Factors Related to the Implementation of Patient Safety
Abstract
Patient safety is a critical global health issue. Despite solutions from JCI and WHO, 70% of medication errors still occur in many countries, including Indonesia. Objective: To identify factors influencing patient safety implementation by nurses at Sulianti Saroso Infectious Diseases Hospital (SSIDH). Methods: This cross-sectional observational study was conducted at SSIDH in October-November 2024. The population included 150 nurses, midwives, and heads of inpatient wards, selected using purposive sampling. Data were analysed using Kolmogorov-Smirnov, chi-square, and multiple logistic regression (p<0.05). Results: Most respondents were female and held a bachelor’s degree in nursing. Knowledge, attitude, and motivation were not significantly associated with patient safety implementation. Factors significantly influencing patient safety were age, duty room, and tenure (p<0.05). Nurses aged ≥40 years were four times less likely to implement patient safety standards compared to those <40 years (OR=4.04; 95%CI=1.68-9.72). Those working in non-intensive wards were 0.11 times less likely to implement standards (OR=0.11; 95%CI=0.05-0.27). Conclusion: Nurses/midwives should enhance patient safety implementation based on the six patient safety goals. Healthcare providers are encouraged to create programs to support quality improvement and reduce adverse events.
References
Agustira, U., Efroliza, & Apriyani. (2024). Factors Related to the Implementation of Patient Safety in the Inpatient Room of Muhammadiyah Hospital Palembang. 12, 18–28. file:///C:/Users/penel/Downloads/583-Article Text-2339-1-10-20240617 (1).pdf
Ainun, A., Sumiaty, S., & Andayanie, E. (2020). Hubungan Pengetahuan, Sikap, dan Motivasi Kerja Perawat dengan Pelaksanaan Keselamatan Pasien di Ruang Rawat Inap RSUD Kota Makassar Tahun 2020. Window of Public Health Journal, 1(4), 317–326. https://doi.org/10.33096/woph.v1i4.100
Amaral, C., Sequeira, C., Albacar-Riobóo, N., Coelho, J., Pinho, L. G., & Ferré-Grau, C. (2023). Patient Safety Training Programs for Health Care Professionals: A Scoping Review. Journal of Patient Safety, 19(1), 48–58. https://doi.org/10.1097/PTS.0000000000001067
Anggraini, M. L. (2014). Hubungan Faktor Individu dan Faktor Organisasi dengan Kinerja Perawat dalam Penerapan Keselamatan Pasien di Ruang Rawat Inap RSI Ibnu Sina Padang Tahun 2014 [Universitas Andalas]. http://scholar.unand.ac.id/9797/
Charles Vincent. (2010). Patient Safety (2nd editio). Wiley-Blackwell. https://books.google.co.id/books?hl=id&lr=&id=CbJwsamhVdoC&oi=fnd&pg=PR9&dq=Joint+Comission+International+Hospital+Patient+Safety+Goals+4th+Edition&ots=NGf-Ugq4Af&sig=ZX3hSJg08k_XR491yUOtKsqmPeE&redir_esc=y#v=onepage&q&f=false
Dhamanti, I., Leggat, S., Barraclough, S., & Tjahjono, B. (2019). Patient Safety Incident Reporting In Indonesia: An Analysis Using World Health Organization Characteristics For Successful Reporting. Risk Management and Healthcare Policy, 12, 331–338. https://doi.org/10.2147/RMHP.S222262
Dwi Anggraini, F., & Ilyas, Y. (2023). Analisis Sikap dan Pengetahuan Petugas terhadap Keselamatan Pasien di Rumah Sakit X, Tangerang Selatan, Banten. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(4), 595–604. https://doi.org/10.56338/mppki.v6i2.3140
Eliwarti, E. (2021). Analisis Faktor-Faktor yang berhubungan dengan Kepatuhan Perawat dalam Penerapan Identifikasi Pasien diruang Rawat Inap Penyakit Dalam RSUP dr. M. Djamil Padang. Jurnal Akademika Baiturrahim Jambi, 10, 344. https://doi.org/10.36565/jab.v10i2.353
Habibah, T., & Dhamanti, I. (2021). Faktor yang Menghambat Pelaporan Insiden Keselamatan Pasien di Rumah Sakit: Literature Review. Jurnal Kesehatan Andalas, 9(4), 449. https://doi.org/10.25077/jka.v9i4.1460
JCI. (2024). International Patient Safety Goals. https://www.jointcommissioninternational.org/standards/international-patient-safety-goals/
Jiménez-Herrera, M. F., Llauradó-Serra, M., Acebedo-Urdiales, S., Bazo-Hernández, L., Font-Jiménez, I., & Axelsson, C. (2020). Emotions and feelings in critical and emergency caring situations: a qualitative study. BMC Nursing, 19(1), 60. https://doi.org/10.1186/s12912-020-00438-6
Kemenkes RI. (2017). Peraturan Menteri Kesehatan RI No 11 Tahun 2017 Tentang Keselamatan Pasien.
