Pengaruh Manajemen Puskesmas terhadap Implementasi Patient Safety di Puskesmas Lasalimu
DOI:
https://doi.org/10.56742/nchat.v4i2.80Abstract
Keselamatan pasien merupakan isu global yang menjadi indikator mutu pelayanan kesehatan. Manajemen Puskesmas berperan dalam mendukung implementasi patient safety melalui sistem dan kebijakan yang diterapkan. Penelitian ini bertujuan untuk menganalisis pengaruh manajemen Puskesmas terhadap implementasi patient safety di Puskesmas Lasalimu. Metode penelitian menggunakan pendekatan kuantitatif dengan desain analitik cross-sectional. Sampel terdiri dari 30 perawat yang dipilih secara purposive sampling. Instrumen penelitian berupa kuesioner dengan analisis data menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa sebagian besar perawat menilai manajemen Puskesmas dalam kategori baik (76,7%) dan implementasi patient safety juga dalam kategori baik (76,7%). Analisis bivariat menunjukkan adanya pengaruh signifikan antara manajemen Puskesmas dan implementasi patient safety dengan nilai p=0,000 (<0,05). Kesimpulan dari penelitian ini adalah terdapat pengaruh signifikan manajemen Puskesmas terhadap implementasi patient safety di Puskesmas Lasalimu. Diharapkan hasil penelitian ini dapat menjadi referensi dalam meningkatkan kebijakan keselamatan pasien di layanan kesehatan primer.
References
Vincent C. Patient safety. John Wiley & Sons; 2011.
Organization WH. Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organization; 2021.
Organization WH. Summary of the evidence on patient safety: implications for research. World Health Organization; 2008.
Emanuel L, Berwick D, Conway J, Combes J, Hatlie M, Leape L, et al. What exactly is patient safety? J Med Regul. 2009;95(1):13–24.
Kusnan A, Binekada IMC, Susanty S, Hajri WS, Afrini IM, Syam Y. Safe injection practices and the incident of Needle Stick Injuries (NSIs). Enferm Clin. 2020;30:73–6.
Alhassan RK, Nketiah-Amponsah E, Spieker N, Arhinful DK, Ogink A, Van Ostenberg P, et al. Effect of community engagement interventions on patient safety and risk reduction efforts in primary health facilities: evidence from Ghana. PLoS One. 2015;10(11):e0142389.
Nurmalia D, Nivalinda D. Fungsi Manajemen Keperawatan Dalam Aplikasi Mentoring Budaya Keselamatan Pasien. Media Med Muda. 2016;1(3).
Calman NS, Kitson K, Hauser D. Using information technology to improve health quality and safety in community health centers. Prog community Heal partnerships Res Educ action. 2007;1(1):83–8.
Forrest CB, Whelan EM. Primary care safety-net delivery sites in the United States: A comparison of community health centers, hospital outpatient departments, and physicians’ offices. Jama. 2000;284(16):2077–83.
Julike K, Prima A. Analisis Faktor Yang BerhubungandDengan Penerapan Budaya Keselamatan Pasien Di Uptd Puskesmas Deli Tua. J Kedokt STM (Sains dan Teknol Med. 2025;8(1):90–7.
Poto?nik Tvirti, Klemenc-Keti Z. Perception Of Patient Safety Culture At The Primary Care Level: The Case Of The Community Health Centre Ljubljana. Slov J Public Heal. 2024;63(1):21–9.
Oberlander T, Scholle SH, Marsteller J, Barr MS, Dy SM. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):324–39.
Van Gerven E, Deweer D, Scott SD, Panella M, Euwema M, Sermeus W, et al. Personal, situational and organizational aspects that influence the impact of patient safety incidents: a qualitative study. Rev Calid Asist. 2016;31:34–46.
Vrbnjak D, Denieffe S, O’Gorman C, Pajnkihar M. Barriers to reporting medication errors and near misses among nurses: A systematic review. Int J Nurs Stud. 2016;63:162–78.
