scholarly journals KEKUATAN HUKUM PELIMPAHAN WEWENANG DARI DOKTER KEPADA NERS DITINJAU DARI ASPEK PIDANA DAN PERDATA

2018 ◽  
Vol 25 (2) ◽  
pp. 172
Author(s):  
Aning Pattypeilohy ◽  
Sutarno Sutarno ◽  
Adriano Adriano
Keyword(s):  
Health Service ◽  
Health Services ◽  
Health Worker ◽  
Health Personnel ◽  
Medical Personnel ◽  
Delegation Of Authority ◽  
Legal Problems ◽  
Standard Operating ◽  
Quality Health ◽  
Service Standards

This study aims to provide an overview of the power of law in the delegation of authority from the doctor to ners both in writing and not written. In performing health services, especially in performing medical acts, it is necessary to transfer the authority of medical personnel to health personnel in order to create a comprehensive and quality health service, this has been regulated in related legislation. Ners is a profession professional and independent, in carrying out its professional duties ners work in accordance with service standards, standard operating procedures and the provisions of the Act-legislation. As a health worker, the ners may receive a delegation of authority only in writing from the doctor to him or her so that the delegate has the force of law. With the delegation of authority in health services, if there is a loss or legal problems in the future, doctors as authors and recipients of authority can be held accountable both criminal and civil.

scholarly journals CAPAIAN PELAYANAN KESEHATAN DASAR DI KOTA PEKANBARU

2017 ◽  
Vol 16 (1) ◽  
pp. 47
Author(s):  
Trio Saputra
Keyword(s):  
Health Services ◽  
Population Distribution ◽  
Health Sector ◽  
Medical Personnel ◽  
Referral Hospital ◽  
Health Centers ◽  
Basic Services ◽  
Service Standards ◽  
The City

Minimum service standards hereinafter abbreviated SPM is a provision of the type and quality of basic services that are obligatory area obtained every citizen is entitled to a minimum. Minimum Service Standards health sector Health hereinafter referred SPM is a benchmark performance of health services, held the Regency / City. Health decentralization in Indonesia has been implemented since 2001. Basic health services Pekanbaru City can not be said to be good. Total availability of medical personnel and doctors are not proportional to the population. Distribution of medical personnel and doctors uneven per-districts in the city of Pekanbaru. Besides the availability of health centers, polyclinics and sub Per-districts are also uneven. Pekanbaru city has not had a referral hospital, although their Arifin Achmad.

Discharge communication from inpatient care: an audit of written medical discharge summary procedure against the new National Health Service Standard for clinical handover

2015 ◽  
Vol 39 (2) ◽  
pp. 197 ◽  
Author(s):  
Daniel Brooks Reid ◽  
Shaun R. Parsons ◽  
Stephen D. Gill ◽  
Andrew J. Hughes
Keyword(s):  
Health Service ◽  
Discharge Summary ◽  
Junior Doctors ◽  
Department Heads ◽  
Clinical Handover ◽  
Staff Members ◽  
Quality Health ◽  
Service Standards ◽  
Discharge Summaries ◽  
Summary Procedure

Objective To audit written medical discharge summary procedure and practice against Standard Six (clinical handover) of the Australian National Safety and Quality Health Service Standards at a major regional Victorian health service. Methods Department heads were invited to complete a questionnaire about departmental discharge summary practices. Results Twenty-seven (82%) department heads completed the questionnaire. Seven (26%) departments had a documented discharge summary procedure. Fourteen (52%) departments monitored discharge summary completion and 13 (48%) departments monitored the timeliness of completion. Seven (26%) departments informed the patient of the content of the discharge summary and six (22%) departments provided the patient with a copy. Seven (26%) departments provided training for staff members on how to complete discharge summaries. Completing discharge summaries was usually delegated to the medical intern. Conclusions The introduction of the National Service Standards prompted an organisation-wide audit of discharge summary practices against the external criterion. There was substantial variation in the organisation’s practices. The Standards and the current audit results highlight an opportunity for the organisation to enhance and standardise discharge summary practices and improve communication with general practice. What is known about the topic? The Australian National Safety and Quality Health Service Standards (Standard 6) require health service organisations to implement documented systems that support structured and effective clinical handover. Discharge summaries are an important and often the only form of communication during a patient’s transition from hospital to the community. Incomplete, inaccurate and unavailable discharge summaries are common and expose patients to greater health risks. Junior staff members find completing discharge summaries difficult and fail to receive appropriate education or support. There is little published evidence regarding the discharge summary practices of inpatient health services. What does this paper add? The paper demonstrates that there is substantial variation in practice regarding discharge summaries in a large regional health service. Departments have different processes and vary in the degree of attention and quality assurance provided to discharge summaries. Variable organisation procedures make completing discharge summaries more difficult for junior doctors, who regularly move between departments. Variable practice is likely to increase the risk of absent, untimely, incomplete or incorrect communication between acute and community services, thereby reducing the quality of patient care. It is likely that similar findings would be found in other hospitals. What are the implications for practitioners? To be accredited under the National Safety and Quality Health Service Standards, health organisations must ensure that adequate processes are in place for safe and effective clinical handover. Organisations should reduce the practice variability by standardising processes, monitoring compliance with processes, and training and supporting junior doctors.

