IMPLEMENTATION OF PATIENT SAFETY CULTURE AMONG INPATIENT NURSES AT HOSPITAL X IN SEMARANG CITY
DOI:
https://doi.org/10.54973/jham.v7i1.853Keywords:
patient safety culture, management support, hospital, incidentsAbstract
Patient safety is an important component in improving the quality of healthcare services in hospitals. However, various patient safety incidents such as Adverse Events (AE), Near Misses (NM), and Non-Injury Events (NIE) still occur in various healthcare facilities, including Hospital X in Semarang City. This study aims to analyse the factors that influence patient safety culture among inpatient nurses at Hospital X in Semarang City. The study uses a quantitative design with a cross-sectional approach. The study population consists of all 442 inpatient nurses, with a sample of 82 respondents selected using simple random sampling. Data were collected via questionnaires and analysed using statistical tests to assess relationships among variables. The results showed that the average positive response to patient safety culture was 83.5%. The dimension with the highest positive response was cooperation within the unit (90.2%), followed by open communication and staffing, each at 84.1%. Bivariate analysis showed that all variables studied had a significant relationship with patient safety culture (p < 0.05), namely management support (p=0.018), cooperation within the unit (p=0.039), open communication (p=0.001), safety promotion by leaders (p=0.025), staffing (p=0.001), continuous improvement (p=0.011), patient safety perception (p=0.004), and non-punitive response to errors (p=0.007). The conclusion of the study shows that the patient safety culture at Hospital X in Semarang City is relatively good, but still needs to be strengthened, especially in terms of open communication and adequate staffing. The hospital is advised to increase management support, strengthen the incident reporting system without blaming, and optimise the number and distribution of health workers to improve patient safety.
Downloads
References
Aeni, W. N., Virgiani, B. N., & Eryanto, B. (2021). Hubungan Kepemimpinan dengan Keselamatan Pasien di Rumah Sakit Kabupaten Indramayu. Journal of Nursing Care & Biomolecular, 6(1), 2021–2022.
Ambarwati Lestari, E., & Devi Fitriani, A. (2021). Analisis Faktor Penyebab Rendahnya Pelaporan Insiden Keselamatan Pasien di Rawat Inap RSU Mitra Medika Bandar Klippa Tahun 2021. Journal of Healthcare Technology and Medicine, 7(2), 2615–109.
Amirullah, N. A., Pasinringi, S. A., & Kapalawi, I. (2020). Gambaran Budaya Keselamatan Pasien di RSUD Syekh Yusuf Kabupaten Gowa.
Arso, S. P., & Sriatmi, A. (2017). Gambaran Budaya Keselamatan Pasien Di RS Roemani Muhamaddiyah Semarang. Jurnal Kesehatan Masyarakat, 5(1), 118–125.
Badu, M. G. (2023). Hubungan Kohesivitas dengan Kerjasama Tim dalam Budaya Keselamatan Pasien di Ruang Rawat Inap RSD Kalabahi. Open Access Jakarta Journal of Health Sciences, 2(5), 726–732. https://doi.org/10.53801/oajjhs.v2i5.141
Buhari, B., & Machmud, R. (2018). Implementation of Patient Safety in Accredited Hospitals and Its Determining Factors in Jambi City, Indonesia (Vol. 1, Number 2).
Syahrir A. Pasinringi. (2022). Budaya Keselamatan Pasien dan Kepuasan Kerja. Nas Media Puataka.
Fitriyah, H., Faridah, I., & Wibisno, A. Y. G. (2023). Pengaruh Budaya Menyalahkan (Blaming Culture) Terhadap Tingkat Melapor Insiden Keselamatan Pasien. Jurnal Ilmiah Kedokteran Dan Kesehatan, 2(1).
Halawa, A., Setiawan, S., & Syam, B. (2021). Persepsi Perawat tentang Peran dalam Meningkatkan Keselamatan Pasien. Journal of Telenursing (JOTING), 3(1), 73–84. https://doi.org/10.31539/joting.v3i1.2096
Hardy, I. P. D. K., Yudha, N. L. G. A. N., & Sarikumpul, N. N. (2020). Implementasi Budaya Keselamatan Pasien Terhadap Kinerja Pegawai di RSUD Wangaya Kota Denpasar. Jurnal Kesehatan Terpadu, 4(2), 57–63.
