Skip to main navigation menu Skip to main content Skip to site footer

Original

Vol. 8 No. 1 (2020): Jurnal Keperawatan Padjadjaran

Relationship between Healthcare Provider’s Perception about Patient Safety and Patient Safety Implementation in The Emergency Department

DOI
https://doi.org/10.24198/jkp.v8i1.995
Submitted
August 28, 2018
Published
2020-04-22

Abstract

The Emergency Department (ED) is a hospital service unit that provides the first service for patients with disease conditions that threaten their lives or can cause disability for 24 hours. Implementation of patient safety in the ED should be applied to minimize the risk of error handling for the patient. ED staff perceptions related to the implementation of patient safety is a factor that directly-related to his behavior in applying the implementation of patient safety. This study aimed to analyze the relationship between perceptions of staff ED and patient safety by implementing patient safety at the Regional Hospital Emergency Department Cirebon. This study was a correlational study with the cross-sectional approach of 99 emergency staff with total sampling at Cirebon. Collecting data used questionnaires of patient safety. Based on the results of the univariate analysis showed that the majority (80%) of respondents either category on the implementation of the sub-variables of patient safety team collaboration and communication, only a small proportion of respondents less category (20%) on the implementation of the sub-variables of patient safety team collaboration and communication. In addition, less than half (49.5%) category lacking in implementing patient safety, only half (50.5%) categories, both in the implementation of patient safety. Based on the results of the bivariate analysis showed that the relationship implementation of patient safety with all the variables, namely teamwork (p-value = 0.000), communications (p-value = 0.005), the concept of patient safety (p-value = 0.005), and perception (p-value = 0.005). Based on the results of the study, the researchers concluded that the relationship between staff perceptions of the emergency department (ED) on patient safety by implementing patient safety at the Regional Hospital emergency department (RSD) Cirebon. IGD support staff perceptions of patient safety, but still found lacking in the category of health workers implementation of patient safety, so the need for patient safety education and training with simulation methods to illustrate the approach in the implementation of patient safety.

Article Matrics
Abstract views : 317 times PDF Downloads: 244

Downloads

Download data is not yet available.

