Patient Safety Incident Differences Between Accredited and not Accredited Primary Health Center

Authors

  • Arlina Dewi Master of Hospital Administration, Universitas Muhammadiyah Yogyakarta
  • Nevi Seftaviani Master of Hospital Administration, Universitas Muhammadiyah Yogyakarta
  • Erna Rochmawati Master of Nursing, Universitas Muhammadiyah Yogyakarta

DOI:

https://doi.org/10.18196/jmmr.83109

Keywords:

Medication Error, Documentation, Education, hospital accreditation

Abstract

The study aims to identify the differences of patient safety incident (PSI) by health workers in accredited and non-accredited Primary health care (PHC) by its frequency and severity of harm. This research used analytic crossectional method. A well-structured questionairre of 15 patients’ safety indicators was administered to collect response of Nurse and midwife in 3 accredited PHC and 3 non-accredited PHC about patients’ safety incident in last month. In the result, overall the incident happened more frequent in non-accredited PHC than in acrredited PHC which is statistically significant (CI 95%, p=0.002). Specifically, what the nurses handle is about medication (CI 95% p=0.018) and therapeutic treatment (CI 95% p=0.036). Also, it is about the education (CI 95% p=0.025) and documentation (CI 95% p=0.013). Still, two indicators of midwife’s treatment while transferring and about the education involved minor harm.

References

Panesar SS, deSilva D, Carson-Stevens A, Cresswell KM, Salvilla SA, Slight SP, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016 Jul;25(7):544–53.

Gehring K, Schwappach DLB, Battaglia M, Buff R, Huber F, Sauter P, et al. Frequency of and Harm Associated With Primary Care Safety Incidents. Am J Manag Care. 2012;18(9):e323–37.

Rees P, Edwards A, Powell C, Hibbert P, Williams H, Makeham M, et al. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. PLoS Med. 2017;14(1):e1002217.

Keles AW. Analisis Pelaksanaan Standar Sasaran Keselamatan Pasien di Unit Gawat Darurat RSUD Dr. Sam Ratulangi Tondano Sesuai dengan Akreditasi Rumah Sakit Versi 2012. JIKMU. 2015;5(3).

Fatimah FS, Rosa EM. Efektivitas Pelatihan Patient Safety; Komunikasi S-BAR pada Perawat dalam Menurunkan Kesalahan Pemberian Obat Injeksi di Rumah Sakit PKU Muhammadiyah Yogyakarta Unit II. J Ners Dan Kebidanan Indones. 2016;2(1):32–41.

Simmonds FD, Alexander TL. Vital signs 2015: The state of safety and quality in Australian health care. 2015;

WHO. Patient safety: making health care safer. 2017;

Kemenkes RI. Permenkes RI Nomor 11 Tahun 2017 tentang Keselamatan Pasien. Kementerian Kesehatan Republik Indonesia; 2017.

Kohn LT, Corrigan J, Donaldson MS, editors. To err is human: building a safer health system. Washington, D.C: National Academy Press; 2000. 287 p.

Carayon P, Schoofs Hundt A, Karsh B-T, Gurses AP, Alvarado CJ, Smith M, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006 Dec 1;15(suppl_1):i50–8.

Singh H, Giardina TD, Meyer AND, Forjuoh SN, Reis MD, Thomas EJ. Types and Origins of Diagnostic Errors in Primary Care Settings. JAMA Intern Med. 2013 Mar 25;173(6):418.

Kemenkes RI. Permenkes RI Nomor 46 tahun 2015 tentang Akreditasi Puskesmas, Klinik Pratama, Tempat Praktik Mandiri Dokter dan Dokter Gigi [Internet]. 2015 [cited 2018 Feb 22]. Available from: http://yankes.kemkes.go.id/assets/downloads/PMK%20No.%2046%20%20ttg%20Akreditasi%20Puskesmas,%20Klinik%20%20Pratama,%20Tempat%20Praktik%20Mandiri%20Dokter%20dan%20Dokter%20Gigi.pdf

Lee E. Safety climate and attitude toward medication error reporting after hospital accreditation in South Korea. Int J Qual Health Care. 2016 Sep;28(4):508–14.

Wijaya AS, Dewi A. Analisis Budaya Keselamatan Pasien Di RSU PKU Muhammadiyah, Bantul. JMMR J Medicoeticolegal Dan Manaj Rumah Sakit. 2015;4(1).

Rees P, Edwards A, Powell C, Evans HP, Carter B, Hibbert P, et al. Pediatric immunization-related safety incidents in primary care: A mixed methods analysis of a national database. Vaccine. 2015 Jul;33(32):3873–80.

Elnour AA, Hernan AL, Ford D, Clark S, Fuller J, Johnson JK, et al. Surveyors’ perceptions of the impact of accreditation on patient safety in general practice. Med J Aus. 2014;201(3):556–9.

Mohebbifar R, Rafiei S, Asl AM, Ranjbar M, Khodayvandi M. Association between Hospital Accreditation and Patient Satisfaction: A Survey in the Western Province of Iran. Bangladesh J Med Sci. 2017;16(1):77.

Kemenkes RI. Instrumen Akreditasi Puskesmas. Kementerian Kesehatan Republik Indonesia; 2015.

Lawton R, McEachan RRC, Giles SJ, Sirriyeh R, Watt IS, Wright J. Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. BMJ Qual Saf. 2012 May;21(5):369–80.

Bawelle SC, Sinolungan JSV, Hamel R. Hubungan pengetahuan dan sikap perawat dengan pelaksanaaan keselamatan pasien (patient safety) di ruang rawat inap RSUD Liun Kendage Tahuna. E-J Keperawatan. 2013;1:4–6.

Handriani I, Melaniani S. The Effect of Referral Process and Complications to Maternal Mortality. J Berk Epidemiol. 2015;3(3):400–411.

Trisnantoro L, Komala I. EVALUASI PELAKSANAAN RUJUKAN MATERNAL DAN NEONATAL DI KABUPATEN BANTUL [PhD Thesis]. Universitas Gadjah Mada; 2015.

Smith K, Baker K, Wesley D. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families: Environmental Scan Report [Internet]. Agency for Healthcare Research and Quality; 2017. Available from: https://www.ahrq.gov/professionals/quality-patient-safety/patient-familyengagement/pfeprimarycare/envscan/index.html.

Haskard Zolnierek KB, DiMatteo MR. Physician Communication and Patient Adherence to Treatment: A Meta-Analysis. Med Care. 2009 Aug;47(8):826–34.

Firdaus FF, Dewi A. EVALUASI KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT JALAN PESERTA BPJS DI RSUD PANEMBAHAN SENOPATI BANTUL. JMMR J Medicoeticolegal Dan Manaj Rumah Sakit [Internet]. 2015 Jul 1 [cited 2018 Feb 19];4(2). Available from: http://journal.umy.ac.id/index.php/mrs/article/view/690

Marie BT, Sinsky C. Medication Adherence : Improve the health of your patients and reduce overall health care costs. Am Med Assoc. 2015;

Downloads

Published

2024-03-06

Most read articles by the same author(s)