FAILURE FAILURE MODE AND EFFECT E FFECT ANALYSIS ANALYSIS (FMEA) PROSES PEMBERIAN TRANFUSI DARAH PADA PADA PASIEN PASIEN RAWA RAWAT INAP DI RSUD SULTAN IMANUDDIN
2017
Pendah!an
La"a# Be!a$an% T#an&'& da#ah ada!ah #*&e& en+a!#an da#ah $e ",h Anda- Lan%$ah .ed& n d!a$$an n"$ n"$ .en+e!a.a"$ .en+e!a.a"$an an n+a/a Anda Anda $e"$a $e"$a ",h ",h $e$#an%an $e$#an%an da#ah- Ban+a$ Ban+a$ .an'aa" da# "#an&'& da#ah- Me&$ ,e%" #&$* +an% ,&a Anda "e#.a n "da$ &ed$"U..n+a $a d!a$$an &e&a #*&ed# "#an&'& da#ah a#an% .en%a$,a"$an $*.!$a& Na.n "e"a ada #&$* d ,a!$ !an%$ah .ed& nAa Saa R&$* +an% A$an Te#ad Demam. Rea$& Rea$& de.a. de.a. ,&a "e#ad "e#ad den%an den%an 3ea" &e!a.a &e!a.a a"a &e"e!ah &e"e!ah "#an&'& "#an&'& • d!a$$and!a$$an- U..n+a U..n+a n ,$an e#"anda e#"anda &e#&- Na.n ,e,e#aa #ea$& &e#& ada +an% d"anda *!eh de.a.- Un"$ ,e#a%a4a%a ,e#a%a4a%a d*$"e# d*$"e# a$an .en%hen"$an .en%hen"$an "#an&'& n"$ .e!a$$an e.e#$&aan !e,h !an"•
Alergi. In "e#ad $a#ena &&"e. $e$e,a!an ",h ,e#ea$& "e#hada #*"en a"a 5a" !an da!a. da#ah +an% Anda "e#.a- Rea$& n ,a&an+a "e#ad 3ea" &e!a.a a"a &e"e!ah "#an&'&- Anda a$an .e#a&a$an %ea!a4%ea!a .. &ee#" $!" $e.e#ahan dan %a"a!-
•
Infeksi. Se,e!. .end*n*#$an da#ah da#ah &e"a *#an% a&" de#$&a $a da .ende#"a n'e$& +an% .n%$n d"!a#$an .e!a! da#ah- Wa!a de.$an $adan% ,&a "e#ad $e&a!ahan dan da#ah +an% "e#$*n"a.na& " " !*!*& e.e#$&aan- C*n"*hn+a 1 da# 26 "a "#an&'& da#ah "e#$*n"a.na& #& HI8 dan &e$"a# 1 da# 690 #, "e#$*n"a.na& #& hea""& B-
•
Cedera paru. :*nd& $e"$a a#4a# Anda a$an .e#adan% da!a. /a$" ena. a. &a &a "#an&' "#an&'&&- ;$a ;$a e#ada e#adan%a n%an n +an% +an% "e#ad "e#ad a#ah a#ah a#4 a#4a# a# a$an a$an $e$#a $e$#an%a n%an n *$&%en- Ha! "e#&e," ,&a .e.,a" Anda Anda &!" ,e#naa&-
•
Kelebihan cairan. :*nd& n ,&a .en+e,a,$an an"n% "da$ .a. .e.*.a 3$ da#ah $e &e!#h ",h- Se&a$ naa& %a ,&a "e#ad a$,a" a#4a# denh *!eh *!eh 3a#an 3a#an-- R&$* R&$* $e!e, $e!e,han han 3a#an 3a#an !e,h !e,h "n%% "n%% ada ada $a!an%a $a!an%an n ,e#. ,e#.# # +an% +an% .e.!$ en+a$" &e#& &ee#" en+a$" an"n%-
•
Kelebihan zat besi. T#an&'& da#ah ,&a .e.3 $e!e,han 5a" ,e& da!a. da#ah Anda- Ha! n ,&a ,e#da.a$ ,#$ ada ha" dan an"n% an"n% AndaAnda-
Graft-versus-host Graft-versus-host disease. :*nd& n "e#ad a$,a" &e! da#ah "h +an% d"e#.a .en+e#an .en+e#an% % a#n%a a#n%an n ",h ",h *#an% *#an% +an% +an% .ene#. .ene#.aa da#ahda#ah- :*nd :*nd& & n &e#n% &e#n% $a! $a! ,e#a$,a" 'a"a! dan .en.,!$an %ea!a &ee#" da#e #a. #a. dan de.a.- Pende#"a $*nd& n %a .en%a!a. %an%%an ada ha" +an% ,&a d$e"ah .e!a! "e& 'n%& ha"-ha" Me&$n "#an&'& da#ah daa" .en+e!a.a"$an /a na.n "nda$an n ,$an "ana #&$*Dah! n'e$& .enad #&$* "a.a "#an&'& da#ah "e"a $n ha! " &e.a$n &an%a" !an%$a •
"e#ad $a#ena en%an en%an +an% ha"4ha" dan &$#nn% &$#nn% d*n*#- Se,a!$n+a Se,a!$n+a #ea$& "#an&'& "#an&'& dan .a&a!ah d!a# n'e$& .enad .a&a!ah +an% a!n% ..-
Tan 1- Men%den"' Men%den"'$a& $a& en+e,a, en+e,a, $e%a%a!an $e%a%a!an +an% +an% *"en&a! *"en&a! da# &&"e. &&"e. de&an de&an #*d$ #*d$ dan #*&e& #*&e& T#an'& Da#ah d RSUD S!"an I.anddn I .anddn 2- Men%den"' Men%den"'$a& $a& e'e$ da# da# $e%a%a!an $e%a%a!an #*&e& #*&e& T#an'& T#an'& Da#ah d RSUD S!"an S!"an I.andd I.anddn n 6- Men%den"' Men%den"'$a& $a& "n%$a" "n%$a" $e$#"&an $e$#"&an e'e$ e'e$ $e%a%a!an $e%a%a!an "e#hada "e#hada 'n%& 'n%& &&"e. &&"e. de&an de&an #*d$ #*d$ dan #*&e& T#an'& T#an'& Da#ah
ANALISA MATRI< MATRI< =RADIN= PROSES BERESI:O TIN==I DI RSUD SULTAN SULTAN IMANUDDIN
Identifkasi Proses Resiko Tinngi N O Kategori Resiko
