Patient Safety Goals’ Level of Attainment in Selected Tertiary Hospitals in Manila, Philippines: A Preliminary Study

Abstract

Background: Continuous efforts in the implementation of the National Patient Safety Goals (PSG) as a framework to guide the service providers have been made. However,there are reported incidents of untoward patient outcomes due to wrong medication administration, wrong site of surgical operation, acquisition of healthcare-associated infections, adverse reactions, and incidence of fall.Purpose: This study aimed to evaluate the PSGs’ level of attainment in selected tertiary hospitals in Metro Manila, Philippines. Methods: This study employed a field, descriptive and historical research survey conducted in three tertiary hospitals in Metro Manila. The participants were nurses having at least one year of experience in their current workplace (n=214). The sets of questionnaires used to get the data include the demographic profile and PSGs indicators adapted from the National Patient Safety Goals (NPSGs). Data responses were analyzed with descriptive statistics and One-Way ANOVA. Results: Based on the findings, the PSGs level of attainment obtained high extent with overall mean average: PSG 1 (M=4.35), PSG 2 (M=3.97), PSG 3 (M=4.07), PSG 4 (M=3.61), PSG 5 (M=3.89), PSG 6 (M=3.77) and PSG7 (M=4.20). Furthermore, there were significant differences on PSG 3 and PSG 4 with p-values of 0.00 and 0.02 respectively, which were tested at 0.05 level of significance. Others PSGs showed no significant differences. Conclusion: The results indicate that the selected hospitals in Metropolitan Manila, Philippines have a high level of attainment for patient safety goals and remains at the core of health service delivery in each organization. It is recommended that the hospital further enhance the knowledge, skills, and attitudes towards a sustained patient safety culture through continuing education programs, benchmarking, institutionalization, and accreditation.

A qualitative study of the reasons for low patient safety incident reporting among Indonesian nurses

“…The organization must develop an effective strategy to enhance the ongoing safety incident reporting over time. In addition, a study carried out in tertiary hospitals in the Philippines discovered that hospitals must enhance their knowledge, abilities, and attitudes towards a sustainable patient safety culture through training programs, benchmarking, institutionalization, and accreditation to promote patient safety ( 50 ) .…”

Description of Core Performance Measures and Indicators of Patient Safety Used by Select Government and Private Hospitals in the Philippines

“…This is one of the very few studies locally that describes the current performance metrics being used by hospitals to assess patient safety and quality. 10 , 11 It is part of a larger project that includes assessment of other aspects of performance measurement in patient safety (e.g., validity, reliability, standardization, and patient-centeredness) and evaluation of the capacity and needs of hospitals to do performance monitoring which are beyond the scope of this report.…”

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“…Manajemen perawatan pada pasien lanjut usia saat dirawat di Instansi pelayanan kesehatan merupakan salah satu metode yang dilakukan untuk memaksimalkan perbaikan kondisi kesehatan seperti menekan angka kejadian tidak diinginkan (Vera & Suprana, 2022) berupa komplikasi penyakit saat dirawat karena infeksi nosokomial (Gronewold et al, 2019), risiko cedera karena jatuh (Abe & Tuppal, 2018) ataupun ketergantungan pasien lanjut usia saat dirawat (Najjar et al, 2018). Kejadian tidak diinginkan menjadi salah satu hambatan dalam dalam melakukan proses asuhan keperawatan pada pasien di Rumah Sakit yang sedang dalam perawatan, sehingga membutuhkan penerapan manajemen perawatan (Yanriatuti et al, 2020), dengan memaksimalkan pelaksanaan safety patient culture dalam pelayanan kesehatan, salah satunya pada pasien lanjut usia (Mandriani et al, 2019).…”