Revitalization Management of Patient Safety Culture With Malcolm Baldrige's Approach

  • Hasyim, Noveyla Hardhaning Tyasb, Moh. Reza Hilmy, Roeshartono Roespinoedji


Patient safety is a serious public health problem, various studies report an increased rate of accidents in patients as a result of poor patient safety management. The impact of service and noncompliance poor caused  various issues, from pain mild, disability, and even death. Another impact is the increase in service costs that must be handled by hospital management due to negligence or lack of compliance in service. This happens because of various things, such as unclear service systems, or lack of compliance with standard of procedures or lack of understanding of medical personnel on patient safety culture procedures, as well as inadequate leadership patterns. The purpose of this study was to determine the culture of patient safety that occurred in hospital services,  to conduct an analysis based on the Malcolm Baldrige approach, to be able to make suggestions for improving patient safety service systems, in an effort to reduce the number of patient accidents  at hospital.  This research uses the explanatory mixed method. Quantitative data collection was carried out using a survey adapted from the Agency for Healthcare Research and Quality (AHRQ). The results of quantitative data triangulation was then performed with the Malcolm Baldrige approach. In general, a picture of patient safety culture was with a positive perception result of 58.37%. The results obtained from this study of the 12 dimensions of positive perception measured, there are three dimensions that fall into the category of lacking the dimensions of staffing 44.33%, the handover dimension and the transition dimension 43.90% and the dimension of non punitive response to errors 33.07 %. The research implication is that in order to create effective and efficient patient safety management it is necessary to revitalize management comprehensively through increasing the level of compliance of medical personnel , increasing the competency of medical personnel , and improving leadership patterns. Implement Training Need Analysis (TNA), evaluate  workload and migrate to the use of electonic medical records.