Herkutanto Herkutanto
Faculty of Medicine Universitas Indonesia/ Cipto Mangunkusumo Hospital

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HAMBATAN DAN HARAPAN SISTEM KREDENSIAL DOKTER: STUDI KUALITATIF DI EMPAT RUMAH SAKIT INDONESIA Herkutanto, Herkutanto
Jurnal Manajemen Pelayanan Kesehatan Vol 12, No 03 (2009)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Abstract

Background : The accountability of the physicians serving inhealth care is a crucial factor to establish the patient safety.The credentialing system, a process to grant clinical privilege,aims to ensure the accountability. Credentialing processes varyin different Indonesian Institutions, and frequently areinadequately performed. Information about obstacles andexpectations on current credentialing process is needed todesign a strategy to develop credentialing system.Methods: A qualitative study using Focus Group Discussions(FGD) were conducted in four hospitals in Indonesia withdifferent characteristics. Every FGD was attended by 10-20participants, consisted of physicians and hospital management.The results of the FGDs were analyzed with qualitativeapproach.Results: The obstacles of the establishment of ideal credentialsystem rooted in the inappropriate perception that credential isthe same as physicians recruitment as hospital employees.The expectations of the participants are the needs of monitoringprocess, sound relationship between credential team andhospital management, standardization of policy and credentialinstruments, existence of objective credential team, and goodrelationships among colleagues.Conclusions: Indonesia needs a credentialing system that isable to establish the patient safety. The expectations ofparticipants are in line with the recommended credentialsystem, which is based on the concept of professionalism.Keywords: physicians credentialing system, professionalism,patient safety
Peningkatan Kualitas Pembuatan Visum et Repertum (VeR) Kecederaan di Rumah Sakit Melalui Pelatihan Dokter Unit Gawat Darurat (UGD) Herkutanto, Herkutanto
Jurnal Manajemen Pelayanan Kesehatan Vol 8, No 03 (2005)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Abstract

TERSEDIA DALAM FILE
PROFIL KOMITE MEDIS DI INDONESIA DAN FAKTOR-FAKTOR YANG MEMPENGARUHI KINERJANYA DALAM MENJAMIN KESELAMATAN PASIEN Herkutanto, Herkutanto
Jurnal Manajemen Pelayanan Kesehatan Vol 12, No 01 (2009)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Background:  People awareness to patient safety issues isrecently raising a long with the increase of malpractice claims.Unsafe medical practice plays an important role to the issues.The occurrence of unsafe medical practice could be preventedif the medical staff committe in hospitals implement the medicalprofessionalism by overseeing the medical practitioners inhospitals. Up to now, there are no valid information regardingteh performance of the medical staff conmmittee, particularlycredentialing, audit, and disciplinary mechanism in hospitals.Objectives: This study will explore the profile of the medicalstaff committee and their performance in terms of theirorganizational structure, credentialing and clinical privileging,continuing professional development and medical audit, anddisciplinary measures.Method: A cross sectional study was conducted to examinethe performance of the medical staff committees throughstructured questionaires. The responders wererepresentatives of hospital managements of 133 hospitals whoagreed to fill in the questionaires. The scoring forms wereapplied to score the several main functions of the medicalstaff committee, i.e., structure, credentialing and clinicalprivileging, continuing professional development and medicalaudit, disciplinary measures, and management involvement inthe clinical governance.Results:  91 % of the participating hospitals were GeneralHospitals and the medical staff committee of 15% of the totalparticipants were absent. This research revealed that the meanof the total score of the medical staff committees performancewere 17,9 + 4,9.Conclusion: The study revealed that their performance wasstill below the expected outcome since the delineation of clinicalprivilege was not properly conducted by the hospitals. Theexistence of credentialing and clinical privileging, continuingprofessional development and medical audit, and disciplinarymeasures reflects a better performance of the medical staffcommittees.Keywords: patient safety, medical staff committee,performance
SIMULASI PENETAPAN KEWENANGAN KLINIK EFEKTIF SEBAGAI ALAT SOSIALISASI SISTEM KREDENSIAL PROFESI KEPERAWATAN Yuhanti, Yuhanti; Rudianti, Yulistiana; Endiarti, Prisca Yohana; Indriasari W, Sisilia; Susilo, Astrid Pratidina; Herkutanto, Herkutanto
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (315.033 KB) | DOI: 10.7454/jki.v16i3.330

