Intern
ati
o
n
a
l
Jo
urn
a
l
o
f
P
u
b
lic Hea
l
th Science (IJ
P
HS)
V
o
l.4
,
No
.3
, Sep
t
em
b
e
r
20
15, pp
. 152
~158
I
S
SN
: 225
2-8
8
0
6
1
52
Jo
urn
a
l
h
o
me
pa
ge
: h
ttp
://iaesjo
u
r
na
l.com/
o
n
lin
e/ind
e
x.ph
p
/
IJPHS
Patient Safety Applications for
Improving Health Care Quality
Ro
sy
ida
h
, Septia
n Emma Dwi J
a
tmika
Department o
f
P
ublic Health, Universi
tas Ahmad
Dahlan, Yog
y
ak
arta, Indon
esia
Article Info
A
B
STRAC
T
Article histo
r
y:
Received
May 15, 2015
Rev
i
sed
Au
g
12
, 20
15
Accepted Aug 27, 2015
Patient saf
e
ty
is the fundamental
thing
that n
eeds to be taken
car
e b
y
medical
s
t
aff when giv
i
ng heal
th c
a
re
to pa
tien
t
,
es
peci
all
y
in th
e
Em
ergen
c
y
Install
a
tion
.
PKU Muhamm
adi
y
ah Public Hospital Ban
t
ul has i
m
p
lem
e
nted
Patient safety
well in providing servi
ces
for patients
.
Exp
e
cted to be a
referen
ce for o
t
h
e
r hospitals to implement
Patien
t
safet
y
as well
as efforts to
im
prove the qua
lit
y of he
alth ser
v
ices, but do no
t close th
e possibilit
y th
er
e
were some deficien
cies th
at co
ul
d be made a suggestion for the PKU
Muhammadiy
a
h
Bantul Hospital. The
aim
of this research
, to find out more
detail how application of Patient sa
fety
in Emergency
Installation PKU
Muhammadiy
a
h
Bantul Public Hospita
l in 2
014. This was qualitativ
e
observation
a
l stud
y
,
using research
s
ubje
c
ts
:
The Head of
t
h
e m
e
dica
l
service, 1 officer of emergency
Inst
all
a
tion
,
the he
ad of dis
a
s
t
er
management, 1
medical do
ctor
,
1 nurse, an
d
4 p
a
ti
ents tha
t
wer
e
taken
with
inclusion cr
iter
i
a: get
ti
ng inpatient in PKU Mu
ha
mmadiy
a
h Bantul Public
Hospital more th
an one day
.
Bas
e
d on th
e r
e
s
u
lt
can be
conc
lude
d, fac
ili
ti
es,
equipment, dru
g
s, procedures, and
activ
iti
es
of officers
at
Em
erge
n
c
y
Ins
t
all
a
tion
at
P
KU M
uhamm
adi
y
ah Ban
t
ul
Public Hospit
al
, as
well
as th
e
application process were in accordance
with th
e Guidelin
es of Observation
Guidelin
es Patient Safety
2008
Survey
,
and Guidelin
es for Accr
editation of
Hospital Emergency
Serv
ices Specifi
c Guidelines (revised edition 2007),
hospital regu
lations (No.44/2009), and
patien
t
safety
pro
ced
ures 2008.
Patient per
ceiv
e
d output
includ
es five
d
i
mensions of qua
lity
(Tangib
l
e,
Re
lia
ble,
Re
sponsive
ne
ss,
Assur
a
nc
e
a
nd Empath
y
)
patien
t
s hav
e
the same
percep
tion o
f
go
od and satisf
y
in
g.
Keyword:
Em
erg
e
n
c
y in
stallatio
n
Health
care
q
u
ality
Medical staff
Patien
t
safety
Pub
lic Ho
sp
ital
Copyright ©
201
5 Institut
e
o
f
Ad
vanced
Engin
eer
ing and S
c
i
e
nce.
All rights re
se
rve
d
.
Co
rresp
ond
i
ng
Autho
r
:
Ro
syid
ah,
Depa
rt
m
e
nt
of
Pu
bl
i
c
Heal
t
h
,
Uni
v
ersitas A
h
m
a
d
Da
hlan,
Jl
.
Pr
of
. Dr
.
S
o
epom
o., S.
H. , Jant
u
r
an
, Yo
gy
akart
a
5
5
1
6
4
, Ph
one
(
0
27
4)
38
1
5
2
3
,
3
7
9
4
1
8
.
Em
a
il: ro
syid
ah
@i
k
m
.u
ad
.ac.id
1.
INTRODUCTION
Patien
t
safety
an
d secu
rity is th
e
fund
am
en
tal th
in
g
that needs
t
o
be
taken
ca
re of by medical
staff
wh
ile prov
id
i
n
g
h
ealth
care serv
ices to
p
a
tien
t
s [1
]. Th
e
g
o
al is to
p
r
ev
en
t
th
e o
ccurren
c
e o
f
d
a
ng
er
o
r
in
ju
ry
to
th
e
p
a
tien
t
du
ri
n
g
th
e treatmen
t p
r
o
cess [2
].
One
of t
h
e fac
t
s of t
h
e
pat
i
e
nt
safet
y
rel
eased by
t
h
e
W
HO
(
W
orl
d
H
eal
t
h
Or
gani
za
t
i
on) t
h
at
i
n
d
e
v
e
l
o
p
i
n
g
cou
n
t
ries on
e ou
t
of ten p
a
tien
t
s suffered
injuries wh
en
g
e
ttin
g h
ealt
h
care. Th
e
WHO
rep
o
rted
fr
om
vari
o
u
s
cou
n
t
r
i
e
s
t
h
at
adve
rse
eve
n
t
(KTD) i
n
p
a
ti
en
ts
o
f
3-16
%. Gen
e
sis is
no
t ex
p
ected
in New
Zeal
and
re
po
rt
ed ra
n
g
ed
fr
o
m
12.
9%
of i
n
pat
i
e
nt
[
3
]
,
t
h
e
Uni
t
e
d
Ki
ng
d
o
m
report
e
d ra
nge
d
fr
om
10.
8% [
4
]
,
wh
ereas in
Can
a
d
a
rang
ed
fro
m
7
.
5
%
[5
]. Resu
lts o
f
th
e
stu
d
y
of p
a
tient safety in
th
e Un
ited
States in
th
e late
19
9
0
s f
o
u
n
d
t
h
e fi
g
u
re o
f
3.9
%
an
d 2.
7% i
n
pat
i
e
nt
s
of ad
ver
s
e event
[
6
]
-
[
7
]
.
Twent
y
y
ears l
a
t
e
r,
measurem
ents with the
Gl
oba
l Trigge
r Tool
shows
that a
d
verse e
v
ent i
n
creased
10-fol
d (becam
e 32%) [8].
