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  • 1
    Online Resource
    Online Resource
    Komisi Akreditasi Rumah Sakit - KARS ; 2021
    In:  The Journal of Hospital Accreditation Vol. 3, No. 2 ( 2021-07-23), p. 84-90
    In: The Journal of Hospital Accreditation, Komisi Akreditasi Rumah Sakit - KARS, Vol. 3, No. 2 ( 2021-07-23), p. 84-90
    Abstract: Latar Belakang: Pandemi Coronavirus Disease 2019 (Covid-19) memberikan dampak luas dikarenakan risiko penularan virus SARS-COV-2 melalui kontak, droplet, dan kemungkinan airborne. Suatu tantangan bagi rumah sakit untuk menjamin mutu dan keselamatan. Dalam kondisi seperti ini, maka budaya keselamatan yang baik menjadi faktor kritikal untuk menjamin keselamatan baik pasien, pengunjung, maupun petugas rumah sakit. Komitmen Pimpinan dan dukungan seluruh staf khususnya staf klinis sangat diperlukan untuk terciptanya budaya keselamatan rumah sakit. Salah satunya pemenuhan standar layanan akreditasi rumah sakit untuk meningkatkan budaya keselamatan. Berdasarkan kondisi ini diperlukan suatu penelitian untuk mengukur sejauh mana standar akreditasi diimplementasikan untuk mendukung budaya keselamatan yang meliputi keselamatan pasien, keselamatan dan kesehatan pekerja rumah sakit. Tujuan: Penelitian ini bertujuan untuk mengukur budaya keselamatan staf klinis dengan prediktor yang dominan dalam mempengaruhi keselamatan pasien serta keselamatan dan kesehatan pekerja di rumah sakit terakreditasi Komisi Akreditasi Rumah Sakit (KARS) yang menjadi rujukan Covid-19. Metode: Penelitian ini merupakan cross-sectional study pada empat rumah sakit rujukan Covid-19 di DKI Jakarta diantaranya RSPAD Gatot Subroto, RSUP Persahabatan, RS Pusat Pertamina, dan RS Pertamina Jaya. Tiga variabel yang mempengaruhi budaya keselamatan yaitu iklim keselamatan, situasional, dan perilaku keselamatan. Responden adalah staf klinis berdasarkan jenis instalasi dan staf klinis di setiap rumah sakit yang dipilih secara acak. Kuesioner mengacu pada instrumen Standar Nasional Akreditasi Rumah Sakit (SNARS) edisi 1.1 dalam bentuk google form. Analisis data dilakukan secara univariat dan bivariat menggunakan uji chi-square sedangkan multivariat menggunakan regresi logistik. Hasil: Data penelitian ini diperoleh dari 560 responden yang terdiri dari instalasi dan staf klinis. Dari empat rumah sakit dihasilkan budaya keselamatan rumah sakit menurut 51,8% responden masuk dalam kategori baik dimana tiga dari sepuluh indikator yaitu kerjasama, lingkungan kerja, dan kepatuhan merupakan kategori baik dan dominan. Variabel situasional memiliki pengaruh terbesar terhadap budaya keselamatan (OR 4,46; 95% CI 2,67-7,42). Kepatuhan memiliki pengaruh terbesar terhadap keselamatan pasien (OR 5,59; 95% CI 3,27-9,56) dan manajemen risiko memiliki pengaruh terbesar terhadap keselamatan dan kesehatan pekerja (OR 5,59; 95% CI 3,29-9,49).  Kesimpulan: Variabel situasional memiliki pengaruh terbesar terhadap budaya keselamatan, baik keselamatan pasien maupun keselamatan dan kesehatan pekerja. Indikator kepatuhan dan manajemen risiko merupakan indikator yang memiliki pengaruh terbesar terhadap budaya keselamatan.
