,
bertambahnya tabungan atau khusnul khotimah.
Khusnul khotimah tidak bisa dijual dengan
miliaran rupiah, bahkan jika berhimpun
semua orang kaya di bumi tidak akan mampu
membelinya.
 ASSERTIVENESS
International Nurses Day 2015

25
 Nursing Responsibilities in Patient-
Centered Approaches (Faye Abdellah)
Effective communication between patient and
caregiver. Information is accurate, timely and
appropriate.

Do everything possible to
alleviate patients pain and make them
feel comfortable.

We provide emotional support and alleviate fears

and anxiety.

We involve family and friends in every phase of

our patients care.

We ensure a smooth transition and continuity

from one focus of care to another.

We guarantee every member of our community has

access to our care (BPJS / poor / general)
nursalam-2014
We value quality Health care
BPIS

PATIENT-CENTRED
CARE & PATIENT SAFETY
(BILA PASIEN ITU SAYA / SAUDARA....)

PRINCIPLE OF CARING

nursalam-2014
 SHIFTING THE CULTURE OF
CARING

Everyones For Every Everyday

Responsibility body
(Patient)

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 Build - T-E-A-M:
Together Everyone Accept & Achieve More
Well do this together
Replenish the soul of
experienced nurse
Learn not to eat the
young.
Experience (first hand)
generational issues.
Patients like it

Nursalam-preceptorship-2013 29
 (3). OUTPUT

1. PATIENT SAFETY
2. SATISFACTION (R-A-T-E-R)
3. SELF CARE
4. ANXIETY
5. COMFORT
6. KNOWLEDGE
A. PATIENT SAFETY
SKP / IPSG
(International Patient
Safety Standar Goal)
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The world is a dangerous place
to live; not because of the
people who are evil, but because
of the people who don't do
anything about it.
(Albert Einstein)
 IPSG I :
IDENTIFY PATIENT CORRECTLY
1. PATIENTS NAME
2. BIRTH OR REG. NUMBER

BLUE: Laki Laki

Pink: Perempuan
RED: Alergi
YELLOW: Risiko Jatuh
nursalam-2014
 IPSG II :
IMPROVE EFFECTIVE COMMUNICATION
Write back
Read Back
Repeat Back
(Reconfirm)

MODEL: S-B-A-R

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 b. Abbreviation c. Critical Result Value/
Singkatan baku yang nilai-nilai pemeriksaan
tidak boleh digunakan. yang kritis

a. Read back d. Hand-off

. communications
EFFECTIVE
COMMU-
NICATION

nursalam-2014
 A. READ BACK
PERSYARATAN
Setiap order
lisan/telepon /melaporkan
hasil-hasil pemeriksaan
dengan nilai yang kritis
orang yang memberikan
order harus memverifikasi
kelengkapan order
meminta pada penerima
order untuk membacakan
kembali atau "read back"
kelengkapan order
tersebut.
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DASAR KEBIJAKAN
1. Mengembangkan kebijakan dan
prosedur keakuratan
komunikasi lisan / Telepon.
2. Orang menerima informasi /
order, mencatat kelengkapan
order/ hasil pemeriksaan /
menginput ke dalam komputer.
3. Orang menerima informasi /
order membacakan kembali atau
read back secara lengkap.
4. Orang memberikan order
mengkonfirmasi kembali
informasi /order tersebut
 B. ABBREVIATION (SINGKATAN BAKU
YANG TIDAK BOLEH DIGUNAKAN
PERSYARATAN DASAR KEBIJAKAN