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
PH
S I
S
SN
:
225
2-8
8
0
6
Pa
tien
t
S
a
f
ety
App
lica
tio
ns for Imp
r
o
v
ing Hea
lth
C
a
re
Qua
lity (Ro
s
yida
h)
15
3
Th
e issu
e
of
p
a
tien
t
safety in
In
don
esia started
to
b
e
d
i
scu
s
sed
in
2
000
,
fo
l
l
o
w
ed
b
y
th
e fi
rst stud
y at
1
5
ho
sp
itals wi
th
m
e
d
i
cal reco
rd
4
500
.
Th
e
resu
lts sho
w
that th
e fi
g
u
res
vary wid
e
ly, i.e. adv
e
rse ev
en
t
8
.
0
%
-
98
.2
% f
o
r fa
ul
t
di
ag
n
o
si
s a
n
d
4.
1%-
9
1.
6%
fo
r er
r
o
r t
r
eat
m
e
nt
[
9
]
.
Locat
i
o
n of
hi
gh
-ri
s
k
i
n
h
o
sp
i
t
a
l
s
(such as i
n
st
a
llatio
n
o
f
emerg
e
n
c
y ro
om
s,
in
ten
s
iv
e care u
n
its and
ope
rat
i
n
g r
o
o
m
s) are al
way
s
a concer
n i
n
t
h
e st
u
d
y
of
pat
i
e
nt
safet
y
. C
o
nsi
d
e
r
i
n
g h
o
w
im
port
a
nt
t
h
e
m
i
ssi
on
h
o
s
p
ital to
b
e
ab
le to
p
r
o
v
i
d
e
th
e b
e
st h
ealth
serv
ices to
patien
t
s req
u
i
ring
ho
sp
itals to
try to
red
u
c
e
med
i
cal
err
o
rsa
s
a
part
of
hi
s a
p
p
r
eci
a
t
i
on
of
h
u
m
a
nit
y
, t
h
en t
h
e
de
vel
o
ped
sy
st
em
Pati
ent
safet
y
desi
g
n
ed
cap
abl
e
t
o
respon
d to
ex
istin
g
p
r
ob
lem
s
.
PKU Muh
a
mmad
i
yah
Pub
lic Hosp
ital at Ban
t
u
l
h
a
s imp
l
em
en
ted
p
a
tien
t
safety well
in
prov
id
i
ng
serv
ices fo
r
p
a
tien
t
s. Th
e ho
spital
is ex
p
ected to
b
e
a reference fo
r
o
t
h
e
r
h
o
sp
itals to
i
m
p
l
e
m
en
t p
a
tien
t
safety
as well as efforts to
im
p
r
ov
e
th
e qu
ality o
f
h
ealth
serv
ices. Bu
t
d
o
no
t clo
s
e th
e po
ssi
b
ility th
ere were still
som
e
deficiencies that coul
d
be
m
a
de a su
gge
st
i
o
n
f
o
r t
h
e P
K
U
M
uham
m
adi
y
ah B
a
nt
ul
. T
h
eref
ore
researc
h
ers int
e
rested t
o
obs
e
rve m
o
re
detail how app
licatio
n
of
p
a
tient safety in
Emerg
e
n
c
y In
stallatio
n
s
PK
U M
u
ham
m
a
di
y
a
h B
a
nt
ul
Pu
bl
i
c
H
o
s
p
i
t
a
l
[1
0]
.
2.
R
E
SEARC
H M
ETHOD
Thi
s
re
searc
h
was c
o
n
d
u
ct
ed
at
t
h
e Em
erge
ncy
I
n
st
al
l
a
t
i
on
of
PK
U M
u
ham
m
a
di
y
a
h B
a
nt
ul
P
ubl
i
c
Ho
sp
ital u
s
ing
q
u
a
litativ
e ob
serv
ation
a
l stu
dy. Th
e in
fo
rm
an
ts are th
e h
e
ad
o
f
m
e
d
i
cal s
e
rv
ices,
o
n
e
med
i
cal
doct
o
r at
Em
erge
ncy
Inst
al
l
a
t
i
on, o
n
e em
er
gency
i
n
st
al
l
a
t
i
on n
u
r
s
e, o
n
e
t
h
e head o
f
d
i
sast
er
m
a
nage
m
e
nt
,
and f
o
ur patie
nts taken
with inclusio
n criter
i
a: W
a
s gettin
g
inpatient class III at
PK
U M
u
ham
m
a
diy
a
h Bantul
Hos
p
i
t
a
l
whe
n
d
o
i
n
g resea
r
ch
, has t
r
eat
ed m
o
re t
h
an
one day
re
g
i
st
ered i
npat
i
e
nt
depa
rt
m
e
nt. The
in
stru
m
e
n
t
s were in
th
e fo
rm o
f
(1
) Stru
ctured
In
terv
iew (2
) Th
e ch
eck
list was ad
ju
sted
with
Patien
t
Safety
O
b
serv
atio
n
Gu
id
elin
es
2
008 an
d
Ho
sp
ital
A
ccr
ed
itatio
n
Su
rv
ey Gu
id
el
in
es Sp
ecif
i
c to
Med
i
cal E
m
er
g
e
n
c
y
Serv
ice (
R
ev
ised
ed
itio
n
2007
) [1
1
]
.
3.
R
E
SU
LTS AN
D ANA
LY
SIS
3.
1.
Analysis
of the implementation
of
Patient Safety on the
standard
I
n
put
at Emerge
n
cy Installati
on
of
PK
U
Mu
h
a
mm
adi
y
ah
B
a
nt
ul
Pu
bl
i
c
Hospi
t
al
A
f
ter
t
h
e ob
ser
v
ation
is don
e th
or
oug
h
l
y star
ted
stand
a
rd
1
to
stan
d
a
rd
7
,
all th
e standard
item
s
in
accorda
n
ce wi
th the Guideli
n
es
of obse
rva
tion Guideline
s
Patient Sa
fety 2008 Surve
y
and guidelines for
accreditation
of Hospital Emergency Se
rvices Scientific Guid
eline
s
(revise
d
edition 2007) [11].
Anothe
r
stan
d
a
r
d
is
Ho
sp
ital r
e
g
u
l
at
io
n
s
No
.
4
4
/
20
09
,
pr
o
c
edu
r
es and
Patient Saf
e
ty 2
008. A
s
exp
l
ain
e
d
b
y
D
o
n
a
b
e
d
e
an
, qu
ality o
f
serv
ice is th
e serv
ice th
at
correspond
s t
o
stand
a
rd [1
2
]
. If seen
as
stan
d
a
rd
:
3.
1.
1.
St
anda
rd
1
.
Philo
so
phy and Ob
jective
s
to
be ac
hieved
On this standa
rd, all the ite
m
s
reach a score of
5, m
e
a
n
ing that E
m
e
r
ge
ncy Installa
tion of PKU
M
uham
m
adi
y
ah B
a
nt
ul
P
u
bl
i
c
Hos
p
i
t
a
l
can
pr
ovi
de em
ergency
se
rvi
ces
t
o
t
h
e com
m
uni
t
y
su
ffe
ri
n
g
fr
o
m
acute illnesses and i
n
juries,
according t
o
t
h
e sta
nda
rd.
Ite
m
S.1.P.1.
