Criterion 5.2.1 IDENTIFICATION OF RISK

 Standard 5.2 Risk management program.

The risk management program is used to identify, analyze, evaluate, manage risks and monitor and review to reduce losses and injuries to patients, staff, visitors, health center institutions and UKM and community service targets.

Risk management efforts are carried out by preparing a risk management program every year which includes the risk management process, namely communication and consultation, establishing context, identification, analysis, evaluation, risk management, and monitoring and reviews carried out as well as risk management reporting.

a. Criterion 5.2.1

Risks in the implementation of various Community Health Center efforts towards service users, families, communities, staff and the environment are identified and analyzed.

1) Main Thoughts:

a) Implementation of every Puskesmas activity can pose a risk to service users, families, the community, staff and the environment. These risks need to be managed by the person responsible and implementing them to take steps to prevent and/or minimize risks so that they do not cause negative consequences or losses.

b) Management program Risk management is a proactive approach whose important components include:

(1) risk identification process;

(2) risk integration includes clinical risks related to patient safety and non-clinical risks including risks related to safety facility management (MFK), PPI risks that do not have an impact on patients, financial risks, compliance risks, reputational risks and strategic risks;

(3) risk management process reporting every six months; And

(4) management related to claims.

c) Identification of risks that may occur is documented in the risk register.

d) The risk category at the Community Health Center includes clinical risks related to patient safety and non-clinical risks including risks related to safety facility management (MFK), PPI risks that do not have an impact on patients, financial risks, compliance risks, reputational risks and strategic risks on KMP, UKM services, as well as UKP, laboratory and pharmaceutical services.

e) A risk register must be created as a basis for preparing risk management programs and to help Puskesmas officers recognize and be aware of possible risks and their consequences so that they can protect program targets, patients, families, communities, staff, the environment and health service facilities.

f) The Puskesmas prepares a risk profile and carries out risk management as a step after creating a risk register. Furthermore, monitoring is carried out and submission of risk management reports every six months to the Head of the Community Health Center.

2) Assessment Elements:

a) A risk management program is prepared to be determined by the Head of the Community Health Center (R,W).

b) The Community Health Center Quality Team guides risk management (D,W)

c) Identification, analysis and evaluation of risks that could occur at the Community Health Center are carried out which are documented in the risk list (D,W).

d) A risk profile is prepared which is a priority risk based on evaluation of the results of risk identification and analysis on the list of risks that require further treatment (D,W)