Implementation of Patient Safety Goals in Hospitals: A Systematic Literature Review
Abstract
The provision of healthcare services to patients in hospitals carries the potential for incidents and injuries. Implementing the six patient safety goals serves as an organized framework to establish a culture, processes, behaviors, and environment that ensure safety for patients, healthcare providers, and the surrounding community. The aim of this study was to evaluate the implementation of the six patient safety goals in hospitals. This research employed a systematic literature review using the PRISMA technique (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). Literature searches were conducted using Google Scholar, with criteria for articles published between 2019 and 2024. The search terms included “Patient Safety Goals” AND “Hospitals.” Articles considered were original research discussing the six patient safety goals in full. A total of 2,250 articles were identified through Google Scholar, but only 12 articles met the inclusion criteria. Five articles specifically described the implementation of the six patient safety goals, while seven articles linked the goals to education, gender, work tenure, age, leadership, knowledge, work experience, and communication. In general, the implementation of patient safety goals adheres to the standards set by the Ministry of Health. However, improvements are needed in areas such as staff compliance and consistency, adequacy of facilities and infrastructure, as well as leadership support.
References
Collins, A.S. (2008) ‘Preventing Health Care-Associated Infections’, in Patient Safety and Quality: An Evidence-Based Handbook for Nurses., pp. 547–575. Available at: https://www.ncbi.nlm.nih.gov/books/NBK2683/pdf/Bookshelf_NBK2683.pdf (Accessed: 24 October 2024).
Ganz, D.A. et al. (2013) ‘What are universal fall precautions and how should they be implemented?’, in Preventing Falls in Hospitals. Boston: RAND Corporation, Boston University School of Public Health, ECRI Institute. Available at: https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html#3-2 (Accessed: 30 October 2024).
Girginer, N. and İskenderoğlu, M. (2020) ‘Sigma Levels Analysis of International Patient Safety Goals for a Private Hospital’, Journal of International Health Sciences and Management, 6(10), pp. 65–73. Available at: https://dergipark.org.tr/en/pub/jihsam/issue/53910/626453.
Hamzah, A. et al. (2024) ‘Hubungan Tingkat Pengetahuan Perawat Kamar Bedah Tentang Sasaran Keselamatan Pasien Dengan Pelaksanaan 6 (Enam) Sasaran Keselamatan Pasien Rumah Sakit di Kamar Bedah RSI Assyifa’, Journal of Public Health Innovation (JPHI), 4(02), pp. 469–475. Available at: https://doi.org/doi.org/10.34305/jphi.v4i02.1142.
Hastuti, I. and Siregar, A. (2020) ‘Pengaruh Kerja Tim, Komunikasi dan Budaya Keselamatan Pasien Terhadap Capaian Sasaran Keselamatan Pasien’, Universitas Pasudan Institutional Repositories & Scientific Journals, pp. 1–22. Available at: http://repository.unpas.ac.id/49090/ (Accessed: 19 October 2024).
HCI (2023) Focusing on the International Patient Safety Goals, https://hci.care/focusing-on-the-international-patient-safety-goals/.
Health Services Safety Investigations Body (2024) Positive patient identification, https://www.hssib.org.uk/patient-safety-investigations/positive-patient-identification/.
Helsanewa, A., Rifai, A. and Jamaluddin, J. (2019) ‘Studi Deskriptif Pelaksanaan Sasaran Keselamatan Pasien Sesuai Instruksi Kars Versi 2012 di IGD Rumah Sakit TNI AD Tk IV 02.07.04 Bandar Lampung’, Jurnal Ilmu Kesehatan Masyarakat, 8(03), pp. 100–108. Available at: https://doi.org/10.33221/jikm.v8i03.300.
Kementerian Kesehatan (2017) Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 Tentang Keselamatan Pasien, Kementerian Hukum dan Hak Asasi Manusia. Indonesia. Available at: https://jdih.baliprov.go.id/uploads/produk-hukum/peraturan/2017/PERMENKES/permenkes-11-2017.pdf (Accessed: 23 September 2024).
Kementerian Kesehatan (2022) Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1128/2022 Tentang Standar Akreditasi Rumah Sakit. Indonesia. Available at: https://yankes.kemkes.go.id/unduh/fileunduhan_1654499045_682777.pdf/59 (Accessed: 24 September 2024).
