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"Insiden Keselamatan Pasien ( IKP ) di RSKBP berkisar antara 0,31% sampai dengan 3,01% dengan angka kematian 2,22%.IKP di RSKBP dinilai masih under reporting karena kebanyakan IKP tidak dilaporkan.Membangun budaya keselamatan pasien merupakan elemen penting untuk meningkatkan keselamatan pasien dan kualitas pelayanan.Penelitian ini bertujuan untuk mengetahui budaya keselamatan pasien dan faktor-faktor yang berhubungan dengan budaya keselamatan pasien di RSKBP tahun 2015. Penelitian dilakukan bulan Maret sd April 2015, dengan sampel 115 responden. Desain penelitian explanatory sequential. Analisa data dilakukan dengan regresi logistic.Penelitian menunjukan budaya keselamatan pasien di RSKBP masih kurang. Faktor-faktor yang berhubungan dengan budaya keselamatan pasien di RSKBP adalah umpan balik laporan insiden ( p=0,021 α=0,05, OR= 15,516 ) budaya tidak menyalahkan ( p=0,019 α=0,05, OR= 14,396 ) dan budaya belajar ( p=0,006 α=0,05, OR= 0,096 ).Disarankan agar RSKBP dapat memperbaiki budaya keselamatan pasien dengan upaya yang komprehensif dan terstruktur.

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Adverse even ( AE ) in RSKBP ranged from 0.31% to 3.01% with a mortality rate of 2.22%.AE in RSKBP still considered under-reporting because most AE not reported. Building a culture of patient safety is an important element to improve patient safety and quality. This research aims to know the culture of patient safety and the factors related to the patient safety culture in RSKBP 2015. The study was conducted in March to April 2015, with a sample of 115 respondents It is Sequential explanatory research design.

The data analysis with regression logistic. Patient safety culture in RSKBP still lacking. Factors related to the patient safety culture in RSKBP feedback is incident report (p = 0.021 α = 0.05, OR = 15.516) culture is not to blame (p = 0.019 α = 0.05, OR = 14.396) and a learning culture (p = 0.006 α = 0.05, OR = 0.096) .RSKBP sugest to improve patient safety culture with a comprehensive and structured efforts."

"Kepemimpinan efektif merupakan salah satu faktor yang berperan dalam keberhasilan penerapan budaya keselamatanpasien. Tujuan penelitian untuk mengetahui hubungan kepemimpinan efektif head nurse dengan penerapan budayakeselamatan pasien. Desain yang digunakan analisis korelasi secara cross sectional pada 206 perawat pelaksana.Analisis data dengan Pearson, Spearman, t independent, dan regresi linear. Hasil analisis menunjukkan hubunganlemah dan positif antara kepemimpinan efektif Head Nurse dengan penerapan budaya keselamatan pasien. Penelitianmerekomendasikan peningkatan pengetahuan head nurse pada fungsi pengorganisasian dengan pembentukan strukturorganisasi, uraian tugas, pelatihan budaya keselamatan pasien, pendidikan keperawatan berlanjut, diskusi keselamatanpasien, sistem penghargaan atas penerapan budaya keselamatan pasien.Effective Leadership of Head Nurse Increase the Implementation ofd Patient Safety Culture by NursePractitioners of Dr. Cipto Mangunkusumo National Hospital, Jakarta. Leadership effectiveness is one factor thatcontributes to successfully patient safety culture applied. This study aimed to identify the correlation of leadershipeffectiveness of head nurse to apply the patient safety culture in the wards. Research design used correlation analyticwith cross sectional approach to 206 clinical nurses as samples. Data analysis used Pearson, Spearman, t independentand linier regression. This study shown there was a weak positive correlation between head nurse leadershipeffectiveness and the application of patient safety culture by clinical nurses. This study’s recommendation were 1)improvement of the head nurses’ knowledge related to organizational function, 2) appropriate job description, 3) patientsafety culture training, 4) continuing nursing education program, and 5) relevant reward system based on patient safetyachievement."

