LEGAL RESPONSIBILITY OF SERVICEEMERGENCY SERVICES OF THE CITY HEALTH CENTERTEGAL FOR PATIENT SAFETY INCIDENTS

Abstract

This study was conducted to examine the legal responsibility of Tegal City health centers in providing emergency services for patient safety incidents. The focus of this research is on emergency services that operate for 24 hours. This research is closely related to the legal risks arising from potential patient safety incidents that can occur at any time. This is an important concern considering that emergency services have a high level of risk. This research method adopts the positivism paradigm with an empirical and qualitative juridical approach. Data were collected through field observations with the head of the puskesmas, health workers in the emergency department, doctors, and the PMKP team. Data analysis was carried out by comparing operational standards, patient safety quality standards with the reality of services and systems that have been running well, through interviews or direct observation in the service. Observations included risks in emergency care related to patient safety identification and legal risks that could occur. The results showed that the quality standards of patient safety in the health center that was the object of the study had not been fully achieved, so this could lead to legal risks. Improvements in facilities, infrastructure, quality of human resources, education on understanding legal responsibilities, service responsibilities according to standards, and system improvements that ensure the implementation of emergency service standards and quality patient safety are as expected. From this study, suggestions and input from researchers are expected to be a constructive contribution to health center agencies to improve service quality, safety, and comfort for both officers and the public who use health center services.