Institusi / RS 1. Menetapkan dan

membakukan daftar mengimplementasikan
singkatan, akronim, daftar singkataan baku,
simbol, dan penandaan akronim, simbol-simbol
dosis yang tidak boleh dan penandaaan dosis
yang tidak boleh
digunakan di seluruh
digunakan di seluruh
bagian RS
bagian RS. dan
menggunakannya pada
semua
pendokumentasian baik
secara manual maupun
nursalam-2014
 c. PEMERIKSAAN DAN HASIL YANG KRITIS
( CRITICAL RESULT VALUE )
PERSYARATAN
RS kebijakan
mengukur, menilai, dan
bila diperlukan mengambil
tindakan meningkatkan
ketepatan waktu pelaporan
dan penerimaan hasil/ nilai-
nilai pemeriksaan yang
kritis oleh orang yang
kompeten dan bertanggung
jawab
DASAR KEBIJAKAN
Ada ketetapan jenis pemeriksaan kritis, hasil dan nilai
1.
yang kritis.
2. Ada ketetapan lama waktu ( timeliness ):
1. Antara order diberikan dan pelaporan hasil baik
normal maupun abnormal.
laboratorium )
( dari staf
2. Pelaporan hasil-hasil pemeriksaan rutin dengan
nilai-nlai abnormal atau kritis ( oleh perawat )
3. Sejak adanya/ diterimanya hasil dan nilai
pemeriksaan yang kritis sampai diterima oleh
dokter yang bertanggung jawab
3. Adanya monitoring data ketepatan waktu pelaporan
hasil dan nilai yang kritis :
1. Pengumpulan data
2. Menilai/ analisa data
3. Menetapkan upaya-upaya peningkatan ( bila
dibutuhkan )
4. Menetapkan tindakan yang tepat untuk
meningkatkan ketepatan pelaporan
5. Mengukur efektivitas tindakan
nursalam-2014
 d. HAND OFF COMMUNICATIONS
( Serah terima informasi pasien antar
perawat dan/staf medis )
Hand-over
Delegation from doctor to
nurse
Delegation doctor on-call
Between ward to ward

nursalam-2014
 SBAR

INTERGATED
NOTES
NURSALAM-2004
 APA YANG DI BAHAS DALAM SBAR ?
1) Situasition meliputi :nama, umur, tanggal MRS, hari
perawatan, dokter yang merawat, nama perawat yang
bertanggungjawab, diagnosis medis dan masalah
keperawatan yang belum teratasi.
2) Background meliputi : kondisi pasien, riwayat alergi,
pembedahan, alat invasive, obat-obatan, pengetahuan
pasien dan keluarga tentang masalah kesehatan,
pemeriksaan diagnostik.
3) Assessment meliputi :hasil pengkajian terkini, tanda
vital, pain skore, tingkat kesadaran, status restrain, risiko
jatuh, status nutrisi, eliminasi, hal-hal yang kritis.
4) Recommedation meliputi :Intervensi asuhan
keperawatan yang perlu dilanjutkan, termasuk nursing care plan
dan discharge planning. Edukasipasien dan keluarganya. 42
 SBAR Hand-off Communication Guidelines Document in Medical Record Report Received & Verified
Radiology - Document in the Medical Record - time patient returned to unit and how the patient tolerated procedure
Sbar 3.27.06
unit MED/SURG/TEL/PED LABOR POSTPARTUM NEONATE RADIOLOGY
ED/SURGICAL SERVICES

VS, pain scale
S stable/ current problem/ change
in condition
Situation i.e. critical labs, unstable VS,
pain, change in LOC, difficulty
breathing, GI bleeding
VS, pain scale, labor
progression/, current problem/
change in condition
i.e. obstetrical problem, pain
tolerance, fetal decelerations
VS, pain scale, stable/current VS, pain scale, Mode of Transportation
problem/change in condition
i.e. heavy lochia, breastfeeding
stable/current problem/change in
condition
IV
O2
difficult, psychosocial problem i.e. temp instability, feeding
problem, irritability, bilirubin
check abnormal

Recent Nursing interventions Recent Nursing interventions Recent Nursing interventions Recent Nursing interventions
Medical interventions Medical interventions Medical interventions Medical interventions

Summary of Mental and Physical Summary of Mental and Physical Summary of Mental and Physical Summary of Mothers & Babys Pertinent Medical
B history
Diagnosis
history
Gravida Para
history
Gravida Para
Birth, Mental and Physical
history
History (i.e.
communication
Background Allergies Allergies Type of Delivery Gravida Para problems, seizure
Code Status Beta Strep Allergies Type of Delivery disorder)
Fall Risk Physician/Consults Beta Strep Allergies Allergies
Braden Scale Physician/Consults Beta Strep Code status
Isolation Physician/Consults Fall risk
Physician/Consults Isolation
Activity
Clinical/diagnostic labs/tests Clinical/diagnostic labs/tests Clinical/diagnostic labs/tests Clinical/diagnostic labs/tests
tests results tests results tests results tests results

Plan of Care Plan of Care Plan of Care Plan of Care

I/O I/O I/O I/O
IVs IVs IVs IVs
Medications Medications Medications Medications
Diet Diet Diet Diet
Activity Activity Activity Activity
Equipment Equipment Equipment Equipment
Treatments/O2 Treatments Treatments Treatments
Teaching Teaching Teaching Teaching
VS / Pain Scale/ VS / Pain Scale VS / Pain Scale VS / Pain Scale Mobility
A

