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International Journal of Patient Safety and Quality
Published by Universitas Airlangga
ISSN : -     EISSN : 30627117     DOI : https://doi.org/10.20473/ijpsq.v1i2.61462
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
International Journal of Patient Safety and Quality (IJPSQ) focuses on Patient Safety and Quality. This journal has scopes such as : - Patient Safety and Quality in Health Policy Research on how policies impact patient safety outcomes and healthcare quality. -Patient Safety and Quality in Medicine Studies on clinical practices, interventions, and innovations aimed at enhancing patient care. -Patient Safety and Quality in Leadership and Management Exploration of leadership strategies, management practices, and organizational cultures that support safe, high-quality care. -Patient Safety and Quality in Nursing Insights into nursing practices and safety initiatives in various healthcare settings. -Patient Safety and Quality in Public Health Examination of public health approaches that intersect with patient safety goals. -Patient Safety and Quality in Environmental Health Investigations into environmental factors that affect healthcare quality and patient safety. -Patient Safety and Quality in Occupational Health Research on ensuring safety within healthcare workplaces and protecting healthcare workers. -Patient Safety and Quality in Health (Social Science) Studies on the social dimensions of health, including patient and provider interactions, sociocultural factors, and behavioral aspects of safety.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 20 Documents
 1   2 
THE MODERATION ROLE OF SAFETY LEADERSHIP IN INFLUENCING A CULTURE OF PATIENT SAFETY Kalis Satya Wijaya; Ratna Indrawati; Wahyuni Dian
International Journal of Patient Safety and Quality Vol. 1 No. 1 (2024): International Journal of Patient Safety and Quality, April 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i1.55637

Abstract

Background This research is motivated by several problems related to patient safety in central surgical installations from 2020 to 2022. The aim of this research is to empirically reveal the influence of interprofessional collaboration and the implementation of the surgical safety checklist on patient safety culture with safety leadership as a moderating variable. Methods This research is motivated by several problems related to patient safety in central surgical installations from 2020 to 2022. The aim of this research is to empirically reveal the influence of interprofessional collaboration and the implementation of the surgical safety checklist on patient safety culture with safety leadership as a moderating variable. Results The results of the three-box method analysis concluded that interprofessional collaboration, implementation of the surgical safety checklist and patient safety culture were at the medium index, and safety leadership was at the high index. Hypothesis testing proves that simultaneously interprofessional collaboration, implementation of the surgical safety checklist and safety leadership have an effect on patient safety culture with a p value of 0.000. Partially, interprofessional collaboration has an effect on patient safety culture with a t-value of 4.900, implementation of the surgical safety checklist with a t-value of 4.444, safety leadership with a t-value of 4.740. Conclusion The moderation test concluded that safety leadership did not moderate the influence of interprofessional collaboration on patient safety culture with a t-value of 1.175, but moderated the influence of the implementation of the surgical safety checklist on patient safety culture with a t-value of 2.739.
ANALYSIS OF JOB CHARACTERISTICS, JOB SATISFACTION AND PATIENT SAFETY CULTURE AMONG HEALTHCARE (STUDY IN MUHAMMADIYAH UNIVERSITY GENERAL HOSPITAL OF MALANG) Wirasasmita Paripih; Tri Martiana
International Journal of Patient Safety and Quality Vol. 1 No. 1 (2024): International Journal of Patient Safety and Quality, April 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i1.55714

Abstract

Background Job satisfaction is a combination of feelings towards his job, both happy and unhappy, as a result of interaction with the work environment. Job satisfaction can have a significant influence on patient safety culture. The purpose of this study was to analyse job characteristics, employee job satisfaction, and patient safety culture in health workers at the Muhammadiyah University General Hospital of Malang. Method This research was analytic observational research with a cross-sectional design. The sample was 144 health workers obtained from 202 people through simple random sampling. The HSOPS questionnaire version 2.0 to measure patient safety culture consists of 10 dimensions, and the MMSS questionnaire to measure job satisfaction consists of 8 dimensions. Data was analysed using structural equation modelling with Smart PLS 3.0 software. Result The result showed that there was an influence of job characteristics on job satisfaction (T-statistic = 3,472 > 1.96) with a coefficient value of -0,333, which means doctor had higher level of job satisfaction than nurse, midwife, pharmacist, and other health workers. Job satisfaction affected patient safety culture (T-statistic = 5.359 > 1.96) with a coefficient value of 0,451, the higher the level of job satisfaction, the higher the level of patient safety culture. Conclusion The conclusion of this study was that there was an influence of job characteristics and job satisfaction. Job satisfaction influenced patient safety culture among health workers. Patient safety culture need to be improved by strengthening the dimensions of employees and work rates, responding to errors, and reporting patient safety events. To improve job satisfaction, it was necessary to strengthen the dimensions of work-family balance and scheduling.
EXPLORING EFFICACY OF KETAMINE COMBINATIONS: META ANALYSIS & REVIEW OF ITS USE IN SEDATION PROCEDURE Yudha Ferriansyah; Bakti Setiadi
International Journal of Patient Safety and Quality Vol. 1 No. 1 (2024): International Journal of Patient Safety and Quality, April 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i1.55750

