Legal Approaches for Clinical Audits and Sanctions in Indonesian Health Service Facilities: Prioritizing Justice, Legal Certainty, and Usefulness

Ida Ayu Sadnyini; David Christianto; I Gede Agus Kurniawan; Made Jayantara

doi:10.53337/jhki.v3i01.88

Authors

Sadnyini Universitas Pendidikan Nasional
David Christianto Universitas Airlangga
Kurniawan Universitas Pendidikan Nasional
Jayantara Universitas Pendidikan Nasional

DOI:

https://doi.org/10.53337/jhki.v3i01.88

Keywords:

Clinical audit, Health service facilities, Negligence

Abstract

Laws in Indonesia ensure that everyone has the right to safe, high-quality, and affordable health services. Health Service Facilities are required to have effective management and governance systems according to Article 21 of Law No. 36 of 2009 on Health. However, regulations regarding clinical audits, which aim to reduce negligence risks in healthcare facilities, and the process and sanctions for unintended errors in patient care remain unclear. This study employed empirical legal research and found that the regulation of clinical audits needs an approach based on justice, legal certainty, and usefulness to effectively reduce negligence risks in healthcare facilities. The audit process and imposition of sanctions for unintended errors in patient care can lead to civil and criminal lawsuits. In conclusion, clinical audits in Indonesia should prioritize the principles of justice, legal certainty, and usefulness to mitigate negligence risks in healthcare facilities. Fair and proportional sanctions should be applied, with a focus on improving the qualifications of healthcare workers, enhancing systems, and developing policies for better healthcare services. Patients should have the right to claim compensation and file complaints both civilly and criminally.

References

Amiruddin, H. Z. A., & Tjoa, K. H. (2006). Pengantar Metode Penelitian Hukum. Raja Grafindo Persada.

Cowan, P. J. (2002). The role of clinical audit in risk reduction. British Journal of Clinical Governance, 7(3), 220–223. https://doi.org/10.1108/14664100210438388

detikNews. (2013). Pasien Meninggal karena Malpraktik, Dokter Wida Dibui 10 Bulan. DetikNews. https://news.detik.com/berita/d-2201025/pasien-meninggal-karena-malpraktik-dokter-wida-dibui-10-bulan

Keputusan Direktur Jenderal Pelayanan Kesehatan Nomor HK.02.02/I/0522/2022 Tentang Pedoman Pelaksanaan Audit Klinis di Rumah Sakit, 38 (2022).

KBBI Daring. (2022). Audit. https://kbbi.kemdikbud.go.id/entri/audit

Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1128/2022 Tentang Standar Akreditasi Rumah Sakit, (2022).

Nundy, S., Kakar, A., & Bhutta, Z. A. (2022). How to Practice Academic Medicine and Publish from Developing Countries? In Journal of Medical Evidence (Vol. 3, Issue 1). Springer Nature Singapore. https://doi.org/10.1007/978-981-16-5248-6

Undang-Undang Nomor 29 Tahun 2004 Tentang Praktik Kedokteran, (2004).

Shidarta, S. (2020). Bernard Arief Sidharta: Dari Pengembanan Hukum Teoretis ke Pembentukan Ilmu Hukum Nasional Indonesia. Undang: Jurnal Hukum, 3(2), 441–476. https://doi.org/10.22437/ujh.3.2.441-476

Soesilo, R. (1991). Kitab Undang-Undang Hukum Pidana (KUHP) Serta Komentar-Komentarnya Lengkap Pasal Demi Pasal. Politeia.