Incident analysis of patient safety in hospital: Based on feedback and supervision concept

Agus Aan Adriansyah; Budhi Setianto; Nikmatus Sa'adah; Indah Lestari; Pinky Ayu Marsela Arindis; Wahyu Eka Kurniawan

doi:10.15562/bmj.v11i2.3137

Incident analysis of patient safety in hospital: Based on feedback and supervision concept

Agus Aan Adriansyah ,

Budhi Setianto ,

Nikmatus Sa'adah ,

Indah Lestari ,

Pinky Ayu Marsela Arindis ,

Wahyu Eka Kurniawan ,

pdf |
DOI: https://doi.org/10.15562/bmj.v11i2.3137 |
Published: 2022-07-31

Abstract

Introduction: The concept of feedback and supervision is at the core of efforts to reduce hospital patient safety incidents. This study aimed to analyze the effect of feedback and supervision on the occurrence of patient safety incidents in hospitals.

Methods: The population included 18 work units that provide services to patients with samples of the unit head or room head, the person in charge of work shifts and the person in charge of patient safety quality. Data in the form of respondents' perceptions were collected through a questionnaire using Google form and analyzed using cross-tabulation and the Pareto approach with a note that it is influential if a difference of >20% is found between the independent and the dependent variable.

Results: The results showed that most of the feedback in the work unit was lacking (50.0%), and supervision in the work unit was good (55.6%). The number of patient safety incidents at the Surabaya Islamic Hospital was dominated by near-injury incidents (NII) with a green rating. The outpatient unit is the unit with the highest incidence. Feedback and supervision affect the number of patient safety incidents because they have a difference of 22.2% and 52.5%, respectively. This study has shown that hospital patient safety incidents are influenced by feedback and supervision.

Conclusion: This study showed that feedback and supervision influence the incidence of patient safety incidents in hospitals. Therefore, there is a need for training on supervision at the head of the room, providing socialization and education about the importance of patient safety, and increasing the commitment of decision-makers and related stakeholders.

References

Gandhi TK, Graydon-Baker E, Huber CN, Whittemore AD, Gustafson M. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614–21. Available from: http://dx.doi.org/10.1016/S1553-7250(05)31079-8
Tristantia AD. Evaluasi Sistem Pelaporan Insiden Keselamatan Pasien Di Rumah Sakit. J Adm Kesehat Indones. 2018;6(2):83.
Fleming M, Wentzell N. Patient safety culture improvement tool: development and guidelines for use. Healthc Q. 2008;11(3 Spec No.):10–5.
Finn JD, Rock DA. Academic success among students at risk for school failure. J Appl Psychol. 1997;82(2):221–34.
Karami A, Farokhzadian J, Foroughameri G. Hehehe. PLoS One. 2017;12(11):1–15.
Tulus H, Maksum H, Studi P, Manajemen M, Sakit R, Kedokteran F, et al. Redesain Sistem Identitas Pasien sebagai Implementasi Patient Safety di Rumah Sakit Redesigning Patient Identity System as Patient Safety Implementation at Hospital. 2012;28(2):221–7.
Benn J, Koutantji M, Wallace L, Spurgeon P, Rejman M, Healey A, et al. Feedback from incident reporting: Information and action to improve patient safety. Qual Saf Heal Care. 2009;18(1):11–21.
Zaccaro SJ, Rittman AL, Marks MA. Zaccaro et al.(2001)Leader.Q..pdf. Leadersh Q. 2001;12:451–83. Available from: https://www.sciencedirect.com/science/article/pii/S1048984301000935
Hardjono B, San LP. Customer Relationship Management Implementation and its Implication to Customer Loyalty in Hospitality Industry. J Din Manaj. 2017;8(1):92–107.
Carayon P, Wood KE. Patient safety: The role of human factors and systems engineering. Stud Health Technol Inform. 2010;153:23–46.

[1] Gandhi TK, Graydon-Baker E, Huber CN, Whittemore AD, Gustafson M. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614–21. Available from: http://dx.doi.org/10.1016/S1553-7250(05)31079-8

[2] Tristantia AD. Evaluasi Sistem Pelaporan Insiden Keselamatan Pasien Di Rumah Sakit. J Adm Kesehat Indones. 2018;6(2):83.

[3] Fleming M, Wentzell N. Patient safety culture improvement tool: development and guidelines for use. Healthc Q. 2008;11(3 Spec No.):10–5.

[4] Finn JD, Rock DA. Academic success among students at risk for school failure. J Appl Psychol. 1997;82(2):221–34.

[5] Karami A, Farokhzadian J, Foroughameri G. Hehehe. PLoS One. 2017;12(11):1–15.

[6] Tulus H, Maksum H, Studi P, Manajemen M, Sakit R, Kedokteran F, et al. Redesain Sistem Identitas Pasien sebagai Implementasi Patient Safety di Rumah Sakit Redesigning Patient Identity System as Patient Safety Implementation at Hospital. 2012;28(2):221–7.

[7] Benn J, Koutantji M, Wallace L, Spurgeon P, Rejman M, Healey A, et al. Feedback from incident reporting: Information and action to improve patient safety. Qual Saf Heal Care. 2009;18(1):11–21.

[8] Zaccaro SJ, Rittman AL, Marks MA. Zaccaro et al.(2001)Leader.Q..pdf. Leadersh Q. 2001;12:451–83. Available from: https://www.sciencedirect.com/science/article/pii/S1048984301000935

[9] Hardjono B, San LP. Customer Relationship Management Implementation and its Implication to Customer Loyalty in Hospitality Industry. J Din Manaj. 2017;8(1):92–107.

[10] Carayon P, Wood KE. Patient safety: The role of human factors and systems engineering. Stud Health Technol Inform. 2010;153:23–46.

Incident analysis of patient safety in hospital: Based on feedback and supervision concept

Abstract

References

How to Cite

Search Panel