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All Journal Jurnal Multidisiplin Indonesia
Mohamad Reza Hilmy
Universitas Esa Unggul Jakarta
Education Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Veterinary

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Direct Impact of Awareness and Management Commitment on Patient Safety Culture in Hospitals Cicilia Nike Kristianingrum; Mohamad Reza Hilmy; Intan Silviana Mustikawati
Jurnal Multidisiplin Indonesia Vol. 5 No. 9 (2026): Jurnal Multidisiplin Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jmi.v5i9.2902

Abstract

Patient safety culture remains insufficient in many hospitals despite the existence of formal policies, as incident prevention depends on staff awareness, organizational commitment, and professional competence. This study examined the direct effects of awareness and management commitment on patient safety culture and assessed nurse competence as an intervening variable at Citra Harapan Hospital, Bekasi City. A quantitative cross-sectional survey was conducted from January to April 2026 involving 115 nurses selected through saturated sampling. Data were collected using Likert-scale questionnaires and analyzed using partial least squares structural equation modeling (PLS-SEM) with SmartPLS, including model-fit, direct-effect, and specific indirect-effect tests. The model demonstrated strong explanatory power for patient safety culture (R² = 0.898) and acceptable model fit (SRMR = 0.064). Awareness and management commitment positively affected nurse competence (? = 0.438 and ? = 0.481, respectively; p < 0.001). Both variables also had significant direct effects on patient safety culture (? = 0.471 and ? = 0.538, respectively; p < 0.001), with management commitment demonstrating the strongest influence. However, nurse competence did not directly affect patient safety culture (? = 0.015; p = 0.771) and did not mediate the effects of awareness and management commitment. Therefore, strengthening patient safety culture requires sustained staff awareness and managerial support, while competency development alone is insufficient to transform organizational safety norms.
Analysis of the Implementation of Reporting Critical Laboratory Results and Its Impact on Quality Improvement and Service Benefits in the Inpatient Unit at Amanda Hospital in North Cikarang (A Case Study) Adnan Firdaus; Andry Andry; Mohamad Reza Hilmy
Jurnal Multidisiplin Indonesia Vol. 5 No. 9 (2026): Jurnal Multidisiplin Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jmi.v5i9.2940

Abstract

Timely reporting of critical laboratory values is essential for patient safety, service quality, and clinical decision-making. However, Amanda Hospital in North Cikarang recorded 684 critical laboratory results in 2024, of which 79 were reported beyond the established 30-minute standard. This study aimed to evaluate the reporting of critical laboratory values, examine its implications for service quality, identify process waste, and develop an improved reporting model. A qualitative phenomenological design was employed. Data were collected through interviews with five informants, direct observation, and reviews of standard operating procedures, medical records, patient progress notes, and quality reports. Three experts participated in validating the proposed model. Data were analyzed thematically using NVivo 12 Plus, while lean management principles and the DMAIC framework were applied to evaluate process efficiency. The findings revealed inconsistent compliance resulting from reporting delays, incomplete documentation, difficulties in contacting attending physicians, high service workloads, and nonstandardized communication practices. Lean analysis streamlined the laboratory examination process from 12 to 9 stages, reduced the critical-value reporting process from 5 to 4 stages, and shortened the mean examination time from 21.2 to 17.35 minutes. The proposed model incorporated automated notifications, structured documentation, clearly defined responsibilities, and systematic evaluation. In conclusion, integrated communication systems and lean process redesign can improve reporting timeliness, service quality, operational efficiency, and patient safety.
Co-Authors Adnan Firdaus Andry Andry Cicilia Nike Kristianingrum Intan Silviana Mustikawati