Jurnal Riset Kesehatan, 8 (2), 2019, 33 - 39
DOI: 10.31983/jrk.v8i2.3811
Copyright © 2019, Jurnal Riset Kesehatan, e-ISSN 2461-1026
Jurnal Riset Kesehatan
http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jrk
_________________________________________________________________
THE SURVEY OF SAFETY CULTURE IN RSUP Dr. KARIADI
SEMARANG
Elyana Sri Sulistyowati
a*
; Septi Dewi Muninggar
b
; Verarica Silalahi
c
; Debi Ariyanto
d
;
Endang Fatmawati
e
; Dharma Wahyu Edhy
f
; Anggit Anandoyo
g
a,b,c,d,e,f,g
Quality and Patient Safety Committee of RSUP Dr.Kariadi Semarang ;
Dr. Sutomo 16, Semarang 50244 ; Indonesia
Abstract
Patient safety in hospitals is a crucial issue as significant medication errors occur in some countries.
Patient safety incidence is inevitably related to safety culture implemented in hospitals. This
survey aims to investigate the dimension of patient safety serving as a strong area and dimension
for potential improvement. This study used a cross-sectional approach involving 361 subjects in all
units in RSUP Dr. Kariadi. Findings are presented in graphs and frequency tables. This study
found three dimensions of strength area involving management support regarding patient safety
(92.93%), organizational learning-continuous improvement (91.73%), and unit cooperation (86.1%).
Meanwhile, the area for potential improvement involving employment (45.43%), incidence report
frequency (58.07%), and open communication (60.67%). Dimensions serving as strength areas need
to be maintained while dimension for potential improvement need for support to cultivate patient
safety culture in RSUP Dr. Kariadi.
Keywords: survey ; patient safety culture ; patient safety dimensions ; strength area ; area for
potential improvement
1. Introduction
The hospital provides complex and risky
health services. In hospitals, there are hundreds
of medicines, laboratory tests, and procedures,
highly sophisticated medical equipment, diverse
medics, and non-medics providing 24 hours
services. Undesired incidence and near-missed
incidence may occur when service diversity and
routinely are poorly managed. (Health Ministry,
2008).
One of the quality indicators in hospital
accreditation is based on the International Patient
Safety Goal (IPSG) referring to the standard of the
Joint Commission International (JCI) (Health
Ministry, 2011). There are five crucial issues
related to safety in hospitals involving patient
safety, employee or health professional safety,
building and facility safety affecting patient and
employee or health professional safety,
environment safety (green productivity) affecting
environment contamination and hospital business
safety pertinent with business continuity (Health
Ministry, 2010).
Patient safety in hospitals is a crucial issue
since a significant number of medical errors occur
in some countries. The World Health
Organization reported incidences of patient safety
in which medical errors experienced by 8-12% of
inpatients while 23% of European people
experienced serious medical errors in hospitals
and 11% of them reported having been prescribed
wrong medicines (WHO, 2016).
Fifty percent of death associated with
medical injuries are preventable (Cahyono and
Suhardjo, 2012). The Institute of Medicines (IOM)
in 2000 in America published a paper "To Err is
Human, Building to Safer Health System"
*) Corresponding Author (Elyana Sri Sulistyowati)
Email: elyana.ss@gmail.com