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Ika Nur Pratiwi
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Center of Excellence for Patient Safety and Quality, Campus C Univesity of Airlangga Jl. Dr. Ir. H. Soekarno, Mulyorejo,Surabaya, Jawa Timur 60115
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INDONESIA
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 25 Documents
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OPTIMIZING ANTIBIOTIC USE IN PEDIATRIC ACUTE GASTROENTERITIS: A QUALITY IMPROVEMENT STUDY USING THE FOCUS-PDCA FRAMEWORK Fawzyh J Alkhadidi; Bassam Alzaidi; Nasser Alharthi; Najmah Alotaibi; Rehab Altalhi; Ahmed Almalki; Sultan almoammri; Elshorbagy, Hatem
International Journal of Patient Safety and Quality Vol. 3 No. 1 (2026): International Journal of Patient Safety and Quality, April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v3i1.87065

Abstract

Background: Acute gastroenteritis is a leading cause of pediatric healthcare utilization and is predominantly viral; however, inappropriate antibiotic use remains common, contributing to antimicrobial resistance, adverse events, and increased healthcare costs. This study aimed to reduce inappropriate antibiotic prescribing through a structured quality improvement intervention. Methods: A quasi-experimental pre–post quality improvement study without a control group was conducted over six months. A total of N pediatric patients with acute gastroenteritis were included based on predefined inclusion and exclusion criteria. A multifaceted intervention was implemented, including development of evidence-based antibiotic guidelines, optimization of electronic prescribing systems, clinician education, audit and feedback, and caregiver education. Data were collected across iterative improvement cycles. Statistical analysis included chi-square testing and comparison of means, with significance set at p < 0.05. Results: Inappropriate antibiotic use decreased from 40% to 10%, representing a relative risk reduction of 75% (risk ratio 0.25; 95% confidence interval: 0.15–0.42; p < 0.001). Documentation of clinical justification improved from 60% to 90% (p < 0.001), and mean length of stay decreased significantly. No increase in readmission or complication rates was observed. Conclusion: A structured, multifaceted intervention effectively reduced inappropriate antibiotic use while maintaining patient safety. Despite limitations related to study design, the findings highlight the potential for scalable, system-level strategies to enhance antimicrobial stewardship and optimize pediatric healthcare delivery.
ASSOCIATION BETWEEN HEALTHCARE ACCREDITATION AND CARDIOPULMONARY RESUSCITATION OUTCOMES: A FISHBONE-BASED ANALYSIS OF IN-HOSPITAL CARDIAC ARREST Kinawy, Sayed; Ahmed Hamed Mohamed Eldarsy; Shimaa Abdelfatah Abdelmuniem Mohamed; Abdulhakim Ahmed Assalahi; Radwa Mohamed Rashed; Amr Refat Elsafty; Dafer saleh AlBahri; Mustafa Fadlalla Mohamed Ali Fadlalla; Mohammed Hammed Alswaidan; Mohammed Abdullah Morshed; Nasser Hebah Thabit Almakrami; Mohammad Abdelrahman Hussein; Aldhili Mohammed Khalid
International Journal of Patient Safety and Quality Vol. 3 No. 1 (2026): International Journal of Patient Safety and Quality, April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v3i1.88440

Abstract

Background:Cardiopulmonary resuscitation (CPR) outcomes for in-hospital cardiac arrest (IHCA) are critical indicators of hospital performance. This study assessed the impact of accreditation by the Central Board for Accreditation of Healthcare Institutions (CBAHI) on CPR outcomes at New Najran General Hospital in Saudi Arabia, using a fishbone analysis to identify contributing factors. Methods:As retrospective pre–post observational study was conducted on 251 adult ICU patients who experienced IHCA and received CPR between 2021 and 2022. Data were collected from hospital records, focusing on return of spontaneous circulation (ROSC) and survival to discharge (STD). A fishbone diagram was used to analyze potential factors influencing CPR outcomes. Results: ROSC was achieved in 69.4% of patients, and the STD rate improved from 2.3% in 2021 to 4.8% in 2022. Survival was significantly associated with younger age (P < 0.001), witnessed arrests (P = 0.017), and shockable rhythms (P < 0.001). Following accreditation, ACLS certification among staff rose from 60% to 95%, correlating with better outcomes. Gender, illness category, and mechanical ventilation showed no significant association on survival, However, adjusted analyses did not demonstrate a statistically significant independent association between accreditation-related variables and survival to discharge. Conclusion: The observed improvements in outcomes appear to be multifactorial, with accreditation serving as one contributing element alongside broader system-level and clinical care enhancements.
EVIDENCE-BASED PRACTICE AMONG OCCUPATIONAL HEALTH NURSES IN INDONESIA: A QUALITATIVE DESCRIPTIVE STUDY Albyn, Devanda Faiqh; Malaka, Tan; Roestam, Ambar W.; Rochmayanti
International Journal of Patient Safety and Quality Vol. 3 No. 1 (2026): International Journal of Patient Safety and Quality, April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v3i1.88658

