riwayat hidup nama lengkap : dr. didi danukusumo, …

RIWAYAT HIDUPNama Lengkap : DR. Didi DANUKUSUMO, Dr.,SpOG(K)-KFM.,DRM&B(Ch).NIP : 196112221986111002Pangkat/Golongan : IV D/ Pembina Utama MadyaTempat/tgl lahir : Jakarta, 22 Desember 1961Agama : Islam

Pendidikan : 1. Dokter (umum) FK Univ.Indonesia, Jakarta 19862. Dokter Spesialis Obstetri dan Ginekologi, FK Univ.Indonesia, Jakarta, 1994. 3. Dokter Spesialis Obstetri dan Ginekologi, Konsultan Feto-Maternal, POGI/FKUI-RSCM, Jakarta, 2007. 4. Doktor Ilmu Kedokteran, FK Univ. Indonesia, Jakarta, 2016.5. Master of Public Health, FKKMK. Univ. Gajah Mada, Jogyakarta, 2021.

Riwayat Pekerjaan :1. Ka Puskesmas Kecamatan Tinanggea, Kendari, Sulawesi Tenggara, 1986-1988.2. Peserta Program Pendidikan Dokter Spesialis, Program Studi Obstetri dan Ginekologi, FKUI/RSCM, Jakarta, 1989-1994.3. Dokter Spesialis Obstetri dan Ginekologi, RSUD. Kuala Tungkal, Tanjung Jabung, Jambi, 1994-1995.4. Dokter Spesialis Obstetri dan Ginekologi, RSUP. Fatmawati, Jakarta, 1995 s/d 2013.5. Kepala Instalasi Rawat Inap B, RS. Fatmawati 1996 s/d 1998.6. Ketua KSM. Kebidanan dan Penyakit Kandungan RS. Fatmawati 2008 s/d 2013.7. Direktur Medik dan Keperawatan Rumah Sakit Anak dan Bunda Harapan Kita, Jakarta. 2013 – 2018.8. Direktur Utama Rumah Sakit Anak dan Bunda Harapan Kita, Jakarta. 2018 – sekarang.9. Pelaksana Tugas Direktur Utama Rumah Sakit Muhammad Hoesin, Palembang, Januari – April 2020.10. Pelaksana Tugas Direktur Utama Rumah Sakit Ketergantungan Obat, Jakarta, Agustus – November 2020.

World Patient Safety Day 2021

ThemeSafe maternal and newborn

care

SloganAct now for safe and respectful

childbirth!

Announcing World Patient Safety Day 2021

World Patient Safety Day was established in 2019 by the Seventy-second World Health Assembly through the adoption of resolution WHA72.6 – “Global action on patient safety”. The Day is firmly grounded in the fundamental principle of medicine – first do no harm. World Patient Safety Day builds on a series of successful

annual global ministerial summits on patient safety which began in London and Bonn in 2016 and 2017, respectively. The overall objectives of the Day are to enhance global understanding of patient safety, increase public engagement in health care safety, and promote global action to prevent and reduce avoidable harm in health care. Each year a theme is selected to shed light on a priority area critical to patient safety and

ultimately the achievement of universal health coverage.

The theme selected for World Patient Safety Day 2021 is “Safe maternal and newborn care”, due to the

significant burden of risks and harm women and newborns are exposed to when receiving unsafe care during childbirth. Despite the significant progress made in reducing maternal and neonatal mortality, the SDG 3 targets are still far from being achieved. The issue has been further compounded by the COVID-19 pandemic,

which has led to the disruption of essential health services due to breaks in supply chains, women's inability to access care, and the shortage of skilled health professionals. Even before the pandemic, approximately 810 women and 6700 newborns died daily, with the causes occurring mainly around the time of childbirth. About 2 million babies were also stillborn every year, with over 40% occurring during labour. Most of these

deaths and stillbirths are avoidable through the provision of safe and quality care by skilled health care professionals working in supportive environments. Since maternity care is also affected by issues of gender equity and violence, women’s experiences during childbirth have the potential to either empower or to inflict damage and emotional trauma on them. Therefore, this year’s campaign slogan – “Act now for safe and

respectful childbirth!” – calls on all stakeholders to accelerate the actions necessary for ensuring safe and respectful childbirth. It is envisaged that the momentum generated by World Patient Safety Day 2021 will revamp stakeholders’ efforts to achieve universal health coverage for all women and newborns and

ultimately the maternal and newborn SDG 3 targets.

