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Rumah sakit merupakan salah satu organisasi yang sangat kompleks yang didalamnya terdapat berbagai jenis tenaga kesehatan dengan perangkat kelilmuan yang beragam dan saling berinteraksi satu sama lain. Pelayanan rumah sakit yang sarat dengan kompleksitas prosedur diagnostik sangat memungkinkan risiko mencederai pasien. Penelitian ini bertujuan mengetahui gambaran persepsi serta hubungan karakteristik tenaga bidan dan perawat terhadap budaya keselamatan pasien di RS Budi Kemuliaan. Penelitian dilakukan di Rumah Sakit Ibu dan Anak Budi Kemuliaan Jakarta, menggunakan desain cross sectional dengan sampel sebanyak 83 orang dipilih secara acak sistematik. Data dikumpulkan menggunakan kuesioner serta dianalisis menggunakan uji chi-square dan regresi logistik ganda dengan menggunakan SPSS. Hasil penelitian menunjukkan 54,2% responden memiliki respon positif terhadap budaya keselamatan pasien. Hasil analisis membuktikan bahwa usia (p=0,002), masa kerja (p=0,040) dan unit kerja (p=0,040) berhubungan dengan budaya keselamatan pasien. Usia merupakan variabel independen utama yang mempengaruhi respon terhadap budaya keselamatan pasien. Tenaga kesehatan dengan usia 30 tahun. Untuk itu perlu diadakan pelatihan perawatan dasar secara rutin guna menghindari kesalahan dalam memberikan pelayanan. Kata kunci: Budaya Keselamatan Pasien; Persepsi, Karakteristik; Tenaga Kesehatatatan
The hospital is a very complex organization in which there are various types of health workers with diverse scientific devices and interact with each other. Hospital service which is loaded with the complexity of the diagnostic procedure is a very possible risk of injuring the patient. This study aims to describe the perceptions and the relationship between the characteristics of midwives and nurses on patient safety culture at Budi Kemuliaan Hospital. The study was conducted at Budi Kemuliaan Mother and Child Hospital, Jakarta, using a cross-sectional design with a sample of 83 people selected by systematic random sampling. Data were collected using a questionnaire and analyzed using the chi-square test and multiple logistic regression. The results showed that 54.2% of respondents had a positive response to patient safety culture. The results of the analysis proved that age (p = 0.002), years of service (p = 0.040), and work unit (p = 0.040) were associated with patient safety culture. Age is the main independent variable affecting the response to patient safety culture. Health workers aged 30 years. Thus, it is necessary to hold regular basic maintenance training in order to avoid mistakes in providing services Key words: patient safety, perception, characteristic.
Patient safety culture assessment are the basic component in the patientsafety improvement program. It is important to assess how attitudes, perceptions,competencies and behaviors of individuals / groups that determine thecommitment to minimize the incident. The study aims to determine patient safetyculture and the factors that influence it. This research used cross sectional methodon the entire population RSPON numbered 649 employees to response. Samplingwith simple random sampling technique and the number of sample in thisresearch is 250 respondents. Data analysis by logistic regression.The results showed that patient safety culture in the category of culture toresponse less well with the positive response of 46.8%. The dominant factoraffecting patient safety culture are job factor that handoff or transition and shift(p = 0.03) and cooperation between working units (p = 0.035), as well asorganizational factors, namely: staffing (p = 004). It is recommended to responseimprove patient safety culture (a) develop instruments handover of patients orwork for the safety of the patient, (b) development and evaluation procedure theinformation on the handover mainly verbal orders and telephones, (c) optimizingthe turn of the job / shift through changes in work shifts a maximum of 3 days andestablish effective communication as well as their supervision in patient safety, (d)identify a model of teamwork between the units and improve the coordination ofteamwork between units.Keywords: Patient Safety Culture, factor person, system, job
Puskesmas is the leading of primary health services in Indonesia and required to implement patient safety in the services provided. The initial step in implementing patient safety at the puskesmas is to measure the patient's safety culture. This study aims to determine the description of patient safety in officers whose working at accredited Puskesmas in Bekasi. This study used a quantitative method to measure the patient safety culture using the MOSPSC (Medical Office Survey on Patient Safety Culture) instruments from AHRQ (Agency of Health Research and Quality), then followed by qualitative methods to determine the supporting factors and inhibiting factors of patient safety implementation in puskesmas. The results of the study showed a patient safety culture in puskesmas officers in the medium culture category. There is no difference in patient safety culture in the group of workers based on the profession, all of which are in the moderate category. Team work was a component of safety culture with the highest score and including good categories (84,2%). The lowest score of patient safety culture at the puskesmas was in the component of work pressure and pace (36,3%). The central and regional governments need to reconsider the compatibility between the programs charged to the puskesmas and the number of staff available at the puskesmas. This is needed so that the puskesmas can carry out its duties and functions optimally including the application of a patient safety culture at the Puskesmas
The hospital as an organization engaged in the field of health services is required to always improve the quality of the services. A parameter for assessing the quality of hospitals is the assessment of accreditation by institutions that have been national and international certified. The focus of assessment on the accreditation process is continuous quality improvement that prioritizes patient safety. This study aims to analysis description of the behavior of health workers to adhere the service standards that prioritize patient safety so that the risk of patient safety incidents had been reduced and have impact on better service quality. This research was conducted with a mix method study of field observation and quantitative study with a cross sectional design. The study sample used simple random sampling with a total sample of 161 respondents. Secondary data collection was carried out through field observations and document studies while the primary data was carried out through filling in questionnaires. The results of the study revealed that the behavior of officers who supported patient safety at 90% compliance that amount of 64%. Factors that have a relationship with the behavior of supporting patient safety are education (p value 0.001), profession (p value 0.047), knowledge (p value 0.029), attitude (p value 0.001), supervision (p value 0.001) and teamwork (p value 0.001) with the dominant variable from the results of multivariate analysis is attitude (OR 12,382) and confounding factor are age, education, profession, knowledege, supervision and team work, in the otherside not found interaction of that varaible. The problems that are still low on behavior are related to workloads there are still who force work when conditions are tired and the concentration is reduced, the other who work that is beyond their authority. To improve behavior related to patient safety is to mapping and calculate employee workload, especially the unit of patient services, make educational materials related to patient safety through audio visual media, incorporate behaviors related to patient safety into employee performance indicator, create programs that can support employees to try make safety behavior to be a work culture