Situasi Saat Ini
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Keselama tan Pasien
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Ter+adinya Ter+adinya Reaksi Tranusi Tranusi Penyama ian Test asil kritis Laboratori um Ter+adi Ter+adi Radiasi dengan emotreta n lebi dari ) kali
No ) . , ( *
Probability ( 3Sering Ter+adi , 3 #ungkin Ter+adi Ter+adi . 3 7arang Ter+adi ) 3 Sangat 7arang & 3Tidak #ungkin Ter+adi
Rangki ng Priorita s Resiko
Risk Assesment
Probability/LikeH ood
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Prearedn Tota Tota ess l s!or )'* e risk
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Analisa Resiko Pro Akti "#$A/H% A
2amak Terada Resiko * 3 #eninggal ( 3 4edera Permanen , 3 4edera Re8ersibel / LOS 99 . 3 4edera Ringan
Sistem Kontrol Saat ini / Kesiaan / Prearedness ) 3 Kuat / Solid . 3 5aik / 6ood
) 3 Tidak 4edera
* 3 Tidak Ada / None
, 3 4uku / "air ( 3 Kurang
LAN=:AH LAN=: AH 1 PROSES PROSE S PEMBERIAN TRANFUSI DARAH PADA PADA PASIEN PASIEN RAWA RAWAT INAP DI RSUD SULTAN IMANUDDIN PEMBENTU:AN TIM :ETUA
> d# Dah P#"a San" S-A - B*.ed
AN==OTA
> 1-Ca"# Rn I#a/a" S-ST 2-Ch#&"*e#+ E A-Md-:e 6-Henn+ Wdha&"" A-Md-:e, ?-Dd$ S#+ad S-ST
FASILITATOR FASILITATOR > A.an Dna"a S-:e NOTULEN
>
SASARAN
> Manae#a! Ran% e#a/a"an #a/a" na RSUD S!"an I.anddn
TOTAL FAILER MODE PRO;EC STATUS > 62 Aa$ah &e.a n" +an% "e#$a" da!a. #*&e& &dah "e#/a$! Ya Ya TAN==AL TAN==AL DIMULAI
> 1@ ;ana# 2017
TAN==AL TAN==AL DILEN=:API
> 21 Fe,#a# 2017
LAN=:AH 2 ALUR PROSES PEMBERIAN TRANFUSI DARAH PADA PASIEN RAWAT INAP DI RSUD SULTAN IMANUDDIN Pe#.n"aan "#an'& da#ah da# d*$"e# +an% .e#a/a"
Pen%a.,!an &a.e! da#ah ada a&en
Pen%aan "#an'& da#ah $eada PMI
Pen%an"a#an da#ah "#an&'& da# PMI $e #an% #a/a" na
P#*&e& e.,e#an da#ah "#an'& ada a&en
SUB PROSES
Pen%e3e$an C*3*$$an den""a& '*#.!# e#.n"aan a&en den%an da#ah '*#.!# e#.n"aan da#ah Tanda "an%an d*$"e# A.,! &a.e! da#ah +an% .e#a/a" a&en Pe!a,e!an &a.e! da#ah Pen%an"a#an e#.n"aan dan &a.e! $e PMI
Pen+e#ahan '*#.!# dan &a.e! da#ah
Pene#.aan da#ah da# P.
Ce$ n&#$& d RM
Pen%e3e$an den""a& a&en
P#*&e& &e#ah "e#.a da#ah "#an&'& d #an% #a/a" na
Pen%e3e$an den""a& a&en den%an ,!**d a3$ Pe#&aan T#an'&
Tn%% #*&e& d PMI
T#an'& da#ah $e a&en
S, #*&e& 1 Pe#.n"aan "#an'& da#ah da# d*$"e# +an% .e#a/a" Pen%e3e$an Pen%e3e$an '*#.!# '*#.!# e#.n e#.n"aan "aan da#ah da#ah
Fa!#e M*de
Tanda Tanda "an%an "an%an d*$"e# d*$"e# +an% .e#a/a" .e#a/a"
Fa!#e M*de
T!& T!&an an "da$ "da$ !en% !en%$a $a a"a "da$ "da$ e!a& e!a& Pe"%a& "e#,#4,# $#an% "e!"
:adan% :adan% "da "da$ $ ada "and "andaa "an%an "an%an
S, P#*&e& 2 Pen%a.,!an &a.e! da#ah ada a&en C*3*$$an den""a& a&en den%an '*#.!# e#.n"aan da#ah
Fa!#e M*de :e"da$&e&aan '*#.!# e#.n"aan da#ah den%an den""a& a&en
A., A.,!! &a.e &a.e!! da#ah da#ah a& a&en en
Fa!#e M*de
Pe!a, Pe!a,e!a e!an n &a.e &a.e!! da#ah da#ah
Fa!#e M*de
Pen% Pen%an an"a# "a#an an e#. e#.n n"aa "aan n dan dan &a.e &a.e!! $e PMI
Fa!#e M*de
Sa.e! da#ah #&a$
Pen!&an !a,e! "da$ e!a& dan "da$ !en%$a
Pen%an"a#an Pe#.n"aan dan &a.e! d!a$$an *!eh $e!a#%a a&en
Sa.e! "e#!a! &ed$"
Le,e! "da$ .en+e#"a$an n* #e$a. .ed& La,e! dan &a.e! "da$
Pe#.n"aan dan &a.e! "da$ &e%e#a d$#. $e PMI
S, #*&e& 1 Pe#.n"aan "#an'& da#ah da# d*$"e# +an% .e#a/a" Pen%e3e$an Pen%e3e$an '*#.!# '*#.!# e#.n e#.n"aan "aan da#ah da#ah
Fa!#e M*de
Tanda Tanda "an%an "an%an d*$"e# d*$"e# +an% .e#a/a" .e#a/a"
Fa!#e M*de
T!& T!&an an "da$ "da$ !en% !en%$a $a a"a "da$ "da$ e!a& e!a& Pe"%a& "e#,#4,# $#an% "e!"