The hospital hosts em
ergency service
s
for 24
ho
urs co
n
tinuo
usly. Accord
ing
to
th
e resu
lts
o
f
obs
er
vat
i
on a
n
d i
n
t
e
r
v
i
e
ws
wi
t
h
m
e
di
cal
st
affat
Em
ergency
I
n
st
al
l
a
t
i
on ser
v
i
ces are p
r
ovi
ded
2
4
ho
u
r
s con
tin
uou
sly. S.1.P.2
Th
ere is in
stallati
o
n
or
Em
ergency
In
st
al
l
a
t
i
on fu
nc
t
i
onal
l
y
separ
a
t
e
fr
om
ot
her ser
v
i
ce u
n
i
t
s. At
t
h
e
t
i
m
e
of
o
b
ser
v
at
i
on i
n
Em
ergency
I
n
st
al
l
a
t
i
on fu
nc
t
i
onal
l
y
separ
a
t
e
Em
ergency
Inst
al
l
a
t
i
on
wi
t
h
ot
her
u
n
i
t
s
. The e
v
i
d
e
n
ce i
s
com
p
l
e
t
e
wi
t
h
an o
r
gani
zat
i
onal
st
r
u
ct
ure
and t
a
s
k
de
scr
i
pt
i
ons
fo
r m
e
di
cal
st
affat
E
m
ergency
Inst
al
l
a
t
i
o
n
.
S.1
.
P.
3.
Pol
i
c
i
e
s an
d p
r
oced
u
r
es o
n
pat
i
e
nt
s
wh
o a
r
e n
o
t
cl
assified as ac
ut
e and criti
cal medical treatment that
com
e
s in Installation of E
m
ergency. T
h
is ite
m is
a
l
s
o
in accorda
n
ce with th
e standa
rd
Obse
rvation
Gu
i
d
elin
es, Gu
id
elin
es for Patien
t
Safety 2
0
0
8
Su
rv
ey
an
d
Gu
id
elines fo
r
Accreditatio
n
o
f
Hosp
ital
Em
erg
e
n
c
y Serv
ices Sp
ecific
Gu
i
d
elin
es
(rev
i
sed ed
ition
20
07) [11
]
.
3.
1.
2.
S
t
an
da
rd
2
.
Ad
min
i
s
t
ra
t
i
on
a
n
d
Ma
nag
e
men
t
Em
ergency
i
n
s
t
al
l
a
t
i
on
m
u
st
be o
r
ga
ni
ze
d,
l
e
d an
d i
n
t
e
g
r
at
ed wi
t
h
ot
he
r pa
rt
s an
d i
n
s
t
al
l
a
t
i
on of
ot
he
r h
o
s
p
i
t
a
l
s
. S.
2.P
.
1
.
I
n
st
al
l
a
t
i
on of
Em
ergency
co
m
e
wi
t
h
or
ga
ni
zat
i
onal
c
h
a
r
t
s
, j
o
b desc
ri
pt
i
o
n
s
accom
p
anied t
h
e
division of aut
h
ority
and m
echanis
m
s
worki
n
g
relations
hi
p
with
ot
her work units
in t
h
e
h
o
s
p
ital. S.2
.
P.2
Th
er
e is a sch
e
du
le of
d
a
ily to
k
e
ep
you
r
do
ctor
,
n
u
r
s
e, an
d
o
t
h
e
r
su
ppor
ter
s
o
f
th
e of
f
i
cer
on
d
u
t
y at th
e Emer
g
e
n
c
y In
stallatio
n
.
A
lth
ough
th
er
e ar
e m
e
d
i
cal staf
f
who ar
e con
tin
u
i
n
g
th
eir
stu
d
y
,
bu
t th
e
t
u
r
n
o
f
d
u
t
y
and se
r
v
i
ce t
a
sks can
be
do
n
e
wi
t
h
a co
de
of c
o
n
d
u
ct
. S.
2.P
.
3
.
The
r
e’
re
i
n
st
ruct
i
o
ns a
nd t
h
e
i
n
f
o
rm
at
i
on pr
ovi
ded f
o
r t
h
e
com
m
uni
ty
t
o
ensu
re an eas
e, sm
oot
h
n
ess
and
or
der i
n
p
r
o
v
i
d
i
ng ser
v
i
ces i
n
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
SN
:
2
252
-88
06
I
J
PH
S Vo
l. 4
,
N
o
. 3
,
Sep
t
emb
e
r
201
5
:
1
52
–
15
8
15
4
In
stallatio
n of
Em
erg
e
n
c
y
.
[1
1]
B
a
sed
o
n
o
b
ser
v
at
i
o
n, ca
n be kn
o
w
n to the ease
of ac
cess and i
n
formation
pr
o
v
i
d
e
d
by
m
e
di
cal
st
affat
Em
ergency
In
s
t
al
l
a
t
i
on and
Gr
oo
ve
o
n
e
v
e
r
y
co
ver
o
f
t
h
e M
i
ni
st
ry
an
d
i
n
t
h
e
medical record.
3.
1.
3.
Sta
n
d
a
rd 3.
S
t
af
f and
L
e
ad
e
r
shi
p
Installation of
Em
ergency is
led by
physicians
wh
o ha
ve
receive
d em
ergency t
r
aining, assisted
by
med
i
cal d
o
c
tor, nu
rse, no
n
m
e
d
i
cal staff and
sk
illed
n
on-me
d
i
cal staff. On
ev
ery item
in
th
e th
ird
stan
d
a
rd
(a
st
anda
rd
3.
1 t
o
3.
5)
i
s
i
n
c
o
m
p
li
ance wi
t
h
t
h
e
G
u
i
d
e
lin
es of
Ob
serv
atio
n Gu
id
eli
n
es Patien
t
Safet
y
2
008
Su
rv
ey
an
d
Gu
id
elin
es fo
r Accred
itatio
n
o
f
Ho
sp
ital
E
m
ergency Se
rvices Specific
Gui
d
elines
(revise
d
edi
t
i
on
2
0
0
7
)
,
hos
pi
t
a
l
re
gul
a
t
i
ons
No
.4
4/
2
0
0
9
,
an
d Pat
i
e
n
t
Safet
y
Pr
oce
d
u
r
es i
n
2
0
0
8
.
As presen
ted
in
th
e
i
n
t
e
rvi
e
w
by
E
m
ergency
In
st
al
l
a
t
i
on’s
d
o
ct
or
, Em
ergency
I
n
st
al
l
a
t
i
on’s
nu
rse a
n
d Em
erge
ncy
I
n
st
al
l
a
t
i
on'
s
C
h
i
e
f M
e
di
c D
i
sast
er C
o
m
m
itt
ee, peri
o
d
i
c
t
r
ai
ni
ng i
m
pl
e
m
en
ted
to
im
p
r
o
v
e
th
e co
m
p
etence of m
e
dical staff
at
Em
ergency
Inst
al
l
a
t
i
o
n
,
i
n
cl
udi
n
g
t
r
ai
ni
n
g
on
di
sast
er
e
m
ergency
res
p
ons
e. B
eca
use
PK
U M
u
ham
m
a
di
y
a
h
Pu
bl
i
c
Hos
p
i
t
a
l
l
i
v
el
i
n
ess i
n
em
ergency
di
sa
st
er oft
e
n get
a cham
pi
on o
n
e
i
n
20
14 a
nd
2
0
1
3
g
o
t
t
h
e wi
nne
r 1
fro
m
PERSI fo
r Em
erg
e
n
c
y an
d
d
i
saster
m
a
n
a
g
e
m
e
n
t
’s co
m
p
etitio
n
.
