scholarly journals Culture Analysis of Patient Safety Incident Report of Nurses in Inventories of Sawerigading Regional Public Hospitals (RSUD), Palopo

2020 ◽  
Vol 1 (2) ◽  
pp. 71-76
Author(s):  
Try Ayu Patmawati ◽  
Nur Asphina R. Djano

This study aims to analyze the incidents reporting culture of nurses in the inpatient room. The research design used in this study was descriptive analytic with a cross sectional approach. The population in this study were nurses at Sawerigading Palopo Hospital with a sample of this study as many as 140 nurses, sampling using purposive sampling technique. The instrument used was the IRCQ (Incident Reporting Culture Questionnaire). It was found that from 140 respondents there were 77 respondents (55%) who showed a negative response to the culture of reporting incidents and showed a positive response there were 63 people (45%). Based on the four incident reporting factors, the factor that received the greatest negative response was the "collegial atmosphere due to discomfort and punishment" with a total of 119 respondents (85%). The culture of reporting incidents in the inpatient room of the Sawerigading Palopo public hospital must be improved and minimize any concerns from nurses regarding punishment and fear.

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Try Ayu Patmawati ◽  
Nur Asphina R Djano

Objective:  to analyze the culture of incident reporting of patient safety to nurses at the Sawerigading Palopo Hospital.Methods: This article used  descriptive analytic with a cross sectional design. The population in this study were nurses at Sawerigading Palopo Hospital with a sample of this study as many as 63 nurses, sampling using purposive sampling technique. The instrument used was the IRCQ (Incident Reporting Culture Questionnaire).Results:  This study was found that from 63 respondents there were 38 respondents (60.3%) who showed a negative response to incident reporting culture and positive response about 25 people (39.7%). Based on the subscale, the factor that received the greatest negative response was the factor "Collegial atmospheres of unpleasantness and punishment" with a total of 47 respondents (74.6%).  Conclusion: The culture of incident reporting at the Sawerigading Palopo hospital have to be improved by maintaining the three factors that have received a positive response, while for the  Collegial atmospheres of unpleasantness and punishment still needs to be improved by minimizing any worries from nurses regarding punishment and fear. Therefore it is important for all boards of directors and management to monitor and evaluate the culture of incident reporting in order to improve patient safety Objective:  to analyze the culture of incident reporting of patient safety to nurses at the Sawerigading Palopo Hospital.Methods: This article used  descriptive analytic with a cross sectional design. The population in this study were nurses at Sawerigading Palopo Hospital with a sample of this study as many as 63 nurses, sampling using purposive sampling technique. The instrument used was the IRCQ (Incident Reporting Culture Questionnaire).Results:  This study was found that from 63 respondents there were 38 respondents (60.3%) who showed a negative response to incident reporting culture and positive response about 25 people (39.7%). Based on the subscale, the factor that received the greatest negative response was the factor "Collegial atmospheres of unpleasantness and punishment" with a total of 47 respondents (74.6%).Conclusion: The culture of incident reporting at the Sawerigading Palopo hospital have to be improved by maintaining the three factors that have received a positive response, while for the  Collegial atmospheres of unpleasantness and punishment still needs to be improved by minimizing any worries from nurses regarding punishment and fear. Therefore it is important for all boards of directors and management to monitor and evaluate the culture of incident reporting in order to improve patient safety


2020 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Maria Yuventa Wanda ◽  
Nursalam Nursalam ◽  
Andri Setiya Wahyudi

Introduction: Patient Safety Incident Report hereinafter referred to as incident reporting, is a system of documenting patient safety incident reports, analyzing and obtaining recommendations and solutions from the health care facility patient safety team. This study aims to analyze the factors of work experience, education, perceptions, attitudes, motivation, leadership towards reporting patient safety incidents to nurses in the inpatient room of Prof. Dr. W. Z. Johannes Kupang.Method: The design of this study was cross-sectional. The sample size of the study was 143 respondents who met the inclusion criteria. The dependent variable is the reporting of patient safety incidents, while the independent variables are work experience, education, perception, attitude, motivation,  leadership. Data were collected using a questionnaire and observation on nurses. Data were then analyzed using multiple logistic regression with a significant value < 0.05.Results:  The results show that there is a perception effect on patient safety incident reporting (p = 0.05) and leadership influence on patient safety incident reporting (p = 0.02).Conclusion: The concludes is that there is an influence of perception and leadership on reporting patient safety incidents. Further researchers are advised to research the effect of training on improving patient safety incident reporting.