:adan% :adan% "da "da$ $ ada "and "andaa "an%an "an%an
S, P#*&e& 2 Pen%a.,!an &a.e! da#ah ada a&en C*3*$$an den""a& a&en den%an '*#.!# e#.n"aan da#ah
Fa!#e M*de :e"da$&e&aan '*#.!# e#.n"aan da#ah den%an den""a& a&en
A., A.,!! &a.e &a.e!! da#ah da#ah a& a&en en
Fa!#e M*de
Pe!a, Pe!a,e!a e!an n &a.e &a.e!! da#ah da#ah
Fa!#e M*de
Pen% Pen%an an"a# "a#an an e#. e#.n n"aa "aan n dan dan &a.e &a.e!! $e PMI
Fa!#e M*de
Sa.e! da#ah #&a$
Pen!&an !a,e! "da$ e!a& dan "da$ !en%$a
Pen%an"a#an Pe#.n"aan dan &a.e! d!a$$an *!eh $e!a#%a a&en
Sa.e! "e#!a! &ed$"
Le,e! "da$ .en+e#"a$an n* #e$a. .ed& La,e! dan &a.e! "da$
Pe#.n"aan dan &a.e! "da$ &e%e#a d$#. $e PMI
&e&a
S, P#*&e& 6 Pen%aan "#an'& da#ah $eada PMI Pen+ Pen+e# e#ah ahan an '*#. '*#.! !# # dan dan &a. &a.e e!! da# da#ah ah
Fa!#e M*de D! a$ a$$an *! *!eh $e $e!a#%a a a&en
Pen% Pen%e3 e3e$ e$an an den den"" ""a& a& a& a&en en
Fa!#e M*de Pe"%a & " da da$ !a !an%&n% .ene#.a '*#.!# &a.e! da#ah Pe"%a& "da$ .e!a$$an $*n'#.a& den%an e"%a& n" +an% .e.n"a
Tn% Tn%% % #*& #*&e& e& d PMI PMI
Fa!#e M*de Tda$ d!a$$an 3#*&&.a"3h a"a #ea$& &!an% &e#a& Pe!a,e!an n"$ ,!**da3$ ,a$ WB PRC P!a&.a a"an TC .a&h .ana! dan "da$ !en%$a
S, P#*&e& ? Pen%an"a#an da#ah "#an&'& "#an&'& da# PMI $e #an% #a/a" #a/a" na Pene# .a .aa n da #a #ah da da# P. P.
Fa!#e M*de Tda$ .en%%na$an 3**! a3$ (.a&h .en%%na$an $an"*n% !a&"$) :e!a#%a a&en $#an% 'aha. 3a#a .ena%a $ea.anan ,!**d a3$
P#*&e& &e &e#ah "e "e# .a .a da da#ah "# "#an&'& d d # #an% #a #a/a" n na
Fa!#e M*de Pen+e#ahan d!a$$an *!eh $e!a#%a $e e"%a& n" #a/a" na B!**d a3$ "da$ !an%&n% d&e#ah$an $e e"%a&
&e&a
S, P#*&e& 6 Pen%aan "#an'& da#ah $eada PMI Pen+ Pen+e# e#ah ahan an '*#. '*#.! !# # dan dan &a. &a.e e!! da# da#ah ah
Pen% Pen%e3 e3e$ e$an an den den"" ""a& a& a& a&en en
Fa!#e M*de
Fa!#e M*de
D! a$ a$$an *! *!eh $e $e!a#%a a a&en
Tn% Tn%% % #*& #*&e& e& d PMI PMI
Fa!#e M*de
Pe"%a & " da da$ !a !an%&n% .ene#.a '*#.!# &a.e! da#ah Pe"%a& "da$ .e!a$$an $*n'#.a& den%an e"%a& n" +an% .e.n"a
Tda$ d!a$$an 3#*&&.a"3h a"a #ea$& &!an% &e#a& Pe!a,e!an n"$ ,!**da3$ ,a$ WB PRC P!a&.a a"an TC .a&h .ana! dan "da$ !en%$a
S, P#*&e& ? Pen%an"a#an da#ah "#an&'& "#an&'& da# PMI $e #an% #a/a" #a/a" na Pene# .a .aa n da #a #ah da da# P. P.
P#*&e& &e &e#ah "e "e# .a .a da da#ah "# "#an&'& d d # #an% #a #a/a" n na
Fa!#e M*de
Fa!#e M*de
Tda$ .en%%na$an 3**! a3$ (.a&h .en%%na$an $an"*n% !a&"$) :e!a#%a a&en $#an% 'aha. 3a#a .ena%a $ea.anan ,!**d a3$
Pen+e#ahan d!a$$an *!eh $e!a#%a $e e"%a& n" #a/a" na B!**d a3$ "da$ !an%&n% d&e#ah$an $e e"%a&
S, P#*&e& 9 P#*&e& e.,e#an da#ah "#an'& ada a&en Ce $ n& n&#$& d RM
Fa!#e M*de Pe"%a& "da$ .en%e3e$ $e.,a! n&"#$& d RM
Pen%e3e$an den" "a "a& a& en en den%an ,!**d a3$
Fa!#e M*de
Pe#&aan T#an'&
T#an'& da#ah $e a&en
Fa!#e M*de
Pe"%a& "da$ .en%$*&3e$ an"a#a ,!**d a3$ den%an den""a& a&en T!&an d ,!**d a3$ #&a$ "e#ha& Pe"%a& "da$ 3#*&&3he3$ $e&e&aan %*!*n%an da#ah den%an e#.n"aan
Fa!#e M*de
Da#ah dhan%a"$an den%an 3a#a +an% &a!ah
Pe"%a& "da$ .e!a$$an en%a/a&an #ea$& "#an'&
Pe"%a& "da$ .e.,e#$an n'*#.ed 3*n&en" Pe"%a& "da$ .e!a$$an "a! &%n &e,e!. "#an'&
:e!# h"n% "e"e&an da#ah :e!# .!ah $e,"han "#an'&
:e!# .e.!h &e" "#an'& :e!# .e.!h 3a#an n'& #e "#an'&
Langkah ! "odus Kegagalan dan dampak #ub $roses % ! $ermintaan tranfusi darah dari dokter &ang mera'at
S, P#*33e& P#*d3" 1- Pen%e3e$an '*#.!# e#.n"aan da#ah N*
P*"en"a! Fa!#e M*de
P*"en"a! Ca&e& O' Fa!#e
P*"en"a! E''e3" O' Fa!#e
S, P#*&e& 9 P#*&e& e.,e#an da#ah "#an'& ada a&en Ce $ n& n&#$& d RM
Fa!#e M*de
Pen%e3e$an den" "a "a& a& en en den%an ,!**d a3$
Fa!#e M*de
Pe"%a& "da$ .en%e3e$ $e.,a! n&"#$& d RM
Pe#&aan T#an'&
T#an'& da#ah $e a&en
Fa!#e M*de
Pe"%a& "da$ .en%$*&3e$ an"a#a ,!**d a3$ den%an den""a& a&en T!&an d ,!**d a3$ #&a$ "e#ha& Pe"%a& "da$ 3#*&&3he3$ $e&e&aan %*!*n%an da#ah den%an e#.n"aan
Fa!#e M*de
Da#ah dhan%a"$an den%an 3a#a +an% &a!ah
Pe"%a& "da$ .e!a$$an en%a/a&an #ea$& "#an'&
Pe"%a& "da$ .e.,e#$an n'*#.ed 3*n&en" Pe"%a& "da$ .e!a$$an "a! &%n &e,e!. "#an'&
:e!# h"n% "e"e&an da#ah :e!# .!ah $e,"han "#an'&
:e!# .e.!h &e" "#an'& :e!# .e.!h 3a#an n'& #e "#an'&
Langkah ! "odus Kegagalan dan dampak #ub $roses % ! $ermintaan tranfusi darah dari dokter &ang mera'at
S, P#*33e& P#*d3" 1- Pen%e3e$an '*#.!# e#.n"aan da#ah N*
P*"en"a! Fa!#e M*de
P*"en"a! Ca&e& O' Fa!#e
P*"en"a! E''e3" O' Fa!#e
1
T!& T!&an an "da$ "da$ !en% !en%$a $a a"a a"a "da "da$ $ e!a& e!a&
2
Pe"%a& "e#,#4,# $#an% "e!"