scholarly journals Tanggung Gugat Resiko Dalam Aspek Hukum Kesehatan

SASI ◽  
2018 ◽  
Vol 23 (2) ◽  
pp. 149
Author(s):  
Arman Anwar
Keyword(s):  
Health Care ◽  
Health Services ◽  
Medical Practice ◽  
Health Personnel ◽  
Health Workers ◽  
Medical Personnel ◽  
Hospital Staff ◽  
Health Law ◽  
The Republic

Health is a fundamental need for every human being in his life and to meet these needs the role of doctors and health workers is very important. Doctors and Health care in providing health services to the community is always required in order to provide the best service. So with the Hospital. However, the health services provided may result in two different possibilities of the patient being cured or even worsening the disease until death. If the patient recovers it will flow millions of praise and abundant various forms of appreciation that he receives but if that happens is the opposite then in certain conditions where the patient feels aggrieved can culminate until the lawsuit to court. In medical practice, doctors do not work alone but are also often assisted by other health workers. Likewise Hospital as a corporation employs doctors and health workers to provide health services to the community. If in the event of any medical treatment from medical personnel to medical personnel and/or Hospital to the physician and at risk of mistake or negligence in the health service, then the loss suffered by the patient may result in risks (risico aanspraklijkheid) based on Article 1367 paragraph (3) BW. In the context of health law regulated in Article 65 of Law Number 36 Year 2014 on Health Personnel, and Article 35 Paragraph 6 of Law Number 38 Year 2014 on Nursing and Article 23 Paragraph (3) point c Regulation of the Minister of Health of the Republic of Indonesia No. 2052 / Menkes / Per / X / 2011 About Practice License and Implementation of Medical Practice as well as Article 46 Act Number 44 of 2009 About Hospital that is Hospital is legally responsible for all the losses caused by negligence made by health personnel in the Hospital. Efforts to prevent it internally need to agree on the rights and obligations of each party in a specified standard of conduct that is proportionally regulated and based on equitability values, either in the form of Hospital by Law as well as the prevailing rules binding on all staff within a hospital staff (Medical staff by law).

scholarly journals Faktor-Faktor Yang Mempengaruhi Minat Masyarakat Untuk Membuat Gigi Tiruan Lepasan Ke Tukang Gigi

2021 ◽  
Vol 3 (1) ◽  
pp. 27-40
Author(s):  
Rahmi Andriani ◽  
Damhuji Damhuji ◽  
Erma Mahmiyah ◽  
Rusmali Rusmali
Keyword(s):  
Health Service ◽  
Health Services ◽  
Public Interest ◽  
Research Method ◽  
Tooth Loss ◽  
Medical Personnel ◽  
Cross Sectional ◽  
Correlation Test ◽  
A Value ◽  
Research Type

