Analysis of the Patient Safety Culture in Awal Bros Batam Hospital, Year 2016
Abstract
A good patient safety culture is needed as the complexity of hospital services and procedures increase, thus prone to accidental errors. This study aims to find out the cultural status of patient safety in Awal Bros Batam Hospital in the year 2016. The authors used the concept of the patient safety culture of the Agency for Healthcare Research and Quality (AHRQ, 2004) and Carthey and Clarke (2010), and for the improvement of the weak dimensions, the system reliability concept of Marx D. (2010) was used. The study design was sequential explanatory, with Indonesian translation from the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire from AHRQ followed by FGD to formulate the improvement effort of the weak
dimension. Patient safety culture status categorized into moderate culture, average of positive perceptions were 70.82%. The greatest strengths were in organizational learning and continuous improvement, feedback and communication about patient safety, and communication openness. Weaknesses were primarily in staffing, nonpunitive responses to errors, handover and transitions must be fixed immediately. Improvement suggestions by reducing non-core job assignments, employee retention programs, hotline service internal, leader lead tracer, and investigator training.
Keywords: hospital of patient safety culture, patient safety, safety culture
References
[1] Republik Indonesia. (2009). Undang-Undang Republik Indonesia Nomor 36 Tahun 2009 tentang Kesehatan. Indonesia.
[2] Shmerling, R. (2015). First, do no harm. Harvard Health Article. Retrieved from http: //www.health.harvard.edu (accessed on March 21, 2016).
[3] Institute of Medicine Committee on Quality of Health Care in America. (1999). To Err is Human: Building A Safer Health System. Washington (DC): National Academies Press (US).
[4] World Health Organization. (2007). Patient Safety Solutions Preamble – May 2007. WHO Collaborating Centre for Patient Safety Solutions. Retrieved from http://www. who.int/patientsafety/solutions/patientsafety/Preamble.pdf (accessed on March 21, 2016).
[5] Kementerian Kesehatan Republik Indonesia. (2011). Peraturan Menteri Kesehatan Republik Indonesia Nomor 1691 Tahun 2011 tentang Keselamatan Rumah Sakit. Indonesia.
[6] Republik Indonesia. (2009). Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 tentang Rumah Sakit. Indonesia.
[7] Kementerian Kesehatan Republik Indonesia. (2012). Peraturan Menteri Kesehatan Republik Indonesia Nomor 251/MENKES/SK/VII/2012 tentang Komite Keselamatan Pasien Rumah Sakit. Indonesia.
[8] Kementerian Kesehatan Republik Indonesia. (2008). Panduan Nasional Keselamatan Pasien Rumah Sakit (Patient Safety) Edisi Ke-2. Indonesia.
[9] Komite Keselamatan Pasien Rumah Sakit. (2008). Pedoman Pelaporan Insiden Keselamatan Pasien (IKP). Jakarta: Komite Keselamatan Pasien Rumah Sakit.
[10] Kirk, A. S. (2006). Evaluating Safety Cultures, Research into Practice in Patient Safety. Maidenhead: Open University Press.
[11] Iwan, F. (2016). Patient Safety Programs and Activities at Awal Bros Batam Hospital Today. Batam.
[12] Agency for Healthcare Research and Quality (AHRQ). (2016). Hospital Survey on Patient Safety Culture: User’s Guide. Agency for Healthcare Research and Quality U.S. Department of Health and Human Services. Retrieved fronm http://www.ahrq. gov/ (accessed on October 01, 2016).
[13] Puspitasari, M. (2009). Merumuskan Learning Organization Melalui Analisis Budaya Keselamatan Pasien di Rumah Sakit Masmitra. Universitas Indonesia.
[14] Lucian, L. and Marx, D. (2007). Patient safety and the ‘Just Culture’. Norfolk and Norwich Community Hospital Texas. Retrieved from http://nursing2015.files.wordpress.com (accessed on August 31, 2016).
[15] Agency for Healthcare Research and Quality (AHRQ). (2004). Hospital Survey of Safety Culture. Agency for Healthcare Research and Quality U.S. Department of Health and Human Services. Retrieved from http://www.ahrq.gov/ (accessed on October 01, 2016).
[16] Carthey, J. and Clarke, J. (2010). Implementing Human Factors in Healthcare: “How to” Guide. E-book Patient Safety First.
[17] Wibowo, A. (2014). Metodologi Penelitian Praktis Bidang Kesehatan. Jakarta: PT. Rajagrafindo Persada.
[18] Agency for Healthcare Research and Quality (AHRQ). (2011). Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report. Agency for Healthcare Research and Quality U.S. Department of Health and Human Services. Retrieved from http://www.ahrq.gov/ (accessed on October 01, 2016).
[19] Kementerian Kesehatan Republik Indonesia. (2015). Peraturan Menteri Kesehatan Republik Indonesia Nomor 33 Tahun 2015 tentang Keselamatan Rumah Sakit. Indonesia.
[20] Republik Indonesia. (2004). Undang-Undang Nomor 29 Tahun 2004 tentang Praktik Kedokteran. Indonesia.
[21] Cahyono, J. B. (2008). Membangun Budaya Keselamatan Pasien Dalam Praktek Kedokteran. Yogyakarta: Kanisius.
[22] Yahya, A. A. (2016). Building Awareness of the Value of Patient Safety. Batam.