T! T!&an &an e., e.,e# e# e# e#n" n"ah ah &!" &!" "e#,a3a Be,an $e#a "n%%
Pe"%a& ene#.a de!e%a& $e!# .e.aha. n&"#$& In&"#$& +an% da!an$an &a!ah
S, P#*33e& P#*d3" 2- Tanda "an%an d*$"e# +an% .e#a/a" N* 1
P*"en"a! Fa!#e M*de :adan% "da$ ada "anda "an%an
P*"en"a! Ca&e& O' Fa!#e D*$"e# La dan e#a/a" "da$ .en%n%a"$an
P*"en"a! E''e3" O' Fa!#e Le%a!"a& :#an%
#ub $roses ( ! $engambilan sampel darah pada pasien
S, P#*33e& P#*d3" 1- C*3*$$an den""a& a&en den%an '*#.!# e#.n"aan da#ah N* 1
P*"en"a! Fa!#e M*de P*"en"a! Ca&e& O' Fa!#e :e" :e"da da$& $&e& e&a aa an n '*#. '*#.! !# # e#. e#.n n"a "aan an Pe"%a& "da$ "e!" .en!& den""a& da#ah den%an den""a& a&en ene#.a "#an&'&
P*"en"a! E''e3" O' Fa!#e Pe#.n"aan da#ah d"*!a$
S, P#*33e& P#*d3" 2- A.,! &a.e! da#ah a&en N* 1
P*"en"a! Fa!#e M*de Sa.e! da#ah #&a$
2
Sa.e! "e#!a! &ed$"
P*"en"a! Ca&e& O' Fa!#e P#*&e& en%a.,!an &a.e! da#ah "da$ ,ena# :e"da$ "ahan e"%a& dan Sa.e! &an%a" &an%a" &!" ddaa"
P*"en"a! E''e3" O' Fa!#e Sa.e! U!an%
P*"en"a! Ca&e& O' Fa!#e Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e :*n'#.a& !an%
Sa.e! U!an%
S, P#*33e& P#*d3" 6- Pe!a,e!an &a.e! da#ah N* 1
P*"en"a! Fa!#e M*de Pen!&an !a,e! "da$ e!a& dan "da$
1
T!& T!&an an "da$ "da$ !en% !en%$a $a a"a a"a "da "da$ $ e!a& e!a&
2
Pe"%a& "e#,#4,# $#an% "e!"
T! T!&an &an e., e.,e# e# e# e#n" n"ah ah &!" &!" "e#,a3a Be,an $e#a "n%%
Pe"%a& ene#.a de!e%a& $e!# .e.aha. n&"#$& In&"#$& +an% da!an$an &a!ah
S, P#*33e& P#*d3" 2- Tanda "an%an d*$"e# +an% .e#a/a" N* 1
P*"en"a! Fa!#e M*de :adan% "da$ ada "anda "an%an
P*"en"a! Ca&e& O' Fa!#e D*$"e# La dan e#a/a" "da$ .en%n%a"$an
P*"en"a! E''e3" O' Fa!#e Le%a!"a& :#an%
#ub $roses ( ! $engambilan sampel darah pada pasien
S, P#*33e& P#*d3" 1- C*3*$$an den""a& a&en den%an '*#.!# e#.n"aan da#ah N* 1
P*"en"a! Fa!#e M*de P*"en"a! Ca&e& O' Fa!#e :e" :e"da da$& $&e& e&a aa an n '*#. '*#.! !# # e#. e#.n n"a "aan an Pe"%a& "da$ "e!" .en!& den""a& da#ah den%an den""a& a&en ene#.a "#an&'&
P*"en"a! E''e3" O' Fa!#e Pe#.n"aan da#ah d"*!a$
S, P#*33e& P#*d3" 2- A.,! &a.e! da#ah a&en N* 1
P*"en"a! Fa!#e M*de Sa.e! da#ah #&a$
2
Sa.e! "e#!a! &ed$"
P*"en"a! Ca&e& O' Fa!#e P#*&e& en%a.,!an &a.e! da#ah "da$ ,ena# :e"da$ "ahan e"%a& dan Sa.e! &an%a" &an%a" &!" ddaa"
P*"en"a! E''e3" O' Fa!#e Sa.e! U!an%
P*"en"a! Ca&e& O' Fa!#e Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e :*n'#.a& !an%
Pe"%a& "da$ "e!"
:*n'#.a& !an%
Sa.e! U!an%
S, P#*33e& P#*d3" 6- Pe!a,e!an &a.e! da#ah N* 1
2 6
P*"en"a! Fa!#e M*de Pen!&an !a,e! "da$ e!a& dan "da$
!en%$a Le, Le,e! "da "da$ $ .en+ en+e#"a e#"a$ $an n* #e$ #e$a. .ed& La,e! dan &a.e! "da$ &e&a
Pe"%a& "da$ "e!"
