scholarly journals DETERMINANT FACTORS ASSOCIATED WITH PATIENT SAFETY CULTURE IN DHARMA YADNYA GENERAL HOSPITAL, BALI

2019 ◽  
Vol 10 (2) ◽  
pp. 139-146
Author(s):  
Ede Surya Darmawan ◽  
Putu Darmika
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Work Environment ◽  
Work Stress ◽  
Safety Culture ◽  
Quantitative Research ◽  
Team Leadership ◽  
Patient Safety Culture ◽  
Team Work ◽  
Cross Sectional

Patient safety is a global issue where the achievement is low, so that it needs to implement a patient safety culture. The patient safety culture is measured based on 12 elements of the patient's safety culture according to AHRQ and the application of 6 patient safety goals. Perceived causes of the problem is the work environment, team work, leadership, job satisfaction and job stress. At RSU Dharma Yadnya Denpasar, the staff's perception about patient safety culture is not known yet, but the incident rate is still high. The purpose of this research is to know the relation of determinant of factor which is related to patient safety culture. This research method is quantitative research with cross sectional design which analyzed by PLS, with sample of nurses and midwife implementer which is 72 respondent. The results of this study indicate that there is a significant correlation between work team, leadership, and work stress with the patient safety culture, respectively 3.707, 12.647, and 3.135> T Statistics 1.96. While there is no significant relation between work environment and job satisfaction with patient safety culture equal to 1,336 and 0,328 <T Statistic 1,96. This study concludes that teamwork, decreased levels of work stress and the application of transformational leadership models need to be applied in an effort to improve the patient safety culture in the hospital. Keywords: Determinants  factors, patient safety culture

scholarly journals The Effect of Work Satisfaction and Leadership on Patient Safety Culture in Nurses at Lagaligo Regional Public Hospital I East Luwu Regency

2021 ◽  
Vol 2 (2) ◽  
pp. 8-21
Author(s):  
Achmad Rifai Pandin ◽  
Syahrir Pasinringi ◽  
Lalu Muhammad Saleh
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Work Environment ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Job Characteristics ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Existing Problems ◽  
Strategic Goals

Realization of the application of patient safety and efforts to fulfill employee job satisfaction through employee development have not met the targets set in the strategic goals for the achievement of hospital quality indicators. This study aims to analyze the effect of job satisfaction based on the dimensions of job characteristics, rewards, work environment, relationship with management and leadership based on directive, supportive, participatory, achievement-oriented dimensions of patient safety culture in nurses at Lagaligo I Hospital, East Luwu Regency. This type of research is a quantitative study using an analytic observational study with a cross sectional study design. The sample used was 119 respondents to nurses at Lagaligo I Hospital, East Luwu Regency. The results showed that there was an influence of job characteristics, rewards, work environment, relationship with management on the variable job satisfaction of nurses on patient safety culture, there was an influence of directive, supportive, participatory, achievement-oriented dimensions on leadership variables on patient safety culture, and job satisfaction of nurses. jointly influence the culture of patient safety in Regional General Hospital (RSUD) I Lagaligo, East Luwu Regency. Therefore, it is hoped that the hospital will pay more attention to a safe and comfortable work environment and for leadership it is expected to set standards for developing competency through trainings, solving any existing problems quickly and responsively.

Fakor Determinan yang Memengaruhi Budaya Keselamatan Pasien di RS Pemerintah Kabupaten Kuningan

1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Lia Mulyati ◽  
Dedy Rachman ◽  
Yana Herdiana
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Work Satisfaction ◽  
Patient Safety Culture ◽  
Team Work ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress

