Pengukuran Budaya Keselamatan Pasien di Pelayanan Kesehatan Primer: Literature Review
DOI:
https://doi.org/10.25311/keskom.Vol9.Iss2.1343Kata Kunci:
Keselamatan pasien, budaya keselamatan, pelayanan kesehatan primerAbstrak
Pendahuluan: Penelitian keselamatan pasien sering kali berfokus di rumah sakit, faktanya insiden keselamatan pasien di pelayanan kesehatan primer sering terjadi. Insiden keselamatan pasien di pelayanan kesehatan primer salah satunya disebabkan oleh penerapan budaya keselamatan pasien yang belum diterapkan secara luas. Pengukuran budaya keselamatan pasien di pelayanan kesehatan primer dapat meningkatkan keselamatan pasien dan menurunkan angka insiden keselamatan pasien. Tujuan: Mengidentifikasi dimensi budaya keselamatan pasien dengan skor rendah dan membutuhkan peningkatan. Metode: Pencarian artikel dilakukan melalui database PubMed dan ScienceDirect menggunakan kata kunci “patient safety” AND “safety culture” AND “primary care”. Dari total 199 artikel yang ditemukan, hanya 10 artikel yang memenuhi kriteria inklusi. Hasil: Instrumen SAQ-AV, MOSPSC, dan HSOPSC merupakan instrumen pengukuran budaya keselamatan pasien yang digunakan pada 242 pelayanan kesehatan primer di 8 negara. Berdasarkan penelitian, setiap pelayanan kesehatan primer memiliki dimensi budaya keselamatan pasien yang perlu peningkatan. Dimensi kondisi kerja, tekanan kerja dan kecepatan, dan dimensi respon tidak menghukum terhadap keselahan merupakan dimensi yang paling sering membutuhkan peningkatan. Simpulan: Dimensi persepsi manajemen, kondisi kerja, kepuasan kerja, tekanan kerja dan kecepatan, dukungan kepemimpinan, frekuensi pelaporan insiden, kepegawaian, respon tidak menyalahkan, handsoff dan tansisi, memiliki nilai rendah dan membutuhkan peningkatan dalam penerapan budaya keselamatan pasien.
Unduhan
Referensi
WHO. Patient Safety [Internet]. 2019 [cited 2022 Aug 22]. Available from: https://www.who.int/news-room/fact-sheets/detail/patient-safety
Gens-Barberà M, Hernández-Vidal N, Vidal-Esteve E, Mengíbar-García Y, Hospital-Guardiola I, Oya-Girona EM, et al. Analysis of patient safety incidents in primary care reported in an electronic registry application. Int J Environ Res Public Health. 2021 Sep 1;18(17).
Lawati MH al, Dennis S, Short SD, Abdulhadi NN. Patient safety and safety culture in primary health care: A systematic review. BMC Fam Pract. 2018 Jun 30;19(1).
Sarkar U. Tip of the iceberg: patient safety incidents in primary care. BMJ Qual Saf. 2016 Jul;25(7):477–9.
Panesar SS, deSilva D, Carson-Stevens A, Cresswell KM, Salvilla SA, Slight SP, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016 Jul;25(7):544–53.
Makeham M, Zwar N, Dovey S, Carson-Stevens A, World Health Organization, World Health Organization. Department of Service Delivery and Safety. Administrative errors. 23 p.
Payne R, Slight S, Franklin BD, Avery AJ (Anthony J, World Health Organization, World Health Organization. Department of Service Delivery and Safety. Medication errors. 28 p.
Singh H (Physician), Onakpoya I, Thompson MJ, Graber ML, Schiff G, World Health Organization, et al. Diagnostic errors. 28 p.
Lousada LM, da Silva Dutra FC, da Silva BV, de Oliveira NLL, Bastos IB, de Vasconcelos PF, et al. Patient safety culture in primary and home care services. BMC Fam Pract. 2020 Dec 12;21(1):188.
Najihah. Budaya Keselamatan Pasien dan Insiden Keselamatan Pasien di Rumah Sakit. Journal of Islamic Nursing. 2018(3).
