How to engage patients in achieving patient safety: A qualitative study from healthcare professionals’ perspective

Listiowati, Ekorini; Sjaaf, Amal Chalik; Achadi, Anhari; Bachtiar, Adang; Arini, M.Pd . Dra. Ni Wayan; Rosa, Elsye Maria; Pramayanti, Yuyun

doi:10.1016/j.heliyon.2023.e13447

Cited by 7 publications

(7 citation statements)

References 23 publications

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“…A study from Indonesia reported the low willingness and readiness of service recipients to engage in patient safety initiatives. 231 …”

Section: Resultsmentioning

confidence: 99%

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

George,

Jack,

Gauld

et al. 2023

BMJ Open

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IntroductionImproving healthcare quality in low-/middle-income countries (LMICs) is a critical step in the pathway to Universal Health Coverage and health-related sustainable development goals. This study aimed to map the available evidence on the impacts of health system governance interventions on the quality of healthcare services in LMICs.MethodsWe conducted a scoping review of the literature. The search strategy used a combination of keywords and phrases relevant to health system governance, quality of healthcare and LMICs. Studies published in English until August 2023, with no start date limitation, were searched on PubMed, Cochrane Library, CINAHL, Web of Science, Scopus, Google Scholar and ProQuest. Additional publications were identified by snowballing. The effects reported by the studies on processes of care and quality impacts were reviewed.ResultsThe findings from 201 primary studies were grouped under (1) leadership, (2) system design, (3) accountability and transparency, (4) financing, (5) private sector partnerships, (6) information and monitoring; (7) participation and engagement and (8) regulation.ConclusionsWe identified a stronger evidence base linking improved quality of care with health financing, private sector partnerships and community participation and engagement strategies. The evidence related to leadership, system design, information and monitoring, and accountability and transparency is limited.

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“…A study from Indonesia reported the low willingness and readiness of service recipients to engage in patient safety initiatives. 231 …”

Section: Resultsmentioning

confidence: 99%

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

George,

Jack,

Gauld

et al. 2023

BMJ Open

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“…Moreover, the patient and family engagement aspect have the lowest score compared to the other sections. A previous study conducted in Indonesia showed that barriers such as low health literacy led to patients’ unwillingness to participate in patients’ safety program ( Listiowati et al, 2023 ). This is because patients felt they did not have knowledge related to the care.…”

Section: Discussionmentioning

confidence: 99%

“…This is because patients felt they did not have knowledge related to the care. Besides, health workers were also unwilling to involve patients in the program ( Listiowati et al, 2023 ). A study carried out in Iran found several barriers related to patients, healthcare providers, as well as health system in patients’ and family engagement during patients’ safety program ( Sarkhosh et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

“…The item “involvement of patients and family who have suffered harm in designing action to reduce the likelihood of a recurrence” also had a very low score. Additionally, patients’ reluctance to participate in safety programs due to their cultural condition can be a significant barrier ( Listiowati et al, 2023 ). A study conducted in Iran showed that factors such as low levels of health literacy, ineffective education, unwillingness, and culture can be a significant barrier to patient engagement in the delivery of safer care ( Chegini et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

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Self-Assessment of Patient Safety Reporting and Learning System in Private Hospitals in Indonesia

Rachmawati,

Umniyatun,

Imanda

et al. 2023

SAGE Open Nursing

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Introduction Hospitals are required to implement patients safety incident (PSI) reporting, analysis, and problem-solving. Self-assessment is important for exploring gaps and strengthening PSI reporting and learning system. Objectives This study examined PSI reporting and learning systems through self-assessment based on WHO guidance, analysis of section scores by hospital class, and analysis of section relationships. Method This cross-sectional study was conducted on 193 health workers from 47 Indonesian non-profit private hospitals selected using non-probability sampling. Samples in each hospital consisted of seven hospital staff, including quality and patients’ safety committee, infectious diseases control committee, manager/head of nursing, as well as functional staff comprising doctors, nurses, pharmacists, and nutritionists. Six aspects based on WHO guidance were measured in this study namely 1) environment for reporting, 2) reporting rules and content, 3) analysis and investigation, 4) governance, 5) action and learning, as well as 6) patients’ and family engagement. The data obtained were analyzed using univariate and bivariate analysis. Results The results showed that the total average score was 64.7 ± 3.3, and the average score on all components of PSI reporting and learning system was minimum 59.3 and maximum 69.6 of a total score of 100. The lowest average score was found in patients’ and family engagement component at 59.3 ± 8.4. Class B hospitals had higher average scores on each component than class C and D hospitals, except on the action and learning and patients’ and family engagement section. There was a significant positive linear correlation between each section of PSI reporting and learning system ( p-value < 0.01). Conclusion The PSI reporting and learning system in hospitals is in need of improvement across all aspects. One specific area that requires attention is the implementation of mechanisms for patient and family engagement, which can play an important role in promoting safety programs.

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“…Patient safety is also affected by social, economic, and cultural factors. Studies report that in developed countries, factors such as transparency, communication, teamwork, and strong leadership characterize patient safety, while in others, factors such as insufficient personnel, physical constraints, inadequate materials, and hygiene problems lead to unsafe and undesirable situations in health care delivery (Listiowati et al, 2023;Soola et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

How to Provide Patient Safety in the Emergency Department? A Qualitative Study Emergency Nurses’ Experiences

Keskin Kızıltepe,

Kurtgöz

2024

SHYD

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Aim: This study aimed to explore the experiences of emergency nurses regarding patient safety. Method:This study, with a qualitative design, was carried out between December 2022 and March 2023 in the emergency department of a university hospital. We conducted in-depth interviews with a purposive sample of 14 emergency nurses. The data were analyzed using thematic analysis.Results: Of the participants, 50% were male. Their age ranged from 25 to 40 years (mean 32.2, SD=5.99). Through the data analysis, two themes and three sub-themes were identified: (I) difficulties specific to the emergency department, (II) factors affecting patient safety the in emergency department. Conclusion:Nurses stated that they often took individual and immediate preventive measures regarding patient safety. However, rather than individual prevention, strategies and plans are required to create an institutional patient safety culture. At the same time, administrators should adopt a proactive approach to patient safety and create a supportive environment for nurses regarding patient safety.

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How to engage patients in achieving patient safety: A qualitative study from healthcare professionals’ perspective

Cited by 7 publications

References 23 publications

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

Self-Assessment of Patient Safety Reporting and Learning System in Private Hospitals in Indonesia

How to Provide Patient Safety in the Emergency Department? A Qualitative Study Emergency Nurses’ Experiences

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