Investigating Between Patient Safety Culture, Organizational Climate, and A Positive Workplace on Reporting of Patient Safety Incidents in Hospital

Authors

  • Dian Widya Christiany Jacobus Master of Public Health, Faculty of Public Health, Universitas Diponegoro, Indonesia
  • Yuliani Setyaningsih Master of Public Health, Faculty of Public Health, Universitas Diponegoro, Indonesia
  • Septo Pawelas Arso Master of Public Health, Faculty of Public Health, Universitas Diponegoro, Indonesia

DOI:

https://doi.org/10.18196/jmmr.v13i1.136

Keywords:

Patient Safety Culture, Organizational Culture, Positive Environment, Motivation to Report PSI, PLS-SEM

Abstract

Many patient safety incidents (PSIs) begin the hospital's safety system establishment, which is oriented toward patient safety. The importance of PSI reporting is of particular concern to WHO. Therefore, comprehensive guidance exists on designing, implementing, and applying good PSI reporting. This research is a non-experimental design using SEM analysis techniques, and it is processed using the SMARTPLSv3 application. This study aims to determine the effect of patient safety culture (X1), organizational climate (X2), and a positive environment (X3) on motivation to report PSI (Y1). The research sample was the X Semarang Hospital staff, with 200 respondents. The results showed that the Patient Safety Rate at X Semarang Hospital was in a suitable category of 54%, even though the number of PSI reported was in the low category. The SEM analysis result indicated that the construct of the X1 and X2 variables after modification was valid and reliable. Moreover, there was a positive and significant effect of X1 and X2 on Y1 with an effect size of 0.042 (small) and 0.490 (large). However, X2 did not have a significant influence on Y1. The hierarchy culture implemented in X Hospital didn't affect motivation for the reporting of patient safety incidents (PSI). It even tends to have an indirect negative influence through a supportive environment variable.

References

Abuosi, A. A., Poku, C. A., Attafuah, P. Y. A., Anaba, E. A., Abor, P. A., Setordji, A., & Nketiah-Amponsah, E. (2022). Safety culture and adverse event reporting in Ghanaian healthcare facilities: Implications for patient safety. PLOS ONE, 17(October 10). https://doi.org/10.1371/journal.pone.0275606

Agency for Healthcare Research and Quality. (2019). Hospital Survey on Patient Safety Culture Version 2.0.

Ainur, A., & Satria, T. (2018). Pengaruh Budaya Organisasi, Kompetensi, dan Motivasi Terhadap Kinerja Karyawan. Jurnal Ilmiah Magister Manajemen, 1(1), 1–14. https://doi.org/10.30596/maneggio.v1i1.2234

Anggraeni, D., Ahsan, & Misbahuddin, A. (2016). Pengaruh Budaya Keselamatan Pasien terhadap Sikap Melaporkan Insiden Pengaruh Budaya Keselamatan Pasien terhadap Sikap Melaporkan Insiden pada Perawat di Instalasi Rawat Inap Rumah Sakit Tk. II dr. Soepraoen. Jurnal Aplikasi Manajemen, 14(2), 309–321. https://doi.org/10.18202/jam23026332.14.2.13

Asmirajanti, M., Yufi, A., Sri, R., Patricia, R. R., Djuariah, C., & Supyono, S. (2021). Penerapan Standar Akreditasi Terhadap mutu Dan Keselamatan Pasien Sebelum dan Selama Pandemi Covid-19. Journal of Hospital Accreditation, 3(2), 65–70. https://doi.org/10.35727/jha.v3i2.93

Cahyaningtyas, A., Handayani, H., & Yatnikasari, A. (2020). Gambaran Pelaksanaan Serah Terima Antar Shift di Rumah Sakit X Jakarta. Holistik Jurnal Kesehatan, 14(3), 383–390. https://doi.org/10.33024/hjk.v14i3.2968

Daud, A. (2020). Sistem Pelaporan Insiden Keselamatan Pasien.

Health Quality Ontario. (2017). Patient Safety Learning Systems: A Systematic Review and Quality Synthesis. Ontario Health Technology Assessment Series, 17(3), 1–23. http://www.hqontario.ca/Evidence-to-Improve-Care/Journal-Ontario-Health-Technology-

Iriviranty, A. (2015). Analisis Budaya Organisasi dan Budaya Keselamatan Pasien Sebagai Langkah Pengembangan Keselamatan Pasien di RSIA Budi Kemuliaan Tahun 2014. Jurnal Administrasi Rumah Sakit, 1(3), 196–206. https://doi.org/10.7454/arsi.v1i3.2184

Karmila, K., Suharni, S., & Muhammad, K. A. (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, 4(1), 181–189.

Kementerian Kesehatan. (2017). BERITA NEGARA REPUBLIK INDONESIA. www.peraturan.go.id

Komite Keselamatan Pasien Rumah Sakit. (2015). Pedoman Pelaporan Insiden Keselamatan Pasien (IKP) (Patient Safety Incident Report).