S, P#*33e& P#*d3" ?- Pen%an"a#an e#.n"aan dan &a .e! $e PMI N* 1 2
P*"en"a! Fa!#e M*de Pen Pen%an %an"a#a "a#an n Pe# Pe#. .n"a n"aan an dan &a. &a.e! d!a$$an *!eh $e!a# %a %a a&en Pe#. Pe#.n n"a "aan an dan dan &a. &a. e! "da "da$ $ &e% &e%ee#a d$#. $e PMI
P*"en"a! Ca&e& O' Fa!#e P#*&ed# +an% &a!ah dan $e"da$"ahan e"%a& :e"da$ "ahan e"%a&
P*"en"a! E''e3" O' Fa!#e Be,an $e!a#%a ,e#"a.,ah Penan%anan &a.e! +an% "e#!a! !a.a
#ub $rocess ! $enga)uan tranfusi darah kepada $"I
S, P#*3e&&P#*d3" 1- Pen+e#ahan '*#.!# dan &a.e! da#ah N* 1
P*"en"a! Fa!#e M*de D!a$$an *!eh $e!a#%a a&en
P*"en"a! Ca&e& O' Fa!#e P#*&ed# +an% &a!ah dan $e"da$"ahan e"%a&
P*"en"a! E''e3" O' Fa!#e Be,an $e!a#%a ,e#"a.,ah
S, P#*3e&&#*d3" 2- Pen%e3e$an den""a& a&en N* 1 2
P*"en"a! Fa!#e M*de Pe" Pe"%a %a&& "d "da$ a$ !an% !an%& &n n% .ene# ene#. .aa '*#.!# &a. e! da#ah Pe" Pe"%a %a&& "da "da$ $ .e! .e!a$ a$$ $an an $*n $*n''#. #.a& a& den%an e"%a& n" +an% .e.n"a
S, P#*3e&&#*d3" 6- Tn%% #*&e& d PMI
P*"en"a! Ca&e& O' Fa!#e :e" :e"da da$" $"ah aha an n $e! $e!a# a#%a %a a& a&en en
P*"en"a! E''e3" O' Fa!#e Pena Penan% n%an anan an a& a&en en "e#" "e#"n nda da
Tda$ ada &a#ana $*.n$a& !an%&n% $e n" #a/a" na
Adan+a $e"da$ &e&aan e.,e#an "#an'& da#ah
2 6
!en%$a Le, Le,e! "da "da$ $ .en+ en+e#"a e#"a$ $an n* #e$ #e$a. .ed& La,e! dan &a.e! "da$ &e&a
Pe"%a& "da$ "e!"
:*n'#.a& !an%
Pe"%a& "da$ "e!"
S, P#*33e& P#*d3" ?- Pen%an"a#an e#.n"aan dan &a .e! $e PMI N* 1 2
P*"en"a! Fa!#e M*de Pen Pen%an %an"a#a "a#an n Pe# Pe#. .n"a n"aan an dan &a. &a.e! d!a$$an *!eh $e!a# %a %a a&en Pe#. Pe#.n n"a "aan an dan dan &a. &a. e! "da "da$ $ &e% &e%ee#a d$#. $e PMI
P*"en"a! Ca&e& O' Fa!#e P#*&ed# +an% &a!ah dan $e"da$"ahan e"%a& :e"da$ "ahan e"%a&
P*"en"a! E''e3" O' Fa!#e Be,an $e!a#%a ,e#"a.,ah Penan%anan &a.e! +an% "e#!a! !a.a
#ub $rocess ! $enga)uan tranfusi darah kepada $"I
S, P#*3e&&P#*d3" 1- Pen+e#ahan '*#.!# dan &a.e! da#ah N* 1
P*"en"a! Fa!#e M*de D!a$$an *!eh $e!a#%a a&en
P*"en"a! Ca&e& O' Fa!#e P#*&ed# +an% &a!ah dan $e"da$"ahan e"%a&
P*"en"a! E''e3" O' Fa!#e Be,an $e!a#%a ,e#"a.,ah
S, P#*3e&&#*d3" 2- Pen%e3e$an den""a& a&en N* 1 2
P*"en"a! Fa!#e M*de Pe" Pe"%a %a&& "d "da$ a$ !an% !an%& &n n% .ene# ene#. .aa '*#.!# &a. e! da#ah Pe" Pe"%a %a&& "da "da$ $ .e! .e!a$ a$$ $an an $*n $*n''#. #.a& a& den%an e"%a& n" +an% .e.n"a
P*"en"a! Ca&e& O' Fa!#e :e" :e"da da$" $"ah aha an n $e! $e!a# a#%a %a a& a&en en
P*"en"a! E''e3" O' Fa!#e Pena Penan% n%an anan an a& a&en en "e#" "e#"n nda da
Tda$ ada &a#ana $*.n$a& !an%&n% $e n" #a/a" na
Adan+a $e"da$ &e&aan e.,e#an "#an'& da#ah
S, P#*3e&&#*d3" 6- Tn%% #*&e& d PMI
N* 1
P*"en"a! Fa!#e M*de Tda$ da$ d! d!a$ a$$ $an an 3#*& 3#*&&. &.a" a"3h 3h a"a a"a #ea$& &!an% &e#a&
P*"en"a! Ca&e& O' Fa!#e Rea%en ,e!. ada
P*"en"a! E''e3" O' Fa!#e Adan+a #ea$& "#an'&
2
Pe!a Pe!a, ,e!an e!an n" n"$ $ ,!* ,!** *da3$ a3$ ,a ,a$ WB PRC P!a&.a a"an TC .a&h .ana! dan "da$ !en%$a
Tda Tda$ $ ada ada a!a" a!a" n" n"$ $ e!a e!a,e ,e!a !an n
T!& !&an an ad ad $a, $a,## a"a a"a h!a h!an% n%
#ub $rocess * ! $engantaran darah transfusi dari $"I ke ruang ra'at inap
S, P#*3e&&#*d3" 1- Pene#.aan da#ah da# PMI N* 1
2
P*"en"a! Fa!#e M*de Tda$ .e .e n% n%%na$a n 3**! a a3$ (.a&h .en%%na$an $an"*n% !a&"$) :e! e!a#% a#%a a& a&e en n $# $#an an% % 'ah 'aha. a. 3a#a 3a#a .ena%a .ena%a $ea.anan ,!**d a3$
P*"en"a! Ca&e& O' Fa!#e Be!. ada 3**! a3$
P*"en"a! E''e3" O' Fa!#e :*.*nen da#ah ad .dah #&a$