Objectives

1. Raise global awareness on the issues of maternal and newborn safety, particularly during childbirth.

2. Engage multiple stakeholders and adopt effective and innovative strategies to improve maternal and newborn safety.

3. Call for urgent and sustainable actions by all stakeholders to scale up efforts, reach the unreached and ensure safe maternal and newborn care, particularly during childbirth.

4. Advocate the adoption of best practices at the point of care to prevent avoidable risks and harm to all women and newborns during childbirth.

Working together to make childbirth safer

The global campaign for World Patient Safety Day 2021 proposes a wide range of activities to be implemented on and around 17 September 2021, including organization of advocacy and technical events, lighting up of

iconic monuments, landmarks and public places in orange (the signature mark of the campaign), and the launch of the World Patient Safety Day 2021–2022 goals. WHO encourages all stakeholders to join the global campaign to promote collective efforts for safe maternal and newborn care, particularly during childbirth.

We request you to share information about your plans to celebrate World Patient Safety Day 2021 by clicking HERE.

For more information about the campaign, please visit the WHO World Patient Safety Day 2021 event page HERE. For further information, please contact us at [email protected].

For World Patient Safety Day,

17 September 2021,

WHO urges all stakeholders to

“Act now for safe and respectful childbirth!”

with the theme

“Safe maternal and newborn care”

Upaya Keselamatan Pasienterutama

Ibu dan Bayi Baru Lahirdi RSAB Harapan Kita, Jakarta

Announcing World Patient Safety Day 2021

World Patient Safety Day was established in 2019 by the Seventy-second World Health Assembly through the adoption of resolution WHA72.6 – “Global action on patient safety”. The Day is firmly grounded in the fundamental principle of medicine – first do no harm. World Patient Safety Day builds on a series of successful

annual global ministerial summits on patient safety which began in London and Bonn in 2016 and 2017, respectively. The overall objectives of the Day are to enhance global understanding of patient safety, increase public engagement in health care safety, and promote global action to prevent and reduce avoidable harm in health care. Each year a theme is selected to shed light on a priority area critical to patient safety and

ultimately the achievement of universal health coverage.

The theme selected for World Patient Safety Day 2021 is “Safe maternal and newborn care”, due to the

significant burden of risks and harm women and newborns are exposed to when receiving unsafe care during childbirth. Despite the significant progress made in reducing maternal and neonatal mortality, the SDG 3 targets are still far from being achieved. The issue has been further compounded by the COVID-19 pandemic,

which has led to the disruption of essential health services due to breaks in supply chains, women's inability to access care, and the shortage of skilled health professionals. Even before the pandemic, approximately 810 women and 6700 newborns died daily, with the causes occurring mainly around the time of childbirth. About 2 million babies were also stillborn every year, with over 40% occurring during labour. Most of these

deaths and stillbirths are avoidable through the provision of safe and quality care by skilled health care professionals working in supportive environments. Since maternity care is also affected by issues of gender equity and violence, women’s experiences during childbirth have the potential to either empower or to inflict damage and emotional trauma on them. Therefore, this year’s campaign slogan – “Act now for safe and

respectful childbirth!” – calls on all stakeholders to accelerate the actions necessary for ensuring safe and respectful childbirth. It is envisaged that the momentum generated by World Patient Safety Day 2021 will revamp stakeholders’ efforts to achieve universal health coverage for all women and newborns and

ultimately the maternal and newborn SDG 3 targets.

Objectives

1. Raise global awareness on the issues of maternal and newborn safety, particularly during childbirth.

2. Engage multiple stakeholders and adopt effective and innovative strategies to improve maternal and newborn safety.

3. Call for urgent and sustainable actions by all stakeholders to scale up efforts, reach the unreached and ensure safe maternal and newborn care, particularly during childbirth.

4. Advocate the adoption of best practices at the point of care to prevent avoidable risks and harm to all women and newborns during childbirth.

Working together to make childbirth safer

The global campaign for World Patient Safety Day 2021 proposes a wide range of activities to be implemented on and around 17 September 2021, including organization of advocacy and technical events, lighting up of

iconic monuments, landmarks and public places in orange (the signature mark of the campaign), and the launch of the World Patient Safety Day 2021–2022 goals. WHO encourages all stakeholders to join the global campaign to promote collective efforts for safe maternal and newborn care, particularly during childbirth.

We request you to share information about your plans to celebrate World Patient Safety Day 2021 by clicking HERE.

