scholarly journals Analisis Insiden Keselamatan Pasien di Rumah Sakit Berdasarkan Pendekatan Beban Kerja dan Komunikasi

2021 ◽  
Vol 9 (3) ◽  
pp. 183-190
Author(s):  
Agus Aan Adriansyah, S.KM., M.Kes. ◽  
Budhi Setianto ◽  
Nikmatus Sa'adah ◽  
Pinky Ayu Marsela Arindis ◽  
Wahyu Eka Kurniawan ◽  
...  
Keyword(s):  
Patient Safety ◽  
Information Disclosure ◽  
Measurement Tool ◽  
Transfer Of Knowledge ◽  
Work Unit ◽  
Safety Incident ◽  
High Workload ◽  
Patient Safety Incident ◽  
Work Units ◽  
Patient Safety Incidents

Patient safety incidents at Ahmad Yani Islamic Hospital Surabaya increased by 0.3% in 2019. If not addressed immediately, these problems can give a negative image to hospitals and patients. An error that appears and has an impact on increasing patient safety incidents, stems from a high workload and poor communication. The purpose of this study was to analyze the role of workload and communication on the occurrence of patient safety incidents in hospitals. This study uses a unit of analysis as many as 18 work units that directly provide services to patients. Participants include the head of the work unit, the person in charge of the work unit and the person in charge of the quality of the work unit with a total of 90 people. The data was obtained primarily using the instrument contained in the google form. The communication measurement tool uses the Communication Openness Measurement (COM) and the workload uses the WISN calculation. Patient safety incident data was obtained from the PMKP RS team. The analysis was carried out by means of a simple cross tabulation with interpretation using the Pareto concept. The results showed that most work units (83.3%) had a low workload, most of the work unit communication (61.1%) was not good and 33.3% of work units had a high patient safety incident rate. In the Pareto concept, the results showed that workload had no effect on patient safety incidents, while communication influenced the number of patient safety incidents. Therefore, hospitals need to fix the pattern and flow of communication as well as the need for information disclosure so that the flow of information becomes more adequate, transfer of knowledge becomes better and employee understanding of the importance of patient safety in hospitals becomes better.

scholarly journals PENGARUH DIMENSI STAFFING TERHADAP INSIDEN KESELAMATAN PASIEN BERDASARKAN AGENCY FOR HEALTCARE RESEARCH AND QUALITY (AHRQ) DI RSU HAJI SURABAYA

2017 ◽  
Vol 5 (1) ◽  
pp. 41
Author(s):  
Setya Budi Rahayu
Keyword(s):  
Patient Safety ◽  
Positive Response ◽  
Service Work ◽  
Hospital Services ◽  
Work Unit ◽  
Safety Incident ◽  
Regression Test ◽  
Patient Safety Incident ◽  
Patient Safety Incidents

The incidence of patient safety is an indicator that can be used to describe the quality of hospital services. Based on data obtained from reports IKP in RSU Haji Surabaya in 2015 is known to have occurred 40 patient safety incidents. This research to analyze the influence of staffing dimension base on AHRQ with patient safety incidents in service work unit RSU Haji Surabayausing simple linier regression test. The results showed from the 38 unit service work RSU Haji Surabaya there are 18 units (47,36%) categorized as a strong staffing dimension with a positive response ≥ 75%, 16 units (42,11%) the  medium categorized staffing dimension with a positive response from 75% - 50% and 4 units (10,53%) the weak categorized staffing dimension with a positive response < 50%. And according to a report IKP RSU Haji Surabaya January - October 2016 there were 22 incidents of patient safety that consists of 5 KTD, 3 KNC and 14 KTC. In this research can be concluded that there is no significant relationship between staffing dimension with patient safety incidents in service work unit RSU Haji Surabaya. This can be due to by various factors that occurs in the system.Keywords: AHRQ, Patient Safety Incident, Staffing Dimension

scholarly journals Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis

2019 ◽  
pp. bmjspcare-2019-001824
Author(s):  
Toby Dinnen ◽  
Huw Williams ◽  
Sarah Yardley ◽  
Simon Noble ◽  
Adrian Edwards ◽  
...  
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Advance Care Planning ◽  
Learning System ◽  
Care Planning ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Advance Care ◽  
National Analysis ◽  
Patient Safety Incidents