Be!. ada e.aha.an "en"an% $ea.anan da#ah
:*.*nen da#ah ad #&a$
S, P#*3e&&#*d3" 2- P#*&e& &e#ah "e#.a da#ah "#an&'& d #an% #a/a" na N* 1 2
P*"en"a! Fa!#e M*de Pen+ Pen+e# e#ah ahan an d!a d!a$ $$a $an n *!eh *!eh $e! $e!a# a#% %a $e e"%a& n" #a/a" na B! ** **d a3$ " d da$ !an%&n% d&e#ah$an $e e"%a&
P*"en"a! Ca&e& O' Fa!#e :e"da$"ahan e"%a&
P*"en"a! E''e3" O' Fa!#e Be,an $e!a#%a ,e#"a.,ah
:e" :e"da da$" $"ah aha an n $e! $e!a a#% #%aa a& a&e en n
T#an' #an'& & "e#" "e#"n nda da da#a da#ah h .en .ena ad d #&a$
#ub $rocess + ! $roses pemberian darah tranfusi pada pasien
N* 1
P*"en"a! Fa!#e M*de Tda$ da$ d! d!a$ a$$ $an an 3#*& 3#*&&. &.a" a"3h 3h a"a a"a #ea$& &!an% &e#a&
P*"en"a! Ca&e& O' Fa!#e Rea%en ,e!. ada
P*"en"a! E''e3" O' Fa!#e Adan+a #ea$& "#an'&
2
Pe!a Pe!a, ,e!an e!an n" n"$ $ ,!* ,!** *da3$ a3$ ,a ,a$ WB PRC P!a&.a a"an TC .a&h .ana! dan "da$ !en%$a
Tda Tda$ $ ada ada a!a" a!a" n" n"$ $ e!a e!a,e ,e!a !an n
T!& !&an an ad ad $a, $a,## a"a a"a h!a h!an% n%
#ub $rocess * ! $engantaran darah transfusi dari $"I ke ruang ra'at inap
S, P#*3e&&#*d3" 1- Pene#.aan da#ah da# PMI N* 1
2
P*"en"a! Fa!#e M*de Tda$ .e .e n% n%%na$a n 3**! a a3$ (.a&h .en%%na$an $an"*n% !a&"$) :e! e!a#% a#%a a& a&e en n $# $#an an% % 'ah 'aha. a. 3a#a 3a#a .ena%a .ena%a $ea.anan ,!**d a3$
P*"en"a! Ca&e& O' Fa!#e Be!. ada 3**! a3$
P*"en"a! E''e3" O' Fa!#e :*.*nen da#ah ad .dah #&a$
Be!. ada e.aha.an "en"an% $ea.anan da#ah
:*.*nen da#ah ad #&a$
S, P#*3e&&#*d3" 2- P#*&e& &e#ah "e#.a da#ah "#an&'& d #an% #a/a" na N* 1 2
P*"en"a! Fa!#e M*de Pen+ Pen+e# e#ah ahan an d!a d!a$ $$a $an n *!eh *!eh $e! $e!a# a#% %a $e e"%a& n" #a/a" na B! ** **d a3$ " d da$ !an%&n% d&e#ah$an $e e"%a&
P*"en"a! Ca&e& O' Fa!#e :e"da$"ahan e"%a&
P*"en"a! E''e3" O' Fa!#e Be,an $e!a#%a ,e#"a.,ah
:e" :e"da da$" $"ah aha an n $e! $e!a a#% #%aa a& a&e en n
T#an' #an'& & "e#" "e#"n nda da da#a da#ah h .en .ena ad d #&a$
#ub $rocess + ! $roses pemberian darah tranfusi pada pasien
S, P#*3e&&#*d3" 1- Ce$ n&#$& d RM N* 1
P*"en"a! Fa!#e M*de Pe" Pe"%a %a&& "da "da$ $ .en%e en%e3e 3e$ $ $e. $e.,a! ,a! n&"#$& d RM
P*"en"a! Ca&e& O' Fa!#e Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e :e&a!ahan e.,e#an da#ah
S, P#*3e&&#*d3" 2- Pen%e3e$an den""a& a&en den%an ,!**d a3$ N* 1 2 6
P*"en"a! Fa!#e M*de Pe" Pe"%a %a&& "d "da$ a$ .en%$ en%$*& *&3e 3e$ $ an"a an"a##a ,!**d a3$ ,!**d a3$ den%an den""a& a&en T! &a &an d d ,! ,!**d a a3$ # #&a$ "e#ha& Pe" Pe"%a %a&& "da "da$ $ 3#*& 3#*&&3 &3he he3$ 3$ $e&e $e&e& &a aan an %*!*n%an da#ah da#ah den%an e#.n"aan e#.n"aan
P*"en"a! Ca&e& O' Fa!#e Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e Te#adn+a #ea$& "#an'&
Tn"a a!a" "!& ha,&
T!&an &!" "e#,a3a
Pe"%a& "da$ "e!"
Te#ad #ea$& "#an'&
P*"en"a! Ca&e& O' Fa!#e Pen%e"ahan $#an% dan ,e!. ada a!a" en%han%a" a!a" en%han%a" ,e!. ada Te#!a! &,$ a"a $e"da$"ahan e"%a& Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e :*.*nen da#ah ad #&a$
S, P#*3e&&#*d3" 6- Pe#&aan T#an&'& N* 1 2 6 ? 9
P*"en"a! Fa!#e M*de Da#ah a#ah dh dhan% an%a"$ a"$an den den%an %an 3a# 3a#aa +an +an% % &a!ah Pe" Pe"%a %a&& "d "da$ a$ .e.,e e.,e# #$a $an n n' n'* *#.ed #.ed 3*n&en" Pe" Pe"%a %a&& "d "da$ a$ .e!a$ e!a$$ $an an "a! "a! &% &%n &e,e!. "#an'& :e!# .e.!h &e" "#an'& :e!# e!# .e.! e.!h h 3a# 3a#an an n' n'& #e #e "#an'&
S, P#*3e&&#*d3" ?- T#an&'& Da#ah $e Pa&en
Pe"%a& "da$ "e!" Pe"%a& "da$ "e!"