Kementerian Kesehatan (2023) Identitas Pasien untuk Mendukung Identifikasi Pasien yang Akurat, https://yankes.kemkes.go.id/view_artikel/2246/identitas-pasien-untuk-mendukung-identifikasi-pasien-yang-akurat.
Muliyadi and Yulia, S. (2022) ‘Penerapan Sasaran Keselamatan Pasien di Pelayanan Rumah Sakit’, Aisyiyah Medika, 7(2), pp. 109–119. Available at: https://doi.org/https://doi.org/10.36729.
PERSI (2023) Quality and Patient Safety. Jakarta. Available at: https://www.persi.or.id/wp-content/uploads/2023/11/13.-K7_RS.-Islam-Jakarta-Cempaka-Putih_Peningkatan-Budaya-Pelaporan-Ikp-Melalui-Kanal-We-Care_DR.-Rochimiah-MARS_08176032560-kmmr-rsijcp.pdf (Accessed: 22 September 2024).
Salim, A., Rosniati and Eliawati, U. (2020) ‘Hubungan Kepemimpinan dengan Penerapan Sasaran Keselamatan Pasien oleh perawat di Rumah Sakit Awal Bros Pekanbaru’, Journal of STIKes Awal Bros Pekanbaru, pp. 18–28. Available at: https://journal.univawalbros.ac.id/index.php/jsabp/article/view/26 (Accessed: 19 October 2024).
Saputra, R.A. and Rizky, W. (2023) ‘Gambaran Pelaksanaan Sasaran Keselamatan Pasien oleh Perawat Berdasarkan Standar Akreditasi Rumah Sakit di Instalasi Rawat Inap RSUD Kabupaten Karanganyar’, Indonesian Journal of Hospital Administration, 6, pp. 53–62. Available at: https://doi.org/10.21297ijhaa.2023.6(2).53-62.
Sendoh, A.C.P., Pertiwi, J.M. and Manoppo, J.I.Ch. (2023) ‘Analisis Penerapan Sasaran Keselamatan Pasien di Instalasi Gawat Darurat Rumah Sakit X Provinsi Sulawesi Utara’, Medical Scope Journal, 5(1), pp. 50–56. Available at: https://doi.org/10.35790/msj.v5i1.4.
Supratiningsih, T., Mintasih, S. and Kamilah, S. (2024) ‘Hubungan Pengetahuan Perawat tentang Penerapan Sasaran Keselamatan Pasien dengan Tingkat Kepatuhan dalam Pencegahan Infeksi di Rumah Sakit Prikasih’, Open Access Jakarta Journal of Health Sciences, 3(1), pp. 1058–1064. Available at: https://doi.org/10.53801/oajjhs.v3i1.221.
Surahmat, R., Neherta, M. and Nurariati, N. (2019) ‘Hubungan Karakteristik Perawat terhadap Pelaksanaan Sasaran Keselamatan Pasien Pasca Akreditasi Rumah Sakit “X” di Kota Palembang Tahun 2018’, Jurnal Ilmiah Universitas Batanghari Jambi, 19(1), pp. 1–10. Available at: https://doi.org/10.33087/jiubj.v19i1.493.
Swarjana, I.K. (2017) Ilmu Kesehatan Masyarakat Konsep, Strategi, dan Praktik. I. Edited by A. Ari C. Yogyakarta: Andi.
The Joint Commission (2023) National Patient Safety Goals Effective January 2024 for the Hospital Program. Available at: https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2024/npsg_chapter_hap_jan2024.pdf (Accessed: 24 October 2024).
Wahid, N.A. and Mudayana, A.A. (2022) ‘Implementation of Patient Safety Indicators Based on Hospital Accreditation Commisions (KARS) Standars at Public Hospital Wonosari, Yogyakarta’, International Journal of Healthcare Research, 5(2), pp. 30–43. Available at: https://doi.org/10.12928/ijhr.v5i2.10138.
Wastuti, F., Suhadi and Zainuddin, A. (2024) ‘Studi Implementasi Sasaran Keselamatan Pasien Di Rumah Sakit Umum Dewi Sartika Kota Kendari’, Jurnal Administrasi dan Kebijakan Kesehatan, 5, pp. 46–54. Available at: https://jakk.uho.ac.id/index.php/journal/article/view/11 (Accessed: 19 October 2024).
WHO (2009) WHO Surgical Safety Checklist, https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery/tool-and-resources.
WHO (2024) Global Patient Safety Report 2024. Geneva. Available at: https://iris.who.int/.
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