For more information about the campaign, please visit the WHO World Patient Safety Day 2021 event page HERE. For further information, please contact us at [email protected].

Tujuan Hari Keselamatan Pasien Sedunia 2021:

1. Meningkatkan kesadaran global tentang isu-isu keselamatan ibu dan bayibaru lahir, terutama saat melahirkan.

2. Melibatkan berbagai pemangku kepentingan dan adopsi strategi yang efektif dan inovatif untuk meningkatkan keselamatan ibu dan bayi barulahir.

3. Menyerukan tindakan mendesak dan berkelanjutan oleh semuapemangku kepentingan untuk meningkatkan upaya, menjangkau yang belum terjangkau dan memastikan perawatan ibu dan bayi baru lahiryang aman, terutama saat melahirkan.

4. Penerapan praktik terbaik di titik perawatan untuk mencegah risiko danbahaya yang dapat dihindari bagi semua wanita dan bayi baru lahirselama persalinan.

76% kematian ibu terjadi di fase persalinan & pasca persalinanNamun, faktor-faktor risiko persalinan terjadi mulai dari fase sebelum & saat hamil

Sumber: EMNC (2019), Riskesdas (2007, 2013, 2018)

Sebelum Hamil Saat Hamil Persalinan

\

32% sepsis (infeksi)24% hipertensi28% lain-lain (perdarahan, abortus, komplikasiobstetrik, penyakitkomplikasi non obstetrik)

65% perdarahan14% ruptur uterus11% hipertensi

26% sepsis (infeksi)15% perdarahan29% lain-lain (abortus, komplikasi obstetrik, penyakit komplikasi non obstetrik)

Pasca Persalinan

23,9% WUS anemia21,3% WUS hipertensi14,5 % WUS KEK

ProporsiKematian

PenyebabKematian

- 24% 36% 40%

Faktor risikokehamilan & persalinan

48,9% bumil anemia12,7% bumil hipertensi17,3% bumil KEK

1 2 3 4

WUS: wanita usia subur; KEK: kekurangan energi kronis

Lebih dari 62% Kematian Ibu dan BayiTerjadi di RS

67

.9

13

.8

16

.4

1.9

R U M A H

S A K I T

F A S K E S

L A I N N YA

R U M A H P E R J A L A NAN

K E

R S / F AS K E S

TEM PAT KEM ATIAN N EONATUS

77

2.5

15

.6

4.9

Rumah Sakit Faskes lainnya Rumah Perjalanan keRS/Faskes

TEMPAT KEMATIAN IBU

SRS Litbang, 2016

• Peran FKTP dalam deteksi dini• Penguatan referral system• Peran keluarga dan masyarakat dalam keputusan merujuk ibu dan bayi

SISTEM RUJUKAN MATERNAL NEONATAL

1.•SISTEM RUJUKAN MATERNAL NEONATAL

DI WILAYAH PROVINSI


DI WILAYAH REGIONAL


DI WILAYAH I KABUPATEN/ KOTA

4.•UPAYA PROMOTIF DAN PREVENTIF

RS RUJUKAN NASIONAL

RS RUJUKAN REGIONAL

RSUD KABUPATEN/

KOTA

LAYANAN

UNGGULAN

PUSAT RUJUKAN

• KEWENANGAN/ KOMPETENSI PENYAKIT• SDM KESEHATAN

• INFRASTRUKTUR ALAT KESEHATAN

• OBAT OBAT• PELAYANAN PENUNJANG

FKTP

SISTEM RUJUKAN MATERNAL NEONATAL TERDAPAT DALAM SISRUTE

RSAB

HARAPAN

KITA

SISRUTE

Pusat

KesehatanIbu dan Anak

Nasional

KEPMENKES NO.HK.01.07/MENKES/638/2019Tentang Rumah Sakit Anak dan Bunda Harapan Kita Jakarta

Sebagai Pusat Kesehatan Ibu dan Anak Nasional

RSAB Harapan Kita Jakarta memiliki tugas :

a. Memberikan pelayanan. kesehatan ibu dan anaktersier

b. Melakukan pengampuan terhadap Rumah Sakitjejaring yang memberikan pelayanan Kesehatan ibu dan anak

c. Menyelenggarakan rujukan nasional pelayananKesehatan ibu dan anak

PETA STRATEGI 2020-2024

INDIKATOR KLINIK NEONATAL 27:8:21.docx 1

INDIKATOR KLINIK NEONATAL

A. INDIKATOR MASUKAN

1. RS mempunyai Alur Klinik SPO pelayanan Neonatal

1. Respon Awal Emergensi Neonatus di Rumah Sakit 2. Resusitasi Neonatus di Rumah Sakit 3. Perawatan Kejang Pada Neonatal 4. Perawatan Dehidrasi Pada Neonatus 5. Penatalaksanaan Sepsis Neonatorum di Rumah Sakit beserta Rujukan Balik yang