    Type of Medium: Online Resource
    ISSN: 2656-7237
    URL: Issue
    Language: Unknown
    Publisher: Komisi Akreditasi Rumah Sakit - KARS
    Publication Date: 2021
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  • 2
    In: Frontiers in Public Health, Frontiers Media SA, Vol. 11 ( 2023-7-17)
    Abstract: As a disaster-prone country, hospital preparedness in dealing with disasters in Indonesia is essential. This research, therefore, focuses specifically on hospital preparedness for COVID-19 in Indonesia, which is important given the indication that the pandemic will last for the foreseeable future. Methods During March to September 2022, a cross-sectional approach and a quantitative study was conducted in accordance with the research objective to assess hospital preparedness for the COVID-19 pandemic. This research shows the level of readiness based on the 12 components of the rapid hospital readiness checklist for COVID-19 published by the World Health Organization (WHO). Evaluators from 11 hospitals in four provinces in Indonesia (Capital Special Region of Jakarta, West Java, Special Region of Yogyakarta, and North Sumatra) filled out the form in the COVID-19 Hospital Preparedness Information system, which was developed to assess the level of hospital readiness. Results The results show that hospitals in Capital Special Region of Jakarta and Special Region of Yogyakarta have adequate level (≥ 80%). Meanwhile, the readiness level of hospitals in West Java and North Sumatra varies from adequate level (≥ 80%), moderate level (50% – 79%), to not ready level (≤ 50%). Conclusion The findings and the methods adopted in this research are valuable for policymakers and health professionals to have a holistic view of hospital preparedness for COVID-19 in Indonesia so that resources can be allocated more effectively to improve readiness.
    Type of Medium: Online Resource
    ISSN: 2296-2565
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2023
    detail.hit.zdb_id: 2711781-9
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  • 3
    Online Resource
    Online Resource
    Publikasi Indonesia ; 2023
    In:  Jurnal Indonesia Sosial Teknologi Vol. 4, No. 11 ( 2023-11-21), p. 1971-1988
    In: Jurnal Indonesia Sosial Teknologi, Publikasi Indonesia, Vol. 4, No. 11 ( 2023-11-21), p. 1971-1988
    Abstract: The importance of leadership and communication styles in upholding a safety culture in a health service. This research aims to analyse the influence of transformational leadership effective communication on patient safety culture with trust as mediation in nursing personnel in general hospital X. This study used a questionnaire involving 98 respondents with a cross-sectional quantitative research design using Structural Equation Modeling (SEM) with Smart Partial Least Square (PLS) software. The results of the study found that transformational leadership has a significant effect on patient safety culture, then effective communication has a significant effect on patient safety culture. Where the highest dimension of transformational leadership is inspirational motivation (89.9%), the highest dimension of effective communication is context (86.8%), the highest dimension in patient safety culture is a non-punitive response to error incidents (79.6%), while the highest dimension of trust is integrity (85.5%). The research concludes that transformational leadership and effective communication exert influence on trust-mediated patient safety culture
    Type of Medium: Online Resource
    ISSN: 2745-5254 , 2723-6609
    URL: Issue
    Language: Unknown
    Publisher: Publikasi Indonesia
    Publication Date: 2023
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  • 4
    Online Resource
    Online Resource
    Galore Knowledge Publication Pvt. Ltd. ; 2023
    In:  International Journal of Research and Review Vol. 10, No. 12 ( 2023-12-13), p. 121-125
    In: International Journal of Research and Review, Galore Knowledge Publication Pvt. Ltd., Vol. 10, No. 12 ( 2023-12-13), p. 121-125
    Abstract: Objective: To determine the relationship between walking ability and the fall risk in after stroke patients. Method: This research was descriptive quantitative with observational research type. The total sample of 35 people after stroke was obtained using a purposive sampling technique. Measurement of walking ability using the Dynamic Gait Index (DGI) showed a mean ± SD value of walking ability of 16.74 ± 5.20 and measurement of fall risk using the Timed Up and Go Test (TUGT) showed a mean ± SD value of 17.871 ± 6.55. Results: The Pearson Product Moment correlation test obtained a value of p = 0.001with a value of r = - 0.984 which shows a negative correlation between the two variables, which means that when the level of walking ability increases, the fall risk tends to decrease. Conversely, when the level of walking ability decreases, the risk of falling tends to increase. Conclusion: There was a relationship between the ability to walk and the fall risk in after stroke patients. Keywords: Post-stroke patients, walking ability, fall risk, Dynamic Gait Index (DGI), Timed Up and Go Test (TUGT).
