Peningkatan Mutu Keselamatan Pasien Melalui Digitalisasi Pelaporan Insiden Keselamatan Pasien
Abstract
This study aims to build and strengthen the IKP reporting system, improve the culture of reporting in the event of a patient safety incident, and learn from the incidents that occur. The method used is through the Plan-Do-Check-Action (PDCA) cycle approach. The study's results showed the perception that officers did not report IKP because of fear of disciplinary action, the absence of reporter anonymity, and confidentiality was not maintained. Based on the identification results, an intervention plan was prepared to develop IKP reporting through digital media. The intervention results showed an increase in IKP reporting to 34 reports in one month of the IKP reporting digitalization trial period. In conclusion, the intervention proved successful in one PDCA cycle. There needs to be socialization, monitoring, and evaluation of the implementation of the IKP reporting flow SOP periodically to improve the reporting culture and the quality of service that prioritizes patient safety.
Keywords: Patient Safety Incident, Reporting
References
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Pramesona, B. A., Sukohar, A., Taneepanichskul, S., & Rasyid, M. F. A. (2023). A Qualitative Study of The Reasons For Low Patient Safety Incident Reporting Among Indonesian Nurses. Revista Brasileira de Enfermagem, 76(4), 1–8. https://doi.org/10.1590/0034-7167-2022-0583
Rachmawati, E., Umniyatun, Y., Imanda, R., Listiowati, E., & Nurmansyah, M. I. (2023). Self-Assessment of Patient Safety Reporting and Learning System in Private Hospitals in Indonesia. SAGE Open Nursing, 9, 4–11. https://doi.org/10.1177/23779608231198406
Sauro, K. M., Baker, G. R., Tomlinson, G., & Parshuram, C. (2021). The Role of Hospital Characteristics in Patient Safety: A Protocol for A National Cohort Study. CMAJ Open, 9(4), E1041–E1047. https://doi.org/10.9778/cmajo.20200266
Shemsu, A., Dechasa, A., Ayana, M., & Tura, M. R. (2024). Patient Safety Incident Reporting Behavior and Its Associated Factors Among Healthcare Professionals in Hadiya Zone, Ethiopia: A Facility Based Cross-Sectional Study. International Journal of Nursing Studies Advances, 6(May), 100209. https://doi.org/10.1016/j.ijnsa.2024.100209
Shin, J., & Kim, N. Y. (2024). Importance-Performance Analysis of Patient-Safety Nursing in the Operating Room: A Cross-Sectional Study. Risk Management and Healthcare Policy, 17(March), 715–725. https://doi.org/10.2147/RMHP.S450340
Uibu, E., Põlluste, K., Lember, M., Toompere, K., & Kangasniemi, M. (2023). Planned Improvement Actions Based on Patient Safety Incident Reports in Estonian Hospitals: A Document Analysis. BMJ Open Quality, 12(2). https://doi.org/10.1136/bmjoq-2022-002058
Dhamanti, I., Leggat, S., Barraclough, S., & Rachman, T. (2022). Factors Contributing to Under-Reporting of Patient Safety Incidents in Indonesia: Leaders’ Perspectives. F1000Research, 10, 1–23. https://doi.org/10.12688/f1000research.51912.2
Fathiyani, G. M. (2021). Faktor-Faktor yang Berhubungan dengan Pelaporan Insiden Keselamatan Pasien oleh Tenaga Kesehatan RSUD Kota Serang Tahun 2021. Universitas Indonesia. https://lib.ui.ac.id/detail?id=9999920538882&lokasi=lokal
Flott, K., Maguire, J., & Phillips, N. (2021). Digital Safety: The Next Frontier for Patient Safety. Future Healthcare Journal, 8(3), e598–e601. https://doi.org/10.7861/fhj.2021-0152
Gens-Barberà, M., Hernández-Vidal, N., Vidal-Esteve, E., Mengíbar-García, Y., Hospital-Guardiola, I., Oya-Girona, E. M., Bejarano-Romero, F., Castro-Muniain, C., Satué-Gracia, E. M., Rey-Reñones, C., & Martín-Luján, F. M. (2021). Analysis of Patient Safety Incidents in Primary Care Reported in An Electronic Registry Application. International Journal of Environmental Research and Public Health, 18(17), 1–21. https://doi.org/10.3390/ijerph18178941
Hibbert, P. D., Stewart, S., Wiles, L. K., Braithwaite, J., Runciman, W. B., & Thomas, M. J. W. (2023). Improving Patient Safety Governance and Systems Through Learning from Successes and Failures: Qualitative Surveys and Interviews with International Experts. International Journal for Quality in Health Care, 35(4), 1–11. https://doi.org/10.1093/intqhc/mzad088
