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Abstract

Background: The global prevalence of preventable adverse events in healthcare is a significant problem, with approximately 42.7 million annual accidents resulting in 23 million DALYs lost. Safety culture plays a crucial role in mitigating or exacerbating these incidents within hospitals. Objectives: To identify the results of the assessment of patient safety culture and the characteristics associated with patient safety culture in public general hospitals in various countries. Methods: This study was conducted between April-July 2021 utilizing a literature review approach using study searches through PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda databases, and it discovered 17 papers from 2011-2021 that used the Hospital Survey on Patient Safety Culture (HSOPSC) as an instrument to assess patient safety culture. Results: This study found that patient safety culture at public general hospitals remains low, and hospital staff perception of safety has to be improved. Discussions: “Teamwork in hospital units” receives the most favorable replies, while “non-punitive response to error” receives the least positive responses. The majority of the employees assessed patient safety in their work unit as “excellent/very good/acceptable” and reported no incidents in the previous year. Staff and hospital characteristics were also found to be related to patient safety culture.

Bahasa Abstract

Latar belakang: Insiden keselamatan dalam pelayanan kesehatan menjadi isu global yang penting. Sekitar 42,7 juta insiden terjadi setiap tahun, menyebabkan hilangnya 23 juta DALYs, dan sebanyak 83% insiden tersebut dapat dicegah. Budaya keselamatan di rumah sakit memainkan peran penting dalam meningkatkan atau mengurangi jumlah insiden keselamatan. Tujuan: Mengidentifikasi hasil penilaian dimensi budaya keselamatan pasien dan faktor-faktor yang berhubungan dengan budaya keselamatan pasien di rumah sakit umum milik pemerintah berbagai negara. Metode: Penelitian dilakukan pada April-Juli 2021 menggunakan metode literature review dengan penelusuran studi melalui database PubMed, Scopus, ScienceDirect, Google Cendekia, serta Garuda dan ditemukan 17 artikel dari tahun 2011-2021 yang menggunakan Hospital Survey on Patient Safety Culture (HSOPSC) sebagai instrumen penilaian budaya keselamatan pasien. Hasil: Dimensi budaya keselamatan dengan respons positif tertinggi adalah “teamwork within hospital units”, sedangkan “non-punitive response to error” memiliki respons positif terendah. Sebagian besar staf rumah sakit menilai tingkat keselamatan pasien “excellent/very good/acceptable” dan tidak melaporkan insiden sama sekali dalam satu tahun terakhir. Karakteristik staf serta karakteristik rumah sakit juga ditemukan memiliki hubungan dengan budaya keselamatan pasien. Kesimpulan: Penelitian ini menemukan bahwa budaya keselamatan pasien di rumah sakit umum milik pemerintah masih rendah dan persepsi staf rumah sakit terkait budaya keselamatan masih perlu ditingkatkan.

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