Patien
t
Safety’s Man
a
g
e
m
e
n
t
i
n
Em
erg
e
n
c
y In
stallatio
n
is h
a
nd
led b
y
Patien
t
Safety’s T
eam th
at ev
alu
a
ted p
e
riod
ically by In
tern
al
Qu
ality’s
Team
o
f
PKU Mu
h
a
mm
ad
iy
ah
Ban
t
u
l
Pub
lic Ho
sp
ital. Plan
ah
ead
acco
rd
ing
to inform
at
io
n
from th
e
Di
rect
o
r
o
f
PK
U M
u
h
a
m
m
a
di
y
a
h B
a
nt
ul
Pu
bl
i
c
Hos
p
i
t
a
l
,
C
h
i
e
f M
e
di
c Di
sast
er C
o
m
m
i
tt
ee, t
h
e doc
t
o
r a
n
d
th
e do
ctor in ch
arg
e
o
f
th
e
p
a
tien
t
safety at Em
erg
e
n
c
y In
stallatio
n
co
nv
ey if Patien
t
Safety’s Team
in
t
o
th
e
fu
t
u
re
will b
e
un
d
e
r
d
i
rect and ev
alu
a
ted
b
y
t
h
e m
e
d
i
cal serv
ice.
3.
1.
4.
Standa
rd
4
.
Fa
cilities a
n
d E
quipment
Facilities p
r
ovid
e
d
m
u
st gu
aran
tee t
h
e effectiv
en
es
s of t
h
e em
erg
e
n
c
y
p
a
tien
t
serv
ice with
i
n
24
h
our
s co
n
tinuou
sly.
S.4.P.
1
: The
r
e
is relief for
four-wheeled
vehicles from
out
sid
e
to
reach th
e lo
cation
of in
stallatio
n
/
Rescu
e
Em
ergency
U
n
i
t
i
n
h
o
s
p
i
t
a
l
s
, an
d t
h
e
ease
of
t
r
an
sp
ort
i
n
g
pat
i
e
nt
s t
o
a
n
d
fr
om
t
h
e di
r
ect
i
on
of
Em
ergency
In
stallatio
n in
Ho
sp
ital.
B
u
i
l
d
i
n
gs fo
r M
i
ni
st
ry
of Em
ergency
Pat
i
e
nt
s
m
u
st
cope
i
n
such a way
t
h
at
t
h
e pat
i
e
nt
em
ergenc
y
relief can b
e
carried ou
t
with op
ti
m
a
l. It is stated
in
t
h
e
g
u
i
d
el
i
n
es
o
f
t
h
e Em
ergency
M
i
ni
st
ry
i
n
19
95
. T
h
e
location
of t
h
e
Em
ergency Installation Muha
mm
adiyah Ba
ntul Public
Hospital is easily reache
d
by a clea
r
d
i
rection
fro
m
th
e street as
well as fro
m
with
in
. Th
e
E
m
ergency
I
n
st
al
l
a
t
i
on i
s
facing f
o
rwa
r
d s
o
t
h
at
t
h
e
a
m
bulance
did not
need t
o
resign
for acce
ssing t
h
e Em
e
r
ge
ncy Installation.
As for e
a
se of tra
n
s
porting
pat
i
e
nt
s t
o
a
n
d
fr
om
t
h
e Em
erge
ncy
I
n
st
al
l
a
t
i
on f
r
om
di
rec
t
i
on i
n
t
h
e H
o
s
p
i
t
a
l
,
can t
h
ro
u
gh t
h
e d
o
o
r
ne
xt
t
o
th
e Em
erg
e
n
c
y
In
stallatio
n
.
S.4.P.
2
: Th
ere
is a sep
a
ration
o
f
th
e ch
eck
poin
t
s and
actions in
acco
r
d
a
n
c
e with
t
h
e con
d
itio
n
s
o
f
h
i
s illn
ess.
There
are si
x
part
s at
Em
ergency
In
st
al
l
a
ti
on
of
M
u
ham
m
a
di
y
a
h B
a
nt
ul
P
ubl
i
c
H
o
s
p
i
t
a
l
whi
c
h
consists of
res
u
scitation t
r
iage room
, space, space
actio
n,
exam
ination room
, just m
y
assessm
ent and
dugout
space officer. Unfortunately,
there
is
not yet a special waiting area
for fam
i
l
i
es. The
r
e are
re
gulations
for
pat
i
e
nt
'
s
fam
i
ly
t
h
at
t
h
e m
a
xi
m
u
m
am
ount
of fam
i
l
y
mem
b
ers w
h
o
m
a
y
keep t
h
e
pat
i
e
nt
was
o
n
l
y
one
p
e
rson
.
It is in
t
e
n
d
e
d
t
h
at th
e
care of
p
a
tien
t
s in
th
e
Em
ergency
I
n
st
al
l
a
t
i
on
can
r
un
o
p
t
i
m
a
ll
y
.
Ho
wev
e
r, t
h
e
bat
h
ro
om
s for
t
h
e pat
i
e
nt
o
r
t
h
e
pat
i
e
nt
'
s
fam
i
ly
are sepa
r
a
t
e
d wi
t
h
a
bat
h
r
o
om
at
t
e
ndant
. R
o
om
servi
ce O
K
(O
perat
i
e
Kam
e
r)
i
n
PK
U M
uham
m
adi
y
ah B
a
nt
ul
P
u
bl
i
c
Hos
p
i
t
a
l
o
p
e
n
24
ho
urs
.
Th
e
r
efore, all proc
edure
s
of s
u
rge
r
y for
patients is not
done i
n
the
ba
sem
e
nt
of Emerge
ncy Installation
but
in space the OK. Room
’s
arran
g
e
m
e
n
t
of th
e Em
erg
e
n
c
y In
stallatio
n is arrang
ed
su
ch
that th
e
flow
sm
o
o
t
h
and
easy activ
ities sufferers
are c
ontrolled
by the
duty officer.
Triag
e
is th
e fi
rst stag
e in th
e
H
o
s
p
i
t
a
l
’
s Em
erge
ncy
Inst
al
l
a
t
i
on
w
h
ere
t
h
e pat
i
e
nt
asses
s
m
e
nt
based
on
t
h
e
r
ape
u
t
i
c
need
s a
n
d
a
v
ai
l
a
bl
e res
o
urces
[
13]
.