2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Lono Wijayanti ◽  
Hikmah Rosyidah

The wrong application of eating pattern in daily life may result in the incidence of gastritis. Most student who have negative response with personal preference in application of eating pattern more risk of gastritis happen. Therefore, the purpose of this research was to find out the relationship between the personal preference in applying the eating pattern and gastritis incidence happening in the students of Stikes Yarsis. The design of research was analytic-cross sectional. The population involved all students of Stikes Yarsis in the last semester, totally 423 students, in which 139 students were taken as the samples done by applying the probability sampling, with the stratified random sampling technique. The personal preference in applying the eating pattern was chosen as the independent variable, whereas the dependent variable was the incidence of gastritis. Furthermore, questionnaires were used to collect the data. The result of research showed that nearly all of the respondents (73.4%) had a positive response on the personal preference in applying the eating pattern, whereas most of them (66.9%) suffered from gastritis. The analysis of Chi-Square test showed that ρ = 0.019 < α = 0.05 so that H0 was rejected illustrating that there was a relationship between the personal preference in applying the eating pattern and the incidence of gastritis. In conclusion, the more negative response to personal preference, the more gastritis happen and the more positive response to personal preference can also gastritis happen. Therefore, the motivation and self awareness to prevent hot and acid food to apply the good eating pattern so that gastritis happen can be prevented.


2020 ◽  
Vol 10 (1) ◽  
pp. 45
Author(s):  
Tata Maulita ◽  
Hilda Hilda ◽  
Hesti Prawita Widiastuti

Preface : Hospital patient safety standards which one is Communication, communication give effect to patient safety. Application between communication nurse and patient in class III inpatient room is not yet fully optimized until risk of patient safety incident. Research is aimed to find out efect of  nurse communication with patient satisfacation patient safety incidents risk. Methods: Type of research is quantitative with analytic study and cross sectional design. Total population of research is 292 people that spread to 7 service units. Sample of 58 people used a purposive sampling technique. Instruments used are communication and patient safety incidents risk questionnaires validity test already do. Data analyzed using univariate and bivariate analysis with Chi Square test. Result: From tests are obtained score p = 0,004 result of p value < score α = 0,05 therefore Ho is rejected and Ha is accepted. OR Score as big 5,455 nurse communication not good with patient have risk 5,455 more big to safety incidents risk. Conclusion: There is a efect of nurse communication with patient satisfacation patient safety incidents risk. It is highly suggested for Hospital nurse to improve communication in care provide at inpatient room to prevent of patient safety incident.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 367
Author(s):  
Inge Dhamanti ◽  
Sandra Leggat ◽  
Simon Barraclough ◽  
Taufik Rachman

