ANALISIS PENERAPAN BUDAYA KESELAMATAN PASIEN DI INSTALASI RAWAT INAP RSUD Dr. PIRNGADI KOTA MEDAN TAHUN 2021
DOI:
https://doi.org/10.33143/jhtm.v7i2.1700Abstrak
Keselamatan pasien merupakan merupakan program utama yang harus dijalan rumah sakit. Angka insiden keselamatan pasien menjadi tolak ukur berjalannya program keselamatan pasien di rumah sakit. Untuk menekan tingginya angka insiden, rumah sakit harus menerapkan budaya keselamatan pasien. Survey awal didapatkan angka Insiden Keselamatan Pasien (IKP) semester pertama tahun 2020 di RSUD Dr. Pirngadi Kota Medan ditemukan ada 90 insiden yang terjadi dengan rincian Angka Kejadian Tidak Diharapkan (KTD) 19 insiden (21,11%), Kejadian Nyaris Cedera (KNC) 69 insiden (76%), Kondisi Potensi Cedera (KPC) 1 insiden (1,1%), dan Kejadian Tidak Cedera (KTC) 1 insiden (1,1%). Persentase pelaporan insiden keselamatan pasien (IKP) dari rawat inap 9,4%. Tujuan penelitian ini untuk mengetahui bagaimana penerapan budaya keselamatan pasien di Instalasi Rawat Inap RSUD Dr. Pirngadi Kota Medan Tahun 2021. Desain penelitian kualitatif dengan analisis domain yang bertujuan untuk mengetahui secara jelas respon perawat terhadap penerapan budaya keselamatan pasien di Instalasi Rawat Inap RSUD Dr. Pirngadi Kota Medan. Data kualitatif didapatkan melalui wawancara mendalam dengan 18 informan dengan kriteria inklusi dan hasil observasi di lapangan. Hasil penelitian menunjukkan penerapan budaya ketebukaan di Instalasi Rawat Inap RSUD Dr. Pirngadi Kota Medan sudah berjalan baik. Penerapan budaya pelaporan di Instalasi Rawat Inap RSUD dr. Pirngadi Kota Medan sudah berjalan, namun masih banyak kendala. Penerapan budaya keadilan di Instalasi Rawat Inap RSUD Dr. Pirngadi Kota Medan belum berjalan cukup baik. Penerapan budaya pembelajaran di Instalasi Rawat Inap RSUD Dr. Pirngadi Kota Medan berjalan baik. Penerapan budaya keselamatan pasien di Instalasi Rawat Inap RSUD Dr. Pirngadi Kota Medan sudah berjalan, namun belum optimal. Rekomendasi: Membuat kebijakan tentang penerapan budaya keselamatan pasien, program edukasi berkala dan ciptakan lingkungan yang mendukung untuk pelaporan insiden keselamatan pasien, hilangkan blaming culture dan ciptakan safety culture.
Kata Kunci: Penerapan Budaya Keselamatan, Pasien Rawat Inap
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