In cases of tooth loss caused by extraction, further treatment must be carried out immediately, namely the use of dentures. Making dentures can be done by medical personnel such as dentists, dental specialists, but many people make dentures at dental artisans. The purpose of this study was to determine the factors that influence people's interest in making removable dentures to dental technicians in Siantan Hulu Village, North Pontianak in 2015. This research method was through a survey, explanatory research type with a cross sectional approach. Samples taken by people who use the services of dental artisans to make removable dentures are 40 respondents. The results of the Product Moment Correlation Test obtained the perception of the value of rs = 0.047 and the value of /Probability = 0.773. and the distance traveled with a value of rs = 0.243 and a value of /Probability = 0.131 so that it does not have a relationship with public interest in making removable dentures to dental artisans. For motivation with a value of rs = 0.704 and a value of /Probability = 0.000, health service facilities with a value of rs = 0.431 and a value of /Probability = 0.005 and a tariff with a value of rs = 0.520 and a value of /Probability = 0.001, has a relationship with public interest to make dentures to a dentist. The conclusion of the study is that perception and distance do not affect people's interest, while motivation, health service facilities and tariffs affect people's interest in making dentures for dental artisans. People are expected to choose health services wisely. Kasus kehilangan gigi yang disebabkan oleh pencabutan, harus segera dilakukan perawatan lebih lanjut yaitu dengan pemakaian gigi tiruan. Pembuatan gigi tiruan dapat dilakukan oleh tenaga medis seperti dokter gigi, dokter gigi spesialis, namun banyak masyarakat yang membuat gigi tiruan di tukang gigi. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi minat masyarakat untuk membuat gigi tiruan lepasan ke tukang gigi di Kelurahan Siantan Hulu Pontianak Utara tahun 2015. Metode penelitian ini melalui survey, jenis explanatory research dengan pendekatan cross sectional. Sampel yang diambil masyarakat yang menggunakan jasa tukang gigi untuk membuat gigi tiruan lepasan yaitu berjumlah 40 responden. Hasil dari Uji Korelasi Product Moment didapatkan hasil persepsi dengan nilai rs = 0.047 dan nilai /Probabilitas = 0.773. dan jarak tempuh dengan nilai rs = 0.243 dan nilai /Probabilitas = 0.131 sehingga tidak memiliki hubungan terhadap minat masyarakat untuk membuat gigi tiruan lepasan ke tukang gigi. Untuk motivasi dengan nilai rs = 0.704 dan nilai /Probabilitas= 0.000, sarana pelayanan kesehatan dengan nilai rs = 0.431 dan nilai /Probabilitas = 0.005 dan tarif dengan nilai rs = 0.520 dan nilai /Probabilitas = 0.001, memiliki hubungan terhadap minat masyarakat untuk membuat gigi tiruan ke tukang gigi. Kesimpulan dari penelitian ialah persepsi dan jarak tidak berpengaruh terhadap minat masyarakat, sementara motivasi, sarana pelayanan kesehatan dan tarif berpengaruh terhadap minat masyarakat untuk membuat gigi tiruan ke tukang gigi.  Masyarakat diharapkan dapat memilih pelayanan kesehatan dengan bijak.  

Accreditation of Australian dental practices: Does the low number of reported breaches of patient safety justify the rejection of accreditation?

2017 ◽  
Vol 8 (3) ◽  
pp. 102-106
Author(s):  
Gillian Jean
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Dental Treatment ◽  
Current Knowledge ◽  
Critical Evaluation ◽  
Dental Practice ◽  
Dental Patient ◽  
Quality Health ◽  
Dental Practices ◽  
Service Standards

Here, our current knowledge of the occurrence of errors during dental treatment in Australia, and whether the Australian National Safety and Quality Health Service Standards (Standards) are likely to have an impact in reducing the incidence of errors, is examined. This article is the first critical evaluation of the Standards as they apply to private dental practice in Australia, and therefore contributes to the building of an accreditation scheme that will improve dental patient safety.

The critical role of nurses to the successful implementation of the National Safety and Quality Health Service Standards

2013 ◽  
Vol 37 (4) ◽  
pp. 541 ◽  
Author(s):  
Diane E. Twigg ◽  
Christine Duffield ◽  
Gemma Evans
Keyword(s):  
Health Service ◽  
Patient Care ◽  
Critical Role ◽  
Hospital Performance ◽  
Successful Implementation ◽  
Skill Mix ◽  
National Quality ◽  
Quality Health ◽  
Service Standards

