&lt;p&gt;Patient Safety Incident Reporting In Indonesia: An Analysis Using World Health Organization Characteristics For Successful Reporting&lt;/p&gt;

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

doi:10.2147/rmhp.s222262

Cited by 20 publications

(23 citation statements)

References 12 publications

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“…In a general setting, reluctance to report and fear of being blamed or punished have also been reported as primary cultural barriers. 21,32 Again, it is crucial for supervisors or managers to understand the perspective of staff and to clarify how incident reporting will be handled without causing further conflict within teams, units, or hospitals.…”

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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“…5 Evaluation of the sytem also revealed some weaknesses such as the existence of punitive system, lack of confidentiality, poor timeliness of reporting, and lack of responsiveness. 6 The existing policies, guidelines, and regulations in Indonesia, to a large extent, do not satisfy the WHO-recommended requirements for incident reporting systems. Furthermore, there is a lack of awareness and understanding of the reporting system among officials at almost all levels.…”

Section: Introductionmentioning

confidence: 99%

Factors contributing to under-reporting of patient safety incidents in Indonesia: leaders’ perspectives

et al. 2021

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Background: Understanding the causes of patient safety incidents is essential for improving patient safety; therefore, reporting and analysis of these incidents is a key imperative. Despite its implemention more than 15 years ago, the institutionalization of incident reporting in Indonesian hospitals is far from satisfactory. The aim of this study was to analyze the factors responsible for under-reporting of patient safety incidents in Indonesian public hospitals from the perspectives of leaders of hospitals, government departments, and independent institutions. Methods: A qualitative research methodology was adopted for this study using semi-structured interviews of key informants. 25 participants working at nine organizations (government departments, independent institutions, and public hospitals) were interviewed. The interview transcripts were analyzed using a deductive analytic approach. Nvivo 10 was used to for data processing prior to thematic analysis. Results: The key factors contributing to the under-reporting of patient safety incidents were categorized as hospital related and nonhospital related (government or independent agency). The hospital-related factors were: lack of understanding, knowledge, and responsibility for reporting; lack of leadership and institutional culture of reporting incidents; perception of reporting as an additional burden. The nonhospital-related factors were: lack of feedback and training; lack of confidentiality mechanisms in the system; absence of policy safeguards to prevent any punitive measures against the reporting hospital; lack of leadership. Conclusion: Our study identified factors contributing to the under-reporting of patient safety incidents in Indonesia. The lack of government support and absence of political will to improve patient safety incident reporting appear to be the root causes of under-reporting. Our findings call for concerted efforts involving government, independent agencies, hospitals, and other stakeholders for instituting reforms in the patient safety incident reporting system.

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“…In Indonesia, there were only 132 incidents reported in 2013 (Dhamanti I, 2015) although it increased to 688 in 2016 (Gusman Y, 2017). Incidence data is difficult to find annually because incident reporting or patient safety that is shared with the public is not available to the public (Iskandar H, 2014;Dhamanti I, 2019).…”

Section: Introductionmentioning

confidence: 99%

Cultural Perceptions of Patient Safety among Dentists, Young Dentists and Medical Staff in Dental and Oral Hospital

Kinanti

Prasetio

Addukha

2020

jmmr

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Patient safety culture is a major aspect of a good Dental and Oral Hospital services. The purpose of this study was to determine the perception of patient safety in dentist, young dentists, medical staff in dental and oral hospital. This type of quantitative descriptive research with cross-sectional approach. Research site in the dental and oral hospital of the University of Muhammadiyah Semarang. Sample of 65 respondents consisting of dentists, young dentists, and medical staff used simple random sampling techniques. Data analysis using univariate is presented in the frequency distribution table. Patient safety culture instruments were taken from the AHRQ. Data analysis using univariate which is presented in the frequency distribution table. The results are Perception of Dentists, Young Dentists and Medical staff, the assessment of internal cooperation, poor (50.8%), Perception the assessment of managers, good (64.4%). Perception communication appraisal of work unit, good (50.8%), Perception frequency reports of wrong actions or events is not expected, good (53.8%). The perception of the assessment of the patient safety level, good (55.4%). The perception of hospital management overall assessment, poor (58.5%). The conclusion is culture of patient safety in Dental and Oral Hospital from the perception of Dentists and Medical Staff are good.Budaya keselamatan pasien merupakan aspek utama dalam pelayanan Rumah Sakit Gigi dan Mulut secara baik. Tujuan penelitian ini untuk mengetahui persepsi keselamatan pasien pada dokter gigi, dokter gigi muda, staf medis di rumah sakit gigi dan mulut. Jenis penelitian ini deskriptif kuantitatif dengan pendekatan Cross-Sectional. Lokasi penelitian dilakukan di Rumah Sakit Gigi dan Mulut Universitas Muhammadiyah Semarang. Sampel penelitian sebanyak 65 responden, terdiri dari, dokter gigi, dokter gigi muda, dan staf medis, dengan menggunakan teknik simple random sampling. Instrument budaya keselamatan pasien diambil dari AHRQ. Analisis data menggunakan univariat yang disajikan dalam tabel distribusi frekuensi. Berikut hasil penilaian instumen AHRQ menurut persepsi dokter gigi, persepsi dokter gigi muda, dan staf medis terhadap penilaian. Kerjasama internal kurang baik (49,2%), persepsi manajer terhadap penilaian baik (64,4%), persepsi penilaian komunikasi di unit kerja baik (50,8%), persepsi frekuensi pelaporan kejadian yang tidak diharapkan baik (53,6%), persepsi penilaian tingkat keselamatan pasien baik (55,4%), persepsi keseluruhan manajemen rumah sakit kurang baik (58,2%). Kesimpulan bahwa budaya keselamatan pasien di Rumah Sakit Gigi dan Mulut dari persepsi dokter gigi, dokter gigi muda, dan staf medis sudah baik.

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<p>Patient Safety Incident Reporting In Indonesia: An Analysis Using World Health Organization Characteristics For Successful Reporting</p>

Cited by 20 publications

References 12 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>

Factors contributing to under-reporting of patient safety incidents in Indonesia: leaders’ perspectives

Cultural Perceptions of Patient Safety among Dentists, Young Dentists and Medical Staff in Dental and Oral Hospital

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