Optimal 6. Perawatan Neonatus dengan Asfiksia 7. Penatalaksanaan Neonatus COVID-19 (SARS COV-2) di Rumah Sakit beserta Rujukan Balik yang Optimal 8. Perawatan Hipotermi pada Neonatal 9. Perawatan Hipoglikemi Neonatus 10. Perawatan Neonatus Dengan Hiperbilirubinemia 11. Inisiasi Menyusu Dini (IMD) dan ASI Eksklusif di Rumah Sakit 12. Tata kelola ASI di Rumah Sakit 13. Perawatan Metode Kanguru (PMK) di Rumah Sakit 14. Perawatan Neonatus Dengan Berat Badan Lahir Rendah

2. Komite Mutu di RS memiliki program mutu prioritas di pelayanan Neonatal

3. RS memenuhi 75% standar perbekalan kesehatan (bahan habis pakai, obat, peralatan) untuk menyelenggarakan penanganan kegawatdaruratan

1. Ruang emergensi 2. Kamar bersalin 3. Ruang operasi 4. Ruang bayi 5. Ruang SCN 6. Ruang NICU

4. RS menyediakan dokter spesialis anak yang jaga ditempat atau dapat hadir dalam 15 menit sejak panggilan selama 24 jam sehari/7 hari seminggu

B. INDIKATOR PROSES & LUARAN

1. Capaian Alat Pantau Kinerja di RS 80% atau lebih

2. Ada data proporsi : 1. BBLR hidup berdasarkan BBL

2. Kejadian asfiksia hidup pada bayi baru lahir 3. Kejadian sepsis neonatorum 4. Bayi kelainan bawaan hidup 5. Bayi hidup dengan infeksi covid 19 6. Bayi mendapatkan IMD 7. Bayi mendapatkan ASI Eksklusif di rumah sakit 8. Bayi prematur/BBLR mendapatkan perawatan metode kangguru

4. Ada data Case Fatality Rate

1. BBLR berdasarkan BBL 2. Asfiksia 3. Sepsis neonatorum 4. Covid19


















5. RS melakukan Audit Klinik secara berkala

1. Kasus Kematian 2. Kasus nyaris mati (near miss) 3. SPO dan Alur Klinik (Clinical Pathway)

C. INDIKATOR DAMPAK

Jumlah kematian neonatal berdasarkan : 1. Usia :

- Jumlah kematian neonatal dini (0-7 hari) - Jumlah kematian neonatal lanjut (8-28 hari) 2. Berdasarkan berat badan : - 1500 gram - 2499 gram (berat badan lahir rendah) - 1000 gram -1499 gram (berat badan lahir sangat rendah) - 500 gram – 999 gram (berat badan lahir amat sangat rendah) 3. Berdasarkan usia gestasi : - 34 - < 37 minggu (premature terlambat/late preterm) - 32 - < 34 minggu (prematur moderat/moderate preterm) - 28 - < 32 minggu (sangat prematur/very prterm) - < 28 minggu (prematur ekstrem/extremely preterm) 3. Berdasarkan penyebab : - BBLR - Asfiksia - Sepsis neonatorum - Kelainan bawaan - COVID-19 - Lain-lain

Lori Bollinger and Emily Sonneveldt Futures Group, a Constella company POLICY Project Spectrum. Safe Motherhood Model Version 1 A Computer Program to Examine

the Impact of Maternal Health Services on the Maternal Mortality Ratio Spectrum System of Policy Models, 2006.

Antenatal Care

SOP Antenatal Care

Traditional pyramid of prenatal care (A) and a possible new pyramid (B). w, weeks.

Adapted from Nicolaides KH. Turning the pyramid of prenatal care. Fetal Diagn Ther 2011;29:184; with permission.

VK-HDU Kebidanan

Persalinan dengan Pendampingan

Conclusion This review presents an evidence-based typology of the RMC during childbirth in health facilities, and demonstrates that RMC is a broader concept than merely preventing the mistreatment of women at birth. RMC can be supported and promoted at all three levels of health care (individual, health facility, and health system). Globally, women’s and provider’s perspectives on what constitutes RMC are fairly consistent. Further research is needed to assess the validity and responsiveness of RMC indicators before routine use in clinical settings.