"ABSTRAKNama : Putu DarmikaProgram studi : Kajian Administrasi Rumah SakitJudul : Determinan Faktor yang berhubungan dengan BudayaKeselamatan Pasien di RSU Dharma Yadnya Denpasartahun 2017Pembimbing : Dr. Ede Surya Darmawan, SKM., M.D.MKeselamatan pasien merupakan isu global yang pencapainnya masih rendah,sehingga untuk pencapainnya perlu menerapkan budaya keselamatan pasien.Budaya keselamatan pasien diukur berdasarkan 12 elemen budaya keselamatanpasien menurut AHRQ dan penerapan 6 sasaran keselamatan pasien.Dipersepsikan penyebab masalah adalah lingkungan kerja, tim kerja,kepemimpinan, kepuasan kerja dan stress kerja. Di RSU Dharma YadnyaDenpasar, belum diketahui persepsi staf tentang budaya keselamatan pasien,namun tingkat insiden yang terjadi masih tinggi. Adapun tujuan dari penelitian iniadalah untuk mengetahui hubungan determinan faktor yang berhubungan denganbudaya keselamatan pasien. Metode penelitian ini merupakan penelitiankuantitatif dengan desain cross sectional yang dianalisis menggunakan PLS,dengan sampel perawat dan bidan pelaksana yang berjumlah 72 responden. Hasilpenelitian ini menunjukkan ada hubungan signifikan antara tim kerja,kepemimpinan, dan stress kerja dengan budaya keselamatan pasien berturut-turutsebesar 3,707, 12,647, dan 3,135 > T Statistik 1,96. Sedangkan tidak terdapathubungan signifikan antara lingkungan kerja dan kepuasan kerja dengan budayakeselamatan pasien sebesar 1,336 dan 0,328 < T Statistik 1,96. Penelitian inimenyimpulkan bahwa kerjasama tim, penurunan tingkat stress kerja danpenerapan model kepemimpinan transformasional perlu diterapkan dalam upayameningkatkan budaya keselamatan pasien dirumah sakit.Kata kunci:Determinan faktor; Budaya keselamatan pasien

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ABSTRACTNama Putu DarmikaStudy Program Study of Hospital AdministrationTitle Determinant Factors Dealing with Patient Safety CultureIn Dharma Yadnya General Hospital, 2017Counsellor Dr. Ede Surya Darmawan, SKM., M.D.MPatient safety is a global issue where the achievement is low, so that it needs toimplement a patient safety culture. The patient safety culture is measured based on12 elements of the patient 39 s safety culture according to AHRQ and the applicationof 6 patient safety goals. Perceived causes of the problem is the workenvironment, team work, leadership, job satisfaction and job stress. At RSUDharma Yadnya Denpasar, the staff 39 s perception about patient safety culture is notknown yet, but the incident rate is still high. The purpose of this research is toknow the relation of determinant of factor which is related to patient safetyculture. This research method is quantitative research with cross sectional designwhich analyzed by PLS, with sample of nurses and midwife implementer which is72 respondent. The results of this study indicate that there is a significantcorrelation between work team, leadership, and work stress with the patient safetyculture, respectively 3.707, 12.647, and 3.135 T Statistics 1.96. While there is nosignificant relation between work environment and job satisfaction with patientsafety culture equal to 1,336 and 0,328 "

"Tesis ini membahas mengenai sejauh mana budaya keselamatan pasien pada residen. Desain penelitian cross sectional dengan analisis mixed method. Subjek penelitian seluruh residen dengan instrumen kuisioner HSOPS. Hasil penelitian menyimpulkan dimensi budaya keselamatan pasien yang paling rendah adalah dimensi respon tidak menghukum terhadap kesalahan (18%). 12 dimensi keselamatan pasien tidak dipengaruhi oleh jenis kelamin dan tingkat kelas residen (p> 0,05), tetapi sebagian besar dipengaruhi oleh asal departemen.