La
be
ling re
d
for a
state of em
ergency, yellow t
o
gree
n
for
ur
ge
nt
ci
rcum
st
ances a
n
d
ci
rc
um
st
ances of
no
n
-
u
r
ge
nt
res
p
ect
i
v
el
y
ha
ve
bee
n
a
ppl
i
e
d
pr
o
p
erl
y
w
h
e
n
d
o
i
n
g
triag
e
an
d written
in th
e m
e
d
i
cal record.
S.4.P.
3
: Proc
urem
ent and
provisi
on of e
quipm
ent, drugs
,
m
a
terials, flui
d infusion
s a
r
e
done
in accordance
with the
standa
rd on t
h
e m
a
nual Em
ergency
Services.
Th
e av
ailab
ility o
f
equ
i
p
m
en
t an
d drug
s in th
e Em
erg
e
n
c
y In
stallatio
n
o
f
PKU Muha
mm
ad
iyah
Ban
t
u
l
Pu
b
lic
Ho
sp
ital in
acco
rd
an
ce with stan
d
a
rd
equ
i
p
m
en
t at E
m
e
r
g
e
n
c
y In
stallatio
n
H
o
s
p
ital Typ
e
c.
There
are
ni
ne
ki
n
d
s o
f
t
o
ol
s and
rem
e
di
es
l
i
k
e dr
ug
s fo
r
resu
scitatio
n, the cure
for "life supp
ort," t
o
o
l
-a cure
for d
i
ag
no
stic,
a d
r
ug
in
acco
r
d
a
n
ce
with
h
o
sp
ital typ
e
, th
e to
o
l
s
o
f
d
r
ug
therap
y in
acco
r
d
a
n
ce
with
h
o
sp
ital
t
y
pe and m
e
di
cal
no
n-
dr
u
g
, s
u
ch as a
udi
o vi
s
u
al
, t
r
ai
ni
ng ai
ds, a
n
d safet
y
s
u
ch a
s
fi
re e
n
g
i
nes.
As f
o
r t
h
e
t
y
pe
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
PH
S I
S
SN
:
225
2-8
8
0
6
Pa
tien
t
S
a
f
ety
App
lica
tio
ns for Imp
r
o
v
ing Hea
lth
C
a
re
Qua
lity (Ro
s
yida
h)
15
5
o
f
eq
u
i
p
m
en
t
n
ecessary for th
e ho
sp
ital th
ere are n
i
n
e
classes C eq
u
i
pmen
t, n
a
m
e
l
y
a d
e
fibrillato
r, EKG,
ope
rat
i
n
g l
i
g
h
t
s (m
obi
l
e
op
erat
i
n
g
)
,
st
eri
l
i
zer, s
u
ct
i
o
n
pum
p, i
n
f
u
si
o
n
pum
p, sy
ri
n
g
e
pum
p, a
n
e
s
t
h
esi
a
machine, a
n
d pulse ox m
e
ter.
In
fact
, Em
erg
e
ncy
I
n
st
al
l
a
t
i
o
n
o
f
P
K
U M
u
ham
m
a
di
y
a
h B
a
nt
ul
P
u
bl
i
c
H
o
spi
t
a
l
is
the disaster pre
p
are
d
ness verified
c
r
e
d
enti
als.
S.4.P.
4
:
T
h
ere
i
s
a com
m
uni
cat
i
on
sy
st
em
t
o
ens
u
re
a sm
oot
h rel
a
t
i
ons
hi
p
bet
w
een t
h
e
Em
ergency
In
stallatio
n wit
h
:
a. Unit ot
hers
inside
and
outside the
runah pa
in ass
o
ciated
b
.
Ho
sp
ital
an
d
o
t
h
e
r h
ealth
facilities
c. Am
bulance
Service
d. Fi
refi
ght
e
r
s uni
t
e. K
o
nsul
e
n
S
M
F at
Em
ergency
I
n
st
al
l
a
t
i
o
n
M
eans o
f
com
m
uni
cat
i
on at
Em
ergency
Ins
t
al
l
a
t
i
on of P
K
U M
u
ham
m
a
di
y
a
h B
a
nt
ul
P
u
bl
i
c
Hos
p
i
t
a
l
wel
l
en
ou
g
h
w
h
ere
t
h
e Em
ergency
I
n
st
al
l
a
t
i
on
has i
n
t
e
r
n
a
l
and
ext
e
rn
p
h
one
so
com
m
uni
cat
i
on a
n
d t
r
ansfe
r
of i
n
form
ation betwee
n
heal
th car
e
profes
sions
are c
oordi
nated seam
lessly and e
f
fectively. Thus
, the
coo
r
di
nat
i
o
n o
f
t
h
e M
i
ni
st
ry
can be do
ne
on a
n
on
g
o
i
n
g
basi
s so t
h
at
al
l
st
ages of t
h
e ser
v
i
ce t
r
ansi
t
i
on
bet
w
ee
n se
rvi
c
e u
n
i
t
can
r
u
n
ni
ce an
d
sm
oot
hl
y
.
S.4.P.
5
:
T
h
ere
are
pr
ovi
si
ons
rega
rdi
n
g
i
n
s
p
ect
i
on, m
a
i
n
t
e
nance
an
d
re
pa
i
r
o
f
e
qui
pm
ent
at
reg
u
l
a
r
i
n
t
e
rval
s.
Al
l
t
h
e equi
p
m
ent
i
s
i
n
pr
ocess d
o
n
e Em
ergency
I
n
st
al
l
a
t
i
on
m
a
i
n
tenance a
nd ca
l
i
b
rat
i
on
on a
reg
u
l
a
r
basi
s.
The
pr
ocess
o
f
m
a
i
n
t
e
nance was d
o
n
e by
an i
n
t
e
r
n
al
t
eam
at
PKU M
u
ham
m
a
di
y
a
h B
a
nt
ul
Pub
lic Ho
sp
ital. As fo
r th
e calib
ratio
n
o
f
t
h
e equ
i
p
m
en
t, th
e PKU Muha
mm
ad
iyah
Ba
n
t
u
l
Pu
b
lic Hosp
ital
b
r
i
n
g sp
ecial
of
f
i
ce
h
o
sp
ital of
th
e H
ealth Min
i
str
y
of
I
ndo
nesia.
3.
1.
5.
Stand
a
rd
5.
P
o
licies an
d Pr
ocedure
s
Th
ere sho
u
l
d
b
e
po
licies and
pro
c
edu
r
es i
m
p
l
e
m
en
ta
tio
n
written
in
un
i
t
s th
at are always rev
i
ewed
and
i
m
prove
d
(
w
he
n
necessa
r
y
) an
d easi
l
y
s
een
by
al
l
o
ffi
c
e
h
o
s
p
i
t
a
l
.
Al
l
st
an
dar
d
5
an
d i
t
e
m
S.5.
P.1
t
o
S.
5.P
.
4
get
a sc
o
r
e of
5
m
ean
in
g
t
h
at
is in
co
m
p
lia
n
ce
with
th
e
Gu
i
d
elin
es o
f
Ob
serv
ation
Gu
i
d
elin
es Patien
t
Safety 2
0
0
8
Su
rv
ey
and
Gu
i
d
elin
es for Accred
itatio
n of
Ho
sp
ital Em
erg
e
n
c
y
Serv
ices Sp
ecific
Gu
i
d
elin
es
(re
v
i
sed
ed
itio
n 200
7),
ho
sp
ital
regu
latio
n
s
No
.44/2
0
0
9
,
and
Pat
i
e
nt
S
a
f
e
t
y
Proce
d
ures
2
0
0
8
[
11]
.
