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Patient Safety is a system in which hospitals make patient care safer and to preventinjuries caused by medical error due to an action or not taking action that should betaken.The Management of Patient Safety is the Pathway set up as the Patient SafetyStandard to be implemented for Stroke disease at Kanujoso Djatiwibowo HospitalTen Patient Safety standard being studied are Patient Identification, EffectiveCommunication, High Alert Medications, Accuracy of Patient, Procedure andLocation of Operation, Hand Hygiene, Fall Risk Patient, Look alike Sound alikeDrugs, Accuracy of Drug use, Catheter / Hoses Installation and Disposable syringes,this standard is the combination from The Solution of Patient Safety WHO and TheInternational Patient Safety GoalsThis study has successfully formed a Patient Safety Pathway for Stroke disease andanalyse the implementation the standard as well.Keywords:Patient safety, Patient Safety Pathway, Patient Safety Standard , Stroke disease
The general objective of this study was to describe the dimensions of the cultureof patient safety factors that affect patient safety climate at the ABC Hospital. So theidentification of these factors can increase patient safety in the hospital ABC. Thisresearch is analytic survey with cross sectional study design / cross sectional. In a crosssectional study, because the independent variables and dependencies variables thatoccurred in the course of a study object was collected simultaneously (at the same time).The results of this study, the description of the perception of nurses on patient safetyclimate at the Hospital of the ABC, which most nurses consider patient safety climate isbad. Of the 12 dimensions of patient safety by using HSOPSC got 7 of them have apositive view of nurses : Organization Learning (92.2%), Teamwork within theDepartment (53.2%), Feedback and Communication About Error (56.4%), Staffing(54.8%), communication oponess (64.5%), Teamwork Across Hospital Units (53.2%),and the Hospital handoffs and transitiions (53.2%). Dimensions with the highest score isthe Learning Organization (92.2%). While the dimension with the lowest score is non-punitive response to error (46.8%) and hospital management support (46.7%). Therelationship between the three variables of research is to have a positive relationship,which if positive climatenya patient safety, the support of management, reporting systemsand the adequacy of its resources is also positive.Keyword : patient safety, patient safty climate, patient safety survey.
Pelayanan yang bermutu di rumah sakit adalah pelayanan yang memenuhi standar yang telah ditetapkan. Salah satu perwujudan akan tanggungjawab tersebut rumah sakit harus dapat menjamin keselamatan pasien (Patient Safety) selama pasien tersebut menjalani perawatan di rumah sakit. Tujuan akhir dari upaya keselamatan pasien adalah menurunkan angka kejadian tidak diinginkan dan angka kejadain nyaris cedera. Dengan menurunkan KTD/KNC maka akuntabilitas Rumah sakit akan meningkat. Dengan akuntabilitas yang baik maka rumah sakit akan unggul dalam persaingan global yang semakin lama semakin ketat. Penelitian ini dilakukan untuk menganalisis faktor-faktor yang mempengaruhi perilaku patient safety pada perawat unit rawat inap Rumah Sakit Tugu Ibu, Depok. Latar belakang masalah penelitian ini adalah tingginya angka KTD/KNC mulai dari pelaporannya sepanjang tahun 2005-2010. Responden yang dipilih adalah perawat unit rawat inap, dengan alasan perawat adalah ujung tombak pelayanan di rumah sakit khususnya unit rawat inap. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana perilaku patient safety pada perawat unit rawat inap RS Tugu Ibu Depok. Selain itu juga untuk mengetahui faktor-faktor apa yang mempengaruhi perilaku patient safety ditinjau dari faktor predisposisi yang meliputi pendidikan, umur, pelatihan, pengalaman kerja, dari faktor penguat yang meliputi pengaruh pimpinan, pengaruh organisasi, dan imbalan, dari faktor pendukung yang meliputi sumber daya dan desain kerja, serta dari budaya patient safety yang meliputi reporting culture, just culture, learning culture dan flexible culture. Desain penelitian yang digunakan dalam penelitian ini adalah cross sectional dengan pendekatan kuantitatif. Sampel penelitian adalah seluruh perawat rawat inap RS Tugu Ibu, Depok yang berjumlah 76 orang sebagai total sampel. Hasil analisis bivariat dengan uji statistic chi-square menunjukan bahwa ada hubungan bermakna antara pelatihan dan sumber daya terhadap perilaku patient safety. Tidak ada hubungan yang bermakna antara umur, pendidikan, pengalaman kerja,pengaruh pimpinan,pengaruh organisasi, imbalan, desain kerja dan budaya patient safety. Saran berdasarkan hasil penelitian ini adalah tingkatkan upaya keselamatan pasien pada semua unsur di rumah sakit dan pada perawat khususnya. Kepustakaan 47 (1994- 2010), Gambar 5, Tabel 12, Lampiran 2 Kata Kunci : Patient Safety, Perawat, Perilaku.