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The tesis focus about the patient safety culture among the resident. This is a cross sectional design research with mix method analysis where all the residen of Medical Faculty of Sriwijaya University as the research subject with HSOPS quesionaire as an instrument. The lowest culture dimension is nonpunitive response to errors (18%). The twelve dimension of patient safety did not influenced by the gender and class level of resident (p>0.05), but majority influenced by the departement catagory"

"Budaya keselamatan pasien menjadi hal yang sangat penting dalam memberikan perawatan yang aman. Belum optimalnya kompetensi kepemimpinan kepala ruangan dalam menjalankan peran dan fungsinya untuk menjamin kualitas pelayanan terlebih lagi budaya keselamatan pasien. Penelitian ini bertujuan mengetahui hubungan kompetensi kepemimpinan kepala ruangan dengan budaya keselamatan pasien. Penelitian Cross Sectional menggunakan proportional sampling ini dilakukan dengan pengisian kuesioner yang melibatkan 260 perawat pelaksana di 4 Rumah Sakit X Kota tangerang. Hasil didapatkan adanya hubungan yang signifikan antara kompetensi kepemimpinan kepala ruangan dengan budaya keselamatan pasien (p<0,05). Hasil regresi linear menunjukkan variabel yang paling mempengaruhi budaya keselamatan pasien yaitu tingkat Pendidikan, jenjang karir dan kompetensi kepemimpinan (R2=0,272). Kesimpulan budaya keselamatan pasien yang kuat dipengaruhi jenjang karir perawat klinik, tingkat Pendidikan perawat pelaksana serta kompetensi kepemimpinan kepala ruangan. Saran penelitian ini mendapatkan hasil adanya korelasi antara hubungan budaya keselamatan pasien dengan karakteristik perawat pelaksana (Tingkat Pendidikan, Jenjang karir perawat klinik) sehingga Hal ini dapat menjadi pertimbangan rumah sakit untuk pengembangan program pendidikan berkelanjutan bagi perawat pelaksana dan peningkatan kompetensi jenjang karir perawat klinik. meningkatkan budaya positif dirumah sakit dengan melakukan pengkajian Kembali pengaturan staf atau ketenagaan perawat terkait dengan kecukupan jumlah tenaga berdasarkan rasio perawat pasien, memperhatikan jumlah total jam kerja perawat serta adanya kesesuaian penempatan tenaga berdasarkan level kompetensi. optimalisasi kompetensi kepemimpinan kepala ruangan dengan pengembangan panduan kompetensi kepemimpinan

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Patient safety culture is very important in providing safe care. The leadership competence of the head of nurse is not yet optimal in carrying out its roles and functions to ensure better service quality for patient safety. This study aims to determine the relationship between the leadership competence of the head of nurse and safety culture. This cross-sectional study using proportional sampling was conducted by filling out a questionnaire involving 260 nurses at 4 Hospital X Tangerang City. The results obtained were a significant relationship between the leadership competence of the head of nurse and patient safety culture (p <0.05). The results of linear regression showed that the variables that most influenced patient safety culture were education level, career path and leadership (R2=0,272). The conclusion of patient safety culture that needs to be considered is the importance of clinical nurse careers, the level of education of implementing nurses and the leadership competence of the head of nurse. The suggestion of this research is to get the results of a correlation between patient safety culture and the characteristics of implementing nurses (Education Level, Career Paths for Clinical Nurses) so that this can be a consideration for hospitals for continuing education development programs for implementing nurses and increasing clinical nurse career competencies. improve a positive culture in hospitals by reviewing staff or manpower arrangements related to the adequacy of the number of personnel based on the nurse-patient ratio, paying attention to the number of working hours of nurses and the availability of staffing based on competency levels. optimizing the leadership competence of the head of nurse with the development of leadership competency guidelines."

