Malpraktik Keperawatan

By. Ns. SIlvi

Definisi
Penelantaran vs. Malpraktik
Saat ini banyak pengadilan menganggap kasus penelantaran adalah malpraktek

Penelantaran adalah kegagalan melakukan perawatan hingga tingkat tertentu, yang dilakukan seseorang berdasarkan kebijaksanaan yang lazim jika ia berada disitusi serupa (Helm, 2003)

Definisi...
Negligence is the civil action initiated under the law of torts in which health professionals, and health care institutions, may become liable if a patient, or client, sustains an injury while in their care (Forrester & Griffiths 2005)

In Law...
In law, malpractice is classified as a tort, which is a wrongful act resulting in injury to another's person, property, or reputation. In a tort, the injured party is entitled to seek compensation for the injury. All torts, including malpractice, have three features:
a person who has a duty of care toward others a failure to exercise due care an injury or financial damages caused by the failure

Mencegah Liabilitas Malpraktik

Ketahui kekuatan dan kelemahan Delegasikan dengan cermat Lakukan instruksi/order dengan waspada Memberikan obat dengan cermat Membina hubungan baik dengan pasien Jangan memberikan pendapat Baca sebelum tanda tangan Dokumentasikan tindakan keperawatan dengan akurat Cegah pasien jatuh/sediakan lingkungan yang aman Siaga saat membantu menjalankan prosedur Ikuti kebijakan dan prosedur fasilitas kesehatan

Jenis Malpraktek
Assessment Planning Implementation

Contoh Malpraktik Keperawatan

Kesalahan dalam pemeberian obat Kegagalan proses komunikasi Kegagalan pendokumentasian Kegagalan melakukan pengkajian yang akurat Kegagalan memberikan perlindungan Kegagalan memberikan perawatan yang efektif dan rasional Kegagalan menjaga kerahasiaan

Contoh/examples..
Other common reasons for lawsuits against nurses include:
failure to secure the patient's safety failure to properly assess the patient failure to perform a procedure according to established standards of care failure to administer medication properly

Why Malpractice occured?

Negligence could be caused by inadequate

knowledge or skill from the professionals, or by mistaken to seek reasonable judgment in the application of professional knowledge or skills. Lack or failure is determined by comparing the action in question with what a similar practitioner would reasonably be expected to do in the same circumstances.

The results of doing Malpractice

The patient suffered disability, disfigurement, pain, suffering, or financial loss as a result of negligence The health professionals/nurses get lawsuit and affect their carrier

Malpractice in the world

In turkey, Health professionals were held liable in 59% of the lawsuits. Midwives had the highest percentage of malpractice liability (52%), followed by physicians (29%) and nurses (19%). To reduce potential liability, nurse education should be improved, a nursing malpractice law should be enacted, and instructions for nursing procedures should be formulated.

Kasus 1
Dokter RSUD Raha tangani pasien via Hp. Dalam penatalaksanaan pasca transfusi setelah 2 hari lewat dari kebutuhan, P/ mengalami sesak napas. Dokter mengorderkan paracetamol. 6 jam setelahnya pasien bertambah sesak dan kemudian menghembuskan nafas terakhirnya.
Problem: standing order pendelegasian kepada tenaga keperawatan dalam memberikan askep/pelayanan kesehatan

Kasus 2

Hukum kesehatan terkait Malpraktik

Hukum kesehatan tentang tenaga keperawatan :
UU No. 23 th 1992 ttg kesehatan PP No. 32 th 1996 ttg tenaga kesehatan
Hub P-K merupakan subjek hukum