Pengetahuan, Sikap, dan Persepsi Petugas Gawat Darurat Terhadap Kesalahan Medik

Refi Fitri Hamdani Nasution
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Abstract

Medical error is known to occur mostly in the intensive care unit, operation room, and emergency unit. The objective of this study is to obtain information on knowledge, attitude, and perception of health workers on medical error. Study was conducted to manager, head of section, head of room, head of nursing team, doctors, and nurse. Qualitative method was employed including in-depth interview, observation, and document review. Analysis was conducted using content analysis that compare study results with theory. The study found that knowledge, attitude, and perception are relatively good, but has not been followed by appropriate action and not supported by sufficient facilities and monitoring system. Not very good referral system was an obstacle for patient’s family. Medical error was infleunced to happen by the presence of difficult cases, big number of patients, and in hurry action. The source of medical error was human factor, communication, and patient. Insufficiency or less equipped room was also perceived as source of medical error. Moreover, the attitude of management regarding medical error was not really appropriate. To minimize medical error, it is necessary to conduct trainings, refreshing course, collaboration between teams, communication improvement, and SOP compliance. Key words: Medical error, emergency unit, knowledge, attitude, health workers
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急诊室工作人员对医疗失误的知识、态度和看法
众所周知,医疗差错主要发生在重症监护病房、手术室和急诊室。本研究的目的是了解卫生工作者对医疗差错的认识、态度和看法。研究对象包括经理、科长、室长、护理组组长、医生和护士。本研究采用深度访谈、观察、文献回顾等定性方法。采用内容分析法进行分析,将研究结果与理论进行比较。研究发现,知识、态度和认知相对较好,但没有相应的行动,没有足够的设施和监测系统的支持。不完善的转诊制度对患者家属来说是一个障碍。疑难病例多、病人多、行动仓促等因素影响了医疗差错的发生。医疗差错的来源主要有人为因素、沟通、患者三个方面。房源不足或设备不足也被认为是造成医疗差错的原因。此外,管理层对医疗差错的态度也不太合适。为了最大限度地减少医疗事故,需要进行培训,更新课程,团队协作,沟通改进,遵守SOP。关键词:医疗差错;急诊单位;知识
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