Electronic Theses and Dissertation

Pelaporan insiden keselamatan pasien merupakan salah satu komponen utama dalam upaya meningkatkan mutu pelayanan kesehatan. budaya keselamatan pasien berperan dalam memengaruhi perilaku pelaporan insiden oleh perawat. namun, pelaksanaannya masih belum optimal. penelitian ini bertujuan untuk menganalisis determinan pelaksanaan pelaporan insiden keselamatan pasien oleh perawat di rsud dr. fauziah bireuen. jenis penelitian ini adalah kuantitatif dengan desain cross-sectional study. pengambilan sampel pada penelitian ini menggunakan total sampling pada seluruh perawat rawat inap dan rawat intensif sebanyak 328 responden. pengumpulan data menggunakan hospital survey on patient safety culture (hsopsc) versi 2.0. analisa data menggunakan uji statistik deskriptif, simple logistic regression dan multiple logistic regression. hasil penelitian menunjukkan bahwa seluruh dimensi budaya keselamatan pasien berhubungan dengan pelaksanaan pelaporan insiden keselamatan pasien oleh perawat pada analisis bivariat (p < 0,05). namun, pada analisis multivariat hanya dimensi respons terhadap kesalahan yang tetap berhubungan secara independen dengan pelaksanaan pelaporan insiden keselamatan pasien (p = 0,013; aor = 1,680; 95% ci: 1,113–2,537). hasil tersebut menunjukkan bahwa odds pelaksanaan pelaporan insiden keselamatan pasien oleh perawat meningkat sebesar 1,7 kali untuk setiap peningkatan 1 poin skor dimensi respons terhadap kesalahan. penguatan semua dimensi budaya keselamatan pasien adalah yang yang paling mendasar, terutama respons terhadap kesalahan yang bersifat non-punitive, yang diperlukan untuk mendorong pelaporan insiden keselamatan pasien di rumah sakit.

Incident reporting in patient safety is a key component in efforts to improve the quality of healthcare services. Patient safety culture plays an important role in influencing nurses’ incident reporting behavior. However, its implementation remains suboptimal. This study aimed to analyze the determinants of patient safety incident reporting implementation among nurses at RSUD dr. Fauziah Bireuen. This study employed a quantitative design with a cross-sectional approach. The sampling technique used was total sampling, involving all inpatient and intensive care nurses, with a total of 328 respondents. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPSC) version 2.0. Data analysis was conducted using descriptive statistics, simple logistic regression, and multiple logistic regression. The results showed that all dimensions of patient safety culture were associated with the implementation of patient safety incident reporting by nurses in the bivariate analysis (p < 0.05). However, in the multivariate analysis, only the dimension of response to error remained independently associated with the implementation of patient safety incident reporting (p = 0.013; aOR = 1.680; 95% CI: 1.113–2.537). These findings indicate that each one-point increase in the response to error score was associated with a 1.7-fold increase in the odds of patient safety incident reporting by nurses. Strengthening all dimensions of patient safety culture is fundamental, particularly fostering a non-punitive response to errors, which is essential to promote patient safety incident reporting in hospitals.