Abstract

AbstrakSistem kredensial dengan pembatasan kewenangan klinik berbasis profesionalisme bertujuan menjamin akuntabilitas tenaga profesional keperawatan dan memastikan bahwa pasien mendapatkan layanan yang aman. Sistem ini disosialisasikan melalui ?Lokakarya Penetapan Kewenangan Klinik ? yang menggunakan metode pembelajaran inovatif dalam bentuk simulasi. Simulasi merupakan bentuk yang belum umum digunakan untuk sosialisasi walaupun sangat bermanfaat sebagai metode pemelajaran. Penelitian ini bertujuan untuk menguji efektifitas Lokakarya Penetapan kewenangan klinik dengan metode simulasi sebagai bentuk sosialisasi sistem kredensial bidang keperawatan dalam meningkatkan pengetahuan peserta. Metode yang digunakan adalah pre test and post test without control. Sebelum dan sesudah lokakarya, pengetahuan partisipan diukur dengan test tentang sistem kredensial. Hasil pre test dan post test dianalisis dengan uji t berpasangan.Penelitian ini menemukan adanya perbedaan bermakna antara pengetahuan pre test dan post test, artinya lokakarya penetapan kewenangan klinik dengan metode simulasi efektif menyosialisasikan sistem kredensial. Metode simulasi dapat digunakan untuk melengkapi metode yang sebelumnya dilakukan dalam rangka sosialisasi sistem kredensial.Kata kunci:  lokakarya penetapan kewenangan klinik, simulasi, sistem kredensial, sosialisasi AbsractSimulation of Determination Clinical Authority Effective as  Dissemination Tool the System Credentials Nursing Profession. The credentialing system with the delineation of clinical privilege is based on the principles of professionalism. It aims to ensure the accountability of nurses and patient safety. This system is introduced in ?Clinical Privilege Workshop? which used simulation as learning approach. Because simulation is seldom used as a tool to disseminate an innovation, this study aimed to test the effectiveness of simulation method to disseminate credential system in nursing. This study used  pre test and post test without control. Before and after workshop, participants? knowledge was measured using a knowledge test related to credentialing system. Paired t-test was used for the analysis. This study revealed there is a significant difference between the pre and post test, it means Clinical Privilege Workshop with simulation effectively disseminates the credentialing system. Simulation methods can be applied to complete methods existing used in order to support the dissemination of the nursing credential system. Keywords: ?clinical privilege? workshop, credential system, simulation,
High toluene exposure risk increases risk of olfactory dysfunction in furniture workers Wartono, Magdalena; Herkutanto, Herkutanto; Lestari, Niken
Universa Medicina Vol 34, No 1 (2015)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2015.v34.68-76

Abstract

BACKGROUNDFew studies have investigated the impact on olfactory functioning ofoccupational exposure to toluene, an industrial solvent used in paints andcleaning fluids. The estimated olfactory dysfunction prevalence is 0.5–5%. Patients frequently do not complain about olfactory dysfunction.However, occupational exposure to chemicals may affect workers’ healthand safety, because of their continuous inhalation. This study aimed toexamine the relationship between toluene exposure and olfactorydysfunction in furniture workers.METHODSThis was a cross-sectional study involving 65 workers. Data collectionwas by observation and interview on demographic characteristics, historyof habits, and symptoms of chronic rhinitis. Risk of exposure scores wereevaluated from potential hazard, exposure level, duration of employment,type of work, use of masks, ventilation of work space, and education andtraining. Olfactory function was tested using Sniffin’ Sticks, anddetermination of environmental toluene level was by personal sampling.The odds ratio was used to test correlations between variables.RESULTSOnly 44 subjects could be analyzed, 37 (84.1%) of whom had olfactorydysfunction. Workers with high toluene exposure had a significantly 12.5-fold risk of olfactory dysfunction in comparison with those with lowexposure (OR=12.5; CI 95% 1.35 – 115.79).CONCLUSIONSToluene exposure increases risk of olfactory dysfunction in furnitureworkers. Olfactory function testing should be considered for initialscreening or periodic testing of furniture workers. Low toluene levels witha high proportion of olfactory dysfunction indicate that olfactory dysfunctionis an early negative impact of chemical inhalation.