The Culture of Patient Safety in Anesthesiology Nursing Services
Abstract
Patient safety principles have not been optimally implemented in anesthesiology services. Nurse anesthetists, as providers of anesthetic nursing services, must have a good patient safety culture so that they can ensure patients remain safe during the anesthesia process. This study aims to determine the description of patient safety culture among nurse anesthetists in Indonesia. This quantitative study with a cross-sectional approach involved 369 nurse anesthetists as samples. The sampling technique used was purposive sampling. The research instrument used was the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire developed by the Agency for Healthcare Research and Quality (AHRQ) in Indonesian, with a Cronbach's Alpha value of ≥ 0.70 and a range of 0.809-0.918 for all items consisting of 12 components. Data analysis in this study used descriptive statistics, namely frequency distribution with percentage or proportion measures. This study shows that the majority of nurse anesthetists have a patient safety culture in the poor category (57%), with the lowest scores in the dimensions of non-punitive response to errors and staffing, while the highest scores were in the dimension of teamwork within the unit. Service providers need to take proactive measures to identify and change system weaknesses at all levels of service.
References
Aboufour, M. A. ., & Subbarayalu, A. . (2022). Perceptions of patient safety culture among healthcare professionals in Ministry of Health hospitals in Eastern Province of Saudi Arabia. Informatics in Medicine Unlocked, 28, 1–6. https://doi.org/10.1016/j.imu.2022.100858
Al-Surimi, K. et al. (2022). Impact of patient safety culture on job satisfaction and intention to leave among healthcare workers: evidence from middle east context. Risk Management and Healthcare Policy, 2435–2451.
Ali Ali, H. . et al. (2022). Assessment of patient safety culture among the staff of the university hospital for gynecology and obstetrics in Alexandria, Egypt. Journal of the Egyptian Public Health Association, 97(20), 2–9. https://doi.org/10.1186/s42506-022-00110-8
Basri, & Purnamasari, H. (2021). Faktor-Faktor yang mempengaruhi penerapan sasaran keselamatan pasien pada perawat di Ruang Rawat Inap UPT RSUD Deli Serdang. Public Health Journal, 7(2), 2654–7171.
Bielka, K. et al. (2022). Patient safety during anesthesia in Ukraine: national audit results. BMC Anesthesiology, 22(164), 1–6. https://doi.org/10.1186/s12871-022-01704-7
Devi, N. L. P. . et al. (2022). The nurse anesthetist’s perception of the role of case manager in four provinces of Indonesia. International Journal of Care Coordination, 25(4), 1–7. https://doi.org/10.1177/20534345221124382
Donaldson, L. et al. (Eds.). (2020). Textbook of patient safety and clinical risk management. Springer International Publishing.
Douglas, R. N. et al. (2021). Communication failures contributing to patient injury in anaesthesia malpractice claims. British Journal of Anaesthesia, 127(3), 470–478. https://doi.org/10.1016/j.bja.2021.05.030
Febriansyah et al. (2020). The role of teamwork in improving patient safety culture. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 9(1), 41–52. https://doi.org/10.18196/jmmr.91115
Imelda, & Wibowo, A. (2018). Analysis of the patient safety culture in Awal Bros Batam Hospital, year 2016. The 2nd ICHA. https://doi.org/10.18502/kls.v4i9.3570
Kumah, A. (2025). Adverse event reporting and patient safety: the role of a just culture. Frontiers in Public Health, 5. https://doi.org/10.3389/frhs.2025.1581516
Lemos, C. d. S., & Poveda, V. d. B. (2020). Evaluation of nursing actions in anesthesia guided by the patient safety checklist: nursing in anesthetic procedure (PSC/NAP): a cross-sectional study. Journal of Perianesthesia Nursing, 1–7. https://doi.org/10.1016/j.jopan.2020.03.017
Lu, L. et al. (2022). Patient safety and staff well-being: organizational culture as a resource. International Journal of Environmental Research and Public Health, 19, 1–14. https://doi.org/10.3390/ijerph19063722
Mahjoub, M. et al. (2016). Patient safety culture based on a non-punitive response to error and freedom of expression of healthcare professionals. In Santé Publique, 28(56), 641–646. https://doi.org/DOI : 10.3917/spub.165.0641
Mrayyan, M. . (2022). Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ Open Quality, 11, 1–12. https://doi.org/10.1136/bmjoq-2022-001889
Murtiningtyas, R. A., & Dhamanti, I. (2022). Analisis implementasi identifikasi pasien di rumah sakit untuk meningkatkan keselamatan pasien di Indonesia. Media Gizi Kesmas, 11(1), 313–317. https://doi.org/10.20473/mgk.v11i1.2022.313-317
Nurhayati. (2022). Keselamatan pasien dan keselamatan kesehatan kerja dalam keperawatan. Syiah Kuala University Press.
Patrisia, I. et al. (2022). Manajemen patient safety keperawatan. Yayasan Kita Menulis.
Pereira, F. S. H. et al. (2022). Identifying patient safety competences among anesthesiology residents: systematic review. Brazilian Journal of Anesthesiology, 72(5), 657–665. https://doi.org/10.1016/j.bjane.2021.06.029
Pimentel, M. P. . et al. (2017). Safety culture in the operating room: variability among perioperative healthcare workers. Journal of Patient Safety, 00(00), 1–5. https://doi.org/10.1097/PTS.0000000000000385
Tambajong, M. G. K. et al. (2022). Adaptasi linguistik kuesioner hospital survey on patient safety culture ke versi Indonesia. The Journal of Hospital Accreditation, 04, 17–27. http://jha.mutupelayanankesehatan.net/index.php/JHA/article/view/129/63
Zhang, X. et al. (2021). Composition and risk assessment of perioperative patient safety incidents reported by anesthesiologists from 2009 to 2019: a single‐center retrospective cohort study. BMC Anesthesiology, 21(8), 1–8. https://doi.org/10.1186/s12871-020-01226-0
Copyright (c) 2025 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
