Implementation of Patient Safety in Accredited Hospitals and Its Determining Factors in Jambi City, Indonesia Implementation of Patient Safety in Accredited Hospitals and Its Determining Factors in Jambi City, Indonesia
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Background: Patient safety is an essential part of nursing services and becomes an indicator of the quality of hospital services. Purpose: The general aim of this research was to explore and analyze patient safety and related factors in its application in accredited hospitals. Method: This research was quantitative research. This research used descriptive analytic with cross-sectional approach. Samples were 226 nurses chosen by using proportional random sampling in two accredited hospitals. The sampling used simple random sampling technique. The application of patient safety by the nurses was surveyed by using an instrument that was developed from the regulation of the Minister of health. Meanwhile, the determining factors of the application of patient safety were measured by using Safety Attitudes Questionnaire (SAQ) which consisted of 6 factors; teamwork, safety climate, job satisfaction, perceptions of management, stress recognition, and working condition. Data were analyzed by using chi-square test. Result: The results confirmed that the implementation of patient safety by nurses in the accredited hospitals, more than half were less than good (59%). The result of determining factors analysis was: there was a significant relationship between teamwork, safety culture, stress, management, and working condition and the implementation of patient safety (P = 0,000-0,017), while job satisfaction (P = 0,928) was an irrelevant factor with the application of patient safety. Conclusion: There was a significant relationship between teamwork, safety culture, stress recognition, perception management, and working condition and the implementation of patient safety. This research recommends the necessity to improve policies concerning the evaluation effort of the application of patient safety in the hospitals. Likewise, to evaluate all nursing Standard Operating Procedures (SOP) in terms of patient safety considerations as well as factors that affect them, especially the working condition.
Anderson, J. E., & Kodate, N. (2015). Learning from patient safety incidents in incident review meetings : Organisational factors and indicators of analytic process effectiveness. Safety Science, 80, 105–114. https://doi.org/10.1016/j.ssci.2015.07.012
Apriningsih, Desmawati, & Muhammad, J. (2013). No Title. Jurnal Ilmiah Kesehatan, 5(3).
Cahyono S.B. (2008). Membangun budaya keselamatan pasien dalam praktik kedokteran. Yogyakarta: Kanisisus.
Costa, et. al. (2017). Evaluation procedures in health: Perspective of nursing care in patient safety. Applied Nursing Research, 35, 71–76. https://doi.org/10.1016/j.apnr.2017.02.015
Cosway, B., Stevens, A.C., & Panesar, S. (2012). Clinical leadership: A role for students? British Journal of Hospital Medicine. Vol.73/No.1. Diunduh melalui http://web.ebscohost.com/ehost/detail?v
Eiras, M., Escoval (2014). (2014),"The hospital survey on patient safety culture in Portuguese hospitals", International Journal of Health Care Quality Assurance, Vol. 27 Iss 2 pp. 111-122. http://dx.doi.org/10.1108/IJHCQA-07-2012-0072
Eldeeb, Ghoneim, & Eldesouky. (2016). Perception of Patient Safety Among Nurses at Teaching Hospital. American Journal of Nursing Science, 5(4), 122. https://doi.org/10.11648/j.ajns.20160504.11
Farquharson, Bell, Johnston, Jones, Schofield, Allan, … Johnston. (2013). Nursing stress and patient care: real-time investigation of the effect of nursing tasks and demands on psychological stress, physiological stress, and job performance: study protocol. Journal of Advanced Nursing, 1–9. https://doi.org/10.1111/jan.12090
Ferguson, & Cioffi, J. (2017). Team nursing : experiences of nurse managers in acute care settings. AUSTRALIAN JOURNAL OF ADVANCED NURSING, 28(4), 5–11.
Findriyartini, et al. (2015). Module of Training for Patient Safety Coach (1st ed). Jakarta: Collaboration Field Education Project P4K-RSP.
