Building a Culture of Patient Safety: Lessons from the Karya Bhakti Pratiwi Hospital in Bogor (RSKBP)

Amidst the anxiety that grips the hospital, there is an invisible struggle that echoes in every decision and action taken by every individual in it. That is the story of the Karya Bhakti Pratiwi Hospital in Bogor (RSKBP) in 2015. In an in-depth study conducted by Yulia Yasmi and Hasbullah Thabrany, it was revealed that the Patient Safety Incident (IKP) at RSKBP had quite an alarming number, ranging from 0.31% to 3.01%, with a mortality rate reaching 2.22%. However, what was revealed was much deeper than just those numbers.

In an effort to understand the root of the problem and find the right solution, this study aims to explore the patient safety culture and the factors associated with it at RSKBP that year. In the period from March to April 2015, 115 respondents have been part of this journey. This study reveals that the patient safety culture at RSKBP is still far from ideal. However, behind this weakness, there is a ray of hope that shines brightly.

As part of a critical analysis of the study, we will discuss the factors that have a significant influence on patient safety culture at RSKBP. One of the factors that emerged was incident report feedback. The results of the study showed that feedback on incident reports had a significant relationship with patient safety culture. This is in line with the views of experts, such as those expressed by Alan R. Hinman, et al. (2013), who highlighted the importance of feedback mechanisms in improving patient safety in the healthcare environment. Feedback not only helps in identifying problems that occur, but also allows for continuous learning and improvement.

However, the study also highlighted that a culture of no blame and a culture of learning have a significant influence on patient safety culture at RSKBP. This shows that in an environment that encourages openness and learning, individuals feel more comfortable reporting incidents and seeking solutions together. In the view of Lisa M. Given, et al. (2012), an organizational culture that supports learning is key to improving patient safety and quality of service. Therefore, efforts to improve patient safety culture should not be limited to technical aspects alone, but also require a comprehensive transformation of organizational culture.

In the case of Indonesia, where health service standards are still a hot topic, the findings of this study have very important implications. The Indonesian Health Facility Accreditation Institute (LAFKI), as the institution responsible for assessing and ensuring health service standards, can use the learnings from this study to improve the accreditation process and improve patient safety across all health facilities in Indonesia.

Not only that, these findings also provide inspiration for health practitioners and hospital managers to make real changes in their organizational culture. By strengthening the commitment to patient safety and building an environment that supports learning and accountability, we can create a safer and better quality health system.

In a journey full of challenges, RSKBP in 2015 gave us a valuable lesson about the power of cultural transformation. Through the development of effective feedback mechanisms, the promotion of a culture of no blame, and the development of an inclusive learning culture, RSKBP has proven that real change can be realized when we have strong determination and a sincere commitment to patient safety.

As a health practitioner, let us continue to explore knowledge and experience from various sources, and commit to continuing to make continuous improvements for the welfare of our patients. Together, we can create a future where every patient can receive safe, effective, and dignified care.