Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions
Objectives This study examined the impact of hospital readiness on patient safety from the healthcare workers’ perspective.Design The study employed a mixed-methods explanatory sequential design, with the quantitative phase taking precedence. We conducted an online survey of 235 healthcare workers a...
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e061702.full |
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| author | Inge Dhamanti Diah Indriani Muhammad Miftahussurur Eva Kurniawati Cyrus Y Engineer |
| author_facet | Inge Dhamanti Diah Indriani Muhammad Miftahussurur Eva Kurniawati Cyrus Y Engineer |
| author_sort | Inge Dhamanti |
| collection | DOAJ |
| description | Objectives This study examined the impact of hospital readiness on patient safety from the healthcare workers’ perspective.Design The study employed a mixed-methods explanatory sequential design, with the quantitative phase taking precedence. We conducted an online survey of 235 healthcare workers at COVID-19 referral hospitals, followed by an interview with 11 participants from various hospital types.Setting COVID-19 referral hospitals in Indonesia.Participants Health workers working at COVID-19 referral hospitals.Measures Hospital ownership; hospital accreditation status; hospital readiness including incident management system, surge capacity, infection control and prevention, and human resource management; patient safety incident.Results According to the survey, 66.4% of the participants worked at a hospital owned by the provincial or district government, and 69.4% worked at a hospital which had received an excellent status accreditation. More than 80% of the hospitals scored well in the categories of the incident management system (86%), surge capacity (80.9%), infection control and prevention (97.9%), and human resource management (84.7%). However, only 50.6% of the hospitals scored well in managing patient safety incidents. Hospital ownership, accreditation status and hospital readiness all have an impact on patient safety incidents, which were reported in all types of hospitals by both studies.Conclusions This study provides significant results for Indonesia in terms of hospital preparedness and patient safety for the COVID-19 pandemic. The accreditation and ownership status of the hospital have aided hospital readiness. Despite the fact that no hospital in the world was prepared for the COVID-19 pandemic, hospital readiness has improved a year later; however, patient safety has not improved. Patient safety incidents occurred regardless of hospital status, with the most common occurrence being delayed treatment. Administrative errors were also recorded in COVID-19 field hospitals that were not accredited. Future research should focus on improving pandemic care quality and implementing initiatives that are applicable to all types of hospitals. |
| format | Article |
| id | doaj-art-60ab2822d67c42fc96298bd7a6d96922 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-60ab2822d67c42fc96298bd7a6d969222025-01-31T03:45:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-061702Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptionsInge Dhamanti0Diah Indriani1Muhammad Miftahussurur2Eva Kurniawati3Cyrus Y Engineer4Department of Health Policy and Administration, Faculty of Public Health Universitas Airlangga, Surabaya, East Java, IndonesiaDepartment of Epidemiology, Biostatistics and Behavioural Science, Faculty of Public Health Universitas Airlangga, Surabaya, East Java, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Airlangga, Surabaya, Jawa Timur, IndonesiaDepartment Cardiothoracic Surgery, Maastricht University Medical Centre+, Maastricht, The NetherlandsInternational Health, Johns Hopkins University, Baltimore, Maryland, USAObjectives This study examined the impact of hospital readiness on patient safety from the healthcare workers’ perspective.Design The study employed a mixed-methods explanatory sequential design, with the quantitative phase taking precedence. We conducted an online survey of 235 healthcare workers at COVID-19 referral hospitals, followed by an interview with 11 participants from various hospital types.Setting COVID-19 referral hospitals in Indonesia.Participants Health workers working at COVID-19 referral hospitals.Measures Hospital ownership; hospital accreditation status; hospital readiness including incident management system, surge capacity, infection control and prevention, and human resource management; patient safety incident.Results According to the survey, 66.4% of the participants worked at a hospital owned by the provincial or district government, and 69.4% worked at a hospital which had received an excellent status accreditation. More than 80% of the hospitals scored well in the categories of the incident management system (86%), surge capacity (80.9%), infection control and prevention (97.9%), and human resource management (84.7%). However, only 50.6% of the hospitals scored well in managing patient safety incidents. Hospital ownership, accreditation status and hospital readiness all have an impact on patient safety incidents, which were reported in all types of hospitals by both studies.Conclusions This study provides significant results for Indonesia in terms of hospital preparedness and patient safety for the COVID-19 pandemic. The accreditation and ownership status of the hospital have aided hospital readiness. Despite the fact that no hospital in the world was prepared for the COVID-19 pandemic, hospital readiness has improved a year later; however, patient safety has not improved. Patient safety incidents occurred regardless of hospital status, with the most common occurrence being delayed treatment. Administrative errors were also recorded in COVID-19 field hospitals that were not accredited. Future research should focus on improving pandemic care quality and implementing initiatives that are applicable to all types of hospitals.https://bmjopen.bmj.com/content/12/7/e061702.full |
| spellingShingle | Inge Dhamanti Diah Indriani Muhammad Miftahussurur Eva Kurniawati Cyrus Y Engineer Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions BMJ Open |
| title | Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions |
| title_full | Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions |
| title_fullStr | Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions |
| title_full_unstemmed | Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions |
| title_short | Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions |
| title_sort | impact of hospital readiness on patient safety incidents during the covid 19 pandemic in indonesia health worker perceptions |
| url | https://bmjopen.bmj.com/content/12/7/e061702.full |
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