Howick, J., Bennett-Weston, A., Solomon, J., Nockels, K., Bostock, J., & Keshtkar, L. (2024). How Does Communication Affect Patient Safety? Protocol For A Systematic Review and Logic Model. BMJ Open, 14(5), 1–8. https://doi.org/10.1136/bmjopen-2024-085312
Indarwati, R., Efendi, F., Fauziningtyas, R., Fauziah, A., & Sudarsiwi, N. P. (2023). Efforts to Improve the Safety Culture of the Elderly in Nursing Homes: A Qualitative Study. Risk Management and Healthcare Policy, 16(March), 393–400. https://doi.org/10.2147/RMHP.S399826
Juliawati, M., Darwita, R. R., Adiatman, M., & Lestari, F. (2022). Patient Safety Culture in Dentistry Analysis Using the Safety Attitude Questionnaire in DKI Jakarta, Indonesia: A Cross-Cultural Adaptation and Validation Study. Journal of Patient Safety, 18(5), 486–493. https://doi.org/10.1097/PTS.0000000000000980
MacHen, S. (2023). Thematic Reviews of Patient Safety Incidents As A Tool For Systems Thinking: A Quality Improvement Report. BMJ Open Quality, 12(2), 1–8. https://doi.org/10.1136/bmjoq-2022-002020
Mehta, N., Sharfuddin, N., Law, M., Ginzburg, A., & Chugh, S. (2022). Patient Safety Incident Analysis In Healthcare: A Novel Curricular Session for Medical Students. Canadian Medical Education Journal, 13(6), 90–95. https://doi.org/10.36834/cmej.73327
Mistri, I. U., Badge, A., & Shahu, S. (2023). Enhancing Patient Safety Culture in Hospitals. Cureus, 15(12), 1–7. https://doi.org/10.7759/cureus.51159
Mitchell, C., Butler, L., Holloway, A. D., Ra, J. H., Adapa, K., Greenberg, C., Marks, L. B., Ivester, T., & Mazur, L. (2024). Analysis of Patient Safety Event Report Categories at One Large Academic Hospital. Frontiers in Health Services, 4(April), 1–5. https://doi.org/10.3389/frhs.2024.1337840
Mursid, A., Sjattar, E. L., & Arafat, R. (2021). Hambatan Pelaporan Insiden Keselamatan Pasien : A Literature Review. Jurnal Penelitian Kesehatan “Suara Forikes” (Journal of Health Research “Forikes Voice”, 12(3), 231. https://doi.org/10.33846/sf12302
Mutia, D., & Dhamanti, I. (2023). Pengukuran Budaya Keselamatan Pasien di Pelayanan Kesehatan Primer: Literature Review. Jurnal Kesehatan Komunitas, 9(2), 418–430. https://doi.org/10.25311/keskom.vol9.iss2.1343
Oweidat, I., Al-Mugheed, K., Alsenany, S. A., Abdelaliem, S. M. F., & Alzoubi, M. M. (2023). Awareness of Reporting Practices and Barriers to Incident Reporting Among Nurses. BMC Nursing, 22(1), 1–10. https://doi.org/10.1186/s12912-023-01376-9
Pramesona, B. A., Sukohar, A., Taneepanichskul, S., & Rasyid, M. F. A. (2023). A Qualitative Study of The Reasons For Low Patient Safety Incident Reporting Among Indonesian Nurses. Revista Brasileira de Enfermagem, 76(4), 1–8. https://doi.org/10.1590/0034-7167-2022-0583
Rachmawati, E., Umniyatun, Y., Imanda, R., Listiowati, E., & Nurmansyah, M. I. (2023). Self-Assessment of Patient Safety Reporting and Learning System in Private Hospitals in Indonesia. SAGE Open Nursing, 9, 4–11. https://doi.org/10.1177/23779608231198406
Sauro, K. M., Baker, G. R., Tomlinson, G., & Parshuram, C. (2021). The Role of Hospital Characteristics in Patient Safety: A Protocol for A National Cohort Study. CMAJ Open, 9(4), E1041–E1047. https://doi.org/10.9778/cmajo.20200266
Shemsu, A., Dechasa, A., Ayana, M., & Tura, M. R. (2024). Patient Safety Incident Reporting Behavior and Its Associated Factors Among Healthcare Professionals in Hadiya Zone, Ethiopia: A Facility Based Cross-Sectional Study. International Journal of Nursing Studies Advances, 6(May), 100209. https://doi.org/10.1016/j.ijnsa.2024.100209
Shin, J., & Kim, N. Y. (2024). Importance-Performance Analysis of Patient-Safety Nursing in the Operating Room: A Cross-Sectional Study. Risk Management and Healthcare Policy, 17(March), 715–725. https://doi.org/10.2147/RMHP.S450340
Uibu, E., Põlluste, K., Lember, M., Toompere, K., & Kangasniemi, M. (2023). Planned Improvement Actions Based on Patient Safety Incident Reports in Estonian Hospitals: A Document Analysis. BMJ Open Quality, 12(2). https://doi.org/10.1136/bmjoq-2022-002058
Published
2024-09-05
Section
Articles
Copyright (c) 2024 Henik Saefulmilah, Eli Marlina, Pini Sundari, Inna Nopianna
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