References

  1. Aboshaiqah, A., & Baker, O. (2013). Assessment of nurses’ perceptions of patient safety culture in a Saudi Arabia hospital. Journal of Nursing Care Quality. 28(3), 272-80. https://doi.org/10.1097/ncq.0b013e3182855cde
  2. Affonso, D.D., Jeffs, L., Doran, D., & Ferguson-Pare, M. (2003), “Patient safety to frame and reconcile nursing issuesâ€, Nursing Leadership, 16(4), pp. 69-81. https://doi.org/10.12927/cjnl.2003.16232
  3. Agency for Healthcare Research and Quality. (2013). About Team STEPPS. Retrieved July 16, from http://www.ahrq.gov/team stepp /about-teamstepps/index.html
  4. Agency for Healthcare Research and Quality. (2007). Guide to patient safety indicators Version 3.1. U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
  5. Agnew et al. (2013) Patient safety climate and worker safety behaviours in acute hospitals in Scotland. Journal of Safety Research, 45, 95-101. https://doi.org/10.1016/j.jsr.2013.01.008
  6. Australian College for Emergency Medicine. (2014). Emergency Department Design Guidelines, G15. Third Section, Australian College for Emergency Medicine.
  7. Bagnasco, A., Tibaldi, L., Chirone, P., Chiaranda, C., Panzone, M.S., Tangolo, D., & Sasso L. (2011). Patient safety culture: An Italian experience. Journal of Clinical Nursing, 20, 1188-1195. https://doi.org/10.1111/j.1365-2702.2010.03377.x
  8. Bawelle. (2013). Hubungan pengetahuan dan sikap perawat dengan pelaksanaan keselamatan pasien (patient safety) di Ruang Rawat Inap RSUD Liun Kandage Tahuna. ejournal keperawatan 1(1). https://doi.org/10.35790/jkp.v1i1.2237
  9. Bovbjerg. R.R., Miller, R.H., & Shapiro D. (2001). Paths to reducing medical injury: Professional liability and discipline vs. patient safety. J Law Med Ethics, 29, 369-380. https://doi.org/10.1111/j.1748-720x.2001.tb00354.x
  10. Brannick et al. (1997). Series in applied psychology. Team performance assessment and measurement: Theory, methods, and applications. Lawrence Erlbaum Associates Publishers.
  11. Brenna, M.F. (2016). Patient safety in the emergency department. Emergency Medicine.
  12. Conner. (2005). The theory of planned behaviour and health behaviours. In M. Conner & P. Norman (Eds.), Predicting Health Behaviour: Research and Practice with Social Cognition Models, 2nd Ed (pp. 170-222). Open University Press.
  13. Cooper et al. (2010). Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation; 81:446-52
  14. Depkes RI. (2011). Standar Pelayanan Keperawatan Gawat Darurat di Rumah Sakit. (Standards for Emergency Nursing Services in Hospitals). Kementrian Kesehatan RI.
  15. Emaliyawati, E., Prawesti, A., Yosep, I., & Ibrahim, K. (2016). Manajemen Mitigasi Bencana dengan Teknologi Informasi di Kabupaten Ciamis. Jurnal Keperawatan Padjadjaran, 4(1). https://doi.org/10.24198/jkp.v4i1.139
  16. Guttmann. A., Schull, M.J., Vermeulen, M.J., & Stukel, T.A. (2011). Association between waiting times and short term mortality and hospital admission after departure from emergency department: Population based cohort study from Ontario, Canada. BMJ, 342. https://doi.org/10.1136/bmj.d2983
  17. Horwitz, L.I., Meredith, T., Schuur, J.D., Shah, N.R., Kulkarni, R.G., & Jenq, G.Y. (2009). Dropping the baton: A qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med., 53(6), 701-710. https://doi.org/10.1016/j.annemergmed.2008.05.007
  18. Jeffs, L, Abramovich, I.A., Hayes, C., Smith, O., Tregunno, D., Chan, W.H., & Reeves, S. (2013). Implementing an interprofessional patient safety learning initiative: Insights from participants, project leads and steering committee members. BMJ Qual Saf, 22, 923- 930. http://dx.doi.org/10.1136/bmjqs-2012-001720
  19. Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (2000). To err is human: Building a safer health system. National Academy Press.
  20. Leape, L., Berwick, D., Clancy, C., Conway, J., Gluck, P., Guest, J., Lawrence, D., Morath, J., O’Leary, D., O’Neill, P., Pinakiewicz, D., Isaac, T., & Lucian Leape Institute at the National Patient Safety Foundation (2009). Transforming healthcare: a safety imperative. Quality & safety in health care, 18(6), 424-428. https://doi.org/10.1136/qshc.2009.036954
  21. Lena, M., Berga, B., Ehrenbergc, A., Florinc, J., Jan, O., & Katarina, E. (2012). An observational study of activities and multitasking performed by clinicians in two Swedish emergency departments. European Journal of Emergency Medicine, 19, 246-251. https://doi.org/10.1097/mej.0b013e32834c314a
  22. Manser, T. (2009). Teamwork and patient safety in dynamic domains of healthcare: A review of the literature. Acta Anaesthesiol Scand, 53, 143-151. https://doi.org/10.1111/j.1399-6576.2008.01717.x
  23. Ministry of Health. (2011) Patient safety indicator reporting: Ontario totals. Toronto, Retrieved September 2011, 2019, from http:// patientsafetyontario .net/ Reporting /en/ PSIR_ProvincialIndicatorReporting.aspx?View=1&hosptid=1444&seltype=4&str=s
  24. Patel, V.L., & Cohen, T. (2008). New perspectives on error in critical care. Current opinion in critical care, 14(4), 456-459. https://doi.org/10.1097/mcc.0b013e32830634ae
  25. Peters & Peters. (2008). Medical Error and Patient Safety: Human Factors in Medicine. CRC Press, Taylor & Francis Group.
  26. Pronovost et al. (2006). How will we know patients are safer? An organization-wide approach to measuring and improving safety, Critical Care Medicine, 34(7), 1988-1995 https://doi.org/10.1097/01.CCM.0000226412.12612.B6
  27. Redley et al. (2017). Interprofessional communication supporting clinical handover in emergency departments: An observation study. Australasian Emergency Nursing Journal, 20(3), August 2017, Pages 122-130. https://doi.org/10.1016/j.aenj.2017.05.003
  28. Robbins, P., Stephen, & Judge, A.T. (2007). Organizational Behaviour. Prentice Hall.
  29. Runciman, W., Hibbert, P., Thomson, R., Van Der Schaaf, T., Sherman, H., & Lewalle, P. (2009). Towards an international classification for patient safety: Key concepts and terms. Int J Qual Perawatan Kesehatan, 21(1), 18-26. https://doi.org/10.1093/intqhc/mzn057
  30. Sarwono, S.W. (2010). Psikologi sosial: Psikologi kelompok dan psikologi terapan. (Social psychology: Group psychology and applied psychology). Balai Pustaka.
  31. Shari, W. W., Suryani, S., & Emaliyawati, E. (2014). Emotional Freedom Techniques dan Tingkat Kecemasan Pasien yang akan Menjalani Percutaneous Coronary Intervention. Jurnal Keperawatan Padjadjaran, 2(3). https://doi.org/10.24198/jkp.v2i3.83
  32. Sherman. H., Castro, G., Fletcher, M., Hatlie, M., Hibbert, P., Jakob, R., et al. (2009). Towards an International Classification for Patient Safety: The conceptual framework. Int J Qual Health Care, 21(1), 2-8. https://doi.org/10.1093/intqhc/mzn054
  33. Shojania, K.G., Duncan, B.W., McDonald, K.M., et al., eds. (2001). Making health care safer: A critical analysis of patient safety practices. Evidence Report/Technology Assessment, 43. Retrieved September 8, 2019, from https://www.ncbi.nlm.nih.gov/books/NBK26966/
  34. Sobur. (2011). Psikologi Umum. (General Psychology). CV Pustaka setia.
  35. Sorra, J., Famolaro, T., Dyer, N., Nelson, D., & Khanna, K. (2009). Hospital survey on patient safety culture: Comparative database report. Agency for Healthcare Research and Quality.
  36. Walgito. (2002). Pengantar Psikologi Umum. (Introduction to General Psychology). Yogyakarta.Andi Offset
  37. Westbrook, J.I. (2014). Interruptions and multi-tasking: Moving the research agenda in new directions. BMJ quality & safety, 23(11), 877-9. https://doi.org/10.1136/bmjqs-2014-003372
  38. Woloshynowych, M., Davis, R., Brown, R., & Vincent, C. (2007). Communication patterns in a UK emergency department. Annals of emergency medicine, 50(4), 407-13. https://doi.org/10.1016/j.annemergmed.2007.08.001
  39. World Health Organization. (2009). The conceptual framework for the international classification for patient safety. Retrieved August 28, 2019, from http://wwwwhoint/patientsafety/implementation/taxonomy/ publications/en/.
  40. World Health Organization [WHO]. (2009). Human factors in patient safety: Review of topics and tools. Report for Methods and Measures Working Group of WHO Patient Safety.
  41. World Health Organization [WHO]. (2009). The conceptual framework for the International Classification for Patient Safety. Retrieved August 28, 2019, from http:// wwwwhoint/patientsafety/implementation/ taxonomy/publications/en