International Journal of Patient Safety and Quality

ANALYSIS OF JOB CHARACTERISTICS, JOB SATISFACTION AND PATIENT SAFETY CULTURE AMONG HEALTHCARE (STUDY IN MUHAMMADIYAH UNIVERSITY GENERAL HOSPITAL OF MALANG)

Wirasasmita Paripih — 2024-04-29

Background Job satisfaction is a combination of feelings towards his job, both happy and unhappy, as a result of interaction with the work environment. Job satisfaction can have a significant influence on patient safety culture. The purpose of this study was to analyse job characteristics, employee job satisfaction, and patient safety culture in health workers at the Muhammadiyah University General Hospital of Malang.

Method This research was analytic observational research with a cross-sectional design. The sample was 144 health workers obtained from 202 people through simple random sampling. The HSOPS questionnaire version 2.0 to measure patient safety culture consists of 10 dimensions, and the MMSS questionnaire to measure job satisfaction consists of 8 dimensions. Data was analysed using structural equation modelling with Smart PLS 3.0 software.

Result The result showed that there was an influence of job characteristics on job satisfaction (T-statistic = 3,472 > 1.96) with a coefficient value of -0,333, which means doctor had higher level of job satisfaction than nurse, midwife, pharmacist, and other health workers. Job satisfaction affected patient safety culture (T-statistic = 5.359 > 1.96) with a coefficient value of 0,451, the higher the level of job satisfaction, the higher the level of patient safety culture.

Conclusion The conclusion of this study was that there was an influence of job characteristics and job satisfaction. Job satisfaction influenced patient safety culture among health workers. Patient safety culture need to be improved by strengthening the dimensions of employees and work rates, responding to errors, and reporting patient safety events. To improve job satisfaction, it was necessary to strengthen the dimensions of work-family balance and scheduling.

THE ROLE OF PATIENT SAFETY EDUCATION AND TRAINING IN IMPROVING PATIENT SAFETY

Ruth Naomi — 2024-04-29

Background Patient safety education and trainings are an important element to promote patient safety culture. The demands on this training for the safety of healthcare staffs and patients are crucial due to the occurrence of
preventable medical errors. These review aims to study the types of patient safety education and training
that are delivered for the different target audiences as well as identifying the results of the training.

Methods This study presents narrative review on literature on patient safety education and training. Peer-reviewed
journals and previously published papers were searched using keywords including "patient safety training,"
"improvement," "outcome," "health care," and "health services". Inclusion criteria for the article include the
article written in English and published between 2013 and 2018. We used several journal databases
including the Journal of Patient Safety, BMJ, PubMed, BMJ Quality & Safety and Google Scholar.

Results Reviews were done based on previously published papers. The findings revealed that the patient safety
education and training are mostly conducted to nursing and medical students as well as trainee and residents.
Besides, it was also conducted for anesthesiologists and patients. Typically, mannequin-based
demonstrations and trainings are provided for medical students and educators through the workshop for
physicians and nurses. In addition, most of the important role in ensuring patient safety is mainly done by
nurses followed by the anesthesiologist.

Conclusion In regards to patient safety, each department has a specific role in ensuring patient safety culture in a clinical unit. Patient safety education and training must be provided for all levels because they may greatly influence
the outcome especially on the attitudes and behavioural changes.

EXPLORING EFFICACY OF KETAMINE COMBINATIONS: META ANALYSIS & REVIEW OF ITS USE IN SEDATION PROCEDURE

Yudha Ferriansyah — 2024-04-29

Background Recently, there has been a shift in the philosophy regarding procedural sedation. The best sedation agent should have quick induction and recovery times with few side effects. Several studies have investigated the combination of Ketamine-Dexmedetomidine and Ketamine-Propofol for reducing potential negative side effects during sedation procedures.

Methods The literature search was performed in PubMed, Medline, Cochrane and Google Scholar. Meta-analysis based on the PRISMA methods. All variables and data were pooled in Excel, SPSS version 26 and Cochrane.

Results Total of 372 patients were in Ketamine-Dexmedetomidine group and 373 patients were in Ketamine- Propofol group. Patient characteristics in this study had a mean age of 2.4 to 9.1±1.6 years and mean weight 12 to 23.6±6 kg in the pediatric population and 27 to 51±8.5 years and 75 to 84.5±4.2 kg in the adult population. ASA criteria for each patient are ASA I-IV and the most ASA criteria in patients is ASA II. The procedure time from 5.7 to 63.4 ± 5.3 minutes and also comorbidities.

Conclusion The combination of drugs in sedation procedures is the best choice to achieve a balanced effect in reducing negative side effects of drugs. Dexmedetomidine-Ketamine appears to be superior than Propofol- Ketamine in terms of hemodynamic stability, oxygen saturation and fewer adverse events. Eventhough Dexmedetomidine-Ketamine has longer recovery time and lower heart rate.

THE MODERATION ROLE OF SAFETY LEADERSHIP IN INFLUENCING A CULTURE OF PATIENT SAFETY

Kalis Satya Wijaya — 2024-04-29

Background This research is motivated by several problems related to patient safety in central surgical installations from 2020 to 2022. The aim of this research is to empirically reveal the influence of interprofessional collaboration and the implementation of the surgical safety checklist on patient safety culture with safety leadership as a moderating variable.

Methods This research is motivated by several problems related to patient safety in central surgical installations from 2020 to 2022. The aim of this research is to empirically reveal the influence of interprofessional collaboration and the implementation of the surgical safety checklist on patient safety culture with safety leadership as a moderating variable.

Results The results of the three-box method analysis concluded that interprofessional collaboration, implementation of the surgical safety checklist and patient safety culture were at the medium index, and safety leadership was at the high index. Hypothesis testing proves that simultaneously interprofessional collaboration, implementation of the surgical safety checklist and safety leadership have an effect on patient safety culture with a p value of 0.000. Partially, interprofessional collaboration has an effect on patient safety culture with a t-value of 4.900, implementation of the surgical safety checklist with a t-value of 4.444, safety leadership with a t-value of 4.740.

Conclusion The moderation test concluded that safety leadership did not moderate the influence of interprofessional collaboration on patient safety culture with a t-value of 1.175, but moderated the influence of the implementation of the surgical safety checklist on patient safety culture with a t-value of 2.739.

BIOETHICS AND PATIENT INVOLVEMENT IN MEDICAL DECISION-MAKING: CHALLENGES AND ETHICAL IMPLICATIONS IN CLINICAL PRACTICE

Restiana Mustika Sari — 2024-04-29

Background Patient involvement in medical decision-making has become an integral element in contemporary healthcare, affirming the rights and autonomy of patients in their care processes. This review presents an in-depth study concerning the issue of patient involvement in medical decision-making from a bioethical perspective, as well as exploring the challenges and ethical implications that arise in clinical practice.

Methods A literature review method is used in this study, encompassing various literary sources that detail bioethical principles such as patient autonomy, justice, beneficence, and non-maleficence in the context of medical decision-making. Additionally, this study seeks a profound understanding of how clinical practices and health policies influence patient involvement and present specific ethical challenges.

Result The findings of this literature review highlight the crucial role of bioethics in shaping more ethical practices in medical decision-making and identify key issues that need attention, such as inequality in access and information, value conflicts between patients and healthcare providers, and the need to focus on the best interests of the patient.

Conclusion By understanding these ethical challenges and implications, we can better develop guidelines and policies that support meaningful and ethical patient involvement in clinical practice. Thus, this research contributes to the development of healthcare that respects bioethical values as well as the rights and needs of patients.