ObjectivesAdvance care planning (ACP) is essential for patient-centred care in the last phase of life. There is little evidence available on the safety of ACP. This study characterises and explores patient safety incidents arising from ACP processes in the last phase of life.MethodsThe National Reporting and Learning System collates patient safety incident reports across England and Wales. We performed a keyword search and manual review to identify relevant reports, April 2005–December 2015. Mixed-methods, combining structured data coding, exploratory and thematic analyses were undertaken to describe incidents, underlying causes and outcomes, and identify areas for improvement.ResultsWe identified 70 reports in which ACP caused a patient safety incident across three error categories: (1) ACP not completed despite being appropriate (23%, n=16). (2) ACP completed but not accessible or miscommunicated between professionals (40%, n=28). (3) ACP completed and accessible but not followed (37%, n=26). Themes included staff lacking the knowledge, confidence, competence or belief in trustworthiness of prior documentation to create or enact ACP. Adverse outcomes included cardiopulmonary resuscitation attempts contrary to ACP, other inappropriate treatment and/or transfer or admission.ConclusionThis national analysis identifies priority concerns and questions whether it is possible to develop strong system interventions to ensure safety and quality in ACP without significant improvement in human-dependent issues in social programmes such as ACP. Human-dependent issues (ie, varying patient, carer and professional understanding, and confidence in enacting prior ACP when required) should be explored in local contexts alongside systems development for ACP documentation.

scholarly journals Prolonged mental health sequelae among doctors and nurses involved in patient safety incidents with formal complaints and lawsuits

2019 ◽  
Vol 30 (4) ◽  
pp. 777-779
Author(s):  
Gerda Zeeman ◽  
Loes Schouten ◽  
Deborah Seys ◽  
Ellen Coeckelberghs ◽  
Philomeen Weijenborg ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Safety ◽  
Related Disorder ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Formal Complaint ◽  
The Impact ◽  
Patient Safety Incidents ◽  
Doctors And Nurses

Abstract We evaluated the presence of prolonged mental health sequelae in the aftermath of a patient safety incident and the impact of a formal complaint or lawsuit on these mental health sequelae in 19 hospitals and 2635 nurses and doctors. Of 2635 respondents, 983 (37.3%) reported a complaint and 190 (7.2%) reported a lawsuit. In both doctors and nurses prolonged mental health sequelae reflecting a stressor-related disorder were highly prevalent, each well over 20% overall. They were consistently more prevalent in case of a formal complaint or lawsuit. Lawsuits showed 2-, 3- and 4-fold increases in prevalence of mental health sequelae.

scholarly journals An analysis of electronic health record–related patient safety incidents

2016 ◽  
Vol 23 (2) ◽  
pp. 134-145 ◽  
Author(s):  
Sari Palojoki ◽  
Matti Mäkelä ◽  
Lasse Lehtonen ◽  
Kaija Saranto
Keyword(s):  
Patient Safety ◽  
Electronic Health Record ◽  
Health Record ◽  
Similar Data ◽  
Safety Risks ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
International Data ◽  
Electronic Health ◽  
Patient Safety Incidents

The aim of this study was to analyse electronic health record–related patient safety incidents in the patient safety incident reporting database in fully digital hospitals in Finland. We compare Finnish data to similar international data and discuss their content with regard to the literature. We analysed the types of electronic health record–related patient safety incidents that occurred at 23 hospitals during a 2-year period. A procedure of taxonomy mapping served to allow comparisons. This study represents a rare examination of patient safety risks in a fully digital environment. The proportion of electronic health record–related incidents was markedly higher in our study than in previous studies with similar data. Human–computer interaction problems were the most frequently reported. The results show the possibility of error arising from the complex interaction between clinicians and computers.

scholarly journals Analisis Faktor yang Mempengaruhi Pelaporan Insiden Keselamatan Pasien pada Perawat

2020 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Maria Yuventa Wanda ◽  
Nursalam Nursalam ◽  
Andri Setiya Wahyudi
Keyword(s):  
Patient Safety ◽  
Work Experience ◽  
Care Facility ◽  
Incident Reporting ◽  
Cross Sectional ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Experience Education ◽  
Patient Safety Incidents ◽  
Safety Incident Reporting

