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GLOBAL TRENDS IN PATIENT SAFETY AND SERVICE QUALITY: A BIBLIOMETRIC EXPLORATION FROM CLINICAL PRACTICE TO ORGANIZATIONAL CULTURE Nadila Rahmi; Arlina Dewi
Jurnal Bioteknologi & Biosains Indonesia (JBBI) Vol. 13 No. 1 (2026)
Publisher : BRIN - Badan Riset dan Inovasi Nasional

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Abstract

Patient safety and quality of service are crucial indicators in evaluating the effectiveness and accountability of healthcare systems. Despite the widespread implementation of clinical interventions and regulatory measures globally, significant challenges remain in ensuring safe and high-quality services, particularly in developing countries. This study aims to explore the trends and directions of research related to patient safety and quality of service during the 2015–2024 period using a bibliometric approach. Data were retrieved from the Scopus database using the keywords “Patient Safety” AND “Quality of Service” and were analyzed using VOSviewer software to visualize keyword networks, temporal trends, and term density. The analysis identified five major clusters in this area of study: (1) clinical interaction and human factors; (2) safety culture and organizational perception; (3) service quality and clinical procedures; (4) healthcare systems and hospital organization; and (5) the role of institutions and workforce. The findings indicate a shift in research focus from technical approaches toward systemic and humanistic perspectives. Communication among healthcare professionals, organizational culture, and technology adoption emerge as key elements in building an effective and sustainable patient safety ecosystem.
GLOBAL TRENDS IN PATIENT SAFETY AND SERVICE QUALITY: A BIBLIOMETRIC EXPLORATION FROM CLINICAL PRACTICE TO ORGANIZATIONAL CULTURE Nadila Rahmi; Arlina Dewi
Jurnal Bioteknologi & Biosains Indonesia (JBBI) Vol. 13 No. 1 (2026)
Publisher : BRIN - Badan Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Patient safety and quality of service are crucial indicators in evaluating the effectiveness and accountability of healthcare systems. Despite the widespread implementation of clinical interventions and regulatory measures globally, significant challenges remain in ensuring safe and high-quality services, particularly in developing countries. This study aims to explore the trends and directions of research related to patient safety and quality of service during the 2015–2024 period using a bibliometric approach. Data were retrieved from the Scopus database using the keywords “Patient Safety” AND “Quality of Service” and were analyzed using VOSviewer software to visualize keyword networks, temporal trends, and term density. The analysis identified five major clusters in this area of study: (1) clinical interaction and human factors; (2) safety culture and organizational perception; (3) service quality and clinical procedures; (4) healthcare systems and hospital organization; and (5) the role of institutions and workforce. The findings indicate a shift in research focus from technical approaches toward systemic and humanistic perspectives. Communication among healthcare professionals, organizational culture, and technology adoption emerge as key elements in building an effective and sustainable patient safety ecosystem.
Monitoring with Closed-Loop Strategy to Transform the Role of Internal Audit Units in Hospitals Sinta Kurniawati; Arlina Dewi
Jurnal Ilmiah Manajemen Kesatuan Vol. 14 No. 4 (2026): JIMKES Edisi Juli 2026
Publisher : LPPM Institut Bisnis dan Informatika Kesatuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37641/jimkes.v14i4.5424

Abstract

The paradigm shift in internal auditing requires internal audit units to move beyond administrative supervision and become agents of organizational change, yet this role remains constrained in many regional hospitals by weak follow-up, auditee resistance, and limited monitoring systems. This study analyzes how monitoring strategies transform the internal audit unit’s role as supervisor, consultant, and catalyst in hospital governance. A qualitative study was conducted at Daha Husada Regional General Hospital, a provincial public hospital with BLUD status. Data were collected through in-depth interviews with ten informants, observation, and document analysis, then examined through open, axial, and thematic coding using the Input-Process-Output framework. The findings show that closed-loop monitoring, involving appointment of a person in charge, time targets, evidence verification, and periodic reporting, improves implementation of audit recommendations and changes perceptions of the internal audit units from a control symbol to a strategic partner. Monitoring also functions as organizational learning that strengthens compliance culture and cross-unit collaboration. Key barriers include limited human resources, inconsistent management support, and the absence of an integrated monitoring system. Thus, monitoring operates as a governance intervention that repositions internal audit toward collaborative assurance and learning in public hospitals.