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All Journal Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Hardi Yanis
Universitas Sangga Buana YPKP Bandung
Health Professions Nursing Public Health

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Budaya Keselamatan Pasien sebagai Mediator Pengaruh Protokol Keselamatan terhadap Kejadian Tidak Diharapkan: Studi pada Instalasi Dialisis RS Husada Jakarta Hardi Yanis; Farida Yuliaty; Vip Paramarta
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 4 No. 3 (2026): September: Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v4i3.2508

Abstract

Hemodialysis is a high-risk medical procedure that requires strict adherence to patient safety protocols. Adverse events in hemodialysis units can be minimized not only through structural compliance with regulations but also through the internalization of a patient safety culture among healthcare workers. This study aimed to analyze the effect of safety protocol implementation on adverse events through patient safety culture as a mediating variable during the hemodialysis process at the Dialysis Installation of Husada Hospital, Jakarta. A quantitative approach with path analysis was employed, involving a total sample of 16 healthcare workers selected through total sampling. Data were collected using closed-ended questionnaires and analyzed using path analysis and the Sobel test. Results showed that safety protocol implementation and patient safety culture were both high (94.9% and 94.5%, respectively), while adverse events were low (85.1% on the negative-worded instrument). Safety protocol implementation significantly affected safety culture (t = 6.157; p = 0.000), and safety culture significantly affected adverse events (t = 3.409; p = 0.004). The Sobel test confirmed a significant mediating effect (z = 2.849 > 1.96) that exceeded the direct effect. Patient safety culture plays a pivotal mediating role in translating safety protocols into reduced adverse events, and hospital management should therefore foster an open, non-punitive safety climate.
Co-Authors Farida Yuliaty Vip Paramarta