It is the right for every patient at the hospital to receive a high quality standard service provided by the Hospital. One embodiment would be the responsibility of the hospital to ensure patient safety during the time when the patient is on undergoing treatment in the hospital. The end goal of patient safety efforts is to lower the incident of adverse event and near miss. By lowering adverse event and near miss then the hospital will increase accountability and with a good accountability will bring a positive outcome so the Hospital can overcome a global competition which becoming increasingly fierce. This study was conducted to analyze the factors that affect patient safety behavior on inpatient nursing units at Tugu Ibu Hospital, Cimanggis, Depok. The background of this research problem is because the high number of adverse event and near miss incident, during the 2005 – 2010 reporting period. The selected respondents are inpatient nurses, as they are the front liners in a Hospitals service, especially inpatient unit. The purpose of this study was to determine the behavior of the patient safety to the nurse with a reference to the “Nine Life-Saving Patient Safety Solutions”. In addition, to find out what factors influence the behavior of patient safety in terms of predisposing factors.That includes background education, age, training, working experiences. The other supporting factors are the leader’s influence, organizational influence. Rewards from the other supporting that covers resource and design work, as well as culture that includes patient safety reporting culture, learning culture and flexibility culture. These performance design is using a cross sectional study. Methods of data collection are done through surveys and questionnaires to inpatient hospital nurses. The resources are all inpatient hospital nurse at Tugu Ibu Hospital at Depok Cimanggis with a total number 76 nurses. The bivariate analysis results with chi-square statistical test showed that there is a mutual relationship between the leader’s influence and patient safety. Literature 47 (1994-2010), Picture 5, Table 12, Attachment 2 Keyword : Patient Safety, Nurse, Behaviour.
ABSTRAK
Dalam beberapa dekade terakhir, perhatian pemberi layanan kesehatan mulai berfokus kepada keselamatan pasien. Rumah sakit serta berbagai instansi layanan kesehatan yang lain semakin sadar akan pentingnya patient safety. Patient safety akan mudah diwujudkan apabila instansi tersebut mempunyai patient safety climate positif. Penelitian ini dilaksanakan pada salah satu rumah sakit tipe B milik pemerintah yang berencana membuat program patient safety sehingga membutuhkan pengukuran patient safety climate sebagai langkah awal dalam pembuatan program. Penelitian melihat hubungan faktor manajemen, lingkungan kerja dan individu terhadap patient safety climate serta faktor apa yang paling mempengaruhinya. Berdasarkan hasil penelitian didapatkan bahwa faktor lingkungan kerja dan individu mempunyai hubungan dengan patient safety climate, sedangkan faktor individu mempunyai pengaruh yang sangat besar terhadap patient safety climate.
ABSTRACT
In the last decade, there is increasing interest in healthcare provider about issues relevant to patient safety. Hospital and another healthcare organization are become aware of the important to improve patient safety. It would be more easy for that organization to increase patient safety if they have a positive patient safety climate. This research was held in one of the government hospital, as first step to make patient safety programme. In this research analyzed relationship between management, work environment and individual factor to patient safety climate. Significant relationship was found between patient safety climate to work environment and also individual factor. The finding conclude that individual factor has the greatest influence to patient safety climate
Keselamatan pasien merupakan salah satu faktor penting di dalam pelaksanaan rumah sakit. Tujuan penelitian ini untuk melihat kesiapan penerapan keselamatan pasien di RSIA Assalam. Penelitian dilakukan dengan metode penelitian kuantitatif dan penelitian kualitatif. Metode survey dilakukan secara total sampling terhadap 59 pegawai, dan wawancara mendalam terhadap 5 informan. Hasil survey menunjukkan RSIA Assalam membudaya sedang dalam keselamatan pasien.
Dari hasil analisis menunjukkan belum siapnya RSIA Assalam dalam menerapkan budaya keselamatan pasien. Penelitian merekomendasikan penyusunan standar prosedur operasional tentang keselamatan pasien, meningkatkan jumlah pelaporan kejadian dan memberikan pendidikan dan pelatihan kepada seluruh pegawai tentang keselamatan pasien.
Patient safety is one of the important factors in the implementation of the hospital. The purpose of this study to look at the implementation of patient safety preparedness in Assalam RSIA. The research was conducted using quantitative research and qualitative research. Methods of sampling survey conducted to 59 employees total, and depth interviews with 5 informants. The survey shows RSIA Assalam being entrenched in patient safety.
From the analysis of the readiness of the application of patient safety culture in hospitals shows RSIA Assalam unprepared to implement patient safety culture. Study recommends the creation of standard operating procedures on patient safety, increase the number of reporting events and providing education and training to all employees about patient safety.