"Budaya keselamatan pasien merupakan pondasi utama dalam pelaksanaan keselamatan pasien. Penelitian ini bertujuan untuk mengetahui pengaruh pemberdayaan champion keselamatan pasien terhadap penerapan budaya keselamatan pasien di Rumah Sakit Haji Jakarta. Metode penelitian ini menggunakan pre-experiment design: pretest-posttest without control group design, sampel yang digunakan 81 perawat. Data analisis dengan menggunakan Mc Nemar. Hasil menunjukkan terdapat peningkatan persentasi penerapan budaya keselamatan pasien setelah program pemberdayaan champion keselamatan pasien dengan pengaruh yang tidak bermakna secara statistik (p= 0,451; CI= 0.084-0.928). Penelitian ini merekomendasikan perlunya pengembangan champion keselamatan pasien dengan memperhatikan kriteria kelayakan sebagai champion keselamatan pasien serta membangun program pemberdayaan champion keselamatan pasien berkelanjutan sesuai kebutuhan rumah sakit.

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The culture of patient safety is the main foundation in the implementation of patient safety. This study aimed to determine the influence of the patient safety champion empowerment on the application of patient safety culture in Jakarta Hajj Hospital.

This research method used pre-experimental design: pretest-posttest without control group design, the sample was 81 nurses. Data were analyzed using Mc Nemar test.

The results showed there was an increase in the percentage of the implementation of a patient safety culture after the program of patient safety champions empowerment had been implemented, which was not statistically significant (p = 0.451; CI = 0084-0928).

It is recommended to develop the patient safety champions by taking into account the eligibility criteria as a patient safety champion and to build a sustainable program of patient safety champion empowerment that suitable to the needs of the hospital."

"[Merumuskan Learning Organization Melalui Analisis Budaya Keselamatan Pasien Dan Budaya Organisasi Di RS.Masmitra Langkah awal membangun keselamatan pasien adalah melakukan penilaian terhadap budaya keselamatan pasien yang mana diperlukan pengkajian budaya organisasi sebagai panduan dalam menerapkan keselamatan pasien. Penelitian deskriptif dengan metode kuantitatif potong lintang dilanjutkan metode kualitatif ini bertujuan mengukur budaya keselamatan pasien, mengidentifikasi profil budaya organisasi dan merumuskan learning organization untuk membangun keselamatan pasien di RS.Masmitra. Budaya Hierarchy didapati sebagai budaya organisasi yang dominan saat ini di RS.Masmitra yang membutuhkan manajemen pengetahuan dalam upaya transformasi budaya keselamatan pasien. Hal ini sejalan dengan hasil penelitian budaya keselamatan pasien yang menyatakan dimensi pembelajaran organisasi dan perbaikan berkelanjutan merupakan budaya terlemah di RS.Masmitra. Oleh karena itu, perumusan learning organization sangatlah tepat untuk membangun keselamatan pasien di RS.Masmitra.

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Formulating Learning Organization Through Analysis of Patient Safety Culture and Organizational Culture In Masmitra Hospital The initial step to build patient safety is by conducting assessment to the existing patient safety culture where assessment of organizational culture shall become guidance in patient safety implementation. Descriptive study with cross-sectional quantitative method followed by qualitative method aims to measure patient safety culture, identify organizational culture profile and formulates learning organization to develop patient safety in Masmitra hospital. Hierarchy culture has been found as the dominant organizational culture exists in Masmitra hospital which requires knowledge management in an effort to transform the culture of patient safety. This is in line with the research result which explains dimensions of organizational learning and continuous improvement is the weakest culture in Masmitra hospital. Therefore, formulation of a learning organization is appropriate to develop patient safety in Masmitra hospital.;Formulating Learning Organization Through Analysis of Patient Safety Culture and Organizational Culture In Masmitra Hospital The initial step to build patient safety is by conducting assessment to the existing patient safety culture where assessment of organizational culture shall become guidance in patient safety implementation. Descriptive study with cross-sectional quantitative method followed by qualitative method aims to measure patient safety culture, identify organizational culture profile and formulates learning organization to develop patient safety in Masmitra hospital. Hierarchy culture has been found as the dominant organizational culture exists in Masmitra hospital which requires knowledge management in an effort to transform the culture of patient safety. This is in line with the research result which explains dimensions of organizational learning and continuous improvement is the weakest culture in Masmitra hospital. Therefore, formulation of a learning organization is appropriate to develop patient safety in Masmitra hospital.;Formulating Learning Organization Through Analysis of Patient Safety Culture and Organizational Culture In Masmitra Hospital The initial step to build patient safety is by conducting assessment to the existing patient safety culture where assessment of organizational culture shall become guidance in patient safety implementation. Descriptive study with cross-sectional quantitative method followed by qualitative method aims to measure patient safety culture, identify organizational culture profile and formulates learning organization to develop patient safety in Masmitra hospital. Hierarchy culture has been found as the dominant organizational culture exists in Masmitra hospital which requires knowledge management in an effort to transform the culture of patient safety. This is in line with the research result which explains dimensions of organizational learning and continuous improvement is the weakest culture in Masmitra hospital. Therefore, formulation of a learning organization is appropriate to develop patient safety in Masmitra hospital.;Formulating Learning Organization Through Analysis of Patient Safety Culture and Organizational Culture In Masmitra Hospital The initial step to build patient safety is by conducting assessment to the existing patient safety culture where assessment of organizational culture shall become guidance in patient safety implementation. Descriptive study with cross-sectional quantitative method followed by qualitative method aims to measure patient safety culture, identify organizational culture profile and formulates learning organization to develop patient safety in Masmitra hospital. Hierarchy culture has been found as the dominant organizational culture exists in Masmitra hospital which requires knowledge management in an effort to transform the culture of patient safety. This is in line with the research result which explains dimensions of organizational learning and continuous improvement is the weakest culture in Masmitra hospital. Therefore, formulation of a learning organization is appropriate to develop patient safety in Masmitra hospital., Formulating Learning Organization Through Analysis of Patient Safety

