Multiple Regressions of a Malcolm Baldrige's Patient Safety Models

Abstract

This research proposed to develop patient safety models in primary health care and provide a possible model to implementated. Primary health care in Indonesia battling in assessment of risk reduction strategy because difficulty in identifying adverse event and there are no model or guidance for patient safety in primary health care yet. The patient safety model can be framed with Baldrige Health Care Criteria for performance excellence. Basic Emergency Obstetric Care was an critical health care in Indonesia for reduce maternal death by early detection of maternal complication. So, this study focus to develop patient safety model in basic emergency obstetric care bases on Baldrige criteria. We conducted a cross sectional study, data collected through a likert scale questionnaire from 194 respondent, there were doctors, nurses, midwifes, pharmacist, and medical report officer from six basic emergency obstetric care. Data analysis by linear regression and multiple regression to determined the most suitable variable to the models. The result shows that incident detection, mitigation, health workers workload and commitment, internal audit are variables for a patient safety model development. It is recommended to futher researcher to developed module for patient safety training in primary health care.

Implementation Of Patient Safety at Ibuh Primary Health Care in Payakumbuh City

“…The results showed that the correlation detection and patient safety incidents. This study is in line with research which states there is a significant relationship between incident detection with patient safety [29]. Incident detection efforts made by an early vote on matters that may pose a danger to the safety of patients.…”

“…This is seen often establish effective communication between the heads of primary health care with staff and fellow staff at the primary health care Basic Emergency Neonatal Obstetric Services, often there is a learning and development in the primary health care staff on a regular basis and there is a change of behavior Basic Emergency Neonatal Obstetric Services patient safety after learning. From the bivariate analysis shows that there are relationship mitigation and safety of patients, this study is in line with research which states there is a significant relationship between mitigation with patient safety [29]. One form of mitigation is to establish effective communication between the heads of primary health care with staff and fellow staff at the primary health care Basic Emergency Neonatal Obstetric Services, As Parker [2015) states the communication within the team is very important and affect the safety of patients, with effective communication will reduce the risk of errors in the work [34].…”

“…In bivariate analysis showed that there are relationships and patient safety policy. This study is in line with research (Nursal, 2017) which states there is a significant relationship between policy and patient safety [29]. However, this study is not in line with the research (Bodur, et al, 2009) which get no relationship between support from management with patient safety in primary health care [33.…”

“…MBHCP has advantages because it can be used to provide an overall assessment of the organization in an integrated aspect. [29] Nursal (2017) reported that there are no guidelines about patient safety from Department of Health of West Sumatera to the BENOC Health Center, it is also obtained that the patient safety incident that occurs is in the form of patient falls, diagnostic errors and drug delivery personally without reporting to the Department of Health. In another research Nursal (2018) reported in the variable Model Patient Safety by Malcolm Baldrige in primary health care Basic Emergency Neonatal Obstetric Services was found that all of the variables that consists of leadership, policy, detection of incidents, mitigation, patient satisfaction, commitment to patients, risk grading, RCA and FMEA, the workload of the staff, the commitment of staff and internal audit of the patients's safety associated with a significantly (p-value = 0.0001).…”

“…In another research Nursal (2018) reported in the variable Model Patient Safety by Malcolm Baldrige in primary health care Basic Emergency Neonatal Obstetric Services was found that all of the variables that consists of leadership, policy, detection of incidents, mitigation, patient satisfaction, commitment to patients, risk grading, RCA and FMEA, the workload of the staff, the commitment of staff and internal audit of the patients's safety associated with a significantly (p-value = 0.0001). [28], [29] Based on the problems and see the importance of patient safety in the primary health care in order to improve maternal and child health (MCH), researchers interested in studying "Factors associated with patient safety in the primary health care Basic Emergency Neonatal Obstetric Services Ibuh Payakumbuh" because of the preliminary study Primary Health Care Ibuh has a number of incidents highest patient safety compared to another basic emergency primary health care in Payakumbuh…”