Neuro
Respiratory


Labor
Baseline FHR & variability


Breasts
Respiratory


Neuro
Head/fontanel/neck
Assessment Cardio (rhythm, rate) Contraction quality & Cardiovascular Respiratory
Metabolic frequency Fundus Cardiovascular
GI Respiratory GI GI
GU Cardiovascular GU/Perineum GU
Skin/Incisions GU Incisions Skin
Mobility Mobility Mobility Mobility
Psychosocial Psychosocial Psychosocial Psychosocial

Recommendations & Recommendations & Recommendations & Recommendations & Call RN if patient c/o
R interventions for treatment, level
of care
interventions for treatment, level
of care
interventions for treatment, level
of care
interventions for treatment, level
of care
increase pain,
intolerance of
Recommendation procedure, IV problems
INTEGRATED NOTES
 IPSGs III :
IMPROVE THE SAFETY OF
HIGH-ALERT MEDICATIONS

21/5/2013 NURSALAM-MAKP-2013 46
 LASA (LOOK ALIKE SOUND ALIKE)
NORUM ( NAMA OBAT RUPA MIRIP)

Look alike

21/5/2013 NURSALAM-MAKP-2013 47
 Sound Alike

hidraALAzine hidrOXYzine
ceREBYx ceLEBRex
vinBLASTine vinCRIStine
chlorproPAMIDE chlorproMAZINE
glipiZIde glYBURIde
DAUNOrubicine dOXOrubicine

Tulis yang berbeda dengan huruf KAPITAL

21/5/2013 NURSALAM-MAKP-2013 48
MEDICATION CHART
IPSGs IV : ENSURE CORRECT-PATIENT, CORRECT-
PROCEDURE, AND CORRECT-SITE SURGERY
(VERIFICATION OF RIGHT PATIENT, RIGHT SITE,
RIGHT PROCEDURE)

21/5/2013 NURSALAM-MAKP-2013 50
I II III

7 11
S
I
G
N

I
N
T
I
M
E
O
U
T
S
I
G
N
O
U
T
 IPSGs V :
REDUCE THE RISK OF HEALTH
CAREASSOCIATED INFECTIONS

Phlebitis (VIP)

Peneumonia (HAP / VAP)

Surgical Site Infection (SSI)

UTI (Urinary Tractus Infection)
Decubitus
Restrains
Pain
21/5/2013 NURSALAM-MAKP-2013 55
 STANDARD PRECAUTIONS

1. Consider every person (patient or staff) as potentially

infectious and susceptible to infection
2. Wash hands
3. Wear gloves
4. Use physical barriers
5. Use antiseptic agents
6. Use safe work practices
7. Safely dispose of infectious waste 8. Process instruments
9. Linen
10.Patient placement
Plebitis VIP

nursalam-METODOLOGI
PNEUMONIA - HAP

nursalam-METODOLOGI
DICUBITUS

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 IPSG VI :
REDUCE THE RISK OF PATIENT HARM
RESULTING FROM FALLS

21/5/2013 NURSALAM-MAKP-2013 60
 ADVERSE EVENT
Pasien Near Miss (NM)
tidak cidera
(KNC=Kejadian NYARIS CIDERA)
Proses of Care - Dpt obat c.i., tdk timbul (chance)
Error - Plan, diket, dibatalkan (prevention)
- Dpt obat c.i., diket, beri anti-nya
(mitigation)
-Kesalahan proses
-Dpt dicegah
-Pelaks Plan action Pasien
tdk komplit
cidera Adverse Event (AE)
- Plan action yg salah
-commission & omission (KTD=Kejadian Tdk Diharapkan)/
Sentinel

Proses of Care Pasien

(Non Error) cidera Adverse Event

21/5/2013 NURSALAM-MAKP-2013 61
 B
SATISFACTION
R-A-T-E-R
(Parasuraman)
21/5/2013 62
NURSALAM-MAKP-2013
 DIMENSIONS OF SERVICE QUALITY
R-A-T-E-R
Reliability:
Perform promised service dependably and accurately.

Example: receive mail at same time each day.

Assurance:
Ability to convey trust and confidence.

Give a feeling that customers best interest is in your heart

Example: being polite and showing respect for customer.

Tangibles:
Physical facilities and facilitating goods.

