Electronic Theses and Dissertation

Budaya keselamatan pasien merupakan budaya rumah sakit yang mendukung seluruh staf untuk memiliki kepedulian dalam upaya belajar dari insiden keselamatan pasien. Staf harus mampu mengenali sesuatu yang tidak sesuai standar, serta melaporkan jika melakukan suatu kesalahan dan belajar dari kesalahan untuk melakukan perbaikan. Takut, tidak ada niat untuk melapor, keterbatasan waktu dan kurangnya pengetahuan merupakan hambatan dalam pelaporan insiden keselamatan pasien. Penelitian kuantitatif dengan desain cross sectional study ini bertujuan untuk mengetahui hubungan budaya keselamatan pasien dengan hambatan pelaporan insiden keselamatan pasien di RSUD Kabupaten Pidie. Sampel penelitian berjumlah 209 perawat pelaksana yang dipilih dengan teknik simple random sampling. Penelitian ini menggunakan kuesioner Hospital Survey on Patient Safety Culture (HSOPSC) dan kuesioner Medication Error Reporting Barriers (MERB). Analisis data mengunakan uji chi-square dan regresi logistic berganda. Hasil penelitian menunjukkan bahwa ada hubungan teamwork (p=0,001), organisasi pembelajaran (p=0,000), respon terhadap kesalahan (p=0,000), mengkomunikasikan kesalahan (p=0,019), keterbukaan komunikasi (p=0,000), dukungan manajemen rumah sakit (p=0,000), handoff (p=0,000), dan tidak ada hubungan staffing (p=0,83), dukungan supervisor (p=0,065) dan melaporkan insiden keselamatan pasien (p=0,191) dengan hambatan pelaporan insiden keselamatam pasien di RSUD Kabupaten Pidie. Dimensi melaporkan insiden merupakan yang paling berhubungan dengan hambatan pelaporan insiden keselamatan pasien (p=0,010 dan Odds Ratio (OR) = 2.851). Pelaporan insiden keselamatan pasien terjadi apabila adanya dukungan manajemen rumah sakit, keterbukaan komunikasi, respon terhadap kesalahan yang tidak menghukum.

Patient safety culture is a hospital culture that supports all staff to have concern in learning from patient safety incidents. It takes an enthusiastic attitude from staff who can recognize something not up to standard, report if they make a mistake, and learn from mistakes to improve. This study aims to determine the relationship between patient safety culture and barriers to reporting patient safety incidents at the Pidie District Hospital. This type of quantitative research with a cross-sectional study design. The research sample consisted of 209 practicing nurses selected by a simple random sampling technique. The data collection tool used the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire and the Medication Error Reporting Barriers (MERB) questionnaire, which had been tested for validity and reliability. Data analysis used descriptive statistical tests, Chi-Square, and Multiple Logistic Regression. The results showed that there was a relationship between teamwork (p=0.001), learning organization (p=0.000), response to mistakes (p=0.000), communicating errors (p=0.019), communication openness (p=0.000), hospital management support (p=0.000), handoff (p=0.000) and no relationship between staffing (p=0.83), supervisor support (p=0.065) and reporting incidents (p=0.191) with barriers to reporting patient safety incidents in District Hospitals Pidie. The dimension of reporting incidents is the most related to barriers to reporting patient safety incidents (p=0.010 and Odds Ratio (OR) = 2.851). Reporting of patient safety incidents occurs when there is support from hospital management, open communication, non-punitive responses to errors.