Electronic Theses and Dissertation

Budaya keselamatan pasien merupakan komponen penting dalam peningkatan mutu
pelayanan rumah sakit. Budaya keselamatan yang baik dapat menurunkan risiko insiden
keselamatan pasien melalui komunikasi yang efektif, pelaporan insiden, pembelajaran
organisasi, dan perbaikan sistem pelayanan. Penelitian ini bertujuan menganalisis
perbedaan budaya keselamatan pasien pada perawat di RSUD Meuraxa Rumah Sakit Ibu
dan Anak Provinsi Aceh Banda Aceh. Penelitian ini menggunakan desain kuantitatif
dengan pendekatan komparatif. Sampel penelitian berjumlah 298 perawat, masing-masing
149 perawat di RSIA Provinsi Aceh dan 149 perawat di RSUD Meuraxa. Data
dikumpulkan menggunakan instrumen Hospital Survey on Patient Safety Culture
(HSOPSC). Analisis data meliputi analisis univariat dan bivariat. Uji normalitas
Kolmogorov-Smirnov menunjukkan data tidak berdistribusi normal sehingga analisis
perbedaan menggunakan uji Mann-Whitney U Test dengan tingkat kemaknaan 95% (α =
0,05). Pada RSIA Provinsi Aceh, nilai rata-rata tertinggi terdapat pada dimensi keterbukaan
komunikasi (89,86%), sedangkan nilai terendah pada dimensi pembelajaran organisasi dan
peningkatan berkelanjutan (58,74%). Di RSUD Meuraxa, nilai rata-rata tertinggi terdapat
pada dimensi umpan balik dan komunikasi mengenai kesalahan (80,49%), sedangkan nilai
terendah juga terdapat pada dimensi pembelajaran organisasi dan peningkatan
berkelanjutan (57,44%). Hasil uji Mann-Whitney menunjukkan terdapat perbedaan yang
signifikan antara kedua rumah sakit (p = 0,000), dengan mean rank RSIA lebih tinggi
(166,96%) dibandingkan RSUD Meuraxa (132,04%). Terdapat perbedaan budaya
keselamatan pasien antara RSIA Provinsi Aceh dan RSUD Meuraxa Banda Aceh. RSIA
menunjukkan budaya keselamatan pasien yang lebih baik dibandingan dengan RSUD
Meuraxa. Peningkatan budaya keselamatan pasien perlu difokuskan pada penguatan
pembelajaran organisasi, sistem pelaporan insiden, komunikasi terbuka, dan
pengembangan kompetensi perawat sehingga perlu adanya pelatiahan budaya keselamatan
pasien yang berkesinambungan.

Patient safety culture is an important component in improving the quality of hospital services. A good safety culture can reduce the risk of patient safety incidents through effective communication, incident reporting, organizational learning, and service system improvement. This study aims to analyze differences in patient safety culture among nurses at Meuraxa Regional Hospital, a Women and Children's Hospital in Aceh Province, Banda Aceh. This study used a quantitative design with a comparative approach. The study sample consisted of 298 nurses, 149 nurses at Aceh Provincial Hospital and 149 nurses at Meuraxa Regional Hospital. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPSC) instrument. Data analysis included univariate and bivariate analyses. The Kolmogorov-Smirnov analysis normality test showed that the data were not normally distributed, so differences were analyzed using the Mann-Whitney U Test with a significance level of 95% (α = 0.05). At Aceh Provincial Hospital, the highest average value was in the dimension of open communication (89.86%), while the lowest value was in the dimension of organizational learning and continuous improvement (58.74%). At Meuraxa Regional Hospital, the highest average score was found in the feedback and communication dimension regarding errors (80.49%), while the lowest score was also found in the organizational learning and continuous improvement dimension (57.44%). The Mann-Whitney test results showed a significant difference between the two hospitals (p = 0.000), with the mean rank of RSIA being higher (166.96%) than that of Meuraxa Regional Hospital (132.04%). There were differences in patient safety culture between RSIA Aceh Province and RSUD Meuraxa Banda Aceh. RSIA showed a better patient safety culture compared to RSUD Meuraxa. Improving patient safety culture needs to be focused on strengthening organizational learning, incident reporting systems, open communication, and developing nurse competencies, so that continuous patient safety culture training is needed.