Analysis of Managerial Leadership on Improving the Quality of Hospital Services Through Patient Safety Culture at dr. Darsono Hospital, Pacitan, East Java
DOI:
https://doi.org/10.26911/thejhpm.2025.10.01.05Abstract
Background: Patient safety is an important issue because of the large number of medical error cases that occur in various parts of the world. Patient safety culture is the first step in developing safety because it contains values, attitudes, competencies, and behavioral patterns that determine patient safety programs. The aim of this research is to analyze the influence of managerial leadership on improving the quality of hospital services through a patient safety culture.
Subjects and Method: This was a quantitative study with an explanatory approach. The population used was health workers at Dr. Darsono Hospital, as many as 240 people. Based on the proportionate stratified sampling technique, a sample of 148 people was obtained. This research consists of independent variables and dependent variables. Independent variable is managerial leadership and the dependent variables are patient safety culture and hospital service quality. The data was then analyzed using SEM PLS.
Results: The results of the analysis show that managerial leadership has a significant effect on patient safety culture and improving service quality (p<0.001), patient safety culture has a significant effect on improving service quality (p<0.001), and patient safety culture can mediate the relationship between managerial leadership and service quality (p<0.001). The values of the patient safety culture determination coefficient of 64.9% and the service quality variable of 80.9% showed both variables influenced this study; the remaining 35.1% and 19.1% were explained by other variables outside the study model.
Conclusion: Patient safety culture at Dr. Darsono Hospital is in the sufficient category; a managerial leadership role is needed to improve the implementation of patient safety culture so that the quality of hospital services can increase optimally.
Keywords:
hospital, managerial leadership, patient safety culture, service qualityReferences
Adventus M, Mahendra D, Mertajaya IM (2019). Manajemen Pasien Safety. Universitas Kristen Indonesia.
Daud, A (2020). Sistem Pelaporan dan Pem-belajaran Keselamatan Pasien Nasional (SP2KPN). Kementerian Kesehatan Re-pu¬¬blik Indonesia. https://¬persi.or.id/wp-content/uploads/2020/11/event5-04.pdf
DiCuccio M (2015). The Relationship Between Patient Safety Culture and Patient Out-comes: A Systematic Review. J Patient Saf, 11(3): 135-142. doi: 10.1097/¬PTS.0-000000000000058
Ghofar A, Lestari I, Ibnu F (2021). Manajemen Budaya Keselamatan dalam Meningkat-kan Mutu Pelayanan Pasien. Jurnal EDUNursing, 5(2): 142-150. https://-journal.unipdu.ac.id/index.php/edunursing/article/view/2949
Habibi A et al (2021). Hubungan Reward dengan Kinerja Perawat di Rumah Sakit dr. Sitanala Tahun 2020. Jurnal JKFT. 6(2): 73-82. http://dx.doi.org/10.31000/jkft.v6i2.5757.
Indeed (2022). What Is a Managerial Leader-ship Style? (Examples and Tips). https:-//ca.indeed.com/career-advice/career-development/managerial-leadership-style.
Kartika Y, Sudiro, Wulan LR (2015). Analisis Pengaruh Gaya Kepemimpinan Direktur terhadap Budaya Keselamatan Pasien di RS Hermina Pandanaran. Jurnal Mana-je¬men Kesehatan Indonesia, 3(2): 145-152.
Kemenkes RI (2017). Peraturan Menteri Kese-hatan Republik Indonesia Nomor 11 Tahun 2017 tentang Keselamatan Pasien.
KKPRS (2015). Pedoman Pelaporan Insiden Keselamatan Pasien (Patient Safety Incident Report G-Juideline). Komite Keselamatan Pasien Rumah Sakit (KKPRS).
Miladiyah N, Sarwati P (2019). Determinan Fungsi Manajemen Dan Kepemimpinan Kepala Ruangan Dengan Budaya Kese-lamatan Pasien Oleh Perawat Pelaksana Di Rs. Dr. Chasbullah Abdul Madjid. Jurnal Soshum Insentif, 2(2): 182-194. https://doi.org/10.36787/jsi.v2i2.126
Panjaitan H (2010). Pengaruh Kepemimpinan Terhadpa Kinerja Paramedis dan Dampak¬nya pada Mutu Pelayanan di RSUD Pasuruan. Jurnal Riset Ekonomi & Bisnis, 10(2): 62-72. https://doi.org/-10.1234/jre¬bis.v10i2.342
Pratiwi AA (2022). Beberapa Faktor yang Ber-hubungan dengan Budaya Keselamatan Pasien di Rumah Sakit Umum Bangkatan Kota Banjai Tahun 2018. Excellent Mid-wifery Journal, 5(1): 53-64. https://doi.-org/10.55541/emj.v5i1.186
Setiowati D, Sabri L, Allenidekania (2013). Kepemimpinan Efektif Head Nurse Me-ningkatkan Penerapan Budaya Kese¬la-matan Pasien oleh Perawat Pelaksana di RSUPN dr. Cipto Mangun Kusumo Jakarta. Makara Seri Kesehatan, 17(1). DOI: 10.7454/msk.v17i2.3027
Sohail S (2013). Service Quality in Hospitals: More Favourable than you might think. Managing Service Quality. An Inter-national Journal, 13(3): 197-206. DOI: 10.1108/09604520310476463
The Joint Commission (2017). The Essential Role of Leadership in Developing a Safety Culture. Sentinel Event Alert, 57.
Vellyana D (2015). Analisis Budaya Kesela¬mat-an Pasien dalam Pelayanan Kesehatan di RS PKU Muhammadiyah Unit II Gam-ping. Tesis. Universitas Muhammadiyah Yogyakarta.
Wijayanti Y (2016). Gambaran Budaya Kesela-matan Pasien pada Pegawai di RS X Tangerang pada tahun 2016. Tesis. Universitas Esa Unggul.
