Abstract
Patient safety incident reporting is a critical component of hospital quality systems. This study evaluated the implementation of a Quality Management Information System (QMIS) for incident reporting at Hospital X using the Structure–Process–Outcome (SPO) framework integrated with the HOT-Fit model. A mixed-methods case study was conducted, combining analysis of 774 incident reports submitted between March 2023 and December 2024 with in-depth interviews involving clinical staff, unit heads, and the Quality and Risk (QR) Manager. Findings revealed that while structural elements such as computing infrastructure and leadership support were in place, gaps remained in staff training, procedural awareness, and system usability. QMIS was actively used for reporting, but advanced features like root cause analysis (RCA) and dashboards were underutilized. Reporting performance was moderate, with 62.8% of reports submitted within 24 hours and a reporting rate of 22.03 per 1,000 patient days, below international benchmarks. Although some process improvements were implemented, feedback loops to frontline staff were limited. To enhance system effectiveness, technical improvements are recommended, including interface simplification, mobile access, data validation, and integration with hospital systems. Strengthening local support and fostering a learning-oriented safety culture is also essential to sustain engagement and improve patient safety outcomes.
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Bahasa Abstract
Pelaporan insiden keselamatan pasien merupakan komponen penting dalam sistem mutu rumah sakit. Studi ini mengevaluasi implementasi Sistem Informasi Manajemen Mutu (SIMM) untuk pelaporan insiden di Rumah Sakit X menggunakan kerangka kerja Struktur–Proses–Hasil (SPO) yang diintegrasikan dengan model HOT-Fit. Penelitian studi kasus dengan metode campuran dilakukan dengan menganalisis 774 laporan insiden yang dikirimkan antara Maret 2023 hingga Desember 2024, serta wawancara mendalam dengan staf klinis, kepala unit, dan Quality and Risk (QR) Manager. Hasil menunjukkan bahwa meskipun elemen struktural seperti infrastruktur komputer dan dukungan pimpinan telah tersedia, masih terdapat kesenjangan dalam pelatihan staf, pemahaman prosedur, dan kemudahan penggunaan sistem. SIMM digunakan secara aktif untuk pelaporan, namun fitur lanjutan seperti analisis akar masalah (RCA) dan dasbor belum dimanfaatkan secara optimal. Kinerja pelaporan tergolong sedang, dengan 62,8% laporan dikirimkan dalam 24 jam dan tingkat pelaporan sebesar 22,03 per 1.000 hari pasien di bawah tolok ukur internasional. Meskipun beberapa perbaikan proses telah dilakukan, umpan balik kepada staf lini depan masih terbatas. Untuk meningkatkan efektivitas sistem, disarankan adanya perbaikan teknis, termasuk penyederhanaan antarmuka, akses seluler, validasi data, dan integrasi dengan sistem rumah sakit. Penguatan dukungan lokal dan pengembangan budaya keselamatan yang berorientasi pada pembelajaran juga penting untuk mempertahankan keterlibatan dan meningkatkan hasil keselamatan pasien.
Recommended Citation
Jeremia, Andrew and Nadjib, Mardiati
(2025)
"Implementation of Patient Safety Incident Reporting Using Web-Based Quality Management Information System in Hospital X Tangerang,"
Jurnal ARSI : Administrasi Rumah Sakit Indonesia: Vol. 11:
No.
2, Article 4.
DOI: 10.7454/arsi.v11i2.1217
Available at:
https://scholarhub.ui.ac.id/arsi/vol11/iss2/4
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Health and Medical Administration Commons, Other Medicine and Health Sciences Commons, Public Health Commons