The National Safety and Quality Health Service Standards requires health service compliance by 2013 and covers several areas including governance arrangements, partnerships with consumers and eight key clinical processes. Nurses in Australia comprise 62% of the hospital workforce, are the largest component and hence play a critical role in meeting these standards and improving the quality of patient care. Several of the standards are influenced by nursing interventions, which incorporate any direct-care treatment that the nurse performs for a patient that may be nurse or physician initiated. The ability for nurses to undertake these interventions is influenced by the hours of care available, the skill mix of the nursing workforce and the environment in which they practice. Taking into consideration the predicted nursing shortages, the challenge to successfully implement the National Safety and Quality Health Service Standards will be great. This paper examines the role of nursing in the delivery of the National Standards, analyses the evidence with regard to nursing-sensitive outcomes and discusses the implications for health service decision makers and policy. What is known about the topic? The National Safety and Quality Health Service Standards have been endorsed for implementation by the Australian Health Ministers. Compliance with the National Safety and Quality Health Service Standards is required by Health Services in 2013. Nurses play a critical role in providing high-quality patient care and meeting accreditation standards. A decline in nursing standards is associated with inadequate staffing levels and skill mix and a lack of effective leadership and results in an increase in patient mortality. What does this paper add? The role of nurses in achieving compliance with the standards is discussed. We demonstrate that the capacity for nurses to undertake interventions is influenced by prevailing workforce characteristics. Significant nursing shortages have been identified as possible challenges to successfully implementing the National Safety and Quality Health Service Standards. What are the implications for practitioners? Practitioners need to review nursing hours of care, skill mix and the practice environment as part of the actions required to achieve the National Quality and Safety Standards. The Australian Commission on Safety and Quality in Health Care has the opportunity to take the lead by including such indicators in the measurement of hospital performance.

scholarly journals Implementation minimal service standards in outpatients hospital district Bogor

SOEPRA ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 77
Author(s):  
Suminah Suminah ◽  
Nasser Kelly
Keyword(s):  
Local Government ◽  
Strategic Planning ◽  
Health Service ◽  
Health Services ◽  
Central Government ◽  
Hospital District ◽  
Basic Services ◽  
Access And Quality ◽  
Service Standards ◽  
Health Field

Minimum Service Standards were made to serve as guidance for regions in organizing hospitals. The standards were then used as working indicators by the hospital management. In the field of health, the Minimum Service Standards were regulated by Health Minister’s Decree Nr. 43 of 2016. It was used as a tool to ensure even basic services access and quality to the community that was established and accountable to the Central Government. The Minimum Health Service Standards were very important for hospital’s outpatients in relation with the services provided and were closely related to the outpatient’s protection. This research applied socio-legal approach having analytical-descriptive specification. The data were gathered by having interviews to some resources, namely Head of Health Office of Bogor District, Director of Mary Hospital of Cileungsi Hijau, Unit Head of Sentosa Hospital of Parung.The results of the research showed that the Health Minister’s Decree Nr. 43 of 2016 on Minimum Service Standards in Health Field had not well implemented. The absence of minimun service standards setting issued by the Local Government, namely Bogor District, had made the health services run the minimum service standards in accordance with the existing regulations that referred to Health Office’s Strategic Planning (Renstra) and Health Minister’s Regulation on Hospital Classification and Permit. Bogor District should refer to the Health Minister’s Decree Nr. 43 of 2016 on Minimum Service Standards in Health Field so that the implementation of minimum services standards to outpatients could be well performed.

scholarly journals Legal Protection of Midwives in Providing Health Services at Village Health Post

2021 ◽  
Vol 2 (1) ◽  
pp. 1-9
Author(s):  
Fitri Andriana ◽  
Slamet Sampurno Soewondo ◽  
Sabir Alwi
Keyword(s):  
Health Services ◽  
Legal Protection ◽  
Total Sample ◽  
Health Post ◽  
Literature Study ◽  
Supervision System ◽  
Delegation Of Authority ◽  
Standard Operating ◽  
Materials Used ◽  
Village Health

This study aims to identify and analyze the legal protection arrangements for midwives who work in the Poskesdes (Village Health Post) Majene Regency as well as the forms of implementation of legal protection for midwives who work in the poskesdes. The research method used is empirical research. The research location is in Majene Regency with a total sample of 41 poskesdes with regular categories spread over 8 districts, the types and sources of legal materials used are primary and secondary legal materials. Collection techniques through interviews, direct observation and literature study and then analyzed qualitatively and described to describe, describe and explain the results of the research. The author concludes that the implementation of health services at the poskesdes has not provided legal protection to midwives because midwives still carry out services that are not their authority and competence as a midwife. The implementation of legal protection through the delegation of authority is not in accordance with the regulations, the existing Standard Operating Procedures are not in accordance with the conditions of the Poskesdes facilities and the guidance and supervision system for midwives has not been maximally implemented.

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