Kepastian

MANAJEMEN
PASIEN SAFETY
KEPASTIAN TEPAT-LOKASI,
TEPAT-PROSEDUR, TEPAT-
PASIEN OPERASI
KELOMPOK 3
KELAS 3A DIV KEPERAWATAN
2019
PENANDAAN AREA OPERASI
Merupakan suatu cara yang dilakukan oleh ahli bedah untuk
melakukan penandaan area operasi terhadap pasien yang akan
dilakukan tindakan pembedahan.
Meminimalkan risiko terjadinya kesalahan pada

01 tempat dilakukannya operasi dan pasien.
Meminimalkan risiko terjaadinya kesalahan

02 prosedur operasi.
Menginformasikan dan membimbing ahli bedah

03 operasi dalam hal metode yang digunakan pada
proses penandaan tempat operasi.
Memastikan bagian tubuh (anatomi) yang akan

04 dilakukan tindakan operasi.
PROSES PENANDAAN AREA OPERASI
SURGICAL SAFETY CHECKLIST
SIGN IN
Apakah pasien
Apakah pulse oximetry
memiliki kesulitan jalan
Apakah tempat pada pasien telah
nafas dan risiko
ditandai? berfungsi?
aspirasi?
1 3 5 7
Start 2019
2 4 6
Apakah pasien
memiliki risiko
Apakah pasien telah Apakah mesin anestesi Apakah pasien kehilangan
dikonfirmasi identitas dan obat-obat telah memiliki alergi? darah > 500 ml
tempat, prosedur dan lengkap? (7 ml / kg) pada
persetujuan? anak-anak?
TIME OUT
1 2 3 4 5
Konfirmasi semua Konfirmasikan nama Apakah antibiotik Peristiwa penting Apakah pencitraan
anggota tim telah pasien, prosedur profilaksis telah untuk dokter bedah, telah di pasang
menyebutkan nama dan area yang akan diberikan dalam 60 untuk tim anastesi, dengan benar?
dan peran masing- dilakukan tindakan menit terakhir? dan untuk tim
masing. pembedahan. keperawatan.
SIGN OUT
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designed. Easy to change colors, baik dapat
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didaur ulang, supaya dapat
dan telah terbukti menjadi sumber kembali.
photos and Text.
kesalahan laboratorium.
Ahli bedah, ahli anestesi dan perawat

meninjau kembali mengenai rencana
pemulihan dan pengelolaan bagi pasien.
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Dokter bedah, dokter anestesi dan perawat harus
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and Text.atau
anestesi yang mungkin mempengaruhi status kesehatan
pasien.
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PENGECUALIAN PENANDAAN AREA OPERASI
Hal ini diakui bahwa
Prosedur yang tidak ada cara praktis
Semua tindakan memiliki pendekatan atau dapat
endoskopi, prosedur invasif yang
direncanakan dianggap dibebaskan 1 garis tengah yang
dimaksudkan untuk
2 diandalkan untuk 3
dari penandaan bedah, seperti menandai gigi atau
satu organ tertentu selaput lendir,
katerisasi jantung. yaitu operasi caesar, terutama dalam
histerektomi atau kasus gigi yang
tyroidectomy. direncanakan untuk
ekstraksi.
Untuk lokasi tubuh
manapun yang tidak
dilakukan
penandaan, harus
dilakukan
Jika ada beberapa luka peninjauan verifikasi
Untuk luka atau lesi atau lesi dan hanya pasien dan prosedur
Daerah lain / bagian anatomis beberapa dari luka /lesi di 'Time Out' yang
yang jelas,
secara teknis sulit untuk menandai tersebut yang dirawat merupakan bagian
penandaan area
daerah operasi meliputi bidang-
bidang seperti perineum, gembur 4 operasi tidak
berlaku jika luka
5 maka penandaan area
operasi harus
6 dari WHO
Keselamatan
kulit di sekitar penandaan dan dilakukan sesegera Checklist.
atau lesi adalah
neonatus atau bayi prematur. mungkin setelah
tempat dilakukannya
tindakan keputusan dibuat untuk
pembedahan. tindakan operasi.
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KTD TINDAKAN PEMBEDAHAN
Pelayanan pembedahan di kamar operasi merupakan pelayanan yang multi

komplek, yang sering kali menimbulkan cedera medis atau Kejadian Tidak
Diharapkan (KTD). Risiko- risiko atau kemungkinan-kemungkinan yang
terjadi hampir semua berakibat fatal, diantaranya adalah:
Infeksi pada daerah yang

Salah pasien yang dioperasi 04 dioparasi (surgical site
01
(wrong person surgery) infection)
Tertinggalnya instrumen
02 Salah pasien yang dioperasi 05 operasi seperti gunting,
(wrong person surgery) kasa, jarum (retained
instruments and sponges
after surgery)
Salah prosedur operasi (wrong
03
procedure)
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SIAPA YANG MEMBERI TANDA AREA OPERASI?
1) Orang yang bertanggung jawab dalam

memberikan tanda pada pasien yang akan
dilakukan prosedur operasi adalah dokter
yang akan melakukan tindakan/wakilnya.
2) Jika pada proses penandaan dilakukan

oleh wakil/yang mewakili maka dokter yang
melakukan tindakan operasi harus hadir
selama prosedur penandaan area tersebut.
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Merupakan suatu daftar periksa yang digunakan
SURGICAL untuk memperkuat keselamtan pasien.
SAFETY Tujuan checklist ini dimaksudkan sebagai alat yang