Ada "n""an h$. Te#adn+a #ea$& "#an'& Te#"ndan+a "#an'& da#ah Te#"ndan+a "#an'& da#ah
S, P#*3e&&#*d3" 1- Ce$ n&#$& d RM N* 1
P*"en"a! Fa!#e M*de Pe" Pe"%a %a&& "da "da$ $ .en%e en%e3e 3e$ $ $e. $e.,a! ,a! n&"#$& d RM
P*"en"a! Ca&e& O' Fa!#e Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e :e&a!ahan e.,e#an da#ah
S, P#*3e&&#*d3" 2- Pen%e3e$an den""a& a&en den%an ,!**d a3$ N* 1 2 6
P*"en"a! Fa!#e M*de Pe" Pe"%a %a&& "d "da$ a$ .en%$ en%$*& *&3e 3e$ $ an"a an"a##a ,!**d a3$ ,!**d a3$ den%an den""a& a&en T! &a &an d d ,! ,!**d a a3$ # #&a$ "e#ha& Pe" Pe"%a %a&& "da "da$ $ 3#*& 3#*&&3 &3he he3$ 3$ $e&e $e&e& &a aan an %*!*n%an da#ah da#ah den%an e#.n"aan e#.n"aan
P*"en"a! Ca&e& O' Fa!#e Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e Te#adn+a #ea$& "#an'&
Tn"a a!a" "!& ha,&
T!&an &!" "e#,a3a
Pe"%a& "da$ "e!"
Te#ad #ea$& "#an'&
P*"en"a! Ca&e& O' Fa!#e Pen%e"ahan $#an% dan ,e!. ada a!a" en%han%a" a!a" en%han%a" ,e!. ada Te#!a! &,$ a"a $e"da$"ahan e"%a& Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e :*.*nen da#ah ad #&a$
S, P#*3e&&#*d3" 6- Pe#&aan T#an&'& N* 1 2 6 ? 9
P*"en"a! Fa!#e M*de Da#ah a#ah dh dhan% an%a"$ a"$an den den%an %an 3a# 3a#aa +an +an% % &a!ah Pe" Pe"%a %a&& "d "da$ a$ .e.,e e.,e# #$a $an n n' n'* *#.ed #.ed 3*n&en" Pe" Pe"%a %a&& "d "da$ a$ .e!a$ e!a$$ $an an "a! "a! &% &%n &e,e!. "#an'& :e!# .e.!h &e" "#an'& :e!# e!# .e.! e.!h h 3a# 3a#an an n' n'& #e #e "#an'&
Ada "n""an h$. Te#adn+a #ea$& "#an'&
Pe"%a& "da$ "e!" Pe"%a& "da$ "e!"
Te#"ndan+a "#an'& da#ah Te#"ndan+a "#an'& da#ah
P*"en"a! Ca&e& O' Fa!#e Pe"%a& &,$,e,an $e#a "e#!a! "n%% Pe"%a& "da$ "e!" Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e Tda$ $e"ahan ,!a "e#ad #ea$& "#an'& P#*&e& "#an'& "da$ e'e$"' P#*&e& "#an'& "da$ e'e$"'
S, P#*3e&&#*d3" ?- T#an&'& Da#ah $e Pa&en
N* 1 2 6
P*"en"a! Fa!#e M*de Pe"%a& " "da$ .e .e!a$$an en%a/a&an #ea$& "#an'& "#an'& :e!# h"n% "e"e&an da#ah :e!# .!ah $e,"han "#an'&
,ailure "ode dan $
Po te te nt nti al al Fa Fa ilil ur ur e M od ode
P ot ote nt nti al al Ca Cau se se s f or or Fa Fa ilil ur ure
L ik ik el el ih ihood
Po te te nt nti al al Ef Ef fe fe ct cts of of
Severity
Current Controls
Detection
RPN
9
SPO den"'$a& "d$ e'e$"'
9
129
9
SPO "#an&'& da#ah "da$ e'e$"'
9
129
Failure
Pe"%a& ene#.a de!e%a& $e!# .e.aha. n&"#$& In&"#$& +an% da!an$an &a!ah
1
T!&an "da$ !en%$a a"a "da$ e!a&
T!&an e.,e# e#n"ah &!" "e#,a3a
9
2
Pe"%a& "e#,#4,# $#an% "e!"
Be,an $e#a "n%%
?
6
:adan% "da$ ada "anda "an%an
D*$"e# La dan e#a/a" "da$ .en%n%a"$an
6
Le%a!"a& :#an%
6
SPO "#an&'& da#ah "da$ e'e$"'
6
27
?
:e"da$&e&aan '*#.!# e#.n"aan da#ah den%an den""a& a&en
Pe"%a& "da$ "e!" .en!& den""a& ene#.a "#an&'&
9
Pe#.n"aan da#ah d"*!a$
9
SPO "#an&'& da#ah "da$ e'e$"'
9
129
9
Sa.e! da#ah #&a$
?
Sa.e! U!an%
?
?
?
Sa . .e ! "e#!a! &e &e d d $ $"
?
Sa.e! U!an%
?
?
?
7
Pen!&an !a,e! "da$ e!a& dan "da$ !en%$a
9
:*n'#.a& !an%
9
9
129
Sa!ah 3a#a en%a.,!an &a.e! da#ah Sa.e! &an%a" &!" ddaa" Pe"%a& "da$ "e!"
SPO en%a.,!an &a.e! da#ah "da$ e'e$"' SPO en%a.,!an &a.e! da#ah "da$ e'e$"' SPO en%a.,!an &a.e! da#ah "da$ e'e$"'
N* 1 2 6
P*"en"a! Fa!#e M*de Pe"%a& " "da$ .e .e!a$$an en%a/a&an #ea$& "#an'& "#an'& :e!# h"n% "e"e&an da#ah :e!# .!ah $e,"han "#an'&
P*"en"a! Ca&e& O' Fa!#e Pe"%a& &,$,e,an $e#a "e#!a! "n%% Pe"%a& "da$ "e!" Pe"%a& "da$ "e!"
