Budaya Organisasi yang Mendukung Keselamatan Pasien di Rumah Sakit
Keywords:Organizational culture, patient safety, OCAI, HSOPSC.
AbstractOrganizational culture is one of important factors that contribute to the performance of an organization, including in a hospital. In a hospital, performance can be measured by its level of patient safety. Howover, studies and research that discuss the relationship of organizational culture and patient safety are still very limited, including in Indonesia. This research is conducted to observe organizational culture that support patient safety. This research is conducted in three hospitals in Jakarta. Type of organizational culture is identified using the Organizational Culture Assessment Instrument (OCAI) questionnaire and the level of patient safety is assessed using the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. Once the organizational culture is identified and the level of patient safety culture is observed in each hospital, correlation test and analysis is conducted between types of organizational culture with aspect of patient safety based. Results show that three hospitals do not have dominant organizational culture. However, type of organizational culture that has a significant positive correlation with aspect of patient safety the most is adhocracy culture, eventhough other organizational culture type also support patient safety. The result of this research then used as initial suggestion to make change on organizational culture so that patient safety could be improved.
Republik Indonesia. UU Nomor 44 Tahun 2009 tentang Rumah Sakit. 2009. [CrossRef]
Yunanto, H., Pertanggungjawaban Dokter pada Transaksi Terapeutik. Thesis. Universitas Diponegoro, Semarang, 2009. [CrossRef]
Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 1691/Menkes/ Per/VIII/2011, 2011. [CrossRef]
Gaba, D.M., Structural and Organizational Issues in Patient Safety: A Comparison of Health Care to Other High-hazard Industries, California Management Review, 43, 2000, pp. 83–102. [CrossRef]
Battles, J.B., and Lilford, R.J., Organizing Patent Safety Research to Identify Risks and Hazards. Qual Saf Health Care, 12(2), 2003, pp. 2–7. [CrossRef]
Chiu, C.H., Pan, W.H., and Wei, C.J., Does Organizational Culture Impact Patient Safety Management? Asian Journal of Health and Information Sciences, 3(1), 2008, pp. 88–100. [CrossRef]
Edy, Pengaruh Budaya Organisasi dan Lingkungan Kerja terhadap Kinerja Perawat. Jurnal Ekonomi dan Bisnis, 2(3), 2008, pp. 1978–3116. [CrossRef]
Davies, H.T., Organizational Culture and Quality of Health Care, Quality for Health Care, 9, 2000, pp. 111–119. [CrossRef]
Cushway, B., and Lodge, D., Organizational Behaviour and Design, Perilaku dan Desain Organisasi. PT. Elex Media Komputindo, Jakarta, 2000. [CrossRef]
Robbins, S.P., Essentials of Organizational Behavior, Pearson Education, Inc, New Jersey, 2003. [CrossRef]
Cameron, K.S., and Quinn, R.E., Diagnosing and Changing Organizational Culture: Based on The Competing Values Framework. JOSEY BASS: A Wiley Imprint, California, 2006. [CrossRef]
Singer, S.J., Gaba, D.M., Geppert, J.J., Sinaiko, A.D., Howard, S.K., and Park, K.C., The Culture of Safety: Results of An Organization-wide Survey in 15 California Hospitals, Quality & Safety in Health Care, 12, 2003, pp. 112–118. [CrossRef]
Westrum, R. A., Typology of Organizational Cultures. Quality & Safety Health Care, 13, 2004, pp. 22–27. [CrossRef]
Hartmann, C.W., Meterko, M., Rosen, A.K., Zhao, S., Singer, S., and Gaba, D.M., Relationship of Hospital Organizational Culture to Patient Safety Climate in the Veterans Health Administration, Medical Care Research and Review, 66(3), 2009, pp. 320–338. [CrossRef]
Speroffl, T., Nwosu, S., Greevy, R., Weinger, M.B., Talbot, T.R., Wall, R.J., Deshpande, J.K., Fance, D.J., Ely, E.W., Burgess, H., Englebright, J., Williams, M.V., and Dittus, R.S., Organisational Culture: Variation across Hospitals and Connection to Patient Safety Climate, Quality Safety Health Care, 19, 2010, pp. 592–596. [CrossRef]
Setiowati, D., Hubungan Kepemimpinan Efektif HEAD NURSE dengan Penerapan Budaya Keselamatan Pasien oleh Perawat Pelaksana di RSUPN Dr. Ciptomangunkusumo Jakarta, Thesis, Universitas Indonesia, 2010. [CrossRef]
Hikmah, S., Persepsi Staf mengenai Patient Safety di Instalasi Rawat Darurat RSUP Fatmawati Tahun 2008, Laporan Tugas Akhir, Universitas Indonesia, 2008. [CrossRef]
Sagala, B.R., dan Widyanti, A., Hubungan antara Kepemimpinan dan Budaya Keselamatan Pasien di Rumah Sakit, Proceeding Seminar Nasional dan Kongres PEI 2015, Yogyakarta, 17–18 Nopember 2015. [CrossRef]
Rangkuti, F., Kuesioner Organizational Culture Assessment Instrument (OCAI) http://freddyrang-kuti.wordpress.com/2011/03/08/kuesioner- ocai/, 2011, diakses pada 30 Juni 2014. [CrossRef]
Brislin, R.W., Back-translation for Cross-cultural Research, Journal of Cross-Cultural Psychology, 1(3), 1970, pp. 185–216. [CrossRef]
Johnson, A., and Widyanti, A., Cultural Influence on the Measurement of Mental Workload. Ergonomics, 54(6), 2011, pp. 509–518. [CrossRef]
Tucker, A., and Edmondson, A., Why Hospitals Don’t Learn from Failures: Organizational and Psychological Dynamics that Inhibit System Change, California Management Review, 45, 2003, pp. 55–72. [CrossRef]
Edmondson, A.C., Bohmer, R.M., and Pisano, G.P., Disrupted Routines: Team Learning and New Technology Implementation in hospitals. Administrative Science Quarterly, 46, 2001, pp. 685–716. [CrossRef]
Carroll, J.S., Rudolph, J.W., and Hatakenaka, S., Learning from Experience in High-hazard Organizations, Research in Organizational Behavior, 24, 2002, pp. 87-137. [CrossRef]
Shortell, S.M., O’Brien, J.L., Carman, J.M., Foster, R.W., Hughes, E.F., Boerstler, H., and O'Connor, E.J., Assessing the Impact of Continuous Quality Impovement/Total Quality Management: Concept versus Implementations, Health Service Research, 30, 1995, pp. 377–401. [CrossRef]
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