Abstract
Healthcare-Associated Infections (HAIs) is one of the risks that threaten patient safety. HAIs causing harms to the patient's family and the hospital. Five Moments Hand Hygiene is one of the safeguards to against the risk of infection transmission. However, the compliance of hand washing in Indonesia is not maximal yet. This research is conduct to knowing the regulations of Five Moments Hand Hygiene implementation, obtaining an overview of its implementation and finding the support and inhibiting factors at St. Elisabeth Hospital. The research was conducted by using juridical-empirical approach. The object of this research is the nurse Five Moments Hand Hygiene behaviors at St. Elisabeth Hospital Inpatient Installation. The results shows the legal basis for the implementation of the Five Moments Hand Hygiene in Indonesia is Health Ministry’s Regulation No. 11/2017 on Patient Safety and Health Ministry’s Regulation No. 27/2017 on Guidelines for Infection Prevention and Control at Health Service Facilities. A hand washing compliance of healthcare workers in St. Elisabeth Hospital in 2017 reached 90%. The Director of the Hospital has fulfilled his obligations establishing the Hand Hygiene Guidelines. Supporting factors include availability of facilities and management support. The inhibiting factor is the nurse workload, poor understanding, and the demands of efficiency. Administrative sanctions may be provided for health workers who are not compliant with the SOP.
Highlights
This research is conduct to knowing the regulations of Five Moments Hand Hygiene implementation, obtaining an overview of its implementation and finding the support and inhibiting factors at St
The results shows the legal basis for the implementation of the Five Moments Hand Hygiene in Indonesia is Health Ministry’s Regulation No 11/2017 on Patient Safety and Health Ministry’s Regulation No 27/2017 on Guidelines for Infection Prevention and Control at Health Service Facilities
Administrative sanctions may be provided for health workers who are not compliant with the SOP
Summary
Keselamatan pasien (Patient Safety) merupakan prioritas dalam pelayanan kesehatan yang penuh risiko. Pasal 32 huruf d dan e Undang‐Undang No 44 Tahun 2009 tentang Rumah Sakit menyatakan bahwa pasien memiliki hak untuk menerima layanan kesehatan yang bermutu, sesuai dengan standar profesi dan standar prosedur operasional, serta memperoleh layanan yang efektif dan efisien sehingga pasien terhindar dari kerugian fisik dan materi. Rumah sakit sebagai penyedia layanan kesehatan wajib memberikan pelayanan yang aman dan bermutu, sehingga pasien terhindar dari kerugian. Pasal 3 huruf b Undang‐Undang RI No 44 Tahun 2009 tentang Rumah Sakit menyatakan salah satu tujuan pengaturan penyelenggaraan Rumah Sakit adalah untuk “memberikan perlindungan terhadap keselamatan pasien, masyarakat, lingkungan rumah sakit, dan sumber daya manusia di rumah sakit.”. Keselamatan pasien adalah proses dalam suatu rumah sakit yang memberikan pelayanan yang lebih aman.[8] Keselamatan pasien harus menjadi proritas dalam sebuah pelayanan kesehatan. Mengurangi risiko infeksi akibat perawatan kesehatan menjadi salah satu Standar Keselamatan Pasien yang harus dicapai. Berdasarkan catatan hasil studi, cat kuku yang terkelupas menjadi sarang/tempat berkembangnya mikroorganisme.[11]
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