Abstract

Background: Evidence-based practice in occupational health nursing is essential for improving workplace safety and healthcare quality. However, its implementation remains inconsistent, particularly in complex industrial settings. This study aimed to explore nurses’ experiences, perceptions, and barriers in implementing evidence-based practice. Methods: A qualitative descriptive design was employed. Data were collected through semi-structured interviews with 12 occupational health nurses selected using purposive sampling based on predefined inclusion criteria. Participants had at least two years of experience in occupational health settings. Interviews were conducted online, audio-recorded, and transcribed verbatim. Data were analyzed using thematic analysis, and rigor was ensured through member checking, peer debriefing, and audit trails. Results: Three main themes emerged: positive perceptions toward evidence-based practice, barriers to implementation, and organizational support and training needs. Nurses demonstrated strong awareness of the importance of evidence-based practice for improving decision-making and workplace safety. However, implementation was hindered by time constraints, limited access to scientific resources, insufficient organizational support, and gaps in research competence. Participants emphasized the need for structured training, leadership support, and system-level infrastructure to facilitate practice integration. Conclusions:Although occupational health nurses exhibit positive attitudes toward evidence-based practice, its implementation is limited by multi-level barriers. Strengthening training, organizational support, and access to evidence is critical to enhance adoption and improve occupational health outcomes and care quality.
ANALYSIS OF PATIENT SAFETY CULTURE FOR QUALITY IMPROVEMENT: A REPEATED CROSS-SECTIONAL STUDY Ineza, Marina; Michael, Abraham; Sagala, Melinda
International Journal of Patient Safety and Quality Vol. 3 No. 1 (2026): International Journal of Patient Safety and Quality, April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v3i1.89495

Abstract

Background: Patient safety culture is a key determinant of healthcare quality, reflecting shared values and practices that support safe care delivery. This study aimed to evaluate changes in patient safety culture and identify priority areas for improvement using repeated survey measurements. Methods:A quantitative descriptive cross-sectional design with repeated measurement was applied. The study included 207 healthcare and non-healthcare staff with at least one year of work experience, selected using a total sampling approach. Data were collected between June and August 2025 using a standardized 42-item instrument covering 10 dimensions of patient safety culture. Responses were measured using a five-point Likert scale. Descriptive analysis was conducted by calculating the percentage of positive responses and comparing results across two measurement periods. Results: The overall positive response rate increased from 55.2% to 64.8%, indicating improvement across most dimensions. The largest increases were observed in communication about errors, incident reporting, and teamwork, reflecting stronger openness and collaboration. Organizational learning also remained high. However, staffing and workload showed minimal improvement and remained the lowest scoring dimension. Nonpunitive response to errors and management support also showed comparatively lower scores. Conclusions: The findings demonstrate measurable improvement in patient safety culture over time, particularly in communication and teamwork domains. However, structural challenges such as staffing and organizational support persist. Strengthening leadership engagement, promoting a nonpunitive environment, and improving workforce management are essential to sustain long-term improvements in patient safety and healthcare quality.
DETERMINANTS OF PARENTERAL SUPPORT FOR CHILDHOOD MEASLES VACCINATION: A SYSTEMATIC REVIEW Machmudy, Nurur Rachman; Febriyanti, Rofiqa Dwi; Zamroni, Asroful Hulam; Pratiwi, Ika Nur
International Journal of Patient Safety and Quality Vol. 3 No. 1 (2026): International Journal of Patient Safety and Quality, April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v3i1.90619

Abstract

Background: Measles is caused by the measles virus; it is a serious, highly contagious disease that commonly affects children. The disease is transmitted through droplets from the nose, mouth, or throat of an infected person, with an incubation period of approximately 7 to 23 days. Methods: The purpose of this study was to describe, analyze, and elaborate on evidence related to the determinants of parental support for measles vaccination. To ensure methodological rigor, this review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: This systematic review included 15 quantitative studies published between 2020 and 2026, all of which demonstrated acceptable methodological quality based on the Joanna Briggs Institute (JBI) criteria, with the majority classified as having a low risk of bias. The included studies comprised 13 cross-sectional designs and 2 randomized controlled trials (RCTs), conducted across diverse settings, predominantly in Indonesia, as well as in Japan, France, The Gambia, and multi-country contexts across low- and middle-income regions in Africa and Asia. The study populations primarily consisted of parents or caregivers of children aged 0–59 months, although several studies incorporated broader population-level data and health system perspectives. Overall, the findings suggest that parental support for measles vaccination is influenced by a range of interrelated determinants. Conclusions: A systematic review indicates that parental support for measles vaccination is influenced by factors such as knowledge, sociodemographic characteristics, interactions with healthcare providers, cultural norms, and trust in information sources. Practical implications highlight the importance of personalized communication, training for healthcare workers, and the use of digital technology to address misinformation. Research gaps include the need for more in-depth studies on the role of extended families and the effectiveness of long-term digital interventions.

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