Criterion 5.2.2 RISK MANAGEMENT

 Criterion 5.2.2

Puskesmas carries out risk management in accordance with applicable regulations.

1) Main Thoughts:

a) The risk management (MR) program contains strategies and activities to reduce or mitigate risks that are prepared annually, integrated in the Community Health Center planning, and based on identification and analysis of risks that have either resulted in events/incidents or those that have the potential to cause events/incidents to occur.

b) Risk management in the form of reduction, mitigation and monitoring strategies for implementation is carried out according to risk categories.

c) One tool/method of proactive analysis of critical and high-risk processes is failure mode effect analysis to analyze at least one selected critical or high-risk process every year.

d) To use this method/tool or other similar tools effectively, the Head of the Community Health Center must (1) know and study the approach, (2) agree on a list of processes that pose a high risk in terms of patient, service user and staff safety, then (3) apply the tool to analyze the process. Community Health Center leaders take action to redesign processes or take action to reduce risks at the analyzed process stages.

2) Assessment Elements:

a) A risk management plan is prepared which is integrated into the Community Health Center level planning as an effort to minimize and/or mitigate risks (D).

b) The Community Health Center Quality Team monitors the treatment plan (D,W).

c) Reporting is carried out to the Head of the Community Health Center and to the district/city regional health service as well as across related programs and sectors (D,W).

d) There is evidence that the Community Health Center has carried out and followed up on a failure mode effect analysis at least once a year on prioritized high risk processes (D,W).