Literature Review: Implementation of Patient Safety Goals in Hospitals in Indonesia

Abstract

Background: The implementation of a good patient safety system in the hospital aims to minimize and prevent patient safety incidents. The patient safety goals is a system that aims to encourage specific improvements in patient safety. Patient safety goals are actions that must be taken by the hospital to prevent patient safety incidents that can harm patients and the hospital. Purpose: Writing this review article aims to provide an overview of the implementation of patient safety goals in hospitals in Indonesia.Methods: The method used in this article is a literature review. Article searches were conducted through Google Scholar and Portal Garuda with the keywords "patient safety goals", "hospitals", and "Indonesia". Results: The total findings of the articles were 738, but only 11 articles matched the inclusion criteria. Based on 11 articles analyzed, only 2 articles showed that the implementation of all points in the patient safety goals in the hospital had reached the target and were in accordance with the standard. Conclusion: Low compliance of officers, unsupportive facilities and infrastructure, and low management commitment are some of the factors that have not yet optimalized the implementation of patient safety goals in the hospital. Therefore, it is necessary to improve technical assistance, supervision, and support for adequate facilities and infrastructure.Keywords: patient safety goals, patient safety incidents, hospital.

Analyzing an Implementation of Patient Safety Targets Standards at Ja'far Medika Hospital Based on Hospital Accreditation National Standards (SNARS) Issue 1.1

“…This is certainly not by implementing patient safety target standards in hospital accreditation and is one of the obstacles to implementing correct patient identification in health facilities in Indonesia. 11…”

“…This is in accordance with the research of Sundoro et al and Larasati and Dhamayanti in 2021 that the correct and specific labeling of high alert drug and concentrated electrolytes will prevent errors. 8,11 Storage of oral drugs is in a special place for oral drugshigh alert. The injection drugs are in the injection cabinet at the bottom and the refrigerator at the bottom with the drug high alert sign.…”

“…This is by Permenkes number 11 of 2017 and supported by research by Larasati and Dhamayanti in 2021, where high alert drugs need to be separately stored. 11 Storage of high alert drugs specifically is in accordance with hospital accreditation. However, pehacaine injection was found in the emergency room which stored in a special box labeled high alert but not accompanied by clear regulations.…”

“…Double checks must be done before giving high alert medication to prevent medication errors. 11 This double check is supported by accurate patient identification to ensure that the correct drug is given to the right patient. 20 4.…”

“…Fox et al in 2015, Al Sawafi in 2021, and Larasati and Dhamanti in 2021 stated that hand hygiene regulations will reduce infections related to health services and increase hand washing compliance. 11,28,29 The hospital has hand hygiene regulations that refer to WHO standards. This is also in accordance with the mandate of the Minister of Health Regulation number 11 of 2017 which requires health care facilities to adopt or adapt the latest published and generally accepted hand washing guidelines, such as WHO hand hygiene guidline.…”