PROFIL KOMITE MEDIS DI INDONESIA DAN FAKTOR-FAKTOR YANG MEMPENGARUHI KINERJANYA DALAM MENJAMIN KESELAMATAN PASIEN

Abstract

Background:  People awareness to patient safety issues is
recently raising a long with the increase of malpractice claims.
Unsafe medical practice plays an important role to the issues.
The occurrence of unsafe medical practice could be prevented
if the medical staff committe in hospitals implement the medical
professionalism by overseeing the medical practitioners in
hospitals. Up to now, there are no valid information regarding
teh performance of the medical staff conmmittee, particularly
credentialing, audit, and disciplinary mechanism in hospitals.
Objectives: This study will explore the profile of the medical
staff committee and their performance in terms of their
organizational structure, credentialing and clinical privileging,
continuing professional development and medical audit, and
disciplinary measures.
Method: A cross sectional study was conducted to examine
the performance of the medical staff committees through
structured questionaires. The responders were
representatives of hospital managements of 133 hospitals who
agreed to fill in the questionaires. The scoring forms were
applied to score the several main functions of the medical
staff committee, i.e., structure, credentialing and clinical
privileging, continuing professional development and medical
audit, disciplinary measures, and management involvement in
the clinical governance.
Results:  91 % of the participating hospitals were General
Hospitals and the medical staff committee of 15% of the total
participants were absent. This research revealed that the mean
of the total score of the medical staff committees performance
were 17,9 + 4,9.
Conclusion: The study revealed that their performance was
still below the expected outcome since the delineation of clinical
privilege was not properly conducted by the hospitals. The
existence of credentialing and clinical privileging, continuing
professional development and medical audit, and disciplinary
measures reflects a better performance of the medical staff
committees.
Keywords: patient safety, medical staff committee,
performance