Electronic Theses and Dissertation

KEMENTRIAN PENDIDIKAN, KEBUDAYAAN, RISET DAN TEKNOLOGI
UNIVERSITAS SYIAH KUALA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
26 Januari 2022

NELLY
NPM. 1712201010008

Hubungan Sasaran Keselamatan Pasien Dengan Pelaporan Insiden Keselamatan Pasien oleh Perawat di Puskesmas Kabupaten Aceh Besar
116 Halaman + 9 Tabel + 3 Skema + 1 Gambar + 14 Lampiran

ABSTRAK

Sasaran keselamatan pasien dan pelaporan insiden keselamatan merupakan hal penting untuk meningkatkan mutu pelayanan di Puskesmas. Pada kenyataannya hal tersebut belum dilakukan secara optimal dan belum terkoordinir dengan baik. Tujuan penelitian untuk mengetahui hubungan sasaran keselamatan pasien dengan pelaporan insiden keselamatan pasien oleh perawat. Desain penelitian kuantitatif korelasional dengan pendekatan cross sectional study pada 24 Puskesmas rawat inap di Kabupaten Aceh Besar dengan jumlah sampel 172 orang dengan pengumpulan data menggunakan kuesioner. Uji statistik untuk melihat hubungan dilakukan dengan fisher exact test didapatkan ada hubungan sasaran keselamatan pasien (p = .003), identifikasi pasien dengan benar (p = .011), peningkatan komunikasi yang efektif (p = .011), peningkatan keamanan obat-obat yang harus diwaspadai (p = .001), pengurangan risiko infeksi akibat perawatan kesehatan (p = .002), pengurangan risiko cedera pasien akibat terjatuh (p = .006) dengan pelaporan insiden keselamatan pasien oleh perawat. Hasil analisis multivariat menunjukkan pengurangan risiko infeksi akibat perawatan kesehatan (OR = 18,945 p = .002) dimana perawat yang melakukan pengurangan risiko infeksi akibat perawatan kesehatan dengan katagori baik mempunyai peluang melaporkan insiden keselamatan pasien sebanyak 19 kali lebih besar, dan pengurangan risiko cedera pasien akibat terjatuh (OR = 8,267 p = .011) dimana perawat yang melakukan pengurangan risiko cedera pasien akibat terjatuh dengan katagori baik melakukan pelaporan insiden keselamatan pasien sebanyak 8 kali lebih besar, merupakan sub variabel sasaran keselamatan pasien yang paling berhubungan dengan pelaporan insiden keselamatan. Disarankan kepada perawat dapat meningkatkan pelaksanaan hand hygiene 6 langkah 5 moment dan asesment awal pasien risiko jatuh dengan mengikuti pelatihan, seminar, workshop tentang keselamatan pasien.

Kata Kunci : Sasaran Keselamatan Pasien, Pelaporan Insiden Keselamatan.
Daftar Bacaan : 20 Buku, 12 Artikel, 20 Link Internet (Tahun 2011 s/d 2021)

MINISTRY OF EDUCATION, CULTURE, RESEARCH AND TECHNOLOGY SYIAH KUALA UNIVERSITY NURSING FACULTY NURSING MASTER STUDY PROGRAM THESIS January 26, 2022 NELLY NPM. 1712201010008 Relationship between Patient Safety Goals and Patient Safety Incident Reporting by Nurses at the Aceh Besar District Health Center 116 Pages + 9 Tables + 3 Schematics + 1 Figure + 14 Attachments ABSTRACT Patient safety goals and patient safety incident reporting are important to improve the quality of service at the health center. In fact, this has not been done optimally and has not been well coordinated. The purpose of the study was to determine the relationship between patient safety goals and patient safety incident reporting by nurses. The research design is correlational quantitative with a cross sectional study approach at 24 inpatient health centers in Aceh Besar District with a sample of 172 people, data collection using a questionnaire. The statistical test to see the relationship was carried out with the Fisher’s Exact Test, it was found that there was a relationship between patient safety goals (p = .003), identify patients correctly (p = .011), improve effective communication (p = .011), improve the safety of high-alert medications (p = .001), reduce the risk of healthcare-associated infections (p = .002), reduce the risk of patient harm resulting from falls (p = .006) with nurse reporting of patient safety incidents. The results of multivariate analysis showed reduce the risk of healthcare-associated infections (OR = 18.945 p = .002), and reduce the risk of patient harm resulting from falls (OR = 8.267 p = .011), were the patient safety goals sub-variables that were most associated with reporting safety incidents patient. It is recommended for nurses to improve the implementation of hand hygiene 6 steps 5 moments and initial assessment of patients at risk from falling by attending training, seminars, workshops on patient safety. Keywords: Patient Safety Goals, Nurses, Patient Safety Incident Reporting Reading List: 20 Books, 12 Articles, 20 Internet Links (Years 2011 s/d 2021