Analisis Self Reported Asuhan Persalinan oleh Lulusan DIII Kebidanan dan Medical Error An Analysis of Self Reported of Delivery Care by DIII Midwifery Graduates and Medical Error
Abstrak: Increased coverage of
deliveries by health personnel in Indonesia (82.3%) does not synergize with
decreased MMR (228/100.000 live births). The low quality of care at the primary
level becomes the main causal factor for the slow achievement of the MDGs.
Midwives as providers in the primary care level become the front liners in
delivery assistance. Public perception of the low quality of DIII midwifery
graduates becomes a concern to the
occurrence of medical errors by DIII midwifery graduates. Competence of
delivery care is one of midwives’ competences at risk of medical error. In
Bantul District, the number of maternal deaths in 2010 was 18 cases with a
majority of deaths occurring during childbirth.
Objective: To describe compliance to normal delivery care and medical
errors that occurred in the delivery care conducted by DIII midwifery
graduates.
Methods: A quantitative study with a cross-sectional design to the
occurrence of medical errors in delivery care by DIII midwifery graduates in
Bantul District. Data were collected by questionnaire (self reported) and
analyzed by univariate, bivariate and multivariate.
Results: The results of the analysis suggested that 41.51% medical error
occurred in the delivery care and 24.53% of delivery care by D III midwifery
graduates were categorized as not good (n = 53). Self reported about medical
errors in the four aspects being studied showed that 14 respondents (26.42%)
said that medical error ever occurred in the action aspect of delivery
assistance, 10 respondents (18.87%) said that medical errors occurred in the
prevention of infection, 8 respondents (15.09%) stated that medical error
occurred during the administration of drugs and only 3 respondents (5.66%) said
that medical errors occurred at the time of diagnosis establishment. Not good
delivery care was significant to the occurrence of medical errors (p = 0.000),
and 3.8 times causing a medical error after being controlled by extraneous
variables (facilities & SOP) with R² value of 0.16.
Conclusion: Delivery care by DIII midwifery graduates in Bantul District
75,5% was categorized good, and 41.51% medical error occurred in the delivery
care. The prevalence of not good delivery care increased the incidence of
medical errors than that of good delivery care. Medical errors in delivery care
expressed through self-reported in this study showed that they were also
influenced by the completeness of equipment and standard operating procedures
in obstetric care facility.
Penulis: istri bartini ova
emilia adi utarini
Kode Jurnal: jpkedokterandd110159
