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Di Rumah Sakit Umum Daerah dr. Adnaan WD Kota Payakumbuh ada beberapa insiden diantaranya yaitu 5,3% kasus dalam salah dosis pemberian obat dan 26% kasus salah dalam pemberian hasil laboratorium dan pada saat melakukan pekerjaanya ada beberapa pekerja mengalami kecelakaan kerja maupun tertular penyakit dari pasien, namun tidak melaporkannya kepada tim K3 sehingga tim K3 tidak memiliki catatan mengenai kecelakaan akibat kerja dan penyakit akibat kerja tersebut. Tujuan penelitian ini untuk mendapatkan informasi mengenai Sistem Manajemen Keselamatan dan Kesehatan Kerja (SMK3) RSUD dr. Adnaan WD Kota Payakumbuh tahun 2022. Jenis penelitian dilakukan menggunakan metode kualitatif dengan input (Komitmen dan Kebijakan, SDM, Dana, Sarana dan Prasarana), proses (Perencanaan, Pengorganisasian, Pelaksanaan, Pengawasan), serta output (Terlaksana atau tidak terlaksananya SMK3 di RSUD dr. Adnaan WD). Penentuan informan penelitian menggunakan metode purposive sampling. Informan dalam penelitian adalah 7 orang yaitu Direktur RS, Kepala Bidang Pelayanan, Kepala Bidang Penunjang, Ketua Tim K3RS, Tim K3RS, Kepala Instalasi Farmasi dan Kepala Instalasi Rekam Medis. Teknik pengumpulan data pada penelitian dilakukan dengan cara wawancara, melakukan observasi dan dokumentasi. Hasil penelitian komponen input: komitmen dan kebijakan sudah ada tim K3RS namun belum semua petugas Rumah Sakit mendapatkan sosialisasi tentang K3RS, sumber daya manusia K3RS masih rangkap jabatan dalam K3RS, dana alokasi khusus untuk K3RS belum ada, dan masih ada kekurangan pada sarana dan prasarana. Komponen proses: belum ada perencanaan dan pengorganisasian khusus untuk K3RS, pelaksanaan K3RS masih belum sepenuhnya berjalan dengan baik, pengawasan masih belum secara administrasi dan pelaporan. Komponen output :belum terlaksananya secara maksimal sistem manajemen keselamatan dan kesehatan Kerja di RSUD dr. Adnaan WD Kota Payakumbuh.

At the Regional General Hospital dr. Adnaan WD Payakumbuh there were several incidents cases in the wrong dose of drug administration(5.3%) and 26% cases of wrong giving laboratory results and while carrying out their work there were several workers who had work accidents or contracted diseases from patients, but did not report them to the team K3 so that the K3 team does not have a record of work related accidents and work-related illnesses. The purpose of this study was to obtain information about the Occupational Safety and Health Management System (SMK3) at RSUD dr. Adnaan WD Payakumbuh in 2022. The type of research was qualitative methods with input (Commitment and Policy, HR, Funds, Facilities and Infrastructure), process (Planning, Organizing, Implementation, Supervision), and output (Implementation or failure of SMK3 at RSUD Dr Adnaan WD). Determination of research informants by using purposive sampling method. Informants were 7 people namely the Director of the Hospital, Head of Services, Head of Support, Head of the K3RS Team, K3RS Team, Head of the Pharmacy Installation and Head of the Medical Record Installation. The data were collected through interviews, observation and documentation. The results of the input component research: commitment and policies had K3RS team but not all hospital staff received socialization about K3RS, K3RS human resources had multiple positions in K3RS, special allocation funds for K3RS did not yet exist, and there was shortage of facilities and infrastructure. Process components: there was no specific planning and organization for K3RS, the implementation of K3RS was not fully running well, supervision was not administrative and reporting. Output component: Occupational safety and health management system in RSUD dr. Adnaan WD Payakumbuh City.