WIDHIASTUTI, RETNO (2018) TANGGUNG JAWAB HUKUM RUMAH SAKIT ATAS KESELAMATAN PASIEN DARI ASPEK KESIAPAN PELAYANAN IGD YANG TERAKREDITASI PARIPURNA STUDI KASUS RSI SULTAN AGUNG SEMARANG. Other thesis, UNIKA SOEGIJAPRANATA SEMARANG.

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Abstract

Sultan Agung Islamic Hospital (RSI-SA) Semarang is a fully accredited private hospital. One of the services provided by RSI-SA is emergency service which is used as a quality benchmarkof health services provided by the hospital. This study was entitled "Hospital’sLegal Responsibility to the Patients’ Safety Seen from the Preparedness Aspect of the Fully Accredited Emergency Unit: A Case Study of Sultan Agung Islamic Hospital Semarang” Its objective was to find out the preparedness of the Emergency Unit of RSI-SA Semarang as a fully accredited hospital and to find out the hospital’s legal responsibility to the patients’ safety. This study applied socio-legal, had analytical-descriptive specification. It covered the whole description of all systematically observed. The sampling technique was nonrandom sampling that is purposive sampling meaning that the way of taking the samples was based on specific objectives. The data were then qualitatively analyzed. RSI-SA Semarang as a fully accredited hospital in providing emergency services should be in accordance with the emergency service standards and patients’safety standards as regulated bythe Act Nr. 29 of 2004 on Medical Practices, the Act Nr. 44 of 2009 on Hospitals, Minister of Health Regulation Nr. 71 of 2013 on Health Services on National Health Insurance, and Minister of Health Regulation Nr. 012 of 2012 on Hospital Accreditation. Of the results of the study there were some ER standards that had not been fulfilled, namely the standards of human resources readiness particularly the availability of the 4 main specialists (internists, child, surgery and gynecology specialists). The existing ones were only “on call” beside there were still ATLS/ACLS training certificates that were no longer valid. Besides, unaccomplished infrastructure facilities cosisted of special rooms (HCU/intermediate rooms: general, cardiac, pediatric and neonatal) and for the wounded. In addition, there was still a KTD at the ER Unit of RSI-SA in 2014. However, in the case of KTD the doctors could not be sued because their acts had been in accordance with the standards of the medical profession, procedural standards, including service standards. The patients of KTD at the ER of RSI-SA financially borne by BPJS of Health so that the funding of treatment and care arising from the administration of 60 bolus of heparin of uixKgBB to the patients would be borne by BPJS of Health. Since the heparin giving was in accordance with the pharmaceutical service standards of 2014, RSI-SA could not be demanded to be civilly accountable, namely to compensate the patients. Seen from the administrative legal aspects the lack of human resources and infrastructure readiness at the ER Unit of RSI-SA would be the RSI-SA management’s responsibility and sanctions could be given in the forms of reprimands, warning letters or fines as regulated in the Article 29 paragraph (2) of the Act Nr. 44 of 2009 on Hospitals. Keywords: ER Unit service standards, hospital’s legal responsibility, human resources readiness, infrastructure facilities

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