Hartawan, A., Fachrin, S. A., & Arman. (2020). Kerjasama dalam Unit dan Keterbukaan Komunikasi terhadap Persepsi Pelaporan. Window of Nursing Journal, 01(02), 73–86.
Heriyati, Al-Hijrah, M. F., & Masniati. (2019). Budaya Keselamatan Pasien Rumah Sakit Umum Daerah Majene. Window of Health : Jurnal Kesehatan, 2(3), 194–205.
Howick, J., Bennett-Weston, A., Solomon, J., Nockels, K., Bostock, J., & Keshtkar, L. (2024). How does communication affect patient safety? Protocol for a systematic review and logic model. BMJ Open, 14(5). https://doi.org/10.1136/bmjopen-2024-085312
Karmila, Suharni, & Alwi, M. K. (2023). Hubungan Budaya Keselamatan Pasien dengan Pelaporan Insiden Keselamatan Pasien oleh Perawat di Instalasi Rawat Inap Rumah Sakit TK II Pelamonia Makassar. Journal of Muslim Community Health (JMCH) 2023, 4(1), 181–189. https://doi.org/10.52103/jmch.v4i1.1153
Medis oleh Tenaga Kesehatan di RSUD Bantaeng Andi Hartawan, K. K., Fachrin, S. A., Magister Kesehatan, M., Pascasarjana, P., Muslim Indonesia, U., Kesehatan Masyarakat, I., & Kesehatan Masyarakat, F. (2020). Kerjasama Dalam Unit dan Keterbukaan Komunikasi terhadap Persepsi Pelaporan. In Window of Nursing Journal (Vol. 01, Number 02).
Nuryani, N., & Dirdjo, M. M. (2021). Hubungan Komunikasi Dengan Keselamatan Pasien Pada Perawat Di IGD Rumah Sakit: Literature Review. Borneo Studies and Research, 3(1), 266–272.
Painringi, S. A., Rahman Kadir, A., Medis, B., Samarinda, K., & Timur, K. (2018). Pengaruh Elemen People Pada Knowledge Management Terhadap Budaya Keselamatan Pasien di RSUD A.M Parikesit Tenggarong. Jurnal Kesehatan Masyarakat Maritim, 1(2), 178–5.
Pelaporan dan Pembelajaran Keselamatan Pasien Nasional, S. S. (2019). Konsultan Manajemen risiko RS Persahabatan. In Wakil Direktur Medik & Asist Direktur RS Sentra Medika.
Riana, L. W. (2019). Pengaruh Kerjasama Tim dan Kepuasan Kerja Terhadap Kualitas Pelayanan. Psikoborneo, 7(1), 76–82.
Rochmah, T. N., Santi, M. W., Endaryanto, A., & Prakoeswa, C. R. (2019). Budaya Keselamatan Pasien Berdasarkan Indikator Agency for Healthcare Research and Quality di RSUD Dr. Soetomo. Jurnal Penelitian Kesehatan Suara Forikes, 10(2), 112–118.
Siagian, E. (2019). Persepsi Perawat dan Dokter Terhadap Penerapan Budaya Keselamatan Pasien di Rumah Sakit Advent Bandar Lampung. Jurnal Skolastik Keperawatan, 82(1), 82.
Siregar, P. H., Muhammad, I., & Siregar, Y. (2020). Pengaruh Kerjasama Tim dan Kompetensi Terhadap Kinerja perawat Rumah Sakit Permata Bunda Medan. Jurnal Ilmiah Manajemen Dan Bisnis (JIMBI), 1(1).
Wianti, A., Setiawan, A., Murtiningsih, M., Budiman, B., & Rohayani, L. (2021). Karakteristik dan Budaya Keselamatan Pasien terhadap Insiden Keselamatan Pasien. Jurnal Keperawatan Silampari, 5(1), 96–102. https://doi.org/10.31539/jks.v5i1.2587








