18. audit ppi
DESCRIPTION
AUDIT PPITRANSCRIPT
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HIMPUNAN PERAWAT PENCEGAH & PENGENDALI
INFEKSI INDONESIA (HIPPII)
2015
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Audit PPI penting karena PPI adalah untuk melihat
kepatuhan petugas kesehatan dalam pelaksanaan PPI
Bertujuan meningkatkan mutu secara komprehensif dan
menyeluruh dalam sistem pelayanan kesehatan di RS
Audit perlu isu yang sudah memiliki standard prosedur
operasional identifikasi area yang perlu ditingkatkan
Tidak berhenti hanya pengamatan berlanjut pada
intervensi (upaya perbaikan dan evaluasi keberhasilan
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HAIs Mortalitas
Morbiditas
VAP,IADP
ILO,ISK
HH
APDLimbah
Lingkungan
Peralatan
Linen
Kes. Karyawan
Penempatan Pasien
Etika batuk
Penyuntikan yang aman
Praktil lumbal punksi
Airborne
Droplet
Contact
Menerapkan
Bundles of
HAIs
Monev
Audit
Eksternal
Internal
Komite PPI
Tim PPI
MASALAH
Struktur organisasiUraian tugas
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Memeriksamen!ek penerapan praktek
sesuai stan"ar
Menilai kon"isi sebenarnya
ban"ingkan terha"ap kebi#akan tertulis
$"okumen SP% "an IK&
Proses PDSA $Plan-Do-Study-Action&
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Membantu perbaiki sistem denan
melakukan peruba!an tanpa
mencari kesala!an individual
Sebaai alat untuk asesmen risiko,
perencanaan "strategic planning # dan$CA "Root Cause Analysis#
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Tim Audit %an kompeten
Perencanaan %an baik
Monitorin dan evaluasi %an cermat
Pelaporan %an ob&ekti' identi'ikasi
masala! %an perlu perbaikan
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PlanPlan ( perencanaan tindakan berdasarkan !asil
asesmen risiko ta!unan
DoDo ( menerapkan rencana tindakan perbaikan atau
peruba!an sesuai !asil asesmen risikoStud%)C!eckStud%)C!eck ( menilai baaimana !asil
pelaksanaan perbaikan atau peruba!an
Action Action ( menetapkan tindakan selan&utn%a atas!asil penilaian pelaksanaan perbaikan ) peruba!an
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*+ Tentukan ob&ekti'
+ Identi'ikasi masala!-+ Analisis masala! ) risiko
.+ Menatasi risiko
/+ $ekomendasi dan saran
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Ke0aspadaan Isolasi Ke0aspadaan Standar dan
Ke0aspadaan 1erdasar Transmisi
Kebersi!an tanan
Kebersi!an linkunan
Proses sterilisasi dan disin'eksi alat
Penelolaan linen dan laundr%
Penelolaan limba! in'eksius dan benda ta&am
Penunaan APD
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Tindakan pemasanan dan pera0atan kateter
vaskuler
Tindakan pemasanan dan pera0atan alat bantu
napas
Tindakan pemasanan dan pera0atan kateter urinTindakan pera0atan luka ) wound care
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Persiapan pasien %an benar
Pencukuran rambut
Prosedur cuci tanan beda! operator
Pemberian antibiotik pro'ilaksis
Prosedur antisepsisPenerapan safety check list
Lalu lintas keluar2masuk OK
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Tim : wakil dari aspek yang akan di auditUnit Mutu/KP, PPI-RS, IPCN, IPCN, !id Keperawatan
Unit Sanitasi ingkungan, Inst Pusat Sterilisasi, Inst
Penun"ang Sarana, !ag Teknik #sesuai sasaran audit$%asar : pema&aman menyeluru& 'a&wa audit semata-mata
untuk per'aikan
Si(at : k)nsisten, )'"ekti(, an)nim, tidak untuk men*arikesala&an
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*+ Men%usun rencana audit
+ Menetapkan tu&uan dan sasaran audit
-+ Membuat da'tar tilik.+ Menetapkan keranka 0aktu
/+ Tatacara pelaksanaan
3+ Penun&ukkan para auditor 4+ Tatacara pelaporan !asil audit
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Menumpulkan anota terpili! untuk beker&asama
dalam pen%usunan rencana ker&a
Ketua Tim dapat berasal dari PPI, Mutu atau KP sesuai
kesepakatan
Menetapkan prioritas audit sesuai temuan masala!
!asil surveilans, $CA atau asesmen risiko
Menetapkan keranka 0aktu pelaksanaan
Menun&ukkan para auditor
anota Tim dan petuasdi lapanan
Men&alin komunikasi akti' denan Kepala ) Ketua area
%an di audit
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Sasaran perlu disepakati bersama atas dasar data n%ata !indari pemborosan 0aktu, tenaa, bia%a
Menetapkan sasaran dapat menunakan metode seperti (
Root Cause Analysis "$CA# (Flowcharts
Cause and Effect Diagrams "Is!ika0a, 5is!bone#
Pareto chartsRun charts
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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Conto$ %aftar tili& ' )tan%ar
American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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*+ Menun#uk para au"itor '
Anggota (im
Petugas lapangan $ Kepala )uangan* Ketua +rup &
,. Menyamakan tata!ara penilaian "an persepsi
-. ila perlu* melakukan pelatihan simulasi au"it
terlebih "ahulu sebelum pelaksanaan sebenarnya
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Lakukan pada 'okus area tidak man'aat
secara acak "ambaran men%eluru!#
tidak me0akili keadaan sebenarn%a
Lakukan kuesioner a0al secara anonim
untuk perta&am 'okus audit
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a! 2""7#
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Contoh K!"#on!$ %%'
American Journal of Infection Control, Vol 35, Issue 4, Pages 271-283 (a!
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6asil dilaporkan menurut prosentase %anse!arusn%a "7A# dibandin seluru! ¨a! item
%an ditilik
6asil diumpan2balikkan ke unit)'okus area %andiaudit
Laporan berbentuk diaram atau ra'ik aar
pesan %an inin ditampilkan muda! dipa!ami
Laporan disertai usulan TI8DAKA8 ter!adap
masala! %an belum sesuai standar "Action#
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*+T!e In'ection Control Audit( T!e Standardi9edaudit as a tool 'or c!ane
:li9abet! Ann 1r%ce,MD,5$CPC, S%dne%Sc!ar',$8,CIC, Moira ;alker,$8,CIC,
Anne ;als!,$8
American <ournal o' In'ection Control, Vol -/, Issue .,Paes 4*2=- "Ma% >>4#
DOI( *>+*>*3)&+a&ic+>>3+>/+?-
+ Audit in In'ection Prevention and Control 8a0a K!amis, @ertie van Knippenber @ordebeke
1asic Concepts o' In'ection Control, nd ed, paes 4*2=>">**#
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