Hewitt T, Chreim S, Forster A. Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self-and peer-reporting practices. J Patient Saf. 2017;13(3):129–37.
Susanto A, Handiyani H. Analisis Determinan Pelaporan Insiden Keselamatan Pasien Oleh Perawat di Rumah Sakit: Tinjauan Sistimatik: Determinant Analysis Of Patient Safety Incident Reporting By Nurses In Hospital: A Systematic Review. Qual J Kesehat. 2023;17(1):52–63.
Ackerman SL, Sarkar U, Tieu L, Handley MA, Schillinger D, Hahn K, et al. Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California. J Am Med Informatics Assoc. 2017;24(5):903–12.
Westfall JM, Fernald DH, Staton EW, VanVorst R, West D, Pace WD. Applied strategies for improving patient safety: a comprehensive process to improve care in rural and frontier communities. J Rural Heal. 2004;20(4):355–62.
Ariyanti S, Ilmy SK, Tinungki YL, Yanti NPED, Juwariyah S, Waras NGT, et al. Keselamatan Pasien dan Keselamatan Kesehatan Kerja. PT. Sonpedia Publishing Indonesia; 2023.
Maher A, Ayoubian A, Rafiei S, Sheibani Tehrani D, Mostofian F, Mazyar P. Developing strategies for patient safety implementation: a national study in Iran. Int J Health Care Qual Assur. 2019;32(8):1113–31.
Indah TK. Digitalisasi Kesehatan dalam Menunjang Keselamatan Pasien. Transform Rumah Sakit Indones Menuju Era Masy 50. 2023;124.
Farokhzadian J, Dehghan Nayeri N, Borhani F. The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses. BMC Health Serv Res. 2018;18(1):1–13.
Khan A, Spector ND, Baird JD, Ashland M, Starmer AJ, Rosenbluth G, et al. Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. bmj. 2018;363.
Budiman A, Yudiansyah R. Manajemen Patien Safety dalam Meningkatkan Mutu Pelayanan Pasien. AL-MIKRAJ J Stud Islam dan Hum (E-ISSN 2745-4584). 2024;5(01):239–48.
Yulia S, Hamid AYS, Mustikasari M. Peningkatan pemahaman perawat pelaksana dalam penerapan keselamatan pasien melalui pelatihan keselamatan pasien. J keperawatan Indones. 2012;15(3):185–92.
Betan A, Sofiantin N, Sanaky MJ, Primadewi BK, Arda D, Kamaruddin MI, et al. Kebijakan Kesehatan Nasional. Yayasan Penerbit Muhammad Zaini. 2023;
Mizwar C, Zulfikar T, Rulia R, Asnar ESM, Yuliaty F. Pengaruh Lingkungan Kerja, Kompetensi, dan Jaminan Kesehatan Terhadap Keselamatan Pasien. Co-Value J Ekon Kop dan kewirausahaan. 2024;15(3).
Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. BMJ Qual Saf. 2003;12(suppl 2):ii17–23.
Ring L, Fairchild RM. Leadership and patient safety: A review of the literature. J Nurs Regul. 2013;4(1):52–6.
Putri LLA, Paramarta V. Analisis Budaya Perilaku Safety Perawat Di Salah Satu Rumah Sakit Mojokerto. Inov Manaj Bisnis. 2024;6(4).
Nasution D. Faktor Yang Memengaruhi Kinerja Perawat dalam Penerapan Patient Safety di Ruang Rawat Inap RSUD Dr. Kumpulan Pane Kota Tebing Tinggi Tahun 2021. Institut Kesehatan Helvetia Medan; 2022.
Gunawan H. Motivation as a factor affecting nurse performance in Regional General Hospitals: A factors analysis. Enfermería Clínica Junio. 2019;29(2).
McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Waode Yustina Dayanti Umar
This work is licensed under a Creative Commons Attribution 4.0 International License.
