Pendampingan Kompetensi Failure Mode Effect Analysis (FMEA) Sebagai Upaya Deteksi Dini Permasalahan Pelayanan Kesehatan di RSUD Sadikin Kota Pariaman

Adila Kasni Astiena (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Rizanda Machmud (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Rima Semiarty (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Yuniar Lestari (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Firdawati (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Husna Yetti (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Rosfita Rasyid (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Ida Rahmah Burhan (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Hardisman (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Abdiana (Andalas University)
Zurayya Fadilla (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Nelmi Silvia (Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Anung Respati (Regional General Hospital of Sadikin, Pariaman City, Indonesia)
Dyanti Oktalina (Regional General Hospital of Sadikin, Pariaman City, Indonesia)

Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks
Vol 33 No 2 (2026)

Hospitals are not systematically designed to detect service errors as in non-healthcare products, thus increasing risks to patient safety. RSUD Sadikin in Pariaman City, which has been operating for only seven years, has not yet established mechanisms or training to detect service errors. This community service activity aimed to enhance managerial competence in managing the risk of healthcare service errors through the application of Failure Mode and Effect Analysis (FMEA). The activity was conducted in the form of a workshop involving 30 participants from top, middle, and lower management levels in Oktober-November 2025 at Sadikin Hospital. FMEA competence was assessed before and after the workshop using a paired t-test. The results showed that the mean pre-test score was 70.67 (SD±17.604) and the post-test score was 84.67 (SD±14.794), with an improvement of 14.00 points (SD±14.004), which was statistically significant (p=0.000). These findings indicate that the FMEA workshop effectively improved participants’ managerial competence in early detection and mitigation of service risks. Follow-up mentoring is recommended to evaluate the sustainability of training effects at 3, 6, and 9 months after the activity.