Analysis of Patient Safety Management in Committee for Quality Improvement and Patient Safety at Sumbawa Hospital, West Nusa Tenggara

Authors

  • Evie Sulahyuningsih Masters Program in Public Health, Universitas Sebelas Maret
  • Didik Gunawan Tamtomo Department of Anatomy, Faculty of Medicine, Universitas Sebelas Maret
  • Hermanu Joebagio Faculty of Teaching and Educational Sciences, Universitas Sebelas Maret

Abstract

Background: Patient safety is a crucial issue and a focus of policy standard in internationally accredited organizations. The specific committee responsible for quality improvement in patient safety is the committee for quality improvement and patient safety (PMKP). Incidence of malpractice often occurs but are not reported. It indicates that the committee has not worked according to required accreditation standard. This study aimed to analyze patient safety management with the committee for quality improvement and patient safety at Sumbawa Hospital, West Nusa Tenggara.

Subjects and Method: This was a qualitative study with phenomenology approach. Nine study participants were selected purposively, consisting of 3 committee members (chairperson, secretary, and patient safety sub-committee), 3 chiefs of ward (pediatrics, internal medicine, and surgery), and 4 nurses or midwives (pediatrics, surgery, ICU/ICCU, and obstetrics).

Results: The committee for quality improvement and patient safety has been established at Sumbawa Hospital, West Nusa Tenggara to meet the requirement of hospital accreditation standard. It aimed to improve the quality of services and to assure patient safety. However, its work has not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP member, medical professionals was identified as one important obstacle for the implementation of patient safety management. This has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.

Conclusion: PMKP has been established at Sumbawa Hospital, West Nusa Tenggara. However, their work have not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP, and health professional, has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.

Keyword: quality improvement, patient safety management, committee

Correspondence: Evie Sulahyuningsih. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Mobile: 08786410495.

Journal of Health Policy and Management (2017), 2(2): 147-156
https://doi.org/10.26911/thejhpm.2017.02.02.06 

References

Afiyanti Y, Rachmawati IN (2014). Metodologi Penelitian Kualitatif Dalam Riset Keperawatan. Jakarta: PT Raja Grafindo Persada.

Aranaz Andrés JM, Aibar Remón C, Limón Ramírez R, Amarilla A, Res trepo FR, Urroz O, Larizgoitia I (2011). Prevalence of adverse events in the hospitals of five Latin American countries: Results of the “Iberoamerican study of adverse events” (IBEAS). BMJ Quality and Safety, 20(12): 1043–1051. https://doi.org/10.1136/bmjqs.2011.051284.

Bandura A (2001). Social Cognitive Theory: An Agentic Perspective. Annual Review of Psychology, 52(1): 1–26. https://doi.org/10.1146/annurev.psych.52.1.1

Bell SK, White AA, Yi JC, Yi Frazier JP, Gallagher TH (2015). Transparency When Things Go Wrong: Physician Attitudes About Reporting Medical Errors to Patients, Peers, and Institutions. Journal of Patient Safety, 1–6. https://doi.org/10.1097/PTS.000000-0000000153

Bishop AC, Macdonald M (2014). Patient Involvement in Patient Safety- A Qualitative Study of Nursing Staff and Patient Perceptions. J Patient Saf, 1–6.

Boamah SA, Spence Laschinger HK, Wong C, Clarke S (2017). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 1–10. https://doi.org/10.1016/j.outlook.2017.10.004.

Braun V, Clarke V (2014). Successful Qualitative Research. https://doi.org/9781847875815

Campione J, Famolaro T (2017). Promising Practices for Improving Hospital Patient Safety Culture. Joint Commission Journal on Quality and Patient Safety, (62). https://doi.org/10.1016/j.jcjq.2017.09.001.

Danielsson M, Nilsen P, Rutberg H, Årestedt K (2017). A National Study of Patient Safety Culture in Hospitals in Sweden, 1–6.

Davidson JE, Agan DL, Chakedis S, Skrobik Y (2015). Workplace blame and related concepts: An analysis of three case studies. Chest, 148(2): 543–549. https://doi.org/10.1378/chest.15-03-32.

El ardali F, Dimassi H, Jamal D, Jaafar M, Hemadeh N (2011). Predictors and outcomes of patient safety culture in hospitals. BMC Health Services Research, 11(1): 45. https://doi.org/10.1186/1472-6963-11-45

JCI (2017). JCI Accreditation Standards for Hospitals, 6th Edition. Joint Commission International. Retrieved January 3, 2018, from https://www.jointcom-missioninternational.org/jci-accredi-tation-standards for hospitals 6th edition/.

