The Role of Governments in the Implementation of Patient Safety and Patient Safety Incident Reporting in Indonesia: A Qualitative Study

Dhamanti, Inge; Leggat, Sandra G.; Barraclough, Simon

doi:10.3390/healthcare7020064

Cited by 8 publications

(9 citation statements)

References 10 publications

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“…A lack of feedback has been previously acknowledged as a weakness in incident reporting. 24,25,28 Conversely, properly conducted feedback results in specific improvements that are necessary to enhance incident reporting. 29 Most of the supervisorial and managerial level staff interviewed highlighted a lack of knowledge and lack of socialization as barriers; they must urgently be made aware of this discrepancy between their perspectives of barriers and the need for feedback reported by staff.…”

Section: Discussionmentioning

confidence: 99%

<p>Practical and Cultural Barriers to Reporting Incidents Among Health Workers in Indonesian Public Hospitals</p>

Dhamanti¹,

Leggat²,

Barraclough³

2020

JMDH

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This study investigated the practical and cultural barriers of reporting patient safety incidents in three accredited public hospitals in East Java, Indonesia. Methods: This study employed a mixed methods approach using a convergent parallel design. We surveyed 1121 health workers and interviewed 27 managerial staff members from the sampled hospitals. A chi-square analysis was performed to evaluate differences in demographic factors, barriers to reporting, and practices of reporting between those who had reported an incident and those who had witnessed an incident but had not reported it. NVivo 11 software was used to perform the qualitative data analysis. Results: This study had a 76.53% response rate. The quantitative evaluation identified significant differences in professions and work units and in participation in quality and safety training between the reporting group and the non-reporting group. The analysis of practical barriers displayed significant differences between the groups with the following responses: "did not know how to report," "did not know where to report," and "lack of feedback". For cultural barriers, a significant difference was shown only for the response "did not want conflict." In the qualitative assessment, most of the interview participants reported lack of knowledge and lack of socialization or training as practical barriers in reporting incidents. Furthermore, reluctance and fear to report were mentioned as cultural barriers by most of the interviewees. Conclusion: Because there were conflicting findings in the barriers of reporting incidents, these barriers must be identified, discussed, and resolved by health workers and their managers or supervisors to improve incident reporting. Managers must foster open communication and build positive connections with health workers. Further research is necessary to focus on possible ways of addressing the barriers to reporting.

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Section: Discussionmentioning

confidence: 99%

<p>Practical and Cultural Barriers to Reporting Incidents Among Health Workers in Indonesian Public Hospitals</p>

Dhamanti¹,

Leggat²,

Barraclough³

2020

JMDH

Self Cite

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show abstract

“…To provide well-qualified healthcare services, medical establishments should meet basic requirements, should apply the process of patient safety perfectly in a flawless way, and should perform processes with the appropriate procedure. Health institutions are generally held responsible for the establishment of safety reporting systems by governments [24], in which medication safety, transfusion safety, surgical safety, patient falls, and so on are included. Corrective and preventive actions should be taken for reported events [25].…”

Section: Definition Of Medical Errormentioning

confidence: 99%

“…According to [81], the similarity between two IVIF sets A and B is S A, B = E M A, B , where "E" represents an IVIF entropy measure. Based on the given entropy calculations (Wu et al, 2014), it is possible to rearrange the similarity formula as follows: (24). These values are used to calculate 1.3 = 0.92).…”

Section: Preliminariesmentioning

confidence: 99%

Prioritization of Medical Errors in Patient Safety Management: Framework Using Interval-Valued Intuitionistic Fuzzy Sets

2020

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Medical errors negatively affect patients, healthcare professionals, and healthcare establishments. Therefore, all healthcare service members should be attentive to medical errors. Research has revealed that most medical errors are caused by the system, rather than individuals. In this context, guaranteeing patient safety and preventing medical faults appear to be basic elements of quality in healthcare services. Healthcare institutions can create internal regulations and follow-up plans for patient safety. While this is beneficial for the dissemination of patient safety culture, it poses difficulties in terms of auditing. On the other hand, the lack of a standard patient safety management system, has led to great variation in the quality of the provided service among hospitals. Therefore, this study aims to create an index system to create a standard system for patient safety by classifying medical errors. Due to the complex nature of healthcare and its processes, interval-valued intuitionistic fuzzy logic is used in the proposed index system. Medical errors are prioritized, based on the index scores that are generated by the proposed model. Because of this systematic study, not only can the awareness of patient safety perception be increased in health institutions, but their present situation can also be displayed, on the basis of each indicator. It is expected that the outcomes of this study will motivate institutions to identify and prioritize their future improvements in the patient safety context.

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“…District health offices (DHOs) oversaw both the public and private sectors 11. A study identified numerous macrolevel, mesolevel and microlevel issues regarding patient safety and patient safety incident reporting, including inadequate government monitoring and assessment, DHOs and the provincial health office not being involved in incident reporting, a lack of government funding for hospitals, a lack of commitment and priority for patient safety, and a lack of systematic partnership and collaboration between patient safety agencies and DHOs or the provincial health office 12. Despite identical ownership and accreditation status, the authors discovered disparities in implementation of patient safety projects and activities.…”

Section: Introductionmentioning

confidence: 99%

Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions

et al. 2022

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ObjectivesThis study examined the impact of hospital readiness on patient safety from the healthcare workers’ perspective.DesignThe study employed a mixed-methods explanatory sequential design, with the quantitative phase taking precedence. We conducted an online survey of 235 healthcare workers at COVID-19 referral hospitals, followed by an interview with 11 participants from various hospital types.SettingCOVID-19 referral hospitals in Indonesia.ParticipantsHealth workers working at COVID-19 referral hospitals.MeasuresHospital ownership; hospital accreditation status; hospital readiness including incident management system, surge capacity, infection control and prevention, and human resource management; patient safety incident.ResultsAccording to the survey, 66.4% of the participants worked at a hospital owned by the provincial or district government, and 69.4% worked at a hospital which had received an excellent status accreditation. More than 80% of the hospitals scored well in the categories of the incident management system (86%), surge capacity (80.9%), infection control and prevention (97.9%), and human resource management (84.7%). However, only 50.6% of the hospitals scored well in managing patient safety incidents. Hospital ownership, accreditation status and hospital readiness all have an impact on patient safety incidents, which were reported in all types of hospitals by both studies.ConclusionsThis study provides significant results for Indonesia in terms of hospital preparedness and patient safety for the COVID-19 pandemic. The accreditation and ownership status of the hospital have aided hospital readiness. Despite the fact that no hospital in the world was prepared for the COVID-19 pandemic, hospital readiness has improved a year later; however, patient safety has not improved. Patient safety incidents occurred regardless of hospital status, with the most common occurrence being delayed treatment. Administrative errors were also recorded in COVID-19 field hospitals that were not accredited. Future research should focus on improving pandemic care quality and implementing initiatives that are applicable to all types of hospitals.

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The Role of Governments in the Implementation of Patient Safety and Patient Safety Incident Reporting in Indonesia: A Qualitative Study

Cited by 8 publications

References 10 publications

<p>Practical and Cultural Barriers to Reporting Incidents Among Health Workers in Indonesian Public Hospitals</p>

<p>Practical and Cultural Barriers to Reporting Incidents Among Health Workers in Indonesian Public Hospitals</p>

Prioritization of Medical Errors in Patient Safety Management: Framework Using Interval-Valued Intuitionistic Fuzzy Sets

Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions

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