3.
1.
6.
Sta
n
d
a
rd 6.
S
t
af
f Devel
o
pme
n
t and
E
duc
at
i
o
n
Pr
o
g
ram
s
Em
ergency
I
n
s
t
al
l
a
t
i
on can
b
e
use
d
fo
r e
d
u
cat
i
on
(i
n-
ser
v
i
ce t
r
ai
ni
n
g
)
a
n
d c
ont
i
n
ui
n
g
e
ducat
i
o
n
f
o
r
officers.
Al
l
i
t
e
m
s
on
t
h
e st
an
dar
d
6
.
(S.
6
.
P
.
1
t
o
S.
6.P
.
6
)
get
a s
c
ore
o
f
5 a
n
d
i
n
acc
or
da
nc
e wi
t
h
t
h
e
Gu
i
d
elin
es
for
Patien
t
Safety
2
008
Su
rv
ey an
d Gu
id
e
lin
es for Accred
itatio
n
of Ho
sp
ital
Em
erg
e
n
c
y
Serv
ices
Speci
fi
c G
u
i
d
e
l
i
n
es (re
vi
sed
edi
t
i
on 2
0
0
7
)
,
hos
pi
t
a
l
reg
u
l
a
t
i
ons N
o
.
44/
20
09
, an
d Pat
i
e
n
t
Safet
y
Proce
d
u
r
es
2008 [11].
De
velopm
ent com
p
etence of
m
e
dical staff at
Em
ergency Ins
t
alla
tion is good
because on a
regular
b
a
sis an
d in
acco
rd
an
ce
with
th
e n
e
ed
of
u
p
g
r
ad
ing
m
e
d
i
cal staff sk
ills at Em
erg
e
n
c
y Installatio
n
.
3.
1.
7.
Sta
n
d
a
rd 7.
E
val
u
a
ti
on
a
nd Qual
i
t
y C
o
ntr
o
l
Th
is is a sta
n
d
a
rd
in
d
i
cator o
f
th
e
p
r
esen
ce ofassessmen
t
o
f
ab
ility an
d
effo
rt
th
e resu
lt
s
serv
iceIGD/Emerg
en
cy In
stallatio
n
con
tinu
o
u
s
ly. All
ite
m
s
on t
h
e
st
anda
r
d
7 (
S
.
7
.P
.1 t
o
S
.
7
.
P.
5
)
Get
s
a
score
of
5 m
e
a
n
ing in acc
ordance
w
ith the
expecte
d
indic
a
te to Hos
p
ital and accordance withGui
d
elines
on
Patien
t
Safety
20
08
Surv
ey and
Gu
i
d
elines fo
r Ac
creditatio
n
of
Ho
sp
ital Em
erg
e
ncy Serv
ices Sp
ecific
G
u
i
d
elin
es (rev
i
sed
ed
ition
20
07), ho
sp
ital
reg
u
l
ation
s
No
.4
4
/
2
009
, and
Patien
t
Safety Pro
c
edu
r
es 2008
[11
]
.
Based
on
th
e resu
lts of in
terviews with
t
h
e
Resp
on
si
b
l
e ph
ysician
in
Em
erg
e
n
c
y In
stallatio
n
th
at ev
alu
a
tio
n
for Em
erg
e
n
c
y In
stallatio
n and
Patien
t
Safety is carried
o
u
t
b
y
a team
o
f
th
e qu
ality o
f
th
e PKU
Mu
h
a
mm
ad
iya
h
Ban
t
u
l
Pub
lic Ho
sp
ital , ro
u
tin
ely. Plan
ah
ead
for Patien
t
Safety will
b
e
on
th
e ev
alu
a
ti
on
directly by m
e
dical services.
3.
2.
Analysis of applicati
o
n of Patien
t
Safety In
the
pr
oce
ss of se
rvi
ce
at Emerge
n
cy Ins
t
allation
of
PKU Muh
a
m
m
adi
y
ah Bantul Public H
o
s
p
ital
The ap
pl
i
cat
i
o
n o
f
pat
i
e
nt
sa
fet
y
st
anda
rds
can p
r
oce
ss at
go
o
d
val
u
e,
wi
t
h
i
ndi
cat
o
r
s al
i
gnm
ent
of
o
p
e
ration
a
l
g
u
i
d
e
lin
es, SOPS
an
d co
nd
itio
n
s
of
Observ
atio
n
Gu
i
d
elin
es fo
r Patien
t
Safety 2
008
Su
rv
ey and
Gu
i
d
elin
es fo
r Accred
itation o
f
Ho
sp
ital Emerg
e
n
c
y Se
rv
ices Sp
ecific Gu
id
elin
es (rev
ised
ed
itio
n 2
0
0
7
),
hos
pi
t
a
l
re
gul
a
t
i
ons
(N
o.
4
4
/
2
00
9
)
, a
n
d Pat
i
e
nt
Sa
fet
y
Pr
oce
d
u
r
es i
n
20
0
8
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
SN
:
2
252
-88
06
I
J
PH
S Vo
l. 4
,
N
o
. 3
,
Sep
t
emb
e
r
201
5
:
1
52
–
15
8
15
6
Accord
ing
to
th
e resu
lts o
f
interv
iews
with
p
a
tien
t
s
m
a
y be aware that the service of m
e
dical staff at
Em
ergency
I
n
s
t
al
l
a
t
i
on i
s
g
o
o
d
a
n
d
sat
i
s
fact
ory
.
Eval
ua
t
i
o
n pr
ocess was
do
ne
i
n
a
n
or
d
e
rl
y
im
pl
em
ented by
tea
m
s o
f
qu
ality, to
en
su
re a
sm
o
o
t
h
i
m
p
l
e
m
en
tatio
n
o
f
and co
m
p
lian
ce with
th
e stand
a
rds o
r
ru
les t
h
at ap
p
l
y.
Tho
ugh
in
o
r
der case repo
rt
Patien
t
Safetystill
n
eed
s suppo
rt fro
m
th
e le
ad
ersteam
s o
f
Patien
t
Safety, b
u
t
pr
o
g
ress i
n
o
p
e
nne
ss an
d p
r
ovi
di
n
g
re
po
rt
s on case
s
al
r
eady
per
f
o
rm
ed by
m
e
di
cal
st
aff at
Em
ergency
Inst
al
l
a
t
i
o
n
.