Kurniadi, Z., M. Noer, R., & Suangga, F. (2023). Faktor €“ Faktor Yang Mempengaruhi Keselamatan Pasien Oleh Perawat Di Rumah Sakit X Di Tanjungpinang. Warta Dharmawangsa, 17(4), 1473–1481. https://doi.org/10.46576/wdw.v17i4.3802
Lombogia, A., Rottie, J., & Karundeng, M. (2018). Hubungan Perilaku Dengan Kemampuan Perawat Dalam Melaksanakan Keselamatan pasien di Ruang Akut Instalasi Gawat Darurat RSUP Prof.Dr.R.D. Kandou Manado. E-Journal Keperawatan (e-Kp), 4(2), 1–8.
Lubis, M. (2024). Faktor - faktor yang Berhubungan dengan Burnout Perawat ICU-HCU RSUD DR. H. JUSUF SK Provinsi Kalimantan Utara. Vol 6 No 2 (2024): Jurnal Inovasi Kesehatan Terkini, 6(1), 56–74. file:///C:/Users/penel/Downloads/FAKTOR-Faktor+Yang+Berhubungan+Dengan+Burnout+Perawat+Icu-Hcu+Rsud+Dr.+H.+Jusuf+Sk+Provinsi+Kalimantan+Utara.pdf
Lusianah, L., Sitorus, R., Lestari, F., Muhaimin, T., & Juliastuti, D. (2022). Implementation of Safety Leadership in Nursing Management: A Systematic Mixed Studies Review. Open Access Macedonian Journal of Medical Sciences, 10(T8), 5–10. https://doi.org/10.3889/oamjms.2022.9455
MacGillivray, T. E. (2020). Advancing the Culture of Patient Safety and Quality Improvement. Methodist DeBakey Cardiovascular Journal, 16(3), 192–198. https://doi.org/10.14797/mdcj-16-3-192
Malaha, A., & Datu, N. A. (2016). Hubungan Pengetahuan dan Motivasi Perawat Pelaksana dengan Penerapan Sasaran Keselamatan Pasien di Rumah Sakit Stella Maris Makassar.
Martinez, R. C. K. P., Rogado, M. I. C., Serondo, D. J. F., Soriano, G. P., & Ilano, K. C. S. (2021). Critical Care Nursing in the Philippines: Historical Past, Current Practices, and Future Directions. Critical Care Nursing Clinics, 33(1), 75–87. https://doi.org/10.1016/j.cnc.2020.11.001
Mayenti, F., Meri, D., Cahyadi, P., & Amin, S. (2021). Al-Asalmiya Nursing. 10(December 2020), 111–122.
Milkhatun, M. (2019). The Relation Between Characteristics of Nurses and Compliance Toward The Implementation Prevention of Patients Falls in Regional Public Hospital Government Samarinda. Jurnal Ilmu Kesehatan, 7, 24–32. https://doi.org/10.30650/jik.v7i1.625
Mirani, N., & Ardilla, A. (2020). Faktor-Faktor yang Berhubungan dengan Penerapan Sasaran Keselamatan Pasien pada Perawat di Instalasi Rawat Inap Rumah Sakit Umum Daerah Kota Langsa Tahun 2019. Jurnal EDUKES (Jurnal Penelitian Edukasi Kesehatan), 60–71. https://doi.org/10.52136/edukes.v2i2.17
Mistri, I. U., Badge, A., & Shahu, S. (2023). Enhancing Patient Safety Culture in Hospitals. Cureus, 15(12), e51159. https://doi.org/10.7759/cureus.51159
Muhammad, Y. (2017). Penerapan Patient Safety Di Ruang Rawat Inap Rumah Sakit Umum Daerah Dr. Zainoel Abidin Patient Safety Implementation In Ward Of Dr. Zainoel Abidin General Hospital. Jurnal Ilmu Keperawatan, 5:1, 1–6.
Muhsinin, S. Z., Sulastien, H., & Safitri, S. (2023). Hubungan Lama Bekerja dan Tingkat Pendidikan dengan Penerapan Sasaran Keselamatan Pasien. Jurnal Pendidikan Tambusai, 7, 28620–28625.