Culture and Organizational Culture In Masmitra Hospital

The initial step to build patient safety is by conducting assessment to the

existing patient safety culture where assessment of organizational culture

shall become guidance in patient safety implementation.

Descriptive study with cross-sectional quantitative method followed by

qualitative method aims to measure patient safety culture, identify

organizational culture profile and formulates learning organization to

develop patient safety in Masmitra hospital.

Hierarchy culture has been found as the dominant organizational culture

exists in Masmitra hospital which requires knowledge management in an

effort to transform the culture of patient safety. This is in line with the

research result which explains dimensions of organizational learning and

continuous improvement is the weakest culture in Masmitra hospital.

Therefore, formulation of a learning organization is appropriate to

develop patient safety in Masmitra hospital.]"

"Penelitian ini membahas tentang analisis budaya keselamatan pasien di Instalasi Rawat Inap RS AZRA Bogor Tahun 2018. Tujuan dari penelitian ini adalah mendapatkan gambaran budaya keselamatan pasien di Instalasi Rawat Inap RS AZRA Bogor menggunakan kuesioner AHRQ Assosiations of Health Care Quality. Penelitian ini merupakan penelitian kuantitatif dengan metode survei dan pendekatan cross sectional dengan jumlah sample 75 perawat rawat inap. Hasil penelitian menunjukkan bahwa Instalasi Rawat Inap RS AZRA Bogor memiliki budaya keselamatan baik sebesar 37,3 yang artinya budaya keselamatan ini termasuk kategori budaya keselamatan kurang. Peneliti menyarankan agar SDM RS AZRA Bogor memperhatikan kembali staffing dengan cara mengurangi tugas non core job-nya.

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This study discuss the analysis of patient safety culture at Inpatient of AZRA Bogor Hospital in 2018. The purpose of this study is to get a description of the patient 39 s safety culture at Inpatient of AZRA Bogor Hospital using AHRQ Assosiations of Health Care Quality questionare. The method of this researching using quantitative with survey and cross sectional approach with total sample of 75 nurses.

The result showed Inpatient had a good patient safety culture of 37,3. It means this safety culture belongs to less safety culture category. This research recommends that the AZRA Bogor Hospital pay attention to staffing by reducing its non core job task."

