Gambaran Proses Komunikasi Dokter UGD dalam Timbang Terima Pergantian Jam Dinas di Rumah Sakit A
DOI:
https://doi.org/10.21776/ub.jkb.2015.028.04.18Abstract
Komunikasi dalam proses timbang terima saat pergantian jam dinas dokter di Unit Gawat Darurat (UGD) merupakan periode kritis terhadap kontinuitas perawatan pasien.Walaupun telah diketahui bahwa komunikasi tersebutberperan penting dalam pencapaian keselamatan pasien, namun penelitian tentang proses tersebut, terutama di UGD masih sangat sedikit. Penelitian di salah satu rumah sakit swasta di Kabupaten Malang (yang selanjutnya disebut RS A)dilakukan pada kurun waktu Mei 2014 sampai dengan Juni 2014 untuk mendapatkan gambaran komunikasi dokter jaga UGD dalam proses timbang terima, permasalahan yang muncul dari komunikasi tersebut terkait tercapainya keselamatan pasien, serta solusi terhadap permasalahan tersebut. Penelitian ini menggunakan metode kualitatif, dengan melakukan pengamatan terhadap 6 proses timbang terima, wawancara terhadap 7 orang dokter jaga UGD, mempelajari dokumen yang terkait dengan timbang terima, serta diskusi dengan kelompok dokter jaga UGD RS A. Hasil penelitian menunjukkan bahwaproses komunikasi dokter jaga UGD di RS A saat timbang terima masih sangat beragam, tergantung dari dokter yang melakukan komunikasi. Ketidakseragaman bentuk komunikasi tersebut  dapat menyebabkan kebingungan dokter akan rencana tindak lanjut pasien, sehingga berdampak pada terjadinya kesalahan medis. Diskusi dengan kelompok dokter jaga UGD didapatkan 3 penghalang pelaksanaan komunikasi efektif tersebut, yaitu: tidak ada standar yang digunakan dalam komunikasi timbang terima, tidak ada peraturan tentang timbang terima, dan perbedaan cara dokter berkomunikasi. Solusi awal yang dapat diberikan adalah dengan membuat lembar timbang terima dokter Jaga UGD RS A.Kata Kunci: Keselamatan pasien, komunikasi, timbang terima, Unit Gawat Darurat
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