Respectful Maternal Care (RMC) World Health Organization; licensed by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists, 2017

Dua belas domain asuhan maternitas yang terhormat berasal dari temuan kualitatif*

• Bebas dari marabahaya dan penganiayaan• Menjaga privasi dan kerahasiaan• Menjaga harkat dan martabat wanita• Penyediaan informasi prospektif dan mencari persetujuan

yang diinformasikan• Memastikan akses berkelanjutan ke dukungan keluarga

dan masyarakat• Meningkatkan kualitas lingkungan fisik dan sumber daya• Memberikan asuhan kebidanan yang adil• Terlibat dengan komunikasi yang efektif• Menghargai pilihan wanita yang memperkuat

kemampuannya untuk melahirkan• Tersedianya sumber daya manusia yang kompeten dan

Termotivasi• Penyediaan perawatan yang efisien dan efektif• Kesinambungan perawatan

NICU COVID-19PERAWATAN NICU

Outcome pelayanan di RSAB Harapan Kita ( Semester 1 2021)

Substansi Bid.YanMed. RSAB. Harapan Kita, 2021

Total jumlah persalinan : 652 kasus- Jumlah persalinan spontan : 126 kasus- Jumlah persalinan SC : 526 kasus.

Jumlah kematian maternal : 1 kasus(dengan perdarahan)

Persalinan Spontan

19%

Persalinan SC81%

Total Jumlah Persalinan

Persalinan Spontan Persalinan SC

Jumlah kematian neonatal : 25 kasus

Berdasarkan usia neonatus :

a. Usia 0-7 hari : 15 kasus

b. Usia 8-28 hari : 10 kasus 60%40%

Jumlah Kematian Neonatal

Usia 0-7 Hari Usia 8-28 Hari

500 s.d < 1000 gram32%

1000 s.d < 1500 gram…

1500 - 2500 gram44%

Berdasarkan BB Neonatus

500 s.d < 1000 gram 1000 s.d < 1500 gram 1500 - 2500 gram

Berdasarkan BB Neonatus :

a. 500 s.d < 1000 gram : 8 kasus

b. 1000 s.d < 1500 gram: 6 kasus

c. 1500 - 2500 gram : 11 kasus

Berdasarkan Usia Gestasi :

a. 34 s.d < 37 Minggu : 2 kasus

b. 32 s.d < 34 Minggu : 11 kasus

c. 28 s.d < 32 Minggu : 9 kasus

d. < 28 Minggu : 3 kasus

2; 8%

11; 44%9; 36%

3; 12%

Berdasarkan Usia Gestasi

34 s.d < 37 Minggu 32 s.d < 34 Minggu

28 s.d < 32 Minggu <28 Minggu

Berdasarkan Penyebab : a. BBLR : 0 kasus b. Asfiksia : 0 kasus

Penutup

1. RSAB Harapan Kita sebagai Pusat Kesehatan Ibu dan Anak Nasional, berkontribusi dalam upayamenurunkan Kematian Ibu dan Bayi.

2. Mengkoordinasikan Program Pendampingan Percepatan Penurunan AKI/AKB di 200 lokus RS Kabupataen/Kota, bersama 13 Rumah Sakit Vertikal dan 3 RSUD, di dukung oleh DirektoratKesehatan Keluarga , Direktorat Jenderal Kesehatan Masyarakat dan Direktorat Mutu AkreditasiPelayanan Kesehatan, Direktorat Jenderal Pelayanan Kesehatan.

3. RSAB Harapan Kita mengupayakan hal terbaik Penyelamatan Ibu Bersalin dan Bayi Baru Lahirdengan menerapkan Prinsip-prinsip Patient Safety dalam Pelayanan Pasien termasuk PelayananMaternal dan Neonatal.

4. RSAB Harapan Kita mempunyai Tim Ponek yang aktif, dengan Dokter Jaga Onsite, Dr. SpOG, SpA(Neonatologi), Dr. Anestesiologi, Dr. IGD dan Dr. Jaga Ruangan.

5. Penanganan dari Prekonsepsi, Antenatal, Perinatal, hingga long term follow-up, sampai denganUsia Geriatri

TERIMA KASIH

riwayat hidup nama lengkap : dr. didi danukusumo, …

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