Budaya keselamatan merupakan kunci untuk mendukung tercapainya peningkatan keselamatan dan kesehatan kerja dalam organisasi. Upaya membangun budaya keselamatan merupakan langkah pertama dalam mencapai keselamatan pasien. Terdapat beberapa faktor yang berkontribusi dalam perkembangan budaya keselamatan yaitu; sikap baik individu maupun organisasi, kepemimpinan, kerja tim, komunikasi dan beban kerja. Penelitian ini bertujuan mengetahui faktor determinan yang berhubungan dengan terciptanya budaya keselamatan pasien di RS Pemerintah Kabupaten Kuningan. Teknik pengambilan sampel yang digunakan incidental sampling 88 orang perawat pelaksana. Rancangan penelitian menggunakan survey analitik dengan pendekatan cross sectional, uji hipotesis digunakan Chi Square dan regresi logistik ganda. Hasil penelitian menunjukan terdapat pengaruh yang signifikan antara persepsi terhadap manajemen (p 0.0005, odd rasio 21.3), dukungan tim kerja (p 0.0005, odd rasio 13.34), stress kerja (p 0.006, odd rasio 3.94), kepuasan kerja (nilai p 0. 002) dengan budaya keselamatan pasien. Tidak terdapat pengaruh yang signifikan kondisi kerja dengan budaya keselamatan pasien dengan nilai p 0.507. Berdasarkan analisis multuvariat diperoleh persepsi terhadap manajemen menjadi factor determinan dengan nilai p 0.000 < α 0.05. Simpulan; unsur pimpinan memiliki pengaruh yang signifikan dalam menciptakan budaya keselamatan pasien. Pimpinan memiliki kewenangan dalam menerapkan system yang berlaku dalam organisasi, oleh karena itu gaya kepemimpinan, teknik komunikasi serta kemampuan manajerial merupakan suatu hal yang sangat perlu diperhatikan dalam menciptakan atmosfer kerja yang kondusif sebagai upaya terciptanya budaya keselamatan pasien. Berdasarkan hasil penelitian bahwa model kepemimpinan transformasional merupakan model yang sesuai diterapkan untuk meningkatkan budaya keselamatan pasien, pelatihan keterampilan komunikasi efektif serta pengembangan model pendidikan antar profesi sebagai upaya peningkatan kemampuan kolaborasi.Kata kunci:Budaya keselamatan pasien, stress kerja, kepuasan kerja.Determinant factors that are Influencing Patient Safety Culture in a Government-owned Hospitals in Kuningan Regency AbstractSafety culture is a key to support the achievement of occupational health and safety in an organization. An effort to build safety culture is the first step in ensuring patient safety. There are some factors that contribute in the development of safety culture, namely, individual and organizational attitude, leadership, team work, communication, and work load. This study aimed to identify the determinant factors that are related to achievement of patient safety culture in a government-owned hospital in Kuningan Regency. Eighty eight samples of nurses were recruited using incidental sampling technique. The research design was using cross sectional study, the hypothesis testing were using Chi Square and multiple logistic regression. The results showed that there were significant influenced between perception towards management (p= 0.0005, odd rasio 21.3), team work support (p= 0.0005, odd rasio 13.34), work-related stress (p= 0.006, odd rasio 3.94), work satisfaction (p= 0. 002) with patient safety culture. There was not significant influenced between work condition and patient safety (p= 0.507). The multivariate analysis showed that perception towards management was the determinant factor for patient safety culture (p 0.000 < α 0.05). In conclusion, leaders have significant influence in creating patient safety culture. Leaders have authority to implement systems in the organization. Therefore, leadership style, communication technique, and managerial ability are important in order to create a conducive atmosphere for developing patient safety culture. As recommendation, transformational leadership is a model that is appropriate to be applied in order to increase patient safety culture, trainings of effective communication and inter-professional education model are also needed to increase the collaboration skills among health professionals.Keywords:Patient safety culture, work-related stress, work satisfaction.

Fatigue, burnout, work environment, workload and perceived patient safety culture among critical care nurses

2020 ◽  
Vol 29 (1) ◽  
pp. 28-34 ◽  
Author(s):  
Qasim AL Ma'mari ◽  
Loai Abu Sharour ◽  
Omar Al Omari
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Work Environment ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Critical Care Nurses ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Predictive Design

A study was conducted to explore whether fatigue, workload, burnout and the work environment can predict the perceptions of patient safety among critical care nurses in Oman. A cross-sectional predictive design was used. A sample of 270 critical care nurses from the two main hospitals in the country's capital participated, with a response rate of 90%. The negative correlation between fatigue and patient safety culture (r= -0.240) indicates that fatigue has a detrimental effect on nurses' perceptions of safety. There was also a significant relationship between work environment, emotional exhaustion, depersonalisation, personal accomplishment and organisational patient safety culture. Regression analysis showed that fatigue, work environment, emotional exhaustion, depersonalisation and personal accomplishment were predictors for overall patient safety among critical care nurses (R2=0.322, F=6.117, P<0.0001). Working to correct these predictors and identifying other factors that affect the patient safety culture are important for improving and upgrading the patient safety culture in Omani hospitals.

scholarly journals Interdisciplinary Differences in Patient Safety Culture within a Teaching Hospital in a South East Asia