Kangasniemi M, Vaismoradi M, Jasper M (2013). Ethical issues in patient safety: Implications for nursing management, 20(8): 904–916.

KARS (2017). Efektif 1 Januari 2018, 421.

Keles A (2015). Analisis pelaksanaan standar sasaran keselamatan pasien di Unit Gawat Darurat RSUD Dr. Sam Ratulangi Tondano sesuai dengan akreditasi rumah sakit versi 2012. Jikmu, 5(3): 250–259.

Kemenkes (2009). Standar Perlindungan Pasien Perlu Disosialisasikan ke Seluruh Rumah Sakit. Retrieved January 4, 2018, from http://www.dep-kes.go.id/article/view/407/standar-perlindungan-pasien perlu disosia lisasikan-ke-seluruh-rumah-sakit.-html.

Kemenkes (2015). Pedoman Pelaporan Insiden Keselamatan Pasien; Kemenkes 2015.pdf. Retrieved January 3, 2018, from https://www.scribd.com/-document/364248247/Pedoman-Pelaporan-Insiden-Keselamatan-Pasien-Kemenkes-2015-pdf

Lee A, Mills PD, Neily J, Hemphill RR (2014). Root Cause Analysis of Se-rious Adverse Events Among Older Patients in the Veterans Health Administration. The Joint Commission Journal on Quality and Patient Safety, 40(6): 253–262. https://doi.org/10.1016/S1553-7250(14)40034-5.

Morello RT, Lowthian JA, Barker AL, McGinnes R, Dunt D, Brand C (2013). Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Quality & Safety, 22(1), 11–18. https://doi.org/10.1136/bmjqs-2011-000582.

Mwachofi A, Walston SL, Al Omar BA (2011). Factors affecting nurses’ perceptions of patient safety. International Journal of Health Care Quality Assurance, 24(4): 274–283. https://doi.org/10.1108/09526861111125589.

Priyoto, Widyastuti T (2014). Kebutuhan Dasar Keselamatan Pasien. Yogyakarta: Graha Ilmu.

Radhakrishna S (2015). Culture of blame in the National Health Service; Consequences and solutions. British Journal of Anaesthesia, 115(5): 653–655. https://doi.org/10.1093/bja/aev152

Smith A, Hatoun J, Moses J (2017). Increasing Trainee Reporting of Adverse Events With Monthly Trainee Directed Review of Adverse Events. Academic Pediatrics, 17(8): 902–906. https://doi.org/10.1016/j.acap.2017.01.004

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.

Stewart KR (2017). SBAR, Communication, and Patient Safety: An Integrated Literature Review. MEDSURG Nursing, 26(5): 297–305. Sugiyono (2015). Metode Penelitian Pendidikan Pendekatan Kualitatif, Kuantitatif, dan R & D. Bandung: Alfabeta.

Tague NR (2005). Fishbone Diagram (Ishikawa) Cause & Effect Diagram. The Quality Toolbox. Retrieved from http://asq.org/learn-about-quality/cause analysis tools/overview/fishbone.html.

Turner S, Higginson J, Oborne CA, Thomas RE, Ramsay AIG, Fulop NJ (2014). Codifying knowledge to improve patient safety: A qualitative study of practicebased interventions. Social Science and Medicine, 113: 169–176. https://doi.org/10.1016/j.socscimed.2014.05.031.

Von Bertalanffy L (1956). General System Theory. General Systems: Yearbook for the Society for the Advancement of General Systems Theory.

Weiner (1935). Attribution Theory (Weiner) Learning Theories. Retrieved January 3, 2018, from https://www.learn-ing-theories.com/weiners attribution theory.html.

Xie J, fei, Ding, S. qing, Zhong, Z. qing, Zeng, S. nan, Qin, C. xiang, Yi, Q. feng, Zhou J (2017). A safety culture training program enhanced the perceptions of patient safety culture of nurse managers. Nurse Education in Practice, 27: 128–133. https://doi.org/10.1016/j.nepr.2017.08.003.

Zwijnenberg NC, Hendriks M, HoogervorstSchilp J, Wagner C (2016). Healthcare professionals’ views on feedback of a patient safety culture assessment. BMC Health Services Research, 16(1): 1–11. https://doi.org.10.1186/s12913-016-1404-8.

Downloads

Published

13-01-2018

How to Cite

Sulahyuningsih, E., Tamtomo, D. G., & Joebagio, H. (2018). Analysis of Patient Safety Management in Committee for Quality Improvement and Patient Safety at Sumbawa Hospital, West Nusa Tenggara. Journal of Health Policy and Management, 2(2), 147–156. Retrieved from http://thejhpm.com/index.php/thejhpm/article/view/39

Issue

Section

Articles