Abstract

Background Recently, there has been a shift in the philosophy regarding procedural sedation. The best sedation agent should have quick induction and recovery times with few side effects. Several studies have investigated the combination of Ketamine-Dexmedetomidine and Ketamine-Propofol for reducing potential negative side effects during sedation procedures. Methods The literature search was performed in PubMed, Medline, Cochrane and Google Scholar. Meta-analysis based on the PRISMA methods. All variables and data were pooled in Excel, SPSS version 26 and Cochrane. Results Total of 372 patients were in Ketamine-Dexmedetomidine group and 373 patients were in Ketamine- Propofol group. Patient characteristics in this study had a mean age of 2.4 to 9.1±1.6 years and mean weight 12 to 23.6±6 kg in the pediatric population and 27 to 51±8.5 years and 75 to 84.5±4.2 kg in the adult population. ASA criteria for each patient are ASA I-IV and the most ASA criteria in patients is ASA II. The procedure time from 5.7 to 63.4 ± 5.3 minutes and also comorbidities. Conclusion The combination of drugs in sedation procedures is the best choice to achieve a balanced effect in reducing negative side effects of drugs. Dexmedetomidine-Ketamine appears to be superior than Propofol- Ketamine in terms of hemodynamic stability, oxygen saturation and fewer adverse events. Eventhough Dexmedetomidine-Ketamine has longer recovery time and lower heart rate.
BIOETHICS AND PATIENT INVOLVEMENT IN MEDICAL DECISION-MAKING: CHALLENGES AND ETHICAL IMPLICATIONS IN CLINICAL PRACTICE Restiana Mustika Sari
International Journal of Patient Safety and Quality Vol. 1 No. 1 (2024): International Journal of Patient Safety and Quality, April 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i1.55991

Abstract

Background Patient involvement in medical decision-making has become an integral element in contemporary healthcare, affirming the rights and autonomy of patients in their care processes. This review presents an in-depth study concerning the issue of patient involvement in medical decision-making from a bioethical perspective, as well as exploring the challenges and ethical implications that arise in clinical practice. Methods A literature review method is used in this study, encompassing various literary sources that detail bioethical principles such as patient autonomy, justice, beneficence, and non-maleficence in the context of medical decision-making. Additionally, this study seeks a profound understanding of how clinical practices and health policies influence patient involvement and present specific ethical challenges. Result The findings of this literature review highlight the crucial role of bioethics in shaping more ethical practices in medical decision-making and identify key issues that need attention, such as inequality in access and information, value conflicts between patients and healthcare providers, and the need to focus on the best interests of the patient. Conclusion By understanding these ethical challenges and implications, we can better develop guidelines and policies that support meaningful and ethical patient involvement in clinical practice. Thus, this research contributes to the development of healthcare that respects bioethical values as well as the rights and needs of patients.
THE ROLE OF PATIENT SAFETY EDUCATION AND TRAINING IN IMPROVING PATIENT SAFETY Ruth Naomi; Hasnah Bahari
International Journal of Patient Safety and Quality Vol. 1 No. 1 (2024): International Journal of Patient Safety and Quality, April 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i1.56591

