EVALUASI AUDIT MUTU INTERNAL UNTUK PENINGKATAN SISTEM MANAJEMEN MUTU LEMBAGA PELATIHAN KESEHATAN

Abstract

ABSTRACT

Internal Quality Audit (IQA) is an essential instrument for quality assurance in health training institutions. However, previous studies have mainly focused on training outcomes and participant satisfaction, while evaluations of Quality Management System (QMS) implementation through IQA remain limited. This study is important because conformity of QMS implementation with established standards provides the foundation for continuous quality improvement and institutional accreditation readiness. This study aimed to evaluate the implementation of IQA in assessing the conformity of QMS implementation at the Education, Training, and Research Installation of RSUD Ajibarang in 2024. A descriptive evaluative design was employed using the 2021 Internal Quality Audit Guidelines for Health Training Institutions issued by the Indonesian Ministry of Health. Data were collected through observations, interviews, document reviews, and audit checklists, then analyzed descriptively by identifying non-conformities, assessing quality gaps, determining improvement priorities, and formulating recommendations based on the Continuous Quality Improvement (CQI) framework and the Plan-Do-Check-Act (PDCA) cycle. The audit identified non-conformities in quality documents, Standard Operating Procedures, internal quality control, facilities and infrastructure, and monitoring and evaluation. Overall, the QMS has provided the foundation for training implementation but has not fully met established standards. IQA effectively identified quality gaps and supported continuous improvement through strengthening quality culture, refining documentation, enhancing staff competency, and optimizing monitoring and evaluation.

ABSTRAK

Audit Mutu Internal (AMI) merupakan instrumen penting dalam penjaminan mutu penyelenggaraan pelatihan kesehatan. Namun, sebagian besar penelitian masih berfokus pada evaluasi hasil pelatihan dan kepuasan peserta, sedangkan evaluasi terhadap kesesuaian penerapan Sistem Manajemen Mutu (SMM) melalui AMI masih terbatas. Penelitian ini penting karena implementasi SMM yang sesuai standar menjadi dasar peningkatan mutu berkelanjutan dan kesiapan akreditasi lembaga pelatihan kesehatan. Penelitian ini bertujuan mengevaluasi pelaksanaan AMI dalam mengidentifikasi kesesuaian penerapan SMM di Instalasi Pendidikan, Pelatihan dan Penelitian RSUD Ajibarang Tahun 2024. Penelitian menggunakan desain deskriptif evaluatif berdasarkan Pedoman Audit Mutu Internal Institusi Penyelenggara Pelatihan Bidang Kesehatan Kementerian Kesehatan Republik Indonesia Tahun 2021. Data dikumpulkan melalui observasi, wawancara, telaah dokumen, dan checklist audit, kemudian dianalisis secara deskriptif dengan identifikasi ketidaksesuaian, analisis kesenjangan, penentuan prioritas masalah, serta penyusunan rekomendasi berbasis Continuous Quality Improvement (CQI) dan siklus Plan-Do-Check-Act (PDCA). Hasil audit menunjukkan ketidaksesuaian pada dokumen mutu, Standar Operasional Prosedur, quality control internal, sarana prasarana, serta monitoring dan evaluasi. Penerapan SMM telah berjalan sebagai dasar penyelenggaraan pelatihan, tetapi belum sepenuhnya memenuhi standar. AMI berperan mengidentifikasi kesenjangan secara sistematis sebagai dasar penyusunan tindak lanjut melalui penguatan budaya mutu, penyempurnaan dokumen, peningkatan kompetensi SDM, dan optimalisasi monitoring serta evaluasi berkelanjutan.