Background: Understanding the causes of patient safety incidents is essential for improving patient safety; therefore, reporting and analysis of these incidents is a key imperative. Despite its implemention more than 15 years ago, the institutionalization of incident reporting in Indonesian hospitals is far from satisfactory. The aim of this study was to analyze the factors responsible for under-reporting of patient safety incidents in Indonesian public hospitals from the perspectives of leaders of hospitals, government departments, and independent institutions. Methods: A qualitative research methodology was adopted for this study using semi-structured interviews of key informants. 25 participants working at nine organizations (government departments, independent institutions, and public hospitals) were interviewed. The interview transcripts were analyzed using a deductive analytic approach. Nvivo 10 was used to for data processing prior to thematic analysis. Results: The key factors contributing to the under-reporting of patient safety incidents were categorized as hospital related and nonhospital related (government or independent agency). The hospital-related factors were: lack of understanding, knowledge, and responsibility for reporting; lack of leadership and institutional culture of reporting incidents; perception of reporting as an additional burden. The nonhospital-related factors were: lack of feedback and training; lack of confidentiality mechanisms in the system; absence of policy safeguards to prevent any punitive measures against the reporting hospital; lack of leadership. Conclusion: Our study identified factors contributing to the under-reporting of patient safety incidents in Indonesia. The lack of government support and absence of political will to improve patient safety incident reporting appear to be the root causes of under-reporting. Our findings call for concerted efforts involving government, independent agencies, hospitals, and other stakeholders for instituting reforms in the patient safety incident reporting system.


2018 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Laila Kamila ◽  
Maulidiyah Salim

Abstract: Coronary heart is a disease that offense to blood vessels and heart attack due to constriction of blood vessels. A high level of cholesterol in blood or exceeds the normal limit can form sediment in wall of blodd vessels which cause blood vessels constriction or blockage. This research object to determine whether there is a correlation between cholesterol level total and hypertension with coronary heart disease in patients who hospitalized in Regional Public Hospital of dr. Soedarso Pontianak. This study was used cross sectional design, purposive sampling technique, it gained 50 people as samples. The measurement of blood pressure was done in heart poly and cholesterol total level in clinic laboratory of Regional Public Hospital of dr. Soedarso by using enzymatic CHOD-PAP method. It can be obtained that 10 people had hypertension and 40 people did not.the average of total cholesterol was 224 mg/dl. Maximum value of total cholesterol was 224 mg/dl and 152 mg/dl as minimum value. Data has been analyzed by using statistical test, Chi-Square, to determine the correlation of total cholesterol wit coronary heart disease, obtained p value=0,024 (less than α=0,05). Correlation of hypertension and coronary heart disease gained p value=0,923 (more than α=0,05), it can be concluded that total cholesterol correlated with coronary heart disease, and there was not a correlation between hypertension and coronary heart disease.Abstrak: Jantung koroner adalah penyakit yang  menyerang pembuluh darah dan serangan jantung, karena penyempitan pada pembuluh darah. Kadar kolesterol yang tinggi dalam darah melebihi normal dapat membentuk endapan pada dinding pembuluh darah sehingga menyebabkan penyempitan dan tersumbatnya pembuluh darah. Penelitian ini bertujuan untuk mengetahui hubungan kadar kolesterol total dan hipertensi dengan penyakit jantung koroner pada pasien di RSUD dr. Soedarso Pontianak. Disain penelitian  ini menggunakan cross sectional, teknik pengambilan sampel yaitu purposive sampling, didapat jumlah sampel 50 orang. Pengukuran Tensi Darah dilakukan di poli Jantung dan pemeriksaan kadar kolesterol total di laboratorium klinik RSUD dr. Soedarso Pontianak dengan metode enzimatik CHOD-PAP. Hasil penelitian didapatkan 10 orang mengalami hipertensi dan 40 orang non hipertensi. Rata-rata kadar kolesterol total 224 mg/ dl. Nilai maksimum kadar kolesterol total yaitu 224 mg/dl dan nilai minimum yaitu 152 mg/dl. Analisa data dengan uji statistik Chi-square untuk mengetahui hubungan kolesterol total dengan penyakit jantung koroner didapatkan nilai p = 0,024 (lebih kecil dari  α 0,05). Uji hubungan hipertensi dengan penyakit jantung koroner didapat nilai p = 0,923 (lebih besar dari α 0,05), dapat disimpulkan terdapat hubungan kadar kolesterol total dengan penyakit jantung koroner dan tidak ada hubungan hipertensi dengan penyakit jantung koroner.