2020 ◽  
Author(s):  
Karthikayini Krishnasamy ◽  
Maw Pin Tan ◽  
Mohd Idzwan Zakaria
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Percentage Agreement ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Stress Recognition

Background: Patient safety represents a global issue which leads to potentially avoidable morbidity and mortality. This study aimed to determine the inter-professional differences in patient safety culture in a tertiary university hospital. Method: A cross-sectional study using the Safety Attitude Questionnaire (SAQ) self-administered electronically in the English and Malay languages to evaluate safety culture domains. A positive percentage agreement score of 60% was considered satisfactory. Comparisons were made between clinicians, nurses, allied health professionals, ward attendants and support staff. Results: Of 6562 potential respondents, 5724 (80.4%) completed the questionnaire; 3930 (74.5%) women, 2263 (42.9%) nurses, and 1812 (34.2%) had 6-10 years of working experience. The mean overall positive percentage agreement scores were 66.2 (range=31.1 to 84.7%), with job satisfaction (72.3±21.9%) and stress recognition (58.3±25.6%) representing the highest and lowest mean domain scores respectively. Discussion: Differences were observed between all five job categories. Linear regression analyses revealed that the other four job categories scored lower in teamwork, safety culture, job satisfaction, and working conditions compared to nurses. Conclusions: The overall mean SAQ score was above the satisfactory level, with unsatisfactory percentage agreement scores in the stress recognition domain. Interventions to improve patient safety culture should be developed, focusing on stress management.

scholarly journals Patient safety culture from the perspective of nursing technicians of an emergency sector

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e60734
Author(s):  
Micheline da Fonseca Silva ◽  
Manacés dos Santos Bezerril ◽  
Flávia Tavares Barreto Chiavone ◽  
Soraya Helena Medeiros de Morais ◽  
Maria Eduarda Gonçalves da Costa ◽  
...  
Keyword(s):  
Patient Safety ◽  
Organizational Learning ◽  
Work Environment ◽  
State Hospital ◽  
Continuous Improvement ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Objective: to characterize the culture of patient safety from the perspective of nursing technicians of an emergency sector. Methods: cross-sectional study, developed in the emergency sector of a state hospital with 175 nursing technicians, from a 12-dimensional instrument on safety culture. The analysis of the data made based on the percentages of positive, negative and neutral responses of each dimension. Results: the culture of patient safety was characterized positively from the dimension Expectations about its supervisor/head and actions promoting patient safety (56.6%); negatively in the sphere Adequacy of professionals (75.5%); and in a neutral way, in the scope of Organizational Learning - continuous improvement (61.1%). Conclusion: it was understood that nursing technicians characterize the culture of patient safety in the emergency sector as an important aspect of the work environment, but that it needs to be optimized.

scholarly journals Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites

2021 ◽  
Vol 10 (1) ◽  
pp. e001183
Author(s):  
Anders Schram ◽  
Charlotte Paltved ◽  
Karl Bang Christensen ◽  
Gunhild Kjaergaard-Andersen ◽  
Hanne Irene Jensen ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Intervention Study ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
In Situ Simulation ◽  
Culture Dimensions ◽  
Scale Scores ◽  
Safety Attitude

ObjectivesThis study aimed to investigate staff’s perceptions of patient safety culture (PSC) in two Danish hospitals before and after an in situ simulation intervention.DesignA repeated cross-sectional intervention study.SettingTwo Danish hospitals. Hospital 1 performs emergency functions, whereas hospital 2 performs elective functions.ParticipantsA total of 967 healthcare professionals were invited to participate in this study. 516 were employed in hospital 1 and 451 in hospital 2. Of these, 39 were trained as simulation instructors.InterventionA 4-day simulation instructor course was applied. Emphasis was put on team training, communication and leadership. After the course, instructors performed simulation in the hospital environment. No systematic simulation was performed prior to the intervention.Main outcome measuresThe Safety Attitude Questionnaire investigating PSC was applied prior to the intervention and again 4 and 8 weeks after intervention. The proportion of participants with a positive attitude and mean scale scores were measured as main outcomes.ResultsThe response rate varied from 63.6% to 72.0% across surveys and hospitals. Baseline scores were generally lower for hospital 1. The proportion of staff with positive attitudes in hospital 1 improved by ≥5% in five of six safety culture dimensions, whereas only two dimensions improved by ≥5% in hospital 2. The mean scale scores improved significantly in five of six safety culture dimensions in hospital 1, while only one dimension improved significantly in hospital 2.ConclusionsSafety attitude outcomes indicate an improvement in PSC from before to after the in situ simulation intervention period. However, it is possible that an effect is more profound in an acute care hospital versus an elective setting.

