Dimension of Patient Safety Culture

Background: Patient safety is a serious public health issue. Several studies reported security problems in healthcare systems in various countries. The impacts were varied, starting from mild pain, disability, death, and high cost of service. This study attempted to review the culture of patient safety from several studies and to identify factors that influence them. Methods: This study was conducted with systematic mapping studies related to patient safety culture. There were 40 research articles were evaluated from various online sources that related from Pubmed, MEDLINE, web of science, and google scholar. It was conducted by entering keywords which appropriate to the topic, The obtained results were analyzed and discussed to produce conclusions. Results: Adverse events were common problems. Healthcare employees had roles in creating safe and high quality services. One of them was through implementation of a culture of patient safety. There were several factors which support a culture of patient safety, namely leadership, teamwork, patient care, evidence-based, communication, learning, just, and patient-centered. Conclusions: Patient safety has not yet become a culture in health care. Adverse events are like an iceberg phenomenon. Efforts to develop factors which support a culture of patient safety need to be encouraged by health care provider organizations

Misperception of Vaccine Acceptance to the COVID-19 Vaccine in Indonesia: A Systematic Review

Vaccination is one of main steps to overcome the continuous increase in the Coronavirus Disease 2019 (COVID-19) pandemic. However, its implementation is hindered by various responses such as acceptance and refusal. This study aimed to describe the perception of the COVID-19 vaccine in Indonesia. A systematic review design was used, and the literature searches were carried out using Google Scholar, PubMed, Science Direct, and WHO COVID-19 databases following the PRISMA guideline process. The keywords used were coronavirus, COVID-19, vaccination, COVID-19 vaccination, vaccine response, vaccine acceptance, vaccine perception, and Indonesia in English or Indonesian articles published in 2020-2021. This study discovered 13 sample articles including six qualitative and seven cross-sectional studies. The responses showed varying results divided into positive, indicating vaccine acceptance, and negative responses that made hesitations to refusal. People with a good response and perception considered the vaccine an antibody to fight the virus. Meanwhile, others who hesitated or rejected were due to their concerns about side effects, safety, and effectiveness. Furthermore, inaccurate information or hoaxes circulating in the community significantly influence people's perceptions

PERILAKU PETUGAS MEDIS DALAM MERUJUK PASIEN ANTENATAL CARE (ANC) KE RUMAH SAKIT

Tingginya rujukan dapat meningkatkan beban kerja rumah sakit dan mengakibatkan bertambahnya biaya klaim ke BPJS Kesehatan. Tujuan penelitian ini untuk mengetahui perilaku petugas medis puskesmas dalam merujuk pasien antenatal care ke rumah sakit. Metode penelitian menggunakan desain kualitatif deskriptif dengan pendekatan Health Belief Model. Informan dipilih menggunakan teknik purposive. Data dikumpulkan menggunakan panduan wawancara mendalam, observasi dan telaah dokumen di salah satu puskesmas di Kota Palembang. Validasi data dilakukan dengan menggunakan triangulasi sumber, metode, dan data. Studi ini menggunakan analisis isi sebagai teknik analisis data. Hasil penelitian menunjukkan petugas medis merujuk pasien antenatal care ketika terdapat indikasi penyakit dan pasien resiko tinggi. Rumah sakit dipilih berdasarkan pertimbangan jarak antara rumah pasien dengan rumah sakit. Rujukan yang tinggi dapat menyebabkan penurunan kapitasi. Hambatan dalam merujuk pasien Antenatal Care lebih kepada hambatan dari luar berupa hambatan teknis. Petugas medis memiliki kepercayaan diri dan mengetahui batasan dalam merujuk pasien. Petugas medis melakukan pemeriksaan dan memastikan kondisi pasien sebelum melakukan rujukan. Adanya rujukan yang tinggi disebabkan karena adanya permintaan rujukan dari pasien. BPJS Kesehatan diharapkan mengadakan koordinasi dengan puskesmas untuk mengatasi kendala kendala yang dirasakan petugas medis dalam merujuk pasien

Physicians’ Behavior in Referring National Health Insurance Patients to Hospital

Physicians’ decision to refer patients in primary health care is vital in supporting the referral system. The increase of referral cases impacted the claims cost and hospital workload. This study aimed to analyze the physicians’ behavior in referring National Health Insurance (NHI) patients to hospitals. This study employed a qualitative method; 18 informants were selected using purposive sampling and analyzed using content analysis. The data were validated by triangulating method, source, and data. Physicians referred patients when the cases could not be handled; there were indications of severe disease and required further examination. The obstacles in the referral system were pressure from NHI patients that wanted to be referred and diagnosed differently from ICD 10. In referring NHI patients, physicians had followed referral procedures and criteria. High referrals were caused by patients being forced to be referred, coming with complaints of severe disease, having examined in a hospital, and some cases should not be referred to but still referred by entering a similar diagnosis into the ICD 10. It is expected that public health centers will educate NHI patients related to tiered referral procedures in health services