Author(s):  
Marianne Hatfield ◽  
Rebecca Ciaburri ◽  
Henna Shaikh ◽  
Kirsten M. Wilkins ◽  
Kurt Bjorkman ◽  
...  

OBJECTIVE: Mistreatment of health care providers (HCPs) is associated with burnout and lower-quality patient care, but mistreatment by patients and family members is underreported. We hypothesized that an organizational strategy that includes training, safety incident reporting, and a response protocol would increase HCP knowledge, self-efficacy, and reporting of mistreatment. METHODS: In this single-center, serial, cross-sectional study, we sent an anonymous survey to HCPs before and after the intervention at a 213-bed tertiary care university children’s hospital between 2018 and 2019. We used multivariable logistic regression to examine the effect of training on the outcomes of interest and whether this association was moderated by staff role. RESULTS: We received 309 baseline surveys from 72 faculty, 191 nurses, and 46 residents, representing 39.1%, 27.1%, and 59.7%, respectively, of eligible HCPs. Verbal threats from patients or family members were reported by 214 (69.5%) HCPs. Offensive behavior was most commonly based on provider age (85, 28.5%), gender (85, 28.5%), ethnicity or race (55, 18.5%), and appearance (43, 14.6%) but varied by role. HCPs who received training had a higher odds of reporting knowledge, self-efficacy, and experiencing offensive behavior. Incident reporting of mistreatment increased threefold after the intervention. CONCLUSIONS: We report an effective organizational approach to address mistreatment of HCPs by patients and family members. Our approach capitalizes on existing patient safety culture and systems that can be adopted by other institutions to address all forms of mistreatment, including those committed by other HCPs.


2018 ◽  
Vol 1 (1) ◽  
pp. 12
Author(s):  
Menik Kustriyani ◽  
Ivana Probo Kaeksi ◽  
Tamrin Tamrin

Joint Commission International ( JCI ) required the achievement of 100% five moment hand hygiene for the nurses who have provided care to patients. The adherence of five moments hand hygiene has been done to reduce the incidence of nosocomial infections. The adherence of five moments hand hygiene has been determined by inside and outside factors, and one of the inside factors is the motivation. The research is a qualitative research with cross sectional approach. The number of sample is 153 nurses with the proportionate random sampling technique at the Public Hospital of Loekmono Hadi Kudus. The research instruments used the questionaire and observation sheet. The research showed the result of Rank Spearman test p value = 0,000 with r value = 0.296, positive correlation means that the higher the nurse motivation, the higher the nurse aderence of five moment hand hygiene.


Author(s):  
Festy Ladyani ◽  
Nur Fitria Dewi

Background: Acute appendicitis is one of the most common acute abdominal pain. A late check up and diagnosis could bring harms which is turning into perforated appendicitis. Leukocyte count is a laboratory collation that is generous and quick to diagnose the acute apendicitis and perforated appendicitis, however there’s no certain limit of the leukocytes count to recognize whether it is acute apendicitis or perforated appendicitis.Purpose: This research was to find out the comparison of leucocyte count average between acute appendicitis and perforation appendicitis in Dr. H. Abdul Moeleok public hospital of Lampung province in 2014-2016.Methods: An analytic research with cross sectional approach. Population was 382 patients with appendicitis in Dr. Hi. Abdul Moeloek public hospital. Samples were taken using total sampling technique with 196 respondent samples for acute appendicitis and 196 respondent samples for perforation appendicitis. Data were analyzed by using univariate analysis with percentage and bivariate analysis with t-test.Results: the average of leucocyte count of acute appendicitis patients was 10,907 with minimum and maximum leucocyte count of 5,000 and 18,500 respectively. The average of leucocyte count of perforation appendicitis patients was 22,789 with minimum and maximum leucocyte count of 16,500 and 31,000 respectively. There were differences of leucocyte counts between acute appendicitis patients and perforation appendicitis patients with p-value < 0.05.Conclusion: there were significant differences of leucocyte count averages between acute appendicitis and perforation appendicitis.


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