COVID-19 pandemic is a challenge for hospitals to ensure quality and safety of patients and health workers to create a hospital safety culture. Referring to cases, till December 25, 2022, number of deaths worldwide reached 6,678,098 people with 656,864,989 people confirmed positive. This case infects health workers with highest death rate during hospital treatment. Hospital safety culture is related to improving health services quality. Measuring safety culture requires combination of quantitative and qualitative to get comprehensive of safety culture. This study aimed to obtain a qualitative description of safety culture during the COVID-19 pandemic in accredited hospitals. Qualitative descriptive research by selecting informants using purposive sampling at three accredited hospitals. Instruments refer to modified questionnaire from forty-two focus group discussion’s questions and ten in-depth interview’s questions grouped into six indicators. Results showed that three accredited hospitals have safety culture programs and hospital occupational safety and health. Hospitals have commitment, supportive leadership, supervision, and sustainability monitoring and evaluation. They have adapted regulations for COVID-19. A conducive work environment is also available for making patients and workers safe. They have provided information, reminded each other, and behaved safely as safety participation. Communication is carried out through socialization and feedback. Training is available for supporting patient and worker safety. Accreditation standards could be immensely helpful in conducting safety efforts. The conclusion is three accredited hospitals have implemented safety culture during COVID-19 by six indicators, including: leadership, safety communication, regulations, work environment, participation, and training. Accreditation is important for safety culture hospital.
Keywords: safety culture, hospital, accreditation, qualitative, pandemic