ALFadhalah T, al Mudaf B, Alghanim HA, al Salem G, Ali D, Abdelwahab HM, et al. Baseline assessment of patient safety culture in primary care centres in Kuwait: a national cross-sectional study. BMC Health Serv Res. 2021 Dec 1;21(1).
Antonakos I, Souliotis K, Psaltopoulou T, Tountas Y, Papaefstathiou A, Kantzanou M. Psychometric Properties of the Greek Version of the Medical Office on Patient Safety Culture in Primary Care Settings. Medicines (Basel) [Internet]. 2021 Jul 26 [cited 2022 Aug 26];8(8):42. Available from: http://www.ncbi.nlm.nih.gov/pubmed/34436221
Lousada LM, da Silva Dutra FC, da Silva BV, de Oliveira NLL, Bastos IB, de Vasconcelos PF, et al. Patient safety culture in primary and home care services. BMC Fam Pract. 2020 Sep 12;21(1).
Tlili MA, Aouicha W, Dhiab M ben, Mallouli M. Assessment of nurses’ patient safety culture in 30 primary health-care centres in tunisia. Eastern Mediterranean Health Journal. 2020 Nov 1;26(11):1347–54.
Khamaiseh A, Al-Twalbeh D, Al-Ajlouni K. Patient safety culture in Jordanian primary health-care centres as perceived by nurses: A cross-sectional study. Eastern Mediterranean Health Journal. 2020;26(10):1242–50.
Tevžič Š, Poplas-Susič A, Klemenc-Ketiš Z. The safety culture of the Ljubljana community health centre’s employees Kultura varnosti zaposlenih v zdravstvenem domu Ljubljana. Zdr Varst. 2021 Jun 28;60(3):145–51.
al Lawati MH, Short SD, Abdulhadi NN, Panchatcharam SM, Dennis S. Assessment of patient safety culture in primary health care in Muscat, Oman: a questionnaire -based survey. BMC Fam Pract. 2019 Apr 5;20(1).
Klemenc-Ketiš Z, Tveter Deilkås E, Hofoss D, Tschudi Bondevik G. Patient safety culture in Slovenian out-of-hours primary care clinics. Zdr Varst. 2017;56(4):203–10.
Aljaffary A, Albaalharith MA, Alumran A, Alrawiai S, Hariri B. Patient Safety Culture in Primary Healthcare Centers in the Eastern Province of Saudi Arabia. Risk Manag Healthc Policy [Internet]. 2022 [cited 2022 Sep 7];15:229. Available from: /pmc/articles/PMC8859538/
Lima Araú jo GI, bio Ferreira Amorim FI, Cristina Pereira Santos de MirandaID R, vio Ferreira Pontes Amorim F, Aniceto SantanaID L, Bernarda Donato Gö ttemsID L. Patient safety culture in primary health care: Medical office survey on patient safety culture in a Brazilian family health strategy setting. 2022; Available from: https://doi.org/10.1371/journal.pone.0271158
Bondevik GT, Hofoss D, Hansen EH, Deilkås ECT. The safety attitudes questionnaire - Ambulatory version: Psychometric properties of the Norwegian translated version for the primary care setting. BMC Health Serv Res [Internet]. 2014 Mar 29 [cited 2022 Sep 11];14(1):1–10. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-14-139
Rohmani N, Wuri Winahyu Sari I, Yani Yogyakarta A. Adaptation and Validation of Safety Attitude Questionnaire Ambulatory (SAQ-A) in Indonesian Primary Health Care Facilities. Mutiara Medika: Jurnal Kedokteran dan Kesehatan [Internet]. 2019 Jun 25 [cited 2022 Sep 12];19(2):43–9. Available from: https://journal.umy.ac.id/index.php/mm/article/view/5491
Zhao C, Chang Q, Zhang X, Wu Q, Wu N, He J, et al. Evaluation of safety attitudes of hospitals and the effects of demographic factors on safety attitudes: a psychometric validation of the safety attitudes and safety climate questionnaire. [cited 2022 Sep 12]; Available from: https://doi.org/10.1186/s12913-019-4682-0
Souza MM de, Ongaro JD, Lanes TC, Andolhe R, Kolankiewicz ACB, Magnago TSB de S. Patient safety culture in the Primary Health Care. Rev Bras Enferm. 2019 Jan 1;72(1):27–34.