R
e
sul
t
s
o
f
ot
he
r
st
udi
es
ha
ve
r
e
po
rt
ed
t
h
at
the cau
se
of th
e d
eclin
e i
n
repo
rting
p
a
tien
t
safety
incidents
(IKP) in the hos
p
ital was a f
ear
of blam
e if the
report
because
th
e
culture of patient
safety, i.e.
no
b
l
amin
g
s
till n
o
t g
r
ow ev
en
ly acro
s
s th
e en
tire h
o
sp
ital la
c
k
o
f
k
nowledge o
f
th
e reportin
g
o
f
p
a
tien
t
safety
i
n
ci
dent
s
(
I
K
P),
rel
u
ct
a
n
ce t
o
r
e
p
o
rt
beca
u
s
e o
f
t
h
e
com
m
i
t
m
e
nt
of t
h
e
m
a
nagem
e
nt
uni
t
or
rel
a
t
e
d
,
t
h
ere
i
s
n
o
reward
of
Ho
sp
ital if
repo
rted
an
d lack
o
f
liv
elin
ess
fro
m
Ho
sp
ital Patien
t
s Safety
Co
mmit
t
ee [14].
Socialization is also hea
v
ily committed to growi
n
g
awaren
ess of th
e
cu
ltu
re
o
f
Patien
t
Safetyin
ev
ery activ
ity
o
f
th
e Mi
n
i
stry
. A
w
a
r
enes
s
of
t
h
e i
m
port
a
nce
o
f
gi
vi
n
g
p
r
i
o
r
ity to
th
e safety o
f
h
ealth serv
ices
sh
ou
l
d
b
e
bu
ilt an
d
nurtured
so
th
at p
a
tien
t
safety h
a
s always b
een
a m
a
j
o
r fo
cu
s in
p
e
rform
i
n
g
th
e serv
ice.
W
i
t
h
ou
t awaren
ess, t
h
en
t
h
e o
f
ficer will on
ly carry
ou
t
serv
ice
b
a
sed
o
n
t
h
e stand
a
rd
s and
p
r
o
c
edu
r
es,
wi
t
h
o
u
t
rega
rd
t
o
pat
i
e
nt
safet
y
and
com
p
l
i
a
nce st
a
nda
rd
s
or
p
r
oce
d
ures
[
15]
.
3.
3.
An
al
ysi
s
o
f
T
h
e Out
put
on
T
h
e Appl
i
c
a
t
i
o
n o
f
Pa
ti
ent
Safe
ty
at E
m
ergenc
y
Ins
t
al
l
a
ti
o
n
of P
K
U
Muh
a
mm
adi
y
ah B
a
n
t
ul
Pu
bl
i
c
Hos
p
i
t
al
The i
ndi
cat
ors
used i
n
t
h
e ev
al
uat
i
on o
n
o
u
t
put
im
pl
em
ent
a
t
i
on of pat
i
e
nt
safet
y
i
n
t
h
e Em
ergency
In
stallatio
n
is th
e fit with
th
e th
eory o
f
th
e assessing
h
ealth serv
ice Parasuram
a
n
in
5
d
i
men
s
io
n
s
o
f
qu
ality
are:
Tan
g
i
b
l
e
,
R
e
l
i
a
bl
e, R
e
sp
onsi
v
e
n
ess,
As
sura
nce a
n
d E
m
pat
h
y
[16]
.
B
a
sed o
n
o
b
se
rvat
i
o
ns m
a
de by
researc
h
e
r
s,
resp
on
ses
o
r
p
e
rcept
i
o
ns of
f
o
u
r
pat
i
e
nt
s w
ho ne
ver get
th
e in
serv
ice
b
y
m
e
d
i
cal sta
ff of th
e Em
er
g
e
n
c
y In
stallatio
n
,
o
v
e
rall state serv
ices p
r
ov
id
ed
eith
er.
Well th
at
is
m
ean
t in
term
s
o
f
Tang
ib
l
e
for co
m
p
leten
e
ss m
ean
s, infrastru
cture, too
l
s and
facilities in
clu
d
i
n
g
t
h
e d
r
u
g
receive
d. Reli
able
or reliabi
lity of Medica
l staff
at
Em
e
r
ge
ncy
Installation all
good
and workm
a
nlike i
n
pr
o
v
i
d
i
n
g ser
v
i
ce, i
t
does ha
ve an i
m
pact
on t
h
e
di
m
e
nsi
ons
of As
su
ra
nce o
r
g
u
ara
n
t
ee t
h
e safet
y
of t
h
e
pat
i
e
nt
bei
n
g
go
o
d
beca
use
pat
i
e
nt
s feel
com
f
ort
a
bl
e an
d calm
whi
l
e
get
t
i
ng ser
v
i
c
e
by
m
e
di
cal
staff at
Em
ergency
Ins
t
al
l
a
t
i
on. On d
i
m
e
nsi
on o
f
re
spo
n
si
vene
ss o
f
pat
i
e
nt
s asses
s
i
ng t
h
at
ser
v
i
ces by
m
e
di
cal st
aff
at E
m
ergency
Installation alre
ady fast t
h
e provi
des a
n
d
re
fe
rral in accorda
n
ce
with th
e
re
sults of the
dia
g
nosis
doct
o
r at
Em
erge
ncy
Inst
al
l
a
t
i
on. F
o
r exa
m
pl
e i
f
t
h
e pat
i
e
nt
sho
u
l
d
im
m
e
di
at
el
y
to t
h
e l
a
bo
rat
o
ry
for
R
ont
gen o
r
i
f
t
h
e pat
i
e
nt
i
s
im
provi
n
g
st
y
l
e t
h
en al
l
o
we
d t
o
g
o
hom
e. On
dim
e
nsi
on o
f
em
pat
h
y
,
t
h
e p
a
t
i
e
nt
assessing that
medical staff a
t
E
m
ergency
Installation ar
e
friend
l
y, resp
ect an
d clear in
p
r
ov
id
ing
info
rmatio
n
.
Patients also e
x
presse
d satisfaction
for t
h
e
services
provi
d
ed bym
e
dical
staffat
Em
erg
e
n
c
y In
stallatio
n PKU
Mu
h
a
mm
ad
iya
h
Pub
lic Ho
sp
ital.
Aft
e
r c
o
nd
uct
i
ng i
n
t
e
rvi
e
ws
and
ob
ser
v
at
i
ons
, i
n
fi
ve d
i
m
e
nsi
ons se
r
v
e eq
ual
t
h
e i
n
co
ncl
u
si
v
e
i
m
p
l
e
m
en
tatio
n
o
f
Patien
t
Safety in
th
e
pro
c
ess of
g
ood
stan
d
a
rd
s an
d satisfy p
a
tien
t
s. Patien
t
safety practices
co
ndu
cted b
y
t
h
e
h
o
sp
ital are exp
ected to pro
v
i
d
e
b
e
n
e
fits
in
th
e im
ag
in
g
effort is a po
sitiv
e d
e
v
e
lop
m
en
t i
n
th
e ho
sp
ital th
at is o
n
th
e
rise
an
d
t
h
e d
e
v
e
l
o
p
m
en
t o
f
a
cult
ure of safety
(s
afety
cu
ltu
re), co
mm
u
n
i
catio
n
with
p
a
tien
t
s is
g
r
owing
,
t
h
e
d
ecrease in
in
ci
d
e
nce is no
t
expect
ed
with m
a
p adverse
eve
n
t (KTD) always e
x
ist and
cu
rren
t, clin
ical risk d
e
creases, th
e co
m
p
lain
ts an
d litig
atio
n is
redu
ced
,
in
creasing th
e
q
u
a
lity of serv
i
ce and
th
e im
ag
e o
f
t
h
e ho
sp
itals as
well as
public confide
n
ce
i
n
c
r
eases [17].