Introduction: Patient Safety Incident Report hereinafter referred to as incident reporting, is a system of documenting patient safety incident reports, analyzing and obtaining recommendations and solutions from the health care facility patient safety team. This study aims to analyze the factors of work experience, education, perceptions, attitudes, motivation, leadership towards reporting patient safety incidents to nurses in the inpatient room of Prof. Dr. W. Z. Johannes Kupang.Method: The design of this study was cross-sectional. The sample size of the study was 143 respondents who met the inclusion criteria. The dependent variable is the reporting of patient safety incidents, while the independent variables are work experience, education, perception, attitude, motivation,  leadership. Data were collected using a questionnaire and observation on nurses. Data were then analyzed using multiple logistic regression with a significant value < 0.05.Results:  The results show that there is a perception effect on patient safety incident reporting (p = 0.05) and leadership influence on patient safety incident reporting (p = 0.02).Conclusion: The concludes is that there is an influence of perception and leadership on reporting patient safety incidents. Further researchers are advised to research the effect of training on improving patient safety incident reporting.

scholarly journals Implementasi Patient Safety di Pelayanan Anak Rumah Sakit Umum Haji Medan Tahun 2019

2020 ◽  
Vol 8 (3) ◽  
pp. 188-196
Author(s):  
Verawaty Sari Simamora ◽  
Zulfendri Zulfendri ◽  
Roymond H Simamora ◽  
Puteri Citra Cinta Asyura Nasution
Keyword(s):  
Patient Safety ◽  
Child Care ◽  
Health Workers ◽  
Safety System ◽  
Children's Services ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Children’S Services ◽  
Patient Safety Incidents

The complexity of diversity, relationships, variety and specialization can provide more opportunities for mistakes, one of which is in the children's hospital services. Based on patient safety incident report data at Rumah Sakit Umum Haji Medan in January 2018 to October 2018, it is known that child care is the unit with the highest number of patient safety incidents compared to other units at 37 incidents. Implementation of patient safety by officers in children's services is the main focus that must be considered its role to prevent the occurrence of patient safety incidents. This research is a qualitative research that aims to see the extent of the implementation of patient safety in child care at Rumah Sakit Umum Haji Medan from the description of the role of health workers involved in child care, namely the role of the head of a child's SMF, the role of a pediatrician, and the role of a child nurse. Data collection was carried out by in-depth interviews with 7 informants and through observation. The results showed the implementation of patient safety in children's services has not been running optimally. This is because not all health workers in child services, namely the head of the child's SMF, pediatricians and child nurses do their part in the patient safety system. The roles carried out are still focused on the standards of each profession. It is expected that routine socialization on the implementation of patient safety, the implementation of special meetings and discussions to study the patient safety system and the existence of patient safety drivers in child care designated as the person responsible for moving every officer to implement patient safety. Keywords: Implementation, Children's Services, Patient Safety

scholarly journals What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study

2018 ◽  
Vol 27 (9) ◽  
pp. 673-682 ◽  
Author(s):  
Jane K O’Hara ◽  
Caroline Reynolds ◽  
Sally Moore ◽  
Gerry Armitage ◽  
Laura Sheard ◽  
...  
Keyword(s):  
Patient Safety ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Survey Study ◽  
Safety Concerns ◽  
Safety Incident ◽  
Patient Reported ◽  
Patient Safety Incident ◽  
Incident Reports ◽  
Patient Safety Incidents

