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Abstract

Patient safety culture is the main foundation for patient safety in hospitals. Applying a safety culture in hospitals aligns with the existing safety system to reduce unwanted incidents. In 2021, in a hospital in X East Jakarta, patient safety incidents remained accompanied by a culture that could have gone better, as seen from the frequency of reporting incidents, which is still below the reliability target. This study analyzed the effect of safety management commitment and motivation on nurse compliance in implementing patient safety goals through patient safety culture. This research is a quantitative approach with a sample of 105 inpatient nurses at the hospital. This research uses the SEM (Structural Equation Model) method with the SmartPLS software application. In this study, it was found that safety management commitment had a positive and significant effect on adherence to implementing patient safety goals, motivation had a positive and significant influence on adherence to implementing patient safety goals, and safety management commitment and motivation had a positive and significant influence on patient safety culture. Based on the mediation analysis, it can be concluded that patient safety culture mediates safety management commitment and motivation to adhere to patient safety goals. In theory, the implications of this research will prove the effect of research variables and managerial can improve the service evaluation system in hospitals.

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Bahasa Abstract

Budaya keselamatan pasien merupakan landasan utama keselamatan pasien di rumah sakit. Penerapan budaya keselamatan di rumah sakit sejalan dengan sistem keselamatan yang ada untuk mengurangi kejadian yang tidak diinginkan. Pada tahun 2021 di RS X Jakarta Timur, insiden keselamatan pasien masih diiringi dengan budaya yang bisa berjalan lebih baik, terlihat dari frekuensi pelaporan insiden yang masih berada di bawah target reliabilitas. Penelitian ini bertujuan untuk menganalisis pengaruh komitmen dan motivasi manajemen keselamatan terhadap kepatuhan perawat dalam melaksanakan tujuan keselamatan pasien melalui budaya keselamatan pasien. Penelitian ini merupakan pendekatan kuantitatif dengan sampel sebanyak 105 perawat rawat inap di rumah sakit. Penelitian ini menggunakan metode SEM (Structural Equation Model) dengan aplikasi software SmartPLS. Pada penelitian ini ditemukan bahwa komitmen manajemen keselamatan berpengaruh positif dan signifikan terhadap kepatuhan penerapan tujuan keselamatan pasien, motivasi berpengaruh positif dan signifikan terhadap kepatuhan penerapan tujuan keselamatan pasien, dan komitmen dan motivasi manajemen keselamatan berpengaruh positif dan signifikan. pengaruh yang signifikan terhadap budaya keselamatan pasien. Berdasarkan analisis mediasi, dapat disimpulkan bahwa budaya keselamatan pasien memediasi komitmen manajemen keselamatan dan motivasi untuk mematuhi tujuan keselamatan pasien. Secara teori, implikasi penelitian ini akan membuktikan pengaruh variabel penelitian, dan manajerial dapat meningkatkan sistem evaluasi pelayanan di rumah sakit.

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