Hickam D, Severance S, Feldstein A, Ray L, Gorman P, Schuldheis S, et al. The Effect of Health Care Working Conditions on Patient Safety: Summary. 2003 [cited 2022 Sep 12]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK11929/
Retnaningsih D. Beban Kerja Perawat Terhadap Implementasi Patient Safety di Ruang Rawat Inap. The Soedirman Journal of Nursing). 2016;11(1).
Triputra A, Fauzan S, Studi Keperawatan P, Kedokteran Universitas Tanjungpura F, Kesehatan Provinsi Kalimantan Barat D, Kedokteran F. Hubungan Beban Kerja Perawat Pelaksana terhadap Penerapan Keselamatan Pasien di Ruang Rawat Inap RSUD Dokter Soedarso Pontianak. ProNers [Internet]. 2019 Jul 18 [cited 2022 Sep 17];4(1). Available from: https://jurnal.untan.ac.id/index.php/jmkeperawatanFK/article/view/34337
Antonakos I, Souliotis K, Psaltopoulou T, Tountas Y, Kantzanou M. Patient Safety Culture Assessment in Primary Care Settings in Greece. Healthcare (Basel) [Internet]. 2021 Jul 1 [cited 2022 Aug 26];9(7). Available from: https://pubmed.ncbi.nlm.nih.gov/34356258/
Hartanto YD, Warsito BE. Kepemimpinan Kepala Ruang dalam Penerapan Budaya Keselamatan Pasien di Rumah Sakit: Literature Review.
dos Santos Bezerril M, Gonçalves da Costa ME, Lima Freire V de A, Belmiro Andrade F, Tavares Chiavone FB, Pereira Santos VE, et al. Evaluación de la cultura de seguridad del paciente en la Atención Primaria de Salud. Enfermería Global [Internet]. 2022 Jul 1 [cited 2022 Sep 17];21(67):376–408. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412022000300376&lng=es&nrm=iso&tlng=en
Palmieri PA, Leyva-Moral JM, Camacho-Rodriguez DE, Granel-Gimenez N, Ford EW, Mathieson KM, et al. Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research. [cited 2022 Sep 13]; Available from: https://doi.org/10.1186/s12912-020-00419-9
Hao HS, Gao H, Li T, Zhang D.
Assessment and Comparison of Patient Safety Culture Among Health-Care Providers in Shenzhen Hospitals
. Risk Manag Healthc Policy [Internet]. 2020 Sep 11 [cited 2022 Sep 13];13:1543–52. Available from: https://www.dovepress.com/assessment-and-comparison-of-patient-safety-culture-among-health-care--peer-reviewed-fulltext-article-RMHPDhamanti I, Leggat S, Barraclough S. Practical and cultural barriers to reporting incidents among health workers in Indonesian public hospitals. J Multidiscip Healthc. 2020;13:351–9.
Ambarwati Lestari E, Devi Fitriani A. Analisis Faktor Penyebab Rendahnya Pelaporan Insiden Keselamatan Pasien di Rawat Inap RSU Mitra Medika Bandar Klippa Tahun 2021. Journal of Healthcare Technology and Medicine. 2021(7).
Dora Ultaria TS, Pawelas Arso S, Sriatmi A. Gambaran Budaya Keselamatan Pasien di RS Roemani Muhamaddiyah Semarang. 2017 [cited 2022 Sep 17];5:2356–3346. Available from: http://ejournal-s1.undip.ac.id/index.php/jkm
Unduhan
Telah diserahkan
diterima
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2023 Jurnal Kesehatan Komunitas
Artikel ini berlisensiCreative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted non-commercial used, distribution and reproduction in any medium