Assessment of patient safety culture during COVID-19: a cross-sectional study in a tertiary a-level hospital in China

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chih-Hsuan Huang ◽  
Ying Wang ◽  
Hsin-Hung Wu ◽  
Lee Yii-Ching
Keyword(s):  
Patient Safety ◽  
Working Conditions ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Team Building ◽  
Reliability And Validity ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Content Type ◽  
Safety Attitudes

PurposeThe aims of this study are to (1) evaluate physicians and nurses' perspectives on patient safety culture amid the COVID-19 pandemic and (2) integrate the emotional exhaustion of physicians and nurses into an evaluation of patient safety culture to provide insights into appropriate implications for medical care.Design/methodology/approachPatient safety culture was assessed with the Chinese version of the Safety Attitudes Questionnaire. Confirmatory factor analysis was conducted to validate the structure of the data (i.e. reliability and validity), and Pearson's correlation analysis was performed to identify relationships between safety-related dimensions.FindingsSafety climate was strongly associated with working conditions and teamwork climate. In addition, working conditions was highly correlated with perceptions of management and job satisfaction, respectively. It is worth noting that the stress and emotional exhaustion of the physicians and nurses during this epidemic were high and needed attention.Practical implicationsFor healthcare managers and practitioners, team-building activities, power of public opinions, IoT-focused service, and Employee Assistance Programs are important implications for inspiring the patient safety-oriented culture during the period of the COVID-19 pandemic.Originality/valueThis paper considers the role of emotional state into patient safety instrument, a much less understood but equally important dimension in the field of patient safety.

scholarly journals Examination of the relationship between management and clinician agreement on communication openness, teamwork, and patient satisfaction in the US hospitals

2016 ◽  
Vol 5 (4) ◽  
pp. 20
Author(s):  
Olena Mazurenko ◽  
Jason Richter ◽  
Abby Swanson-Kazley ◽  
Eric Ford
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Safety Culture ◽  
Healthcare Providers ◽  
Patient Safety Culture ◽  
Data Sets ◽  
Cross Sectional ◽  
Communication Openness ◽  
Cross Sectional Design ◽  
Willingness To Recommend

Background: Patient satisfaction has always been an area of focus for hospitals, but gained particular importance due to the changes in the Centers for Medicare and Medicaid reimbursement policies. Hospital managers and clinicians interact with patients in different ways and have different perspectives on safety culture, yet little is known about how that impacts patient satisfaction.Objective: To examine how the agreement between clinicians and management perspectives on patient safety culture is related to patient satisfaction by employing cross-sectional design with linear regressions.Methods: Two data sets were used: 2012 Hospital Survey on Patient Safety Culture and 2012 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The dependent variables were: overall rating of the hospital experience and willingness to recommend a hospital. The independent variables were four safety culture domains: communication openness, feedback, and communication about errors, teamwork within units, and teamwork between units.Results: The results suggest that manager and clinician agreement on high levels of communication openness, feedback and communication about errors, teamwork between units, and teamwork across units were positively and significantly associated with overall patient satisfaction and willingness to recommend. Additionally, more favorable perceptions about patient safety culture by only clinicians yielded similar findings.Conclusions: For policymakers, measuring managers and clinicians’ perceptions on patient safety culture may provide a valuable indicator of patient satisfaction throughout the country. While managers are more likely to have the power to devote resources to patient safety initiatives, they may not adequately judge culture in their unit and should take into account the perspectives of clinicians who have a more frontline perspective.

scholarly journals PENERAPAN BUDAYA KESELAMATAN PASIEN OLEH PERAWAT DI RUMAH SAKIT BANDAR LAMPUNG

2020 ◽  
Vol 6 (1) ◽  
pp. 62-71
Author(s):  
Ernawaty Siagian
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Head Nurse ◽  
Cross Sectional ◽  
Cross Sectional Design