Gerven, E. Van, Deweer, D., Scott, S. D., Panella, M., Euwema, M., & Sermeus, W. (2016). Personal , situational and organizational aspects that influence the impact of patient safety incidents : a qualitative study. Revista de Calidad Asistencial, (xx), 13. https://doi.org/10.1016/j.cali.2016.02.003
Haerkens, et. al. (2016). Validation of the Dutch language version of the Safety Attitudes Questionnaire. BMC Health Service Research, 16(385), 1–8. https://doi.org/10.1186/s12913-016-1648-3
Harus, B. D., & Sutriningsih, A. (2015). Nurse’s knowledge of patient safety with the implementation of Keselamatan Pasien Rumah Sakit (KPRS) at Panti Waluya Sawahan Malang Hospital. Jurnal Care, Vol. 3, No. 1, 3(July 2013), 1–9.
Joint Commission International. (2015). Comprehensive Accreditation Manual for Hospitals : The Patient Safety Systems Chapter. Joint Commission International.
Komisi Akreditasi Rumah Sakit. (2012). Instrumen Akreditasi Rumah Sakit Standar Akreditasi Versi 2012 (1st ed.). Jakarta
KKP-RS. (2015). Pedoman pelaporan insiden keselamatan pasien (ikp). Jakarta.
Lippi, G., Mattiuzzi, C., Bovo, C., & Favaloro, E. J. (2017). Managing the patient identi fi cation crisis in healthcare and laboratory medicine. Clinical Biochemistry. https://doi.org/10.1016/j.clinbiochem.2017.02.004
Milutinovic, D., & Brkic, B. G. N. (2012). PROFESSIONAL STRESS AND HEALTH AMONG, 171–180. https://doi.org/10.2478/10004-1254-63-2012-2140
Moustaka, E. (2010). Sources and effects of Work-related stress in nursing. Health Science Journal, 4(4), 210–216.
Nurmalia, D., & Nivalinda, D. (2016). Management functions in the implementation of mentoring. Media Medika Muda, 2(2), 77–88. Retrieved from http://eprints.undip.ac.id/22191/
Ozsayin & Ozbayir. (2016). Attitudes of operating theater workers toward patient safety. International Jounal of Antisepsis Disinfection Strelization, 1(1), 1–6. https://doi.org/10.14744/ijads.2016.98608
Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety : a systematic review. BMJ Open, 4. https://doi.org/10.1136/bmjopen-2014-005055
Pham, J. et al. (2016). Risk Assessment and Event Analysis: A Tool for the Concise Analysis of Patient Safety Incident. Joint Commission Journal on Quality and Patient Safety, 42(1), 26–33, AP1–AP3. https://doi.org/10.1016/S1553-7250(16)42003-9
Platis, C., Reklitis, P., & Zimeras, S. (2015). Relation between Job Satisfaction and Job Performance in Healthcare Services. Procedia - Social and Behavioral Sciences, 175, 480–487. https://doi.org/10.1016/j.sbspro.2015.01.1226
Revalicha, N. S. (2013). Perbedaan Stres Kerja Ditinjau dari Shift Kerja pada Perawat di RSUD Dr . Soetomo Surabaya. Jurnal Psikologi Industri Dan Organisasi, 2(1), 16–24.
Swift, J. Q. (2017). Patient Safety and the Malpractice System. Oral and Maxillofacial Surgery Clinics of NA. https://doi.org/10.1016/j.coms.2016.12.010
Tetuan at. al. (2017). Does Systems Thinking Improve the Perception of Safety Culture and Patient Safety ? Journal of Nursing Regulation, 8(2), 31–39. https://doi.org/10.1016/S2155-8256(17)30096-0
The Hospital Accreditation Commission. (2012). The Hospital Standard Accreditation version 2012 Ed. 1. Retrieved from http://akreditasi.kars.or.id/downloads/RS-Template.xls
Weaver, Lubomksi, Wilson, Elizabeth, Martinez, & Sydney. (2013). Supplement Promoting a Culture of Safety as a Patient Safety Strategy. Annals of Internal Medicine, 158(5), 369–375.
World Health Organization. (2018). Patient Safety. Retrieved from http://www.euro.who.int/en/health-topics/%0AHealth-systems/patient-safety%0A