The Development of Malcolm Baldrige-Based Patient Safety Model in Basic Emergency Obstetric Care Community Health Center (BEOC-CHC). Preliminary Study: Implementation of Patient Safety in Padang
Abstract
A high number of Adverse Event based on the data from Ministry of Health RI showed that patient safety was still not going well, while patient safety was a measure of the quality of health services in Indonesia. The purpose of this study was to determine the implementation of the seven standards of patient safety as the basis of patient safety model development based on Malcolm Baldrige in BEOC -CHC of Padang as the implementation of maternal and child protection. This study used a qualitative research method, and the number of the informant was 25 — the data collecting was done by in-depth interview and Focus Group Discussion that would be written on the transcript in the form of a matrix and analyzed through resource and method triangulation. Based on the study result, there were no guidelines about patient safety from Department of Health of West Sumatera to the BEOC -CHC; it also obtained that the patient safety incident that occurred in the form of patient falls, diagnostic errors and drug delivery personally without reporting to the Department of Health. Out of seven standards of patient safety, it was only the third standard that has accomplished. It could be concluded that patient safety hadn’t been entirely implemented, so it was necessary
to develop Malcolm Baldrige-based patient safety model that was suitable to improve patient safety in BEOC -CHC.
Keywords: Patient Safety; BEOC; MBNQA
References
[1] Bagian, James P. 2005. ”Patient Safety: What Is Really an Issue?” Frontiers Of Health Services Management No. 22 (1):3-16.
[2] Bishop, Andrea C., and Brianna R. Cregan. 2015. ”Patient safety culture: finding meaning in patient experiences.” International Journal of Health Care Quality Assurance no. 28 (6):595-610.
[3] Chassin, Mark R. 2016. ”The Need For A Paradigm Shift In Healthcare Culture: Old Versus New.” High-Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality:3.
[4] Damayanti, Mia, and Meta Rosdiana. 2016. ”The Influence Of Mother’s Legal Assets On Mother’s Anxiety In Dealing With Labor Process In Bpm Ch Mala Palembang” Journal of Health no. 7 (2):250-254.
[5] Davis, Rachel E, Rosamond Jacklin, Nick Sevdalis, and Charles A Vincent. 2007. ”Patient involvement in patient safety: what factors influence patient participation and engagement?” Health Expectations no. 10 (3):259-267.
[6] Findyartini, Ardi, Rita Mustika, Estivana Felaza, Herqutanto, Enggar Sari Kesuma Wardhani, Detty Iryani, Hendriati, Efrida, Tonang D Ardyanto, Krisna Yarsa Putra, Fikar Arsyad Hakim, and Amandha Boy Timor. 2015. Training Module for Patient Safety Trainers: Collaboration Field Education Project P4K-RSP.Fleming, Mark. 2005.
”Patient Safety Culture Measurement an Improvement: A ”How to Guide.”” no. 8.
[7] Gurses, Ayse Pinar. 2005. ”Performance obstacles and facilitators, workload, quality of working life, and quality and safety of care among intensive care nurses.” Ph.D. thesis., The University of Wisconsin - Madison, Ann Arbor.
[8] Johnson, Bev, Marie Abraham, Jim Conway, Laurel Simmons, Susan Edgman-Levitan, Pat Sodomka, and D Ford. 2008. ”Partnering with patients and families to design a patient-and-family-centered health care system.” Bethesda MD: Institute for FamilyCentered Care.
[9] Kingston-Riechers, J, M Ospina, E Jonsson, P Childs, L McLeod, and J Maxted. 2010. ”Patient safety in primary care.” Edmonton AB: Canadian Patient Safety Institute and BC Patient Safety and Quality Council.
[10] Kohn, Linda T, Jannet M.Corrigan, and Molla S.Donaldson. 2000. To Err is Human: Building a Safer Health System. Washington: National Academy Press.
[11] Marchon, Simone Grativol, and Walter Vieira Mendes Junior. 2014. ”Patient Safety In Primary Health Care: A Systematic Review.” Cadernos de saúde pública no. 30 (9):1815-1835.
[12] Minister of Health of the Republic of Indonesia. 2014. ”Regulation of the Minister of Health of the Republic of Indonesia No 75 of 2014 on Community Health Centers” Jakarta.
[13] Minister of Health of the Republic of Indonesia. 2015. ”Regulation of the Minister of Health of the Republic of Indonesia Number 46 the Year 2015 on Puskesmas Accreditation, First Clinic, Independent Practice Place of Doctor, and Dentist Self Practice Place”. Jakarta.
[14] Patricia A Molloy, ”Examining the relationship between work climate and patient safety among nurses in acute care settings” (2012). Dissertations and Master’s Theses (Campus Access).Paper AAI3503408. http://digitalcommons.uri.edu/ dissertations/AAI3503408
[15] Nieva, VF, and J Sorra. 2003. ”Safety culture assessment: a tool for improving patient safety in healthcare organizations.” Quality and Safety in Health Care no. 12 (suppl 2):ii17-ii23.
[16] O’Rourke, M. 2007. ”The Australian Commission on Safety and Quality in Health Care agenda for improvement and implementation.” Asia Pacific Journal of Health Management no. 2 (2):21.
[17] Pettker, Christian M, Stephen F Thung, Errol R Norwitz, Catalin S Buhimschi, Cheryl A Raab, Joshua A Copel, Edward Kuczynski, Charles J Lockwood, and Edmund F Funai. 2009. ”Impact of a comprehensive patient safety strategy on obstetric adverse events.” American Journal Of Obstetrics And Gynecology no. 200 (5):492. e1-492.
e8.
[18] Rahmanita, Desi Rosalia Putri, and Adang Bachtiar. 2014. ”Assessment of Service Performance of Basic Emergency Neonatal Obstetrics at Puskesmas Poned Tanah Sareal Bogor City with Balanced Scorecard Approach in 2014” Faculty of Public Health University of Indonesia.
[19] Sadikin, Iskandar. 2010. Malcom Baldrodge National Quality Award (MBNQA). Surabaya: Lembayung Central Indonesia.
[20] Sub-Directorate of Medical Services and Nursing. 2016. Evaluation of E-Reporting Reporting Incident Reporting of Hospital Patient Safety Until February 2016. In Patient Safety Workshop at Hotel Horizon Bogor 2-4 March 2016, edited by Secretariat of Patient Safety Committee RS. Bogor.Top, Mehmet, and Sabahattin Tekingündüz. 2015. ”Patient Safety Culture in a Turkish Public Hospital: A Study of Nurses’ Perceptions About Patient Safety.” Systemic Practice and Action Research no. 28 (2):87-110. doi: http://dx.doi.org/10.1007/s11213-014-9320-5.
[21] Verbakel, Natasha J, Maaike Langelaan, TJ Verheij, Cordula Wagner, and Dorien LM Zwart. 2014. ”Improving patient safety culture in primary care: a systematic review.” J Patient Saf (March (18)).
[22] Vincent, Charles A, and Angela Coulter. 2002. ”Patient safety: what about the patient?” Quality and Safety in Health Care no. 11 (1):76-80.
[23] Walston, Stephen L, Badran A Al-Omar, and Faisal A Al-Mutari. 2010. ”Factors Affecting The Climate Of Hospital Patient Safety: A Study Of Hospitals In Saudi Arabia.” International Journal of Health Care Quality Assurance no. 23 (1):35-50.