Analysis of Patient Safety Management in the In-Patient Room at Deli Hospital, Medan, North Sumatera
Background: Patient safety management means to reduce unnecessary risks and adverse events to the minimum possible level while providing health care. The application of patient safety management had not been maximal in some hospitals. It can cause health problems for patients and health workers. This study aimed to analyze the patient safety management in the in-patient room at Deli Hospital, Medan, North Sumatera.
Subjects and Method: This was a qualitative study conducted in February to July 2018. The three informants were consisted of the head of quality improvement and patient safety, the patient safety team, and the nursing committee at Deli Hospital, Medan, North Sumatera. The data were collected by in-depth interview and observation. The data were analyzed using data reduction, data presentation, and conclusion.
Results: The role of hospital organization in implementing management patient safety in the in-patient care had not been maximized. The efforts of increasing the commit-ment of health workers, working environment condition, facility, implementation of standard operating procedure (SOP), and implementing Situation, Background, Assessment, and Recommendation (SBAR), and implementing sanction, had not been maximize. Communication was not effective. The ability of health workers to perform patient safety had not been maximal as seen from the understanding of a poor safety system. Adverse event report was still of manual type. Number of fall accidents in 2018 was 2 cases.
Conclusion: Patient safety management in the in-patient care has not been maximized. Patient safety management can be improved by implementing SOP, SBAR, and its sanctions.
Keywords: management of patient safety, quality of service.
Journal of Health Policy and Management (2020), 05(03): 180-188
Astuti TP (2013). Analisis penerapan manajemen pasien safety dalam rangka peningkatan mutu pelayanan di Rumah Sakit PKU Muhammadiyah Surakarta (Skripsi, Universitas Muhammadiyah Surakarta). Retrieved from http://eprints.ums.ac.id/27263 /1/Halaman Depan.pdf.
Beginta R (2012). Pengaruh budaya keselamatan pasien, gaya kepemimpinan, tim kerja terhadap persepsi pelaporan kesalahan pelayanan oleh perawat di unit rawat inap RSUD Kabupaten Bekasi. Tesis. FKM. Universitas Indonesia.
Departemen Kesehatan RI (2011). Panduan Nasional Keselamatan Pasien Rumah Sakit (Patient Safety). Utamakan Keselamatan Pasien. Edisi 2. Jakarta.
Dewi YA (2017). Faktor-faktor yang memengaruhi penerapan sasaran keselamatan pasien pada perawat di ruang rawat inap kelas I, II, III, RSUD Dr. Soedirman Kebumen. Sekolah Tinggi Ilmu Kesehatan Muhammadiyah. Gombong.
Geller ES (2000). The Psychology of Safety Handbook. USA: CRC Press LLC.
Kaufman G, McCaughan D (2013). The effect of organisational culture on patient safety. Nurs Stand. 27(43):50-6. https://doi.org/10.7748/ns2013.06.27.43.50.e7280.
Kim IS, Park MJ, Park MY, Yoo H, Choi J (2013). Factors affecting the perception of importance and practice of patient safety management among hospital employees in Korea. Asian Nurs Res. 7(1): 26-32. https://doi.org/10.1016/j.anr.2013.01.001.
Komite Akreditas Rumah Sakit (KARS) 2017. Efektif 1 Januari 2018.
Manser T (2009). Teamwork and patient safety in dynamic domain of health-care: a review of the literature. Acta anaesthasia Scand. 53(2): 143-151. https://doi.org/10.1111/j.1399-6576.-2008.01717.x.
Smith SA, Yount N, Sorra J (2017). Exploring relationships between hospital patient safety culture and consumer reports safety scores. BMC Health Services Research, 17(1): 1–10. https://doi.org/10.1186/s12913-017-2078-6
Suparna S, Kurniawati T (2015). Evaluasi penerapan patient safety resiko jatuh unit gawat darurat di Rumah Sakit Panti Rini Kalasan Sleman. Thesis. STIKES 'Aisyiyah Yogyakarta.
Tan KH, Pang NL, Siau C, Foo Z, Fong KY (2019). Building an organizational culture of patient safety. Journal of Patient Safety and Risk Management. 24(6): 253–261. https://doi.org/10.1177%2F2516043519878979.
United Nations Development Program (2002). Handbook on Monitoring and Evaluating for Results. New York: Evaluation Office.
Vincent C (2012). Patient Safety. 2nd edition. Department of Biosurgery Surgical Technology. Imperial College London.
Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM (2013). Promoting a culture of safety as a patient safety strategy: A systematic review. Ann Intern Med. 158(502): 369–374. https://dx.doi.org/10.7326%2F0003-4819-158-5-201303051-00002.
World Health Organization (2017). Patient safety making health care safer. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/255507/WHO-HIS-SDS-2017.11eng.pdf?se-quence=1.