Example: cleanliness.
Empathy:
Ability to be approachable, caring, understanding and relating with customer needs.
Example: being a good listener.

Responsiveness:
Willingness to help customers promptly.
Example: avoid keeping customers waiting for no apparent reason.
Quick recovery, if service failure occurs
PERCEIVED SERVICE QUALITY

Word of Personal Past

mouth needs experience

Service Quality Expected

Dimensions: Service Quality Assessment
service
Reliability 1. Expectations exceeded
Assurance ES<PS (Quality surprise)
Tangibles Perceived 2. Expectations met
Empathy service
Responsiveness
ES~PS (Satisfactory quality)
3. Expectations not met
ES>PS (Unacceptable quality)

6-64
 C
SELF CARE
(INDEX KATZ)

21/5/2013 NURSALAM-MAKP-2013 65
 D
COMFORT
(PAIN SCALE)

21/5/2013 NURSALAM-MAKP-2013 66
nursalam-METODOLOGI
nursalam-METODOLOGI
nursalam-METODOLOGI
nursalam-METODOLOGI
 E
ANXIETY
Zung Self-Rating Anxiety Scale ( SAS / SRAS ) adalah penilaian kecemasan pada
pasien dewasa yang dirancang oleh William WK Zung, dikembangkan berdasar gejala
kecemasan dalam DSM-II (Diagnostic and Statistical Manual of Mental Disorders).
Terdapat 20 pertanyaan, dimana setiap pertanyaan dinilai 1 4 (1 : tidak pernah, 2:
kadang-kadang, 3: sebagian waktu, 4: hampir setiap waktu. Terdapat lima belas
pertanyaan ke arah peningkatkan kecemasan dan lima pertanyaan ke arah penurunan
kecemasan. ( Zung Self-Rating Anxiety Scale ( SAS / SRAS ) dalam Ian
mcdowell.(2006)
Rentang penilaian 20-80, dengan pengelompokan sbb:
Skor 20 - 44 normal/tidak cemas
Skor 45-59 Kecemasan ringan
Skor 60-74 Kecemasan sedang
Skor 75-80 kecemasan berat

21/5/2013 NURSALAM-MAKP-2013 71
 F
KNOWLEDGE
(HBM , DP, PPB)

21/5/2013 NURSALAM-MAKP-2013 72
 3
QUALITY
IMPLEMENTATION IN
NURSING CARE
AIRLANGGA HOSPITAL

NURSALAM-2004
 EMERGENCY DEPARTEMENT

Response time (>5 min)

Failed on IV Line (>2x)
Patient Transfer
Blood sampling
Medication error

NURSALAM-2004
 WARD DEPT

Phlebitis
decubitus
Patient fall
Medication error
Patient Satisfaction
Blood sampling

NURSALAM-2004
 ICU

ABG (>3x)
Phlebitis
Decubitus
Patient fall
Medication error
Injury on restraint
Extubation
NURSALAM-2004
 OPERATING ROOM

Patient Identification
Gass and other instruments
Schedule on operation
ME
Patient fall
Response time for emergency preparation (<60
menit)
NURSALAM-2004
 OUT PATIENT DEPT

Wrong on schedule visiting

Intervention
Pateient satisfaction

NURSALAM-2004
 4
CONCLUSION
1. The important component of quality improvement is a
dynamic process that often employs more than one
quality improvement tool; input-process-output; and
apply five dimensions of service quality are R-A-T-E-R
by PCC (patient-center- care & Patient safety).
2. Quality improvement requires some essential elements
for success especially on hospital accreditation
3. The principles of patient safety is in the
implementation on IPSG standard
 RECOMENDATION

1) Strong leadership commitment

2) A culture safety and environment
3) Stakeholders involved
4) Multidisciplines teams and strategies
5) Understand the problem and root causes
 K-U-A-T - PRINCIPLES
K= KEMAUAN
U= USAHA /UANG
W= WAKTU
A= ALAT SARANA
T= TENAGA (KUALITAS &

A P I KUANTITAS)

A = AKTUALITAS
P = PRODUKTIFITAS
I = INOVATIF
NETWORKING & INTERCONNECTING

We are nothing without others, so need

others!
SELF REFORM
 FIGHTING SPIRIT

11/15/2017 87
 SUCCES IS NOT ONLY AN OPTION.
It is the right of everyONE

S-I-M-R: SUCCESS IS MY RIGHT