    Type of Medium: Online Resource
    ISSN: 2349-9788 , 2454-2237
    Language: English
    Publisher: Galore Knowledge Publication Pvt. Ltd.
    Publication Date: 2023
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2022
    In:  Journal of Public Health Research Vol. 11, No. 2 ( 2022-04), p. jphr.2022.2530-
    In: Journal of Public Health Research, SAGE Publications, Vol. 11, No. 2 ( 2022-04), p. jphr.2022.2530-
    Abstract: Studies on safety culture maturity in health care is very rare, and the existing ones only focus on patients and the use of Manchester Patients Safety Framework (MaPSaF) instrument. The objective of this study is to develop a comprehensive instrument for measuring safety culture maturity in hospitals. Design and methods This study used a cross-sectional design with three stages. First, we used secondary data analysis from the Hospital Accreditation Commission. Second, evaluation of primary data obtained from safety climate questionnaire. Third, we did focus group discussions, and in-depth interviews for validation of secondary data and development of DUTA-RS website. We analyzed using Structural Equation Modeling (SEM) test. Results DUTA-RS instrument contains 1,118 elements based on the first edition of the Indonesian Hospital Accreditation National Standard. Its safety culture maturity is at the proactive level (58.0%), with the highest accreditation levels of proactive (50.8%) and generative (48.7%). The variables affecting the safety culture maturity are situational and safety behavior variables, with leadership, risk management, and safety compliance as the strongest indicators. The weakest indicators of climate are organizational learning and communication. The mean value of climate for primary and secondary data is in the good category and showed in proactive level. Conclusions The DUTA-RS as a website to measure the safety culture maturity in accredited hospitals by taking the advantage of the existing information technology of hospital accreditation committee as the benchmark enables improvement of SCML in hospitals. Further studies are required for the development of DUTA-RS website.
    Type of Medium: Online Resource
    ISSN: 2279-9036 , 2279-9036
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2672312-8
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  • 6
    In: SSRN Electronic Journal, Elsevier BV
    Type of Medium: Online Resource
    ISSN: 1556-5068
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2012
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  • 7
    Online Resource
    Online Resource
    Galore Knowledge Publication Pvt. Ltd. ; 2024
    In:  International Journal of Research and Review Vol. 11, No. 1 ( 2024-1-10), p. 210-220
    In: International Journal of Research and Review, Galore Knowledge Publication Pvt. Ltd., Vol. 11, No. 1 ( 2024-1-10), p. 210-220
    Abstract: COVID-19 pandemic is a challenge for hospitals to ensure quality and safety of patients and health workers to create a hospital safety culture. Referring to cases, till December 25, 2022, number of deaths worldwide reached 6,678,098 people with 656,864,989 people confirmed positive. This case infects health workers with highest death rate during hospital treatment. Hospital safety culture is related to improving health services quality. Measuring safety culture requires combination of quantitative and qualitative to get comprehensive of safety culture. This study aimed to obtain a qualitative description of safety culture during the COVID-19 pandemic in accredited hospitals. Qualitative descriptive research by selecting informants using purposive sampling at three accredited hospitals. Instruments refer to modified questionnaire from forty-two focus group discussion’s questions and ten in-depth interview’s questions grouped into six indicators. Results showed that three accredited hospitals have safety culture programs and hospital occupational safety and health. Hospitals have commitment, supportive leadership, supervision, and sustainability monitoring and evaluation. They have adapted regulations for COVID-19. A conducive work environment is also available for making patients and workers safe. They have provided information, reminded each other, and behaved safely as safety participation. Communication is carried out through socialization and feedback. Training is available for supporting patient and worker safety. Accreditation standards could be immensely helpful in conducting safety efforts. The conclusion is three accredited hospitals have implemented safety culture during COVID-19 by six indicators, including: leadership, safety communication, regulations, work environment, participation, and training. Accreditation is important for safety culture hospital. Keywords: safety culture, hospital, accreditation, qualitative, pandemic
    Type of Medium: Online Resource
    ISSN: 2349-9788 , 2454-2237
    Language: English
    Publisher: Galore Knowledge Publication Pvt. Ltd.
    Publication Date: 2024
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