Asih, Esthi Budhi
Unknown Affiliation

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

Patient Safety Culture in Hospitals based on Agency For Health Care Research And Quality (AHRQ) Wahyuningsih, Christiana Sri; Asih, Esthi Budhi; Masitoh, Rohayati; Rahmawati, Kiki
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.06

Abstract

Background: The first step towards patient safety is to build a good patient safety culture. Patient safety culture measurements can be used as evaluations to improve quality and patient safety. This study aims to determine an overview of patient safety culture in hospitals. Study Method: It was a descriptive observational study with a cross-sectional study conducted in July 2022 - September 2022. This study was conducted at Panembahan Senopati Hospital with a total population of 974 hospital employees and selected 383 study samples by using simple random sampling. The dependent variable in the study was patient safety culture. The independent variables in this study were information disclosure, feedback and communication about patient safety incidents, management support for patient safety, non-punitive response to errors, organizational learning and continuous improvement, staffing, staff expectations of supervisor/management attitudes and actions in encouraging patient safety, cooperation within the unit, frequency of incident reporting, overall perception on safety, handoff and transition, and cross units cooperation. The data collection technique used was the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire developed by the Agency for Health Care Research Quality (AHRQ) consisting of 12 dimensions of patient safety culture. The study data were analyzed using descriptive analysis technique. Result: The positive value of patient safety culture fell into the medium category (72.12%). The dimensions of patient safety culture with strong categories (>75%) were cooperation within the unit, expectations and actions of managers in promoting patient safety, organizational learning, management support for patient safety, and cross units cooperation. The dimensions of patient safety culture in the medium category (50% - 75%) were employee perceptions of patient safety, feedback and communication on errors, open communication, frequency of incident reporting, handoffs and transitions, and non-punitive responses to errors. The dimension of patient safety culture with weak category (< 50%) was staffing. Conclusion: The strength areas of patient safety culture are organizational aspects, aspects of management support for patient safety, aspects of cross units cooperation, aspects of cooperation within units, and expectations and actions of managers in promoting patient safety. While the areas that still require development are staffing aspects, open communication aspects, and incident reporting frequency, thus their improvement must be prioritized. Keywords: AHRQ, patient safety, safety culture Correspondence: Christiana Sri Wahyuningsih. Panembahan Senopati General Hospital Bantul, Jl. Dr. Wahidin Sudiro Husodo, Trirenggo, Bantul, Bantul, Yogyakarta. Email: anachristi19@gmail.com. Mobile: +6281287783924
Mortality Risk Factors of COVID-19 Inpatients at Panembahan Senopati Hospital, Bantul, Yogyakarta Wahyuningsih, Christiana Sri; Asih, Esthi Budhi; Vinantika, Ledy; Sulistiani, Ria
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.07

Abstract

Background: COVID-19 Case Fatality Rate (CFR) in Bantul district is 2.64%. This figure is higher than the world CFR reported by WHO of 2.07%. Panembahan Senopati Regional General Hospital is a hospital owned by the Regional Government of Bantul Regency and is one of the COVID-19 referral hospitals. This study aims to determine the characteristics and risk factors for the death of inpatient COVID-19 patients at Panembahan Senopati Hospital. Subjects and Method: This type of study is observational analytic with a retrospective cross-sectional design. This research was carried out from July to September 2021 at Panembahan Senopati Hospital. A total of 289 research subjects were selected in total sampling. The dependent variable is the mortality of COVID-19 patients. The independent variables were age, sex, diabetes mellitus, hypertension, chronic renal failure, heart disease, immunological disorders, and chronic liver failure. The data were analyzed by multiple logistic regression. Results: Risk factors for death in hospitalized COVID-19 patients were age, diabetes mellitus, hypertension, and chronic renal failure. Age ≥60 years was 2.13 times more likely to cause death (OR = 2.13; CI 95% = 1.24 to 3.66; p=0.006). Hospitalized COVID-19 patients with comorbid diabetes Mellitus were 2.31 times more likely to cause death (OR= 2.31; CI 95% =1.30 to 4.12; p=0.004). Hospitalized Covid-19 patients with comorbid hypertension 2.18 times chance of causing death (OR= 2.18; CI95% =1.12 to 4.25; p= 0.021). Hospitalized COVID-19 patients with comorbid chronic renal failure were likely to cause 3.25 times the death rate (OR= 3.25; CI 95%= 1.11 to 9.51; p=0.031). Conclusion: Risk factors for death in hospitalized COVID-19 patients are age, diabetes mellitus, hypertension, and chronic renal failure. Keywords: Hospitalization, death, COVID-19 patients Correspondence:Christiana Sri Wahyuningsih. Nursing and Quality Assurance, Panembahan Senopati Hospital. Jl. Dr. Wahidin Sudiro Husodo, Trirenggo, Bantul, Yogyakarta. Email: anachristi19@gmail.com. Mobile: +6281287783924.
Mortality Risk Factors of COVID-19 Inpatients at Panembahan Senopati Hospital, Bantul, Yogyakarta Wahyuningsih, Christiana Sri; Asih, Esthi Budhi; Vinantika, Ledy; Sulistiani, Ria
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.07

Abstract

Background: COVID-19 Case Fatality Rate (CFR) in Bantul district is 2.64%. This figure is higher than the world CFR reported by WHO of 2.07%. Panembahan Senopati Regional General Hospital is a hospital owned by the Regional Government of Bantul Regency and is one of the COVID-19 referral hospitals. This study aims to determine the characteristics and risk factors for the death of inpatient COVID-19 patients at Panembahan Senopati Hospital. Subjects and Method: This type of study is observational analytic with a retrospective cross-sectional design. This research was carried out from July to September 2021 at Panembahan Senopati Hospital. A total of 289 research subjects were selected in total sampling. The dependent variable is the mortality of COVID-19 patients. The independent variables were age, sex, diabetes mellitus, hypertension, chronic renal failure, heart disease, immunological disorders, and chronic liver failure. The data were analyzed by multiple logistic regression. Results: Risk factors for death in hospitalized COVID-19 patients were age, diabetes mellitus, hypertension, and chronic renal failure. Age ≥60 years was 2.13 times more likely to cause death (OR = 2.13; CI 95% = 1.24 to 3.66; p=0.006). Hospitalized COVID-19 patients with comorbid diabetes Mellitus were 2.31 times more likely to cause death (OR= 2.31; CI 95% =1.30 to 4.12; p=0.004). Hospitalized Covid-19 patients with comorbid hypertension 2.18 times chance of causing death (OR= 2.18; CI95% =1.12 to 4.25; p= 0.021). Hospitalized COVID-19 patients with comorbid chronic renal failure were likely to cause 3.25 times the death rate (OR= 3.25; CI 95%= 1.11 to 9.51; p=0.031). Conclusion: Risk factors for death in hospitalized COVID-19 patients are age, diabetes mellitus, hypertension, and chronic renal failure. Keywords: Hospitalization, death, COVID-19 patients Correspondence:Christiana Sri Wahyuningsih. Nursing and Quality Assurance, Panembahan Senopati Hospital. Jl. Dr. Wahidin Sudiro Husodo, Trirenggo, Bantul, Yogyakarta. Email: anachristi19@gmail.com. Mobile: +6281287783924.