Inc
r
easi
n
gl
y
,
h
eal
t
h
co
nsum
er i
s
no
l
o
nge
r t
o
be t
r
eat
e
d
as
passive reci
pients of
what is de
e
m
ed to
be
go
o
d
fo
r t
h
em
. They
wa
nt
t
o
be
pa
rt
ne
rs i
n
deci
si
o
n
m
a
king
ab
o
u
t
t
h
ei
r
ow
n
heal
t
h
, a
n
d t
o
be i
n
v
o
l
v
ed i
n
desi
g
n
i
n
g, m
a
nagi
ng
, an
d de
l
i
v
eri
n
g h
o
spi
t
al
care, i
n
or
de
r t
o
ens
u
re h
o
s
p
i
t
a
l
safe, effe
ct
i
v
e and ap
p
r
op
ri
at
e
to
co
mm
u
n
ity n
eeds [18
]
.
4.
CO
NCL
USI
O
N
Based
on
th
e resu
lts o
f
o
b
s
erv
a
tio
n, in
terv
iews with
k
e
y in
fo
rm
an
ts with
th
e triang
u
l
ar, as well as
anal
y
s
i
s
on t
h
e st
anda
rd
of
servi
ce a
nd
Pa
t
i
e
nt
safet
y
, the Em
ergency Installation res
earch
res
u
lts can be
summ
ed up as
follows:
-
Stan
d
a
rd
In
pu
t
:
All o
f
th
e item
s
o
n
th
e app
l
icatio
n
o
f
Patien
t
Safety wh
ich
in
clud
e faci
lities, eq
u
i
p
m
e
n
t,
dr
u
g
s,
pr
oce
d
u
r
es, a
nd act
i
v
i
t
i
e
s of o
ffi
ce
rs
at
Em
ergency
Inst
al
l
a
t
i
on at
PK
U M
u
ham
m
a
di
y
a
h B
a
nt
ul
Ho
sp
ital, is i
n
co
m
p
lian
ce wi
th
th
e
Gu
id
elines of
Ob
serv
atio
n Gu
id
elines
Patien
t
Safety
2
008
Surv
ey and
Gu
i
d
elin
es for Accred
itatio
n
o
f
Ho
sp
ital
Emerg
e
n
c
y
Se
rvices
Specific Guidelines (re
vi
sed
e
d
ition 2007),
hos
pi
t
a
l
re
gul
a
t
i
ons
N
o
.
44/
20
09
, a
n
d
Pat
i
e
nt
Safet
y
P
r
oce
d
ures
i
n
2
0
0
8
.
-
Standa
rd Proc
ess: The applicati
on of Patient Safety is already
good
and
orde
rly in accorda
n
ce wi
t
h
ope
rat
i
o
nal
gu
i
d
el
i
n
es, S
O
P
S
and
gui
del
i
n
es M
a
n
u
al
Ob
serv
atio
n
Patien
t
Safety
2
008
Surv
ey
and
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
PH
S I
S
SN
:
225
2-8
8
0
6
Pa
tien
t
S
a
f
ety
App
lica
tio
ns for Imp
r
o
v
ing Hea
lth
C
a
re
Qua
lity (Ro
s
yida
h)
15
7
Gu
i
d
elin
es for Accred
itatio
n
o
f
Ho
sp
ital
Emerg
e
n
c
y
Se
rvices
Specific Guidelines (re
vi
sed
e
d
ition 2007),
hos
pi
t
a
l
re
gul
a
t
i
ons
N
o
.
44/
20
09
, a
n
d
Pat
i
e
nt
Safet
y
P
r
oce
d
ures
i
n
2
0
0
8
.
-
Stan
d
a
rd
Ou
t
p
u
t: Th
e
o
u
t
p
u
t
in
clud
es th
e
patien
t
p
e
rceiv
e
d
q
u
ality (fiv
e
d
i
m
e
n
s
io
n
;
Tan
g
i
b
l
e, Reliab
l
e,
R
e
spo
n
si
venes
s
, A
ssu
ra
nce a
n
d
Em
pat
h
y
)
a
l
l
have t
h
e sam
e
pe
rcept
i
o
n
o
f
g
o
o
d
a
n
d sat
i
s
fy
i
n
g
.
ACKNOWLE
DGE
M
ENTS
Man
a
g
i
n
g
Directo
r
an
d Patien
t
safety staffs in
Em
erg
e
ncy In
stallatio
n at PKU Muha
mm
ad
iyah
Ban
t
u
l
Pub
lic Ho
sp
ital and
In
stitu
te fo
r Research
and
Develo
p
m
en
t Un
i
v
ersitas Ah
m
a
d
Dah
l
an
(LPP-UAD).
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a
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ergen
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.
[15]
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[18]
Berrill
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al
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.
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y
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., Dugd
ale
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BIOGRAP
HI
ES
OF AUTH
ORS
Ros
y
idah
was b
o
rn on Januar
y
30, 1977
in Lampung.
The writer is
a
Le
cturer
at Hospital
Management Department Facu
lty
of Public Health Universita
s Ahmad Dahlan. S
h
e graduated
from
Public Health Departm
e
nt
Universitas Gadj
ah Mada in 200
4. Independ
ent
Consultant of
Mapping on the division of role
and function in governing th
e Universal Health Coverag
e
Supported b
y
UNDP. Researcher at Center of
Health Financing and Insurance Faculty
o
f
Medicin
e
Unive
r
sitas Gadjah Mada Yog
y
akar
ta,
a
nd act
ive rese
a
r
cher a
t
Institut
e
for Research
and Developmen
t Universitas Ah
mad Dahlan
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
SN
:
2
252
-88
06
I
J
PH
S Vo
l. 4
,
N
o
. 3
,
Sep
t
emb
e
r
201
5
:
1
52
–
15
8
15
8
Septian
Em
m
a
Dwi Jatm
ik
a was born on September 26
th
, 1988
in Purbalingg
a, Central Java,
Indonesia.
The writer is a lecturer
at the F
aculty
of pub
lic health and a research
er at
Departement of
Research and D
e
velopment, Un
iversitas Ahmad
Dahlan counted since August
2012. Th
e au
thor comlpeted
Bach
elor Deg
r
ee
at Med
i
cal Doctor,
Universitas Jendral
Soedirman in 2
006. Th
en th
e
authors con
tinu
e
her
studies
at Masters Degree in H
ealth
Promotion, Universitas Diponego
ro in 2011. She ha
s specialty
in
Health Promotio
n especially
tobacco contro
l.
She also active
member in P
PPKMI (Indonesia Health Promotor and Educato
r
Assoc
i
a
tion).
Evaluation Warning : The document was created with Spire.PDF for Python.