International Journal of Patient Safety and Quality

ENHANCING COMPLIANCE WITH ELECTRONIC PATIENT AND SPECIMEN IDENTIFICATION IN A PEDIATRIC TERTIARY HOSPITAL

2025-10-09T22:24:04+07:00

Background
Errors in patient and specimen identification during ABO and Rh typing collection are critical causes of transfusion-related adverse events. “Wrong blood in tube” (WBIT) incidents remain a preventable risk in clinical practice despite existing verification systems. This quality improvement initiative aimed to enhance compliance with Electronic Positive Patient Identification (ePPID) and Positive Accession Identification (PAID) during specimen collection by non-phlebotomy staff in a pediatric tertiary hospital.
Methods
A Plan-Do-Study-Act (PDSA) model was implemented over two cycles. Interventions included development of a real-time compliance dashboard, equipment calibration, competency-based education, and introduction of governance measures such as a “hard stop” policy for non-compliant specimens. Baseline data, surveys, and root cause analyses guided the actions.
Results
Initial ePPID/PAID compliance among non-phlebotomy staff was 59.7%. Following targeted interventions, compliance increased to 97.0% for ABO/Rh specimens. The “hard stop” policy significantly reduced identification errors, while e-learning modules improved staff competency. The multidisciplinary taskforce and data-driven monitoring ensured sustainability and integration across clinical units.
Conclusion
A structured, multidisciplinary quality improvement approach effectively enhanced compliance with electronic patient and specimen identification. Combining technology, governance, and education fostered a sustainable safety culture in transfusion medicine, reducing the risk of WBIT events.

RELATIONSHIP BETWEEN MIDWIVES’ WORK MOTIVATION AND PERFORMANCE IN FAMILY PLANNING SERVICES

2025-10-09T18:41:10+07:00

Background
Family planning (FP) is a cornerstone of reproductive health and population control. However, disparities in FP service quality persist, often influenced by midwives’ motivation and organizational conditions. This study aimed to examine the relationship between midwives’ characteristics, work motivation, and performance in FP services.

Methods
FP services in a community healthcare setting. Data were collected using a structured self-administered questionnaire adapted from Herzberg’s Motivation-Hygiene Theory Instrument and the Ministry of Health Midwifery Performance Evaluation Scale. The questionnaire assessed demographic characteristics, intrinsic and extrinsic motivation, and performance indicators using a 5-point Likert scale. Validity and reliability were confirmed (I-CVI > 0.80; Cronbach’s α > 0.85). Data were analyzed using Chi-square and Fisher’s exact tests with a significance level of p < 0.05.

Results
Significant associations were found between motivational and organizational factors with midwives’ performance, including advancement (p = 0.000), achievement (p = 0.001), organizational policies (p = 0.020), incentives (p = 0.007), interpersonal relationships (p = 0.001), and working conditions (p = 0.001). Demographic variables such as age, education, and marital status were not significant (p > 0.05).

Conclusions
Midwives’ performance in FP services is primarily influenced by intrinsic and extrinsic motivation rather than demographic factors. Enhancing motivation through fair incentives, supportive policies, and professional development is crucial to improve FP service quality and workforce sustainability.

EFFECTIVENESS OF VIDEO-BASED HEALTH EDUCATION ON ADOLESCENTS’ FIRST AID FOR FOOD POISONING

2025-10-10T14:42:56+07:00

Introduction:
Foodborne illness remains a major global public health concern, particularly in communal living environments such as Islamic boarding schools, where adolescents study and dine together. Insufficient knowledge and preparedness in providing first aid for food poisoning can increase morbidity and delay treatment. This study aimed to determine the effectiveness of video-based health education in improving adolescents’ knowledge, attitudes, and behaviors related to first aid for food poisoning.
Methods:
A quasi-experimental pre-test–post-test control group design was conducted among 72 female adolescents aged 16–18 years residing in two Islamic boarding schools. The intervention group received structured video-based health education, while the control group received printed leaflets containing the same educational content. Data were collected using a validated questionnaire measuring knowledge, attitudes, and practices before and after the intervention. Statistical analyses were performed using the Wilcoxon Signed-Rank Test and Mann–Whitney U Test, with a significance level set at p < 0.05.
Results:
The findings showed significant improvements in knowledge, attitudes, and behaviors in the intervention group following the video-based education (p < 0.001), while no significant changes were observed in the control group. Inter-group comparisons also indicated statistically significant post-test differences in all behavioral domains (p < 0.001).
Conclusion:
Video-based health education effectively enhanced adolescents’ knowledge, attitudes, and first-aid behaviors related to food poisoning. The integration of audiovisual learning media provides an engaging and efficient approach to strengthen health literacy and emergency response skills among adolescents in school-based health programs.

ASSERTIVE COMMUNICATION AND STRESS LEVEL AMONG FAMILIES LIVING WITH PULMONARY TUBERCULOSIS PATIENTS

2025-10-10T15:48:31+07:00

Background
Families play a pivotal role in supporting the recovery of patients with pulmonary tuberculosis (TB); however, this role is frequently accompanied by high psychological stress. This study aimed to examine the relationship between assertive communication and stress levels among families caring for pulmonary TB patients.

Methods
This analytical observational study employed a cross-sectional design. A total of 71 family members of TB patients were selected using a simple random sampling technique. Data were analyzed using the Spearman Rank correlation test with a significance level of α = 0.01.

Results
Findings indicated that 50.8% of participants demonstrated moderate assertive communication, while 42.6% experienced mild stress levels. Statistical analysis revealed a significant correlation between assertive communication and stress levels (ρ = 0.005), indicating that higher assertive communication skills are associated with lower stress levels.

Conclusion
Assertive communication plays a vital role in mitigating stress among families of TB patients. Strengthening family assertiveness through psychoeducation and counseling interventions could enhance coping abilities and improve overall family well-being.

DETERMINANTS OF NURSES’ DISASTER PREPAREDNESS IN FLOOD PRONE AREAS

2025-10-10T16:20:24+07:00

Background:
Floods are among Indonesia’s most frequent and destructive natural disasters, posing serious threats to public health and service continuity. Nurses in community health centers play a critical role in disaster preparedness, especially in flood-prone regions. Guided by the Protection Motivation Theory (PMT), this study examined the relationships among response efficacy, self-efficacy, response cost, motivation, and disaster preparedness among nurses in flood-prone areas of Gresik District.

Methods:
A cross-sectional correlational study was conducted among 78 nurses selected through proportionate random sampling from flood-prone community health centers. Inclusion criteria were at least one year of work experience and voluntary participation. Data were collected using validated self-administered questionnaires based on PMT constructs: response efficacy (10 items), self-efficacy (10 items), response cost (8 items), motivation (10 items), and disaster preparedness (12 items), rated on a 5-point Likert scale. Reliability coefficients were acceptable (Cronbach’s α = 0.76–0.89). Data were analyzed using descriptive statistics and Spearman’s rho correlation tests.

Results:
Most nurses demonstrated high disaster preparedness. Response efficacy (ρ = 0.000; r = 0.470) and self efficacy (ρ = 0.011; r = 0.287) were positively correlated with motivation, whereas response cost (ρ = 0.000; r = –0.438) was negatively correlated. Motivation also showed a significant positive relationship with disaster preparedness (ρ = 0.000; r = 0.402).

Conclusions:
Response efficacy, self-efficacy, and response cost are key cognitive predictors of motivation influencing nurses’ disaster preparedness. Strengthening motivation through education, simulation-based training, and organizational support can enhance preparedness, patient safety, and healthcare quality during flood emergencies.