Abstract

Background Patient safety education and trainings are an important element to promote patient safety culture. The demands on this training for the safety of healthcare staffs and patients are crucial due to the occurrence of preventable medical errors. These review aims to study the types of patient safety education and training that are delivered for the different target audiences as well as identifying the results of the training. Methods This study presents narrative review on literature on patient safety education and training. Peer-reviewed journals and previously published papers were searched using keywords including "patient safety training," "improvement," "outcome," "health care," and "health services". Inclusion criteria for the article include the article written in English and published between 2013 and 2018. We used several journal databases including the Journal of Patient Safety, BMJ, PubMed, BMJ Quality & Safety and Google Scholar.  Results Reviews were done based on previously published papers. The findings revealed that the patient safety education and training are mostly conducted to nursing and medical students as well as trainee and residents. Besides, it was also conducted for anesthesiologists and patients. Typically, mannequin-based demonstrations and trainings are provided for medical students and educators through the workshop for physicians and nurses. In addition, most of the important role in ensuring patient safety is mainly done by nurses followed by the anesthesiologist. Conclusion In regards to patient safety, each department has a specific role in ensuring patient safety culture in a clinical unit. Patient safety education and training must be provided for all levels because they may greatly influence the outcome especially on the attitudes and behavioural changes. 
INFLUENCE COMBINATION OF WARM WATER COMPRESS AND FINGER HAND RELAXATION TO REDUCE HEADACHE IN HYPERTENSION PATIENTS Dwinta Widya Navita; Putu Sintya Arlinda Arsa; Erwanto Erwanto; Siti Kholifah
International Journal of Patient Safety and Quality Vol. 1 No. 2 (2024): International Journal of Patient Safety and Quality, October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i2.61462

Abstract

Background: Hypertension is one of the main causes of premature death. Globally, sufferers reach one of the symptoms of headache. Warm water compresses and finger grip relaxation are commonly used as non-pharmacological therapy for these patients. This study aims to determine the effect of a combination of warm water compresses and finger grip relaxation to reduce headaches in hypertension sufferers. Methods: The research design used quasi-experiment non-equivalent control group. This study has collected data from June – July 2023 at Prima Husada Hospital, Malang. A sample of 42 people was determined through snowball sampling and divided into two groups of equal size (the experimental group with a combination treatment of warm water compresses and finger grip relaxation and the control group with only warm water compresses treatment). The research instrument was a Numeric Rating Scale (NRS) observation sheet. Then the data were analyzed using paired sample T test and independent sample T test. Results: The average pretest headache scale for the experimental group dominated by women aged 35-45 years who worked as IRT = 4.4762 (medium) and the control group dominated by women aged 46-55 years who worked as farmers = 4.7143 (medium); the average posttest headache scale for the experimental group = 2.7143 (mild) and the control group = 3.4286 (mild); and both treatments, both the combination of warm water compresses and finger grip relaxation and warm water compresses alone, have a significant effect in reducing headaches for hypertension sufferers (each pvalue = 0.000), but the effects of the two are not significantly different. (p-value = 0.078). Conclusion: These two treatment models are useful in reducing hypertension headaches, although the effectiveness of their effects is not significantly different. Therefore, health service institutions such as hospitals can choose one of the two to be used as a complementary therapy for headaches for hypertension sufferers.
THE EFFECT OF BACK ACUPRESSURE THERAPY IN BLOOD PRESSURE WITH HYPERTENSION PATIENTS Nonon, Lidia; Arsa, Putu Sintya Arlinda; Erwanto, Erwanto; Agustina, Wiwik
International Journal of Patient Safety and Quality Vol. 1 No. 2 (2024): International Journal of Patient Safety and Quality, October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i2.61857

Abstract

Background: Hypertension occurred when there was an increase in blood pressure that exceeded the normal limit according to age. A person with hypertension was prone to blood pressure fluctuations, which risked causing complications in the body's organs. Therefore, people with hypertension require therapies to maintain blood pressure stability. The aim of the study was to identify blood pressure before and after therapy and to analyze blood pressure pre- and post-back acupressure therapy in hypertension sufferers.  Methods: This research used experimental method using one group pretest and posttest design. The sample of this study were 30 respondents who had hypertension, using total sampling technique. Back acupressure therapy was provided 8 times in March-April 2023 at the Malang Passionis Monastery Community. Data analysis used the paired T-test.  Results: Almost all respondents were female (90%), and the majority were aged between 45 and 59 years. Half of the respondents (46.7%) held a bachelor's degree. The research results indicated that the average blood pressure before receiving back acupressure therapy was 146.13/89.57 mmHg, while the average blood pressure after the therapy was 117.20/71.86 mmHg. The results of the paired T-test showed a p-value = 0.000.  Conclusion: This research found that there is a difference in blood pressure in hypertensive patients between after and before back acupressure therapy in the Passionist Monastery Community in Malang. Back acupressure therapy is useful for lowering blood pressure. Suggestions for hypertension sufferers need to do back acupressure therapy with a therapist at least twice a week to lower blood pressure. 
CHILDREN'S AGE AND PARENTING STYLE IN CHILDREN WITH SPEECH DELAY Idola Perdana Sulistyoning Suharto; Endang Mei Yunalia; Indah Jayani; Devangga Darma Karingga; Hessy Lindia
International Journal of Patient Safety and Quality Vol. 1 No. 2 (2024): International Journal of Patient Safety and Quality, October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i2.62755