BackgroundPatient safety measurement remains a global challenge. Patients are an important but neglected source of learning; however, little is known about what patients can add to our understanding of safety. We sought to understand the incidence and nature of patient-reported safety concerns in hospital.MethodsFeedback about the experience of safety within hospital was gathered from 2471 inpatients as part of a multicentre, waitlist cluster randomised controlled trial of an intervention, undertaken within 33 wards across three English NHS Trusts, between May 2013 and September 2014. Patient volunteers, supported by researchers, developed a classification framework of patient-reported safety concerns from a random sample of 231 reports. All reports were then classified using the patient-developed categories. Following this, all patient-reported safety concerns underwent a two-stage clinical review process for identification of patient safety incidents.ResultsOf the 2471 inpatients recruited, 579 provided 1155 patient-reported incident reports. 14 categories were developed for classification of reports, with communication the most frequently occurring (22%), followed by staffing issues (13%) and problems with the care environment (12%). 406 of the total 1155 patient incident reports (35%) were classified by clinicians as a patient safety incident according to the standard definition. 1 in 10 patients (264 patients) identified a patient safety incident, with medication errors the most frequently reported incident.ConclusionsOur findings suggest that patients can provide insight about safety that complements existing patient safety measurement, with a frequency of reported patient safety incidents that is similar to those obtained via case note review. However, patients provide a unique perspective about hospital safety which differs from and adds to current definitions of patient safety incidents.Trial registration numberISRCTN07689702; pre-results.

scholarly journals BARRIERS TO REPORTING PATIENT SAFETY INCIDENT IN HEALTHCARE WORKERS: INTEGRATIVE LITERATURE REVIEW

2021 ◽  
Vol 9 (2) ◽  
pp. 210
Author(s):  
Deasy Amelia Nurdin ◽  
Adik Wibowo
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Literature Review ◽  
Reporting Rate ◽  
Incident Reporting ◽  
Incident Reporting Systems ◽  
Care Workers ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Patient Safety Incidents

Background: The patient safety incident reporting systems is designed to improve the health care by learning from mistakes to minimize the recurrence mistakes, however the reporting rate is low.Aims: Integrative literature review was chosen to identify and analyze the barriers of reporting patient safety incidents by Health Care Workers (HCWs) in hospital.Methods: Searching for articles in electronic database consisting of Medline, CINAHL and Scopus resulted in 11 relevant articles originating from 9 countries.Results: There are differences but similar in barriers to reporting patient safety incident among HCWs. The barriers that occur are the existence of shaming and blaming culture, lack of time to report, lack of knowledge of the reporting system, and lack of support from the management.Conclusion: Each hospital has different barriers in reporting incident and the interventions carried out must be in accordance with the existing barriers.Keywords: barrier of reporting, incident reporting, patient safety incident

Patient safety incidents in radiology: frequency and distribution of incident types

2020 ◽  
pp. 028418512093738
Author(s):  
Ömer Kasalak ◽  
Derya Yakar ◽  
Rudi AJO Dierckx ◽  
Thomas C Kwee
Keyword(s):  
Patient Safety ◽  
Reporting System ◽  
Organizational Management ◽  
Patient Harm ◽  
Clinical Process ◽  
Future Studies ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Source Of Information ◽  
Patient Safety Incidents

Background Patient safety incidents may be a valuable source of information to learn from and to prevent future errors. Purpose To determine the distribution of patient safety incident types in radiology according to the International Classification for Patient Safety (ICPS), and to comprehensively review those incidents that were either harmful or serious in terms of risk of patient harm and reoccurrence. Material and Methods The most recent five-year database (2014–2019) of a radiology incident reporting system was evaluated. Results A total of 480 patient safety incidents were included. Top three ICPS incident types were clinical administration (119/480, 24.8%), resources/organizational management (112/480, 23.3%), and clinical process/procedure (91/480, 19.0%). Harm severities were none in 457 (95.2%) cases, mild in 14 (2.9%), moderate in 4 (0.8%), severe in 3 (0.6%), and unknown in one case. Subsequent Prevention Recovery Information System for Monitoring and Analysis (PRISMA) reviews were performed in 4 (0.8%) cases. The three patient safety incidents that caused severe harm (of which one underwent PRISMA review) involved resources/organizational management (n = 1), clinical process/procedure (n = 1), and medication/IV fluids (n = 1). Three other cases (with no harm in two cases and moderate harm in one case) that underwent PRISMA review involved resources/organizational management (n = 2) and medical device/equipment/property (n = 1). Conclusion Radiology-related patient safety incidents predominantly occur in three ICPS domains (clinical administration, resources/organizational management, and clinical process/procedure). Harmful/serious incidents are relatively rare. The standardly and transparently reported findings from this study may be used for healthcare quality improvement, benchmarking purposes, and as a primer for future studies.

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