BIBLIOGRAPHY AIM / OBJECTIVEPatient safety merupakan komponen kritis dari mutu pelayanan kesehatan. Isu terkait patient safety diantaranya medical errors dan diagnostic errors. Berbagai studi melaporkan bahwa kasus diagnostic errors dan medical errors di fasilitas pelayanan kesehatan terjadi di seluruh negara, tidak terkecuali di negera berkembang seperti Indonesia.Rumah sakit sebagai organisasi pelayanan kesehatan, seharusnya menumbuhkan budaya patient safety untuk mencegah terjadinya human err yang berdampak pada medical errors dan diagnostic errors. Namun pada kenyataannya penerapan budaya patient safety masih sangat sulit diterapkan di beberapa rumah sakit, contohnya di salah satu rumah sakit di Kota Jambi. Berdasarkan studi yang dilakukan, diketahui bahwa masih terjadi human err berupa diagnostic errors yaitu kesalahan penegakan diagnosis dan medical errors yang berupa kesalahan dalam penjahitan luka. Hal ini disebabkan karena belum optimalnya penerapan budaya patient safety di rumah sakit tersebut.

Background: Mental health problems or mental health disorders are closely related to the physical restraint. Physical restraint on people with mental disorders is due to lack of information about mental health, financial barriers, inadequate access of mental health services especially in rural areas. The participation or role of stakeholder in mental health programs is one of the determinants to prevent the physical restraint on people with mental health disorders (ODGJ). Objective: This study aimed to find out and explore the role of stakeholders on mental health programs in prevention of physical restraint on people with mental health disorders in Moyudan, Sleman regency. Methods: This research was a descriptive study with qualitative methods. The research design used was a case study to identify and explore the role of each stakeholder in overcoming shackles in ODGJ in Moyudan District, Sleman Regency. The study used purposive sampling with research subjects totaling 19 people. Data collection is done by in-depth interviews, observation and document review. Results: All stakeholders have a role in mental health programs to prevent physical restraint on people with mental health disorders. Puskesmas as a key stakeholders have to advocate for other stakeholders. The results of advocacy are political commitment from local government, policy support from Health District Office, Social Welfare District Office, Ghrasia Mental Hospital, Moyudan district and village government. However, the implementation of the advocacy was not always successful. In this case, family as the main stake holder refused the advocacy. The negative stigma about mental health is one of the problem that is still difficult to deal within the community. Conclusion: All stakeholders have a role in mental health programs to prevent physical restraint on people with mental health disorders, although not yet optimal.