Pemberi layanan kesehatan harus mengutamakan keamanan pasien sebagai perioritas. Sebagai tenagakesehatan dengan jumlah terbesar, perawat mempunyai andil besar dalam meningkatkan budayakeselamatan pasien di rumah sakit. Penting untuk mengkaji penerapan budaya keselamatan pasien padaperawat, sehingga hasilnya dapat dijadikan acuan dalam melakukan perbaikan.Penelitian descriptivecomparative cross sectional design dilakukan kepada 50 responden perawat dari instalasi gawat darurat,Hemodialisa, Instalasi pasien rawat jalan dan ruang operasi dengan menggunakan instrument HospitalSurvey of Patient safety Culture (HSOPCS) yang terdiri dari 12 dimensi. Uji statistic Mann Whitneydigunakan untuk mengetahui apakah terdapat perbedaan penerapan antara staff pelaksana dan incharge,antara head nurse dan kepala ruangan.Hasil penelitian menunjukkan nilai rata-rata respon positif dari 12dimensi yang diberikan oleh staf pelaksana (74,6%). Ada 5 dimensi yang perlu di tingkatkan yaitupersepsi tentang keselamatan pasien secara menyeluruh (70,5%), harapan dan tindakan manajer dalammeningkatkan keselamatan pasien (65,7%), respon tidak menghukum terhadap kesalahan (48,6%),staffing (70,5%) serta overan dan transisi (65,7%). Sementara incharge mempunyai nilai rata-rata (79,4%). Ada 4 dimensi yang perlu ditingkatkan yaitu frekuensi pelaporan insiden(66,7%), persepsi tentangkeselamatan pasien secara menyeluruh (55,6%), harapan dan tindakan manajer dalam meningkatkankeselamatan pasien (41,7%),dan staffing (66,7%). Pada head nurse nilai rata-rata respon positif dari 12dimensi (76,7%). Ada 5 dimensi yang perlu ditingkatkan yaitu persepsi tentang keselamatan pasien secaramenyeluruh (62,5%), harapan dan tindakan manajer dalam meningkatkan keselamatan pasien (65,6%),respon tidak menghukum terhadap kesalahan (50%), kerjasama tim antar unit (68,8%) serta overran dantransisi (56,3%). Pada kepala ruangan nilai rata-rata respon positif dalam 12 dimensi (88,6%). Ada 1dimensi yang perlu ditingkatkan yaitu respon tidak menghukum terhadap kesalahan (66,7%). Terdapatperbedaan yang signifikan antara staf pelaksana dengan incharge, antara head nurse dengan kepalaruangan dalam penerapan budaya keselamatan pasien. Dengan meningkatkan penerapan budayakeselamatan pasien diharapkan perawat dapat memberikan perawatan yang komprehensif, berbasisevidence dan berpusat pada kebutuhan pasien sehingga keselamatan pasien dirumah sakit dapat tercapai.Kata Kunci: Budaya keselamatan pasien, Perawat, HSOPSC

scholarly journals Assessment of patient safety culture in intensive care units and factors affecting it

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Tlili ◽  
W Aouicha ◽  
H Lamine ◽  
E Taghouti ◽  
M B e n Dhiab ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Adverse Events ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Healthcare Quality ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Learning From Errors

Abstract Background The intensive care units are a high-risk environments for the occurrence of adverse events with serious consequences. The development of patient safety culture is a strategic focus to prevent these adverse events and improve patient safety and healthcare quality. This study aimed to assess patient safety culture in Tunisian intensive care units and to determine its associated factors. Methods It is a multicenter, descriptive cross-sectional study, among healthcare professionals of the intensive care units in the Tunisian center. The data collection was spread over a period of 2 months (October-November 2017). The measuring instrument used is the validated French version of the Hospital Survey On Patient Safety Culture questionnaire. Data entry and analysis was carried out by the Statistical Package for Social Sciences (SPSS 20.0) and Epi Info 6.04. Chi-square test was used to explore factors associated with patient safety culture. Results A total of 404 professionals participated in the study with a participation rate of 81.94%, spread over 10 hospitals and 18 units. All dimensions were to be improved. The overall perception of safety was 32.35%. The most developed dimension was teamwork within units with a score of 47.87% and the least developed dimension was the non-punitive response to error (18.6%). The patient safety culture was significantly more developed in private hospitals in seven of the 10 dimensions. Participants working in small units had a significantly higher patient safety culture. It has been shown that when workload is reduced the patient safety culture was significantly increased. Conclusions This study has shown that the patient safety culture still needs to be improved and allowed a clearer view of the safety aspects requiring special attention. Thus, improving patient safety culture. by implementing the quality management and error reporting systems could contribute to enhance the quality of healthcare provided to patients. Key messages The culture of culpability is the main weakness in the study. Encouraging event reporting and learning from errors s should be priorities in hospitals to enhance patient safety and healthcare quality.

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