DOI: https://doi.org/10.14710/jmki.8.1.2020.49-55

Analisis Budaya Keselamatan Pasien pada Berbagai Tenaga Kesehatan di RSUD dr. Soediran Mangun Sumarso Kabupaten Wonogiri

*Dwi Suranto  -  RSUD dr. Soediran Mangun Sumarso Wonogiri, Indonesia
Chriswardani Suryawati  -  Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia
Yuliani Setyaningsih  -  Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia

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Abstract

Patient safety incidents at a hospital still occur at almost 92.1% near-miss events, 4.3% harmful incidents, 2.4% no-harm incidents and 1.2% unintended events. At the General District Hospital of dr. Soediran Mangun Sumarso, the hospital manager has not understood the function of reporting system so that there is no follow up. Even, blaming culture still happens, and not all health workers care about incident reporting. Establishing a patient safety culture is the first step to implement a patient safety program. This study was intended to analyze a patient safety culture among health workers.

This study was conducted at the General District Hospital of dr. Soediran Mangun Sumarso which is a type-B hospital. This study was analytic with a cross-sectional design. It involved 228 health workers as respondents, used Kruskal Wallis for the analysis and adopted instruments from the Hospital Survey on Patient Safety Culture (HSOPSC). The findings explained that communication openness dimension is in the middle category. Teamwork in the units is good, and the overall perception is moderate. Staffing is moderate, so id non-punitive response. The reporting frequency is moderate with 43.8% respondents who said not reporting any incidents for the past 12 months. The organizational learning is good, and the staff expectation is moderate. The level of patient safety is good, and the feedback is moderate. Transfer and transition are good. The p-values for staff expectation, organizational learning, unit tea work, openness, and feedback are 0.001, 0.017, 0.004, 0.000, and 0.039 respectively. Whereas the non-punitive response has a p-value of 0.001, staffing has a p-value of 0.005, and management support results in a p-value of 0.001. Teamwork among units has a p-value of 0.001 and transfer and transition performs p-value of 0.004.

There are some differences among health workers in terms of communication openness with a p-value of 0.000.

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Keywords: Health Workers, Hospital, Patient Safety Culture

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  1. McMains V. Johns Hopkins study suggests medical errors are third-leading cause of death in U.S., https://hub.jhu.edu/2016/05/03/medical-errors-third-leading-cause-of-death/ (2016)
  2. Komite Keselamatan Pasien Rumah Sakit (KKPRS). Panduan Nasional Keselamatan Pasien Rumah Sakit (Patient Safety). Edisi 2. Jakarta: Departemen Kesehatan RI, 2008
  3. Kohn LT, Corrigan JM, Donaldson MS. To Err is Human: Building a Safer Health System. Washington: National Academy Press, 2011
  4. Carthey J, Clarke J. Implementing Human Factors in Healthcare “How to” Guide. Patient Safety First, www.patientsafetyfirst.nhs.uk (2010)
  5. National Patient Safety Agency. Seven Steps to Patient Safety for Primary Care - The Full Reference Guide. London: The National Patient Safety Agency, 2006
  6. Lameshow S, Hosmer Jr DW, Klar J, et al. Adequacy of Sample Size in Health Studies. New York: John Wiley & Sons Ltd, 1990
  7. Hamdani S. Analisis Budaya Keselamatan Pasien (Patient Safety Culture) di Rumah Sakit Islam Jakarta. Universitas Indonesia, 2007
  8. Reason J. Human Error: Models and Management.British Medical Journal2000; 320: 768–770
  9. Yahya AA. Memimpin dan Mendukung Staf untuk Komitmen dan Fokus Pada Keselamatan Pasien di Rumah Sakit (Leadership In Patient Safety). Jakarta, 2012
  10. Suci WP. Peningkatan Budaya Keselamatan Pasien Melalui Pemberdayaan Champion Keselamatan Pasien.JKH 2018; Vol.2: 25–39
  11. Badran JR. Analisis Penerapan Keselamatan Pasien di Rumah Sakit Umum Daerah Inche Abdoel Moeis Tahun 2017. Universitas Hasanuddin, 2017
  12. Cahyono SB. Membangun Budaya Keselamatan Pasien Dalam Praktik Kedokteran. Yogyakarta: Percetakan Kanisius, 2008
  13. Erler C, Edwards NE, Ritchey S, et al. Perceived Patient Safety Culture in a Critical Care Transport Program.Air Medical Journal2013; Vol.32: 208–215
  14. Beuzekom M Van, Boer F, Akerboom S, et al. Patient Safety: Latent Risk Factors. British Journal of Anaesthesia 2010; Vol.105: 52–59
  15. Ultaria TD, Arso SP, Sriyatmi A. Gambaran Budaya Keselamatan Pasien di RS Roemani Muhamaddiyah Semarang. Jurnal Kesehatan Masyarakat 2017; 5: 118–125
  16. Setiowati D. Hubungan Kepemimpinan Efektif Head Nurse Dengan Penerapan Budaya Keselamatan Pasien Oleh Perawat Pelaksana di RSUPN Dr. Cipto Mangunkusumo Jakarta. Universitas Indonesia, 2010
  17. Arini T. Budaya Keselamatan Pasien Berbasis Pemberdayaan Struktural dengan Kepuasan Kerja Perawat. Univeritas Airlangga, 2018
  18. Robbins SP, Judge TA. Organizational Behavior. 15 ed. New Jersey: Prentice Hall, 2013
  19. Astini AF. Gambaran Budaya Keselamatan Pasien di RS Stella Mari Makasar.Prosiding SNaPP2016 2016; 6: 152–163
  20. Chen IC, Hu Li H. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Services Research 2010; 10: 1–10
  21. Gunawan, Widodo FY, Harijanto T. Analisis Rendahnya Laporan Insiden Keselamatan Pasien di Rumah Sakit. Jurnal Kedokteran Brawijaya 2015; Vol.28: 206–213
  22. Tomazoni A, Rocha PK, Kusahara DM, et al. Evaluation of the Patient Safety Culture in Neonatal Intensive Care. Text Context Nursing 2015; Vol.24: 161–169
  23. Budihardjo A. Pentingnya Safety Culture di Rumah Sakit. Jurnal Manajemen Bisnis 2008; Vol. 1: 53–70
  24. Laschinger HKS, Finegan J, Shamian J. The impact of workplace empowerment, organizational trust on staff nurses’ work satisfaction and organizational commitment.Advances in Health Care Management 2002; Vol.3: 59–85
  25. Nurlindawati, Jannah N. Budaya Keselamatan Pasien oleh Perawat Dalam Melaksanakan Pelayanan di Ruang Rawat Inap.JIM KEP 2018; III: 196–204
  26. Dignen B. Professional Development; Five Reasons Why Feedback May be the Most Important Skill.17 Maret 2014, https://www.cambridge.org/elt/blog/2014/03/17/five-reasons-feedback-may-important-skill/ (2014, diakses 9 September 2019)
  27. Wagner C, Smits M, Sorra J, et al. Assessing patient safety culture in hospitals across countries.International Journal for Quality in Health Care 2013; Vol.25: 213–221

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