IMPLEMENTATION OF STUNTING PROGRAM IN INDONESIA: A NARRATIVE REVIEW

Background: Stunting is one of the nutritional problems in the world, especially in Indonesia. Aims: This study aimed to describe the implementation of stunting programs in Indonesia, Related to specific and sensitive nutrition interventions in particular. Methods: This narrative review was conducted with a meta-synthetic approach. The literature search was done on Google Scholar, PubMed, Garuda Portal, and DOAJ. The critical appraisal checklist from the Joanna Briggs Institute (JBI) was used to assess the research quality. Results: Thirteen research articles were analyzed, and some intervention programs most commonly carried out were the provision of iron supplement tablets for pregnant women, supplementary feeding for underweight toddlers, complementary foods for breastfeeding, vitamin A provision, provision of facilities, access to drinking water, and proper sanitation. Conclusion: The stunting program has not been implemented optimally either inside or outside the health sector. Sufficient numbers of human resources, especially nutritionists, are required to realize stunting programs

Outpatient visit among elderly in Indonesia

Population aging has become an important issue mostly discussed in many countries in the world. The proportion of the older population is getting better in both developed and developing countries. Elderly tend to need more health care as they are more susceptible to chronic diseases. The purpose of this study was to determine the factors affecting outpatient visit among elderly in Indonesia. This study employed a cross-sectional study design with a sample of ≥60-year-old individual with a total sample of 5,325 elderly. The data used to be analyzed were from the Indonesian Family Life Survey 2014 representing 83% of the population in Indonesia. The theory used was Andersen health service utilization model. In analyzing the data, bivariate analysis were used, with Chi-square and multivariate test using multiple logistic regression test prediction model. Elderly who utilize health service for outpatient was 18.6%. Variables that have significant relationships with outpatient utilization on elderly were female, high education, formal job, Java and Bali, urban, health insurance ownership, economic status, the perception of ill, smoking habit, history of chronic disease, fat, and obesity. Predictor for the most dominant outpatient utilization is influenced by chronic disesase after controlled by other variables. Chronic disesase greatly affect the elderly in utilizing health services for outpatient. To overcome this, the government is expected to provide policies on health facilities to better emphasize promotive and preventive efforts among the elderly

FROM COVID-19 TO PATIENT SAFETY: PRACTICE IN INDONESIA

The December 2022 edition of the Indonesian health administration journal has been published. This time raised several topics about health system. Generally, the manuscripts submitted raise topics related to the issue of Covid-19. Other topics include access to health services, management programs, health insurance, and patient safety. Another topic of this edition also raises the issue of access to health services. Ainy (2022) The issue of Covid-19 is still a concern for researchers at this time. Covid-19 inspection services are still a necessity at this time. However, not all districts can prepare for this need. Imaniar (2022) reports that the availability of RT-PCR in Covid-19 tests is still limited at the district level. Since Covid-19, the use of online-based systems has increased. Murima reported (2022) that the use of telemedicine in health facilities during a pandemic greatly helped health service providers, but there were obstacles such as not being multidisciplinary and lack of knowledge in using technology

Training of The Utilization of Medicinal Plants as Complementary Medicine Among Health Workers

The current community service focused on the use medicinal plants which seemed to increase among families. This program was supported by the 2018 Riskesdas report, which showed that 38.7% of Indonesia’s population had used traditional medicine for treatments. This program sought to discover health workers’ knowledge of family medicinal plant training. This community service was carried out through the mentoring method and involved 25 public health center employees representing each primary healthcare in Ogan Ilir Regency. We selected the sample using the total sampling method. The mentoring session was organized in the form of training related to the concepts of family medicinal plants and how to use them. This training involved a number of lectures and presentations of a model of family medicinal plants. The differences in knowledge of the training participants were measured using a pretest and posttest. The data were analyzed using the t-test. The results showed a difference in health workers’ knowledge before and after the training (p <0.05). There is an increase in the knowledge of primary healthcare workers regarding family medicinal plants

Evaluation of Iron Tablet Program Among Pregnant

Anemia was one of the health problems throughout the world, especially in developing countries. The purpose of this study was to evaluate the program of iron tablets among pregnant women. This study used the CIPP evaluation model approach (Context, Input, Process, and Product). The Informant selected by the purposive method. The technique of data collection was done through in-depth interviews, document review, and observation. Data analysis was done by content analysis. The results of the study showed the components of the context of the birth of the blood supplement tablet program to reduce the prevalence of anemia in pregnant women. In the input, there was no division of tasks and responsibilities of human resources involved in the iron tablet program and the limitations of extension infrastructure. In the process, there were some health center officers who have not distributed iron tablets to pregnant women who have not made Antenatal Care visits. Some midwives did not provide reported to the Community Health Centers every month. This caused the majority of  regnant women were still not obedient to consuming iron tablets, and the results show that the target coverage has not been achieved

Evaluation of Iron Tablet Program Among Pregnant

Anemia was one of the health problems throughout the world, especially in developing countries. The purpose of this study was to evaluate the program of iron tablets among pregnant women. This study used the CIPP evaluation model approach (Context, Input, Process, and Product). The Informant selected by the purposive method. The technique of data collection was done through in-depth interviews, document review, and observation. Data analysis was done by content analysis. The results of the study showed the components of the context of the birth of the blood supplement tablet program to reduce the prevalence of anemia in pregnant women. In the input, there was no division of tasks and responsibilities of human resources involved in the iron tablet program and the limitations of extension infrastructure. In the process, there were some health center officers who have not distributed iron tablets to pregnant women who have not made Antenatal Care visits. Some midwives did not provide reported to the Community Health Centers every month. This caused the majority of  regnant women were still not obedient to consuming iron tablets, and the results show that the target coverage has not been achieved