FACILITY MANAGEMENT

AND SAFETY
(3-4)

DR.dr. Andry, MM. MHKes

REFERENSI BUKU ( dr. Adib A Yahya, MARS )

• Luwiharsi. Manajemen Fasilitas Kesehatan.

• Ismaniar, Hetty, SKM, MPH. Keselamatan Pasien di Rumah Sakit.
• Priyoto, S.Kep, Widiyastuti, Tri SKM. Kebutuhan Dasar Keselamatan Pasien. Graha Ilmu
• Satrianegara, M.Fais. Organisasi dan manajemen Pelyanan Kesehatan. Buku Kita.
• Farich Achmad. Manajemen Pelayanan Kesehatan Masyarakat. Gosyen Publishing.
• Santoso, Imam. Manajemen Data untuk Analisi Data Penelitian Kesehatan. Gosyen Publishing
• Hayward, Cynthia. Healthcare Facility Planning second edition
• Perley, Rebbecca. Managing the long term care facility. Jossye Bass Publishing
• JPS Kohli. Pharmaceutical Facility Management. Business Metrizone Publishing.
• US Dept Of Health and Human Service. Hospital and Healthcare Facilities
• Dunn, Rose T. Healthcare Management. Health Administration Press
RISK MANAGEMENT
 RISK, HAZARD, HARM and
CONTRIBUTING FACTOR
RISK HAZARD HARM
The chance of
Source or situation Physical injury or
something damage to the
with a potential to
happening that will cause injury and ill health of people, or
have an impact health damage to property
upon objectives or the environment

CONTRIBUTING FACTOR :
SOMETHING THAT HELPS CAUSE A RESULT
SOURCE : ISO 31000:2009
SOURCE : WHO : 10 FACTS ABOUT PATIENT SAFETY, 2018
 HAZARD, HARM
and
CONTRIBUTING FACTOR

Hazard Harm Contributing Factor Risk

 INCIDENT
1. A risk that has occurred
2. Reactive
3. Incident report
4. Likelihood, Consequence
5. Severity Assessment Code
6. Litigation
RISK
1. Not occurred yet
2. Proactive
3. Risk Register
4. Likelihood, Consequence
5. Risk Priority Number
6. Prevention
 The culture, processes and structures that
are directed towards the effective
management of potential opportunities
and adverse effects
SOURCE : AUSTRALIAN STANDARD AS/ NZS 4360 : 1999 – RISK MANAGEMENT DEFINING

A coordinated set of activities and

methods that is used to direct an
organization and to control the many risks
that can affect its ability to achieve
objectives
SOURCE : INTRODUCTION TO ISO 31000
PROSES MANAJEMEN RISIKO
TENTUKAN STRUKTUR ANALISIS RISIKO

IDENTIFIKASI SISTEMATIK

§ Alam & Iklim § Pasien § Sumber

§ Reputasi
§ Politik § Staf § Kejadian
§ Operasional
§ Legal § Masyarakat § Dampak
§ Konstruksi
§ Peralatan
§ Pemilik § Kekerapan
§ Faktor Pendukung

PENANGGUNG
5 W DAN 1 H
JAWAB
ANALISIS RISIKO
§ Pisahkan risiko yang dapat
diterima dengan risiko yang
tidak dapat diterima
§ Persiapkan data pendukung
penanganan risiko meliputi
sumber daya, dampak dan
kekerapan
SKOR RISIKO
Skor risiko dilihat dari LIKELIHOOD
(probabilitas) dari suatu kejadian yang
tidak diinginkan dan CONSEQUENCE
(tingkat keparahan) atau besarnya
dampak dari kejadian tersebut
Likelihood X Consequence
Likelihood
Level DESKRIPSI
1 0–5% – extremely unlikely or virtually impossible
Rare HAMPIR TIDAK MUNGKIN TERJADI
2 6–20% – low but not impossible
Unlikely JARANG TAPI BUKAN TIDAK MUNGKIN
TERJADI
3 21–50% – fairly likely to occur
Possible MUNGKIN TERJADI / BISA TERJADI
4 51–80% – more likely to occur than not
Likely SANGAT MUNGKIN
5 81–100% – almost certainly will occur
Almost Certain HAMPIR PASTI AKAN TERJADI
 Consequence
LEVEL dan 1 2 3 4 5
Deskripsi INSIGNIFICANT MINOR MODERATE MAJOR CATASTROPHIC
CIDERA PASIEN TIDAK ADA CIDERA DAPAT DIATASI DENGAN - BERKURANGNYA FUNGSI - CIDERA LUAS KEMATIAN
PERTOLONGAN MOTORIK/ SENSORIK - KEHILANGAN FUNGSI
PERTAMA - SETIAP KASUS YANG UTAMA PERMANEN
MEMPERPANJANG
PELAYANAN TERHENTI > 1 JAM TERHENTI > 8 JAM PERAWATAN
TERHENTI > 1 HARI TERHENTI > 1 MINGGU TERHENTI
OPERASIONAL PERMANEN
BIAYA/ KERUGIAN KECIL KERUGIAN > 0.1% KERUGIAN > 0.25% KERUGIAN > 0.5% KERUGIAN > 1%
KEUANGAN ANGGARAN ANGGARAN ANGGARAN ANGGARAN
PUBLIKASI RUMOR - MEDIA LOKAL - MEDIA LOKAL MEDIA NASIONAL MEDIA NASIONAL
- WAKTU SINGKAT - WAKTU LAMA < 3 HARI > 3 HARI
REPUTASI RUMOR DAMPAK KECIL DAMPAK BERMAKNA DAMPAK SERIUS MENJADI MASALAH
TERHADAP MORIL TERHADAP MORIL TERHADAP MORIL BERAT BAGI PR
KARYAWAN DAN KARYAWAN DAN KARYAWAN DAN
KEPERCAYAAN KEPERCAYAAN KEPERCAYAAN
MASYARAKAT MASYARAKAT MASYARAKAT
 RISK MATRIX
Likelihood
Rare Unlikely Possible Likely Almost Certain
Consequences
1 2 3 4 5

Insignificant 1 2 3 4 5
1
Minor 2 4 6 8 10
2
Moderate 3 6 9 12 15
3
Major 4 8 12 16 20
4
Catastrophic 5 10 15 20 25
5

Sangat rendah Ringan Sedang Berat

1-4 5-10 11-15 16-25
EVALUASI RISIKO

ü Evaluasi level risiko yang ditemukan selama

proses analisis
ü Daftar prioritas risiko yang akan
ditindaklanjuti
ü Risiko dapat diterima à monitor dan
review berkala
ü Risiko tidak dapat diterima à Lanjutkan
dengan penanganan risiko
 PENANGANAN RISIKO
PREVENTION
P Cegah munculnya risiko

REDUCING
R LIKELIHOOD/ dan CONSEQUENCES

ACCEPTANCE
A Menerima/ toleransi risiko

CONTINGENCY
C Persiapan jika risiko terjadi

TRANSFERRING
T Risiko kepada pihak ketiga
 PEMANTAUAN
DAN
PENGKAJIAN ULANG

§ Proses Harian

§ Proses Bulanan

§ Proses Tahunan
 § Fully integrated into normal operating
procedures, processes and systems

§ Driven from the top down

(Executives and Senior Managers have a particular
RISK
responsibility in demonstrating commitment to the
MANAGEMENT implementation of the risk management process)

WILL BE § Be recognized as the responsibility of every

SUCCESSFUL staffs involved

WHEN
SOURCE : RISK MANAGEMENT GUIDELINES. WEST AUSTRALIA GOVERNMENT. AUGUST 2011
THANK YOU