Muliyadi, M., & Yulia, S. (2022). Penerapan Sasaran Keselamatan Pasien Di Pelayanan Rumah Sakit. Jurnal ’Aisyiyah Medika, 7(2). https://doi.org/10.36729/jam.v7i2.858
Pagala, I., Shaluhiyah, Z., & Widjasena, B. (2017). Perilaku Kepatuhan Perawat Melaksanakan SOP Terhadap Kejadian Keselamatan Pasien di Rumah Sakit X Kendari. Jurnal Promosi Kesehatan Indonesia, 1–11. https://ejournal.undip.ac.id/index.php/jpki/article/view/18036
Pambudi, Y. D. W., Sutriningsih, A., & Yasin, D. D. F. (2018). Faktor-faktor yang mempengaruhi perawat dalam penerapan 6 SKP (Sasaran Keselamatan Pasien) pada akreditasi JCI (Joint Commision International) di ruang rawat inap rumah sakit panti Waluya Malang. Nursing News, 3(1), 729–747.
Patil, S. J., Ambulkar, R., & Kulkarni, A. P. (2023). Patient Safety in Intensive Care Unit: What can We Do Better? Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 27(3), 163–165. https://doi.org/10.5005/jp-journals-10071-24415
Puspita Dewi, P. (2018). Implementation Analysis Of Effective Communication Guide On Nurses In PKU Muhammadiyah Gamping Hospital. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 7(1), 60–68. https://doi.org/10.18196/jmmr.7157
Rahmah, N., & Sarwati, P. (2018). The Role of Leadership of Head Nurses in Implementing a Culture of Patient Safety Applied by Associate Nurse in Bekasi General Hospitals. https://doi.org/10.5220/0008222601810186
Sholikhah, M., Widiharti, W., Eka Sari, D. J., & Zuhroh, D. F. (2022). Hubungan Pengetahuan Dan Sikap Perawat Dengan Pelaksanaan Keselamatan Pasien Di Rawat Inap Rumah Sakit Pku Muhammadiyah Sekapuk. Jurnal Keperawatan Suaka Insan (Jksi), 7(2), 206–212. https://doi.org/10.51143/jksi.v7i2.414
Sinaga, L. R., Janwarin, L. M., & Mamuly, W. F. (2019). Hubungan Pengetahuan dan Pelatihan dengan Penerapan Patient Safety oleh Perawat di RSUD Dr. M. Haulussy Ambon. Moluccas Health Journal, 1(2), 50–56. https://doi.org/10.54639/mhj.v1i2.129
Sukesi, N., Kholid, A., & Wahyuningsih. (2021). Analysis Of Causes Of Patient Safety By Nurses In The Installation Unit. Indonesian Journal of Global Health Research, 3(4), 535–544.
Suminar, S., Rusnita, R., Sari, S., Lidiana, E., Vanchapo, A. R., Dunggio, A., & Rosida, R. (2023). Nurses’ Knowledge in Implementing Standard Operating Procedures on Patient Safety in Regional Public Hospitals. International Journal of Health Sciences, 1, 85–92. https://doi.org/10.59585/ijhs.v1i2.57
Tamminga, S. J., Emal, L. M., Boschman, J. S., Levasseur, A., Thota, A., Ruotsalainen, J. H., Schelvis, R. M., Nieuwenhuijsen, K., & van der Molen, H. F. (2023). Individual-level interventions for reducing occupational stress in healthcare workers. The Cochrane Database of Systematic Reviews, 5(5), CD002892. https://doi.org/10.1002/14651858.CD002892.pub6
Wardani, N., Situmorang, T. H., & Januarista, A. (2023). Hubungan Pengetahuan dan Sikap Perawat terhadap Perilaku Sasaran Keselamatan Pasien (SKP) di ICU dan ICVCU di RSUD Undata Provinsi Sulawesi Tengah. Gudang Jurnal Multidisiplin Ilmu, 1(3), 208–214.
WHO. (2019). Patient Safety. https://www.who.int/news-room/facts-in-pictures/detail/patient-safety
WHO. (2020). Global Patient Safety Action Plan 2021-2030: An Overview. Global Action on Patient Safety. https://web.persi.or.id/images/2020/data/materi_semnas20/materi_who_semnas301020.pdf
Wieke Noviyanti, L., Ahsan, A., & Sudartya, T. S. (2021). Exploring the relationship between nurses’ communication satisfaction and patient safety culture. Journal of Public Health Research, 10(2). https://doi.org/10.4081/jphr.2021.2225
Yulia, S., Hamid, A. Y. S., & Mustikasari, M. (2012). Peningkatan pemahaman perawat pelaksana dalam penerapan keselamatan pasien melalui pelatihan keselamatan pasien. Jurnal Keperawatan Indonesia, 15(3), 185–192.
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