"Penilaian budaya keselamatan pasien adalah satu elemen dasar dalam meningkatkan upaya keselamatan pasien. Sangat penting untuk menilai bagaimana sikap, persepsi, kompetensi individu  dan perilaku orang / kelompok sehingga menentukan komitmen dalam meminimalkan insiden. Penelitian itu bertujuan  untuk mengetahui faktor-faktor yang berhubungan dengan budaya keselamatan pasien. Jenis penelitian ini menggunakan metode crossectional pada populasi seluruh pegawai Rumah Sakit Pusat Otak Nasional (RSPON) berjumlah 649 orang. Pengambilan sampel menggunakan teknik simple random sampling dengan besar sampel 250 orang responden. Analisis data yang dilakukan adalah analisa regresi logistik .  Hasil penelitian menunjukkan bahwa budaya keselamatan pasien di RSPON memiliki respon positif 46,8%. dalam kategori budaya kurang kuat.  Faktor dominan yang  berhubugan dengan budaya keselamatanan pasien adalah faktor pekerjaan yaitu serah terima dan pergantian shift (p=0,03) dengan dikontrol  kerjasama antara unit kerja (p = 0,035), serta faktor organisasi yaitu : manajemen SDM/staffing (p = 0,04). Disarankan agar  RSPON memperbaiki budaya keselamatan pasien  (a) mengembangkan instrumen serah terima pasien atau pekerjaan untuk keselamatan pasien, (b) mengembangkan dan mengevaluasi prosedur informasi pada serah terima terutama  perintah lisan dan telepon, (c) mengoptimalkan pergantian kerja/shift

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Patient safety culture assessment are the basic component in the patient safety improvement program. It is important to assess how attitudes, perceptions, competencies and behaviors of individuals / groups that determine the commitment to minimize the incident. The study aims to determine patient safety culture and the factors that influence it. This research used cross sectional method on the entire population RSPON numbered 649 employees to response. Sampling with simple random sampling technique and the number of sample in this research is 250 respondents. Data analysis by logistic regression. The results showed that patient safety culture in the category of culture to response less well with the positive response of 46.8%. The dominant factor affecting patient safety culture are job factor that handoff or transition and shift (p = 0.03) and control by cooperation between working units (p = 0.035), as well as organizational factors, namely:  staffing (p = 004). It is recommended to response improve patient safety culture (a) develop instruments handover of patients or work for the safety of the patient, (b) development and evaluation procedure the information on the handover mainly verbal orders and telephones, (c) optimizing the turn of the job / shift through changes in work shifts a maximum of 3 days and establish effective communication as well as their supervision in patient safety, "

"Penelitian ini membahas tentang persepsi tenaga keperawatan terhadap budaya keselamatan pasien di RSIA SamMarie Basra Tahun 2017. Tujuan dari penelitian ini adalah mendapatkan deskripsi mengenai persepsi tenaga keperawatan terhadap budaya keselamatan pasien yang dapat mencerminkan tingkatan kualitas implementasi keselamatan pasien di RSIA SamMarie Basra. Penelitian ini merupakkan penelitian kuantitatif dengan metode survei dan pendekatan cross sectional. Hasil penelitian menunjukan bahwa 53,1 tenaga keperawatan di RSIA SamMarie Basra memiliki persepsi yang baik terhadap budaya keselamatan pasien. Tidak ada hubungan yang signifikan antara karakteristik individu terhadap persepsi tenaga keperawatan terhadap budaya keselamatan pasien. Peneliti menyarankan agar semua tenaga kerja di RSIA SamMarie Basra berkomitmen terhadap pelaksanaan respon non-punitive sehingga budaya keselamatan pasien di rumah sakit dapat terus ditingkatkan.

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This study discusses the perceptions of nursing staff on the patient safety culture at RSIA SamMarie Basra in 2017. The purpose of this study is to get a description of the perceptions of nursing staff on patient safety culture that can reflect the quality level of patient safety implementation at RSIA SamMarie Basra. This research is a quantitative research with survey method and cross sectional approach.

The results showed that 53,1 of nursing staff at RSIA SamMarie Basra had a good perception of the patient safety culture. There is no significant relationship between individual characteristics on the nursing staff perceptions on patient safety culture.

The researcher recommends that all workers in the hospital commit to the implementation of non punitive response so that the patient safety culture in hospitals can be improved."