P*"en"a! E''e3" O' Fa!#e Tda$ $e"ahan ,!a "e#ad #ea$& "#an'& P#*&e& "#an'& "da$ e'e$"' P#*&e& "#an'& "da$ e'e$"'
,ailure "ode dan $
Po te te nt nti al al Fa Fa ilil ur ur e M od ode
P ot ote nt nti al al Ca Cau se se s f or or Fa Fa ilil ur ure
L ik ik el el ih ihood
Po te te nt nti al al Ef Ef fe fe ct cts of of
Severity
Current Controls
Detection
RPN
9
SPO den"'$a& "d$ e'e$"'
9
129
9
SPO "#an&'& da#ah "da$ e'e$"'
9
129
Failure
Pe"%a& ene#.a de!e%a& $e!# .e.aha. n&"#$& In&"#$& +an% da!an$an &a!ah
1
T!&an "da$ !en%$a a"a "da$ e!a&
T!&an e.,e# e#n"ah &!" "e#,a3a
9
2
Pe"%a& "e#,#4,# $#an% "e!"
Be,an $e#a "n%%
?
6
:adan% "da$ ada "anda "an%an
D*$"e# La dan e#a/a" "da$ .en%n%a"$an
6
Le%a!"a& :#an%
6
SPO "#an&'& da#ah "da$ e'e$"'
6
27
?
:e"da$&e&aan '*#.!# e#.n"aan da#ah den%an den""a& a&en
Pe"%a& "da$ "e!" .en!& den""a& ene#.a "#an&'&
9
Pe#.n"aan da#ah d"*!a$
9
SPO "#an&'& da#ah "da$ e'e$"'
9
129
9
Sa.e! da#ah #&a$
?
Sa.e! U!an%
?
?
?
Sa . .e ! "e#!a! &e &e d d $ $"
?
Sa.e! U!an%
?
?
?
7
Pen!&an !a,e! "da$ e!a& dan "da$ !en%$a
Pe"%a& "da$ "e!"
9
:*n'#.a& !an%
9
SPO en%a.,!an &a.e! da#ah "da$ e'e$"'
9
129
Pe"%a& "da$ "e!"
6
:*n'#.a& !an%
6
SPO en%a.,!an &a.e! da#ah "da$ e'e$"'
6
27
Pe"%a& "da$ "e!"
9
Te#"$a# &a.e!
9
SPO en%a.,!an &a.e! da#ah "da$ e'e$"'
9
129
P#*&ed# +an% &a!ah dan $e"da$"ahan e"%a&
9
Be,an $e!a#%a ,e#"a.,ah
?
SPO "#an&'& da#ah "da$ e'e$"'
?
0
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#ebelum edesign #esudah edesign Pen Pen! !&a &an n Iden Iden" "' '$a $a& & a& a&en en (na. (na.a a"% "%!! !ah !ah# # RM) RM) .a&h .a&h Ba" &"$e# +an% .e.a" den""a& a&en (na.a"%! !ah#RM) &e3a#a .ana! Pen+ en+e#ah e#ahan an '*#. '*#. !# !# dan &a. &a.e! da#a da#ah h d!a$ !a$ $an *!eh *!eh Pen+e#ahan '*#.!# dan &a.e! da#ah d!a$$an *!eh e"%a& $e!a#%a a&en Be! . . d! a$ a$$an &! an an% &e #a #a& (3#*&&.a" 3h 3h) Sdah ha#& d! a$ a$$an & !a !an% &e#a& (3#*&&.a"3 h) h) Be!. ada .eda "#an&*#" Pen+edaan .eda "#an&*" n"$ ,!**d a3$ F*#.!# e#.n"aan da#ah $#an% !en%$a F*#.!# d de#&a$an !e !e,h !e !en%$a ,a ,a$ a ada d den""a& .a .an da da"a end$n% Han+a ada SOP "#an&'& Re& SOP "#an&'& SOP Pen%a.,!an &a.e! da#ah SOP &e#ah "e#.a dan "#an&*#" da#ah Pe#.n"aan da#ah $e UTDC Pe#.n"aan da#ah $e Ban$ Da#ah RS Pe!a,e!an ,!**da3$ .a&h .ana! La,e! ada ,!**da3$ &e&a &"anda#" 05AL2A#I $ 0- D0#IG
o 1
2
6 ? 9 7
#ebelum edesign Pen!&an Iden"'$a& a&en (na.a"%! !ah# RM) .a&h &e3a#a .ana! Pen+ en+e#ah e#ahan an '* '*#.! #.!# # dan dan &a. &a.e e!! da#ah da#ah d!a$ d!a$$an $an *!eh *!eh $e!a# $e!a#%a %a a&en Be! Be!. . d! d!a$ a$$ $an an &! &!an an% % &e# &e#a& a& (3#*&&.a"3h) Be!. ada .eda "#an&*#" F*#.!# e#.n"aan da#ah $#an% !en%$a Han+a ada SOP "#an&'&
Pe#.n"aan da#ah $e UTDC Pe!a,e!an ,!**da3$ .a&h .ana!
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#esudah edesign Ba" &"$e# +an% .e.a" den""a& a&en (na.a"%! !ah#RM)
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Pen+e#ahan Pen+e#ahan '*#.!# dan &a.e! &a.e! da#ah d!a$$an *!eh e"%a&
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Sdah ha#& d!a$$an &!an% &e#a& (3#*&&.a"3h) Pen+edaan .eda "#an&*" n"$ ,!**d a3$ F*#.!# de#&a$an !e,h !en%$a ,a$ ada den""a& .an da"a end$n% Re& SOP "# " #an&'& SOP Pe P en%a.,!an &a.e! da#ah SOP &e#ah "e#.a dan "#an&*#" da#ah Pe#.n"aan da#ah $e Ban$ Da#ah RS La,e! ada ,!**da3$ &e&a &"anda#"
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$0 232$
Den%an adan+a .e"*de FMEA ada #*&e& T#an'& Da#ah d RSUD S!"an I.anddn en+e,a, $e%a%a!an +an% *"en&a! e'e$ +an% a$an d".,!$an da# &&"e. de&an #*d$ dan #*&e& "#an'& da#ah daa" "e#den"'$a& dan dea!a& %na .ene"a$an #*&e& ,a# e.,e#an "#an'& da#ah d RSUD S!"an I.anddn n"$ .en%#an% #e&$* 3ede#a.e.n.a!$an ,aha+a dan $e#%an ada a&enen%nn% $a#+a/an R.ah Sa$" dan *#%an&a&n+a n"$ .en3"a$an !n%$n%an +an% a.an-
