Challenges for enhancing patient safety culture in hospitals

Abstrak

Background: Building a patient safety culture is a crucial step in minimizing and preventing adverse patient incidents. Patient safety culture is influenced by the implementation of a patient safety management system. Objective: This study aims to analyze the challenges of implementing a patient safety management system to improve patient safety culture in hospitals. Methods: A qualitative study was conducted in two hospitals in Jambi Province. Data were collected through in-depth interviews with purposively selected informants. Data were analyzed using content analysis. Results: This study identified several challenges in the patient safety management system, including the lack of leadership involvement in ensuring that the patient safety management system and practices are understood by all staff. Leadership support is also needed to improve service facilities and infrastructure, and promote policies that support patient safety. Lack of patient safety information, less open communication, fear of reporting due to a blame culture, improvement processes not based on patient safety standards, policies that are not well documented, and not reviewed are indicators of a weak organizational culture. The existence of a patient safety team is not clearly visible, does not have systematic procedures, and uneven staff training. Conclusion: Hospitals face challenges in implementing a patient safety management system to improve their patient safety culture. It requires leadership involvement and support, strengthening organizational culture, redesigning policies, building learning work teams with a systematic approach, and implementing professional training to strengthen systems that ensure sustainable patient safety.

Kata kunci

• Challenges
• hospitals
• patient safety management system