Abstract

Background: Speech delay is a state of speech development that has below average quality. Speech delay is influenced by several factors including the children’s age and parenting style. The aim of this study was to determine the relationship between child age and parenting patterns with speech delay. Method: The study was cross-sectional, with a sample size of 70 respondents which from pediatric patients at Kediri Physiotherapy Clinic in 2023, obtained through accidental sampling. The study’s dependent variable was speech delay, and the independent variables were the children's age and parenting style. The instrument used is a questionnaire. Data were collected using a questionnaire analyzed by chi square statistical test. Result: Most children were male (51 respondents) on pre-school with 1 of siblings (42 respondents). Parents were mostly on high level education and they use authoritarian parenting style for their children. Chi square statistical test show that there is no relationship between the children's age and speech delay (p-value = 0,271), and there is a relationship between parenting style and speech delay (p-value = 0.000). Conclusion: Parenting style has a correlation with speech delay. Therefore, the role of parents in providing parenting was very important for children's development. Parents must pay attention to provided stimulation and interaction with children, it was very important for children's growth and development, because the role of parents in caring for children was very impactfull.
EVALUATING HOSPITAL READINESS FOR HEALTH EMERGENCIES: A CASE STUDY OF COVID-19 READINESS IN INDONESIA Ali E M Jarghon; Nyoman Anita Damayanti; Inge Dhamanti
International Journal of Patient Safety and Quality Vol. 1 No. 2 (2024): International Journal of Patient Safety and Quality, October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i2.63458

Abstract

Background: It is important to evaluates the readiness of hospitals in response to health emergencies, focusing on their ability to manage crises effectively. The objective of this study was to assess the hospitals' readiness across multiple key components as defined by the WHO hospital readiness checklist. Method: A cross-sectional study design was used to assess the readiness of 59 hospitals over 2021 and 2022. Data were collected through the WHO checklist, evaluating 12 components such as leadership, communication, surveillance, and resource management. The hospitals were evaluated quarterly to track changes in readiness levels over time. Descriptive statistics were used to analyze the overall readiness scores for each hospital. Results: Leadership, incident management, and infection prevention and control remained consistently strong during the study period. However, notable weaknesses were found in occupational health, mental health support, and the continuity of essential services, which scored the lowest. Although there were minor improvements in maintaining essential services in 2022, these areas still need considerable improvement. Conclusions: The study concludes that, despite strong leadership and infection control measures, hospitals in the region need targeted interventions to address gaps in mental health support and service continuity. Improving these areas is critical for achieving comprehensive disaster readiness and enhancing hospital resilience to future health crises and natural disasters.
CORRELATION COMMUNICATION FACTOR WITH PATIENT SAFETY INCIDENTS Orizani, Chindy Maria; Qomariah, Siti Nur; Iswati, Iswati
International Journal of Patient Safety and Quality Vol. 1 No. 2 (2024): International Journal of Patient Safety and Quality, October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i2.63729

Abstract

Background: According to the seventh standard of hospital patient safety, effective communication is crucial for staff to ensure patient safety. Patient safety incidents can often be traced back to miscommunication, which can be avoided through clear and effective communication. The purpose of this research is to explain the correlation between communication factors and patient safety incidents at Hospital X. Method: The study utilized a cross-sectional design, employing purposive sampling to select 30 nurses working in the inpatient unit. The independent variables included communication among nurses, communication between nurses and doctors, communication between nurses and medical support departments, and communication between nurses and patients. The dependent variable was the occurrence of patient safety incidents. Data were gathered through observation and analyzed using the chi- square test, with a significance level set at p-value < 0.05. Result: The results showed that there was a correlation between interracial nurse communication with the patient safety incident (p-value = 0.001). There was a correlation between nurse and doctor communication with the patient safety incident (p-value = 0.000). There was a correlation between the communication nurse and the medical support department with the patient safety incident (p-value = 0.000). There was a correlation between nurse and patient communication with the   patient safety incident (p-value = 0.000). Conclusion: Nurses who possess strong and effective communication skills can help prevent patient safety incidents. To achieve this, it is essential to enhance knowledge about communication, provide training on patient safety, and ensure compliance among nurses with the implementation of standard operating procedures, along with support from hospital leadership in supervision.

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