IV. Faktor yang menjadi pencetus/mengawali kejadian (trigger):
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b. Faktor-faktor yang menunjang/berkontribusi terhadap terjadinya kejadian:
VII. Analisis akar masalah (gambarkan diagram tulang ikan/pohon masalah)
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VIII.Rekomendasi dan Rencana Tindak Lanjut:
Akar
Tindakan
Tingkat
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Penanggung Waktu
Sumber
Buk
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IX. Hasil dan Pelaporan:
Laporan ini bersifat rahasia (confidential), hanya dilaporkan kepada Kepala Puskesmas, dan Komisi Keselamatan Pasien. Laporan ini tidak boleh di foto copy.
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FMEA I. Unit kerja:
Ruang Obat
II. Tim FMEA:
Ketua Tim FMEA Anggota (pastikan semua area terkait terwakili)
Petugas pencatat (notulis)
dr.Sulistiyo wibowo 1 dr. dodik 2 dr. Yuliana 3 dr. siti Mafudah 4 dr. Widodo 5. drg. Dian ayu 6. dr. Wahyudi Wibowo You're Reading a Preview 7. erlina prilia Unlock full access with a free trial. 8. sri sugiaartiningsih Download With Free Trial Peni sri pujiastuti
III. Peran masing-masing ketua dan anggota
Tim FMEA Ketua Anggota
Peran
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V. Alur proses yang sekarang: 1. Petugas menerima resep 2. Petugas membaca dan meneliti resep 3. Petugas menanyakan kembali pada penulis resep apabila tulisn tidak terbaca atau obat yang diminta tidak tersedia. 4. Petugas menyiapkan obat yang diminta 5. Petugas menyerahkan obat kepada pasien 6. Petugas menyipan resep yang sudah dilayani
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VI. Identifikasi Failure modes:
Contoh: pelayanan obat di Puskesmas No 1
Tahapan kegiatan pada alur proses Menerima resep
Failure modes
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Useful Not useful Salah identitas Resep hilang Salah menaruh resep
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Menyerahkan obat
Salah memangil pasien Edukasi tidak jelas
VII. Matriks FMEA: N o
Failure modes
Penyeb ab
Akibat
O (occu rrenc e)
S (sev erity )
D RPN (dete (OxSx ctabili D) ty)
1
Salah identitas
Tulisan tidak jelas
Salah You're Reading a Preview pembe Unlock full access with a free trial. rian obat Download With Free Trial
Solusi
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IX. Rencana Kegiatan dan Pelaksanaan: No
Kegiatan
Waktu Pelaksanaan
Penanggung Hasil jawab
Keterangan
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X. Alur proses yang baru:
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