digunakan oleh tim bedah (dokter bedah, dokter
anestesi, perawat) dalam meningkatkan keselamatan
pasien pada proses operasi dan mengurangi risiko
CHECKLIST infeksi yang tidak perlu/kematian.
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VISION MISSION
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WEAKNESS designed. designed.
SWOT T
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Secara khusus, dalam the 2008 National Patient Safety Goals, JCAHO menetapkan
protokol universal dalam rangka untuk mencegah kesalahan identifikasi pasien
dalam pelayanan bedah. Dalam protokol tersebut disebutkan tiga prosedur penting
yang harus dilakukan, yaitu:
1. Proses verifikasi pre-operatif.
Tujuan yang ingin dicapai pada tahap ini adalah untuk
menjamin semua dokumen yang terkait dengan prosedur
operasi tersedia, dan dikaji ulang dan telah diyakini
semuanya telah konsisten sesuai dengan harapan pasien
dan tim bedah.
2. Membuat penandaan tempat operasi.

Tujuan pemberian tanda di tempat operasi adalah
menjamin tidak terjadinya keraguan tempat insisi bedah.
3. Melakukan Time out sebelum tindakan operasi dimulai.

Melakukan “time out“ sebelum operasi bertujuan untuk menjamin
tidak terjadinya salah pasien, salah prosedur atau salah sisi operasi.
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43%
MEMBUAT
TANDA AREA
OPERASI 4) Tempat operasi yang diberi tanda
1) Pada pasien yang akan dilakukan tindakan lingkaran ((→O) berupa prosedur yang
operasi harus dilakukan penandaan area melibatkan sayatan (permukaan kulit,
terlebih dahulu. Ketika proses penandaan, spesifik digit/lesi, lateral).
pasien dilibatkan dalam keadaan terjaga/sadar
dan sebaiknya proses penandaan dilakukan
sebelum induksi anestesi.
2) Tanda yang digunakan berupa

5) Semua tanda yang dibuat harus
lingkaran (→O) pada tempat area
melihat catatan medis, identitas
operasi.
pasien dan hasil pencitraan pasien
untuk memastikan tingkat
kebenaran pada proses penandaan.
3) Tanda yang dibuat harus
menggunakan spidol hitam
permanen dan tidak terhapus/tetap
terlihat setelah dilakukan
disinfeksi dan drapping.
Infographic Style
Sign in ( sebelum induksi anestesi )
1 Hal ini setidaknya membutuhkan

kehadiran personel anestesi dan perawat
Time Out (sebelum dilakukan

incisi)
SURGICAL 2 Hal ini membutuhkan kehadiran

semua personel tim bedah.
SAFETY
CHECKLIST
Sign out (Sebelum pasien meninggalkan
ruang operasi)
3 Tujuannya adalah untuk memfasilitasi transfer
informasi penting kepada tim perawatan yang
bertanggung jawab untuk pasien setelah tindakan
operasi.
AWESOME
SLIDE
LOREM IPSUM
Your Text Here
DOLOR SIT AMET,
LOREM IPSUM DOLOR SIT AMET,
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Thank You
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MANAJEMEN

Meminimalkan risiko terjadinya kesalahan pada

Meminimalkan risiko terjaadinya kesalahan

Menginformasikan dan membimbing ahli bedah

Memastikan bagian tubuh (anatomi) yang akan

Pelabelan specimen. Apakah ada masalah peralatan

Ahli bedah, ahli anestesi dan perawat

Tony Wilson Anastasia Tony Jones

Easy to change colors, Easy to change colors, Easy to change colors,

PowerPoint Text Contents Text PowerPoint PowerPoint

Your Text Here

Pelayanan pembedahan di kamar operasi merupakan pelayanan yang multi

Infeksi pada daerah yang

Graphic and Text.

Get a modern PowerPoint

Infographic Presentation that is beautifully

You can simply impress your

1) Orang yang bertanggung jawab dalam

2) Jika pada proses penandaan dilakukan

Simple Simple Simple

Easy to change Easy to change Easy to change

65% 45% 80% 50% 90%

Option C I hope and I believe that

80% 50% 30% 70%

Content Here Content Here

Contents A Contents B Contents C Contents D

$456,000 $242,000 $56,000 $1,211,000

Content Here Content Here Content Here

Simple PowerPoint Simple PowerPoint

Content Here Content Here

Get a modern PowerPoint Presentation that is beautifully designed. You

Text Here Text Here Text Here

SURGICAL untuk memperkuat keselamtan pasien.

SAFETY Tujuan checklist ini dimaksudkan sebagai alat yang

Contents Title Contents Title

VALUE VALUE VALUE

Add Title Here

Add Title Here

Your Text Here

Your Text Here

Your Text Here

Your Text Here

Your Text Here

O audience and add a unique zing

2. Membuat penandaan tempat operasi.

3. Melakukan Time out sebelum tindakan operasi dimulai.

Content Here Content Here Content Here

You can simply impress You can simply impress

2) Tanda yang digunakan berupa

1 Hal ini setidaknya membutuhkan

Time Out (sebelum dilakukan

SURGICAL 2 Hal ini membutuhkan kehadiran

Text Here NO.1 Presentation

Get a modern PowerPoint Presentation that is beautifully

Get a modern PowerPoint Presentation that is beautifully

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