Analysis of Patient Safety Culture Post of the COVID-19 Outbreak Peak

Abstract

BACKGROUND: Patient safety culture is an important indicator of the quality of health services. The COVID-19 pandemic resulted in a health emergency that contributed to the dynamics of handling and providing services in the health sector and put significant pressure on the health sector. Health services during the COVID-19 pandemic faced serious challenges. During a pandemic, safe and high-quality care is an important goal in the patient safety care system, which is an effort to prevent mistakes in providing services. METHOD: This study used analytical descriptive method with a cross-sectional approach and continued with correlation and comparative studies. The sample in this study amounted to 323 respondents by non-probability sampling. RESULTS: At the beginning of the pandemic, especially during the first spike in cases, there was a decline in patient safety culture, especially in the reporting of patient safety incidents. This decline was immediately corrected from 27.6% after the peak of the first pandemic to 52.4% after the peak of the second pandemic to 70% after the peak of the third pandemic. The dimension of teamwork between units had the largest correlation (r = 0.506) with a value of p = 0.000 in the first post-peak pandemic; in the post-peak of the second pandemic, the overall perception dimension of patient safety was the dimension with the largest correlation value (r = 0.547) with a value of p = 0.000. In the third post-peak pandemic, the supervisor/manager expectation dimension and actions that support patient safety were the dimensions that had the largest correlation value (r = 0.255) with a value of p = 0.000. CONCLUSION: There are dominant factors related to the quality of implementing patient safety culture in each post- peak pandemic and there are differences in the quality of implementing patient safety culture for each post-peak pandemic.