HARTONO, 09415477D (2012) MANAJEMEN PENGETAHUAN SEBAGAI STRATEGI IMPLEMENTASI KESELAMATAN PASIEN UNTUK MENINGKATKAN KINERJA PETUGAS. Disertasi thesis, UNIVERSITAS AIRLANGGA.

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Abstract

Latar belakang. Kesalahan terjadi di laboratorium disebabkan karena hasil pemeriksaan laboratorium membingungkan, kesalahan selama proses pemberian pelayanan laboratorium dan masalah yang terjadi selama pelayanan dapat menimbulkan kesalahan pada pasien. Manajemen Pengetahuan secara sistematik menangkap dan mengkomunikasikan pengetahuan kepada analis laboratorium dengan harapan meninimalkan kesalahan yang terjadi di laboratorium klinik. Tujuan penelitian. Membuktikan Manajemen Pengetahuan dapat dipergunakan sebagai strategi implementasi keselamatan pasien di laboratorium klinik meningkatkan potensi, proses kerja dan kinerja petugas laboratorium klinik. Metode Penelitian: penelitian praeksperimental dengan menggunakan desain pre-post tanpa kelompok kontrol dengan melibatkan 55 petugas. Sebelum implementasi Manajemen Pengetahuan tentang keselamatan pasien, potensi petugas (mindset, sikap, kesadaran dan pengetahuan) diukur dengan menggunakan kuesioner serta proses kerja dan kinerja petugas dengan cara observasi. Manajemen Pengetahuan diimplementasikan dalam 4 tahap, dimulai mewujudkan pengetahuan, menyusunan tim kerja, penyebaran pengetahuan dan membudayakan pengetahuan. Pascaimplementasi Manajemen Pengetahuan tentang keselamatan pasien, dilakukan pengukuran potensi petugas, proses kerja dan kinerja petugas. Hasil penelitian. Perubahan potensi petugas pascaimplementasi Manajemen Pengetahuan tentang keselamatan pasien secara bermakna (p&lt;0.001). Terjadi peningkatan proses kerja pascaimplementasi Manajemen Pengetahuan secara bermakna (p &lt; 0.001). Peningkatan potensi petugas meningkatkan berpengaruh secara signifikan terhadap perbaikan proses kerja secara bermakna (p=0.172, =01.87). Peningkatan potensi petugas meningkatkan kinerja petugas secara bermakna (p=0.002, =0.406). Peningkatan proses kerja berpengaruh terhadap peningkatan kinerja petugas secara bermakna (p&lt;0.001, =0.581). Kesimpulan. Manajemen Pengetahuan tentang keselamatan pasien dapat meningkatkan potensi petugas dan kualitas proses kerja petugas. Peningkatan kualitas proses kerja petugas secara bermakna meningkatkan kinerja petugas Translation: Background. Mistakes made in the laboratory such as confusing results of specimen/ sample examination, mistakes in the process of laboratory services and problems during services can result in patient’s error. Knowledge management can be a systematically way to capture and communicate knowledge to laboratory technicians in order to minimize errors made in the laboratory. The purpose of this study. Implementation of patient’s safety using management strategy of knowledge about patient’s safety can increase the performance of laboratory personnel. Research Methods. Pre-experimental by using a pre-post design in a group without a control group comprising 55 respondents. Prior to giving implementation about knowlege of patient’s safety, the study subjects were tested by a pre-test about the personnel’s potentials ( mindset, attitude, awareness and knowledge) was performed, quality of work and performance of the personnel. Knowledge management was implemented in several stages, starting from dispersion of knowledge by making a module, stage of setting up a team, stage of distributing knowledge by training and excecuting patient’s safety and stage of acquainting knowledge by routine team meetings, recording, reporting and evaluation of patient’s safety. Increase of potentials, increase of work process quality and increase of personnel performance was post-tested to show a change and implementation effect of knowledge management about patient’s safety. Study Results. A significant change in the personnel potentials post implication of knowledge management was found (p<0.001). Increase of work quality also showed a significant change (p < 0.001). Influence of potential increase on increase of work process quality showed an significant correlation (p=0.172, β=01.87). Increase of personnel potentials also influence the improvement of personnel performance (p=0.002, β=0.406), however, the increase of personnel work process quality significantly influenced the improvement of personnel performance (p<0.001, β=0.581) Conclusions. Knowledge management about patient’s safety can influence the increase of potentials and quality of personnel work process. Increase of quality on personnel work process can significantly influence the improvement of personnel performance.

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