Lee, J. Y., McFadden, K. L., Lee, M. K., & Gowen, C. R. (2021). U.S. Hospital Culture Profiles for Better Performance in Patient Safety, Patient Satisfaction, Six Sigma, and Lean Implementation. International Journal of Production Economics, 234, 1–14. https://doi.org/10.1016/j.ijpe.2021.108047

Levine, K. J., Carmody, M., & Silk, K. J. (2020). The Influence of Organizational Culture, Climate and Commitment on Speaking Up about Medical Errors. Journal of Nursing Management, 28(1), 130–138. https://doi.org/10.1111/jonm.12906

Megantara, I., Suliyanto, S., & Ratno Purnomo. (2019). Pengaruh Budaya Organisasi dan Rotasi Pekerjaan Terhadap Motivasi Kerja untuk Meningkatkan Kinerja Pegawai. Jurnal Ekonomi, Bisnis, Dan Akuntansi, 21(1), 1–20. https://doi.org/10.32424/jeba.v21i1.1299

Monga, O. P., Monga, A., Mahajan Varun, & Monga, A. (2015). Organizational Culture, Stress and Commitment: A Study of Managers of Pharmaceutical Industry in Himachal Pradesh. Open Access Library Journal, 02(10), 1–11. https://doi.org/10.4236/oalib.1101941

Nguyen Van, H., Nguyen, A. T. H., Nguyen, T. T. H., Nguyen, H. T. T., Bui, H. T. T., Tran, P. T., & Nguyen, A. L. T. (2018). Individual and Occupational Differences in Perceived Organisational Culture of a Central Hospital in Vietnam. BioMed Research International. https://doi.org/10.1155/2018/3759290

Paramita, D. A., Arso, S. P., & Kusumawati, A. (2020). Faktor-Faktor yang Berhubungan dengan Motivasi Perawat dalam Pelaporan Insiden Keselamatan Pasien di Rumah Sakit X Kota Semarang. Jurnal Kesehatan Masyarakat, 8(6), 724–728. http://ejournal3.undip.ac.id/index.php/jkm

Putra, I. A. G. S. (2017). Analisis Budaya Organisasi Model OCAI (Organizational Culture Asswssment Instrument) pada Universitas XYZ.

Rahma, A., & Mas’ud, F. (2016). Pengaruh Penerapan Konsep Team Work Dan Budaya Organisasi Terhadap Kinerja Perawat (Studi Pada Rumah Sakit Umum Daerah Sunan Kalijaga Kabupaten Demak). Diponegoro Journal of Management, 5(4), 522–532.

Rivai, F., A. Indahwaty, S., & Ita, K. (2016). Faktor yang Berhubungan dengan Implementasi Keselamatan Pasien di RSUD Ajjappannge Soppeng Tahun 2015. Jurnal Kebijakan Kesehatan Indonesia, 5(4), 152–157.

Rogers, G. M. (2016). Correlation Study of Patient Safety Culture to Organizational Culture Using Competing Values Framework in the Pharmacy of Maine Medical Center.

Rombeallo, N. T., Tahir, T., & Saleh, A. (2022). Faktor Penyebab Rendahnya Pelaporan Insiden Keselatan Pasien di Rumah Sakit: Literature Review. Jurnal Keperawatan, 14(S3), 657–666.

Sholihin, M., & Ratmono, D. (2020). Analisis SEM-PLS dengan WarpPLS 7.0: Untuk Hubungan Nonlinier Dalam Penelitian Sosial dan Bisnis (2nd ed.). Penerbit ANDI.

Sorra, J., Gray, L., Streagle, S., Famolaro, T., Yount, N., & Behm, J. (2018). Hospital Survey on Patient Safety Culture: User’s Guide. https://doi.org/10.1201/9781315599717-15

Top, M., & Tekingündüz, S. (2015). Patient Safety Culture in a Turkish Public Hospital: A Study of Nurses’ Perceptions About Patient Safety. Systemic Practice and Action Research, 28(2), 87–110. https://doi.org/10.1007/s11213-014-9320-5

Wianti, A., Setiawan, A., Murtiningsih, M., Budiman, B., & Rohayani, L. (2021). Karakteristik dan Budaya Keselamatan Pasien terhadap Insiden Keselamatan Pasien. Jurnal Keperawatan Silampai, 5(1), 96–102. https://doi.org/10.31539/jks.v5i1.2587

Widyanti, A., & Agrianti, A. (2016). Budaya Organisasi yang Mendukung Keselamatan Pasien di Rumah Sakit. Jurnal Teknik Industri, 18(2), 95–102. https://doi.org/10.9744/jti.18.2.95-102

World Health Organization. (2020, May 27). Patient Safety Incident Reporting and Learning Systems. Who. Int.

Wulandari, H., Yuliani, S., & Syamsyulhuda, B. M. (2023). Beberapa Aspek Dimensi Budaya Keselamatan Pasien Hubungannya dengan Budaya Lapor: Studi Kasus di RSUD Kabupaten Semarang. Jurnal Manajemen Kesehatan Indonesia, 11(1), 91–98. https://doi.org/10.14710/jmki.11.1.2023.91-98

Wulandari, M. R., Sri, Y., & Renny, T. (2019). Peningkatan Budaya Keselamatan Pasien Melalui Peningkatan Motivasi Perawat dan Optimalisasi Peran Kepala Ruang. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 2(2), 59–66. https://doi.org/10.32584/jkmk.v2i2.327

Yanriatuti, I., Nursalam, N., & M, Rr. S. (2020). Faktor Pendukung dan Penghambat Budaya Keselamatan Pasien di Rumah Sakit: A Systematic Review. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 11(4), 367. https://doi.org/10.33846/sf11408

Yasmi, Y., & Hasbullah, T. (2018). Faktor-Fakto yang Berhubungan dengan Budaya Keselamatan Pasien di Rumah Sakit Karya Bhakti Pratiwi Bogor Tahun 2015. Jurnal Administrasi Rumah Sakit, 4(2), 98–109. https://doi.org/10.7454/arsi.v4i2.2563

Yoo, M. S., & Kim, K. J. (2017). Exploring the Influence of Nurse Work Environment and Patient Safety Culture on Attitudes Toward Incident Reporting. Journal of Nursing Administration, 47(9), 434–440. https://doi.org/10.1097/NNA.0000000000000510

Downloads

Published

2024-03-28

Issue

Section

Articles