Pengaruh Patient Safety Leadership Walkrounds terhadap Budaya Keselamatan dan Implikasinya pada Pelaporan Kejadian Keselamatan pada Rumah Sakit
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May 10, 2026
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Patient Safety Leadership Walkrounds (PSLW) were implemented at Siloam Hospital Bangka to enhance safety culture and incident reporting. This study aimed to evaluate the impact of PSLW on safety culture, the relationship between safety culture and safety-related incident reporting, and the effect of PSLW on safety-related incident reporting. A retrospective longitudinal survey was conducted to measure safety culture at Siloam Hospital Bangka in 2022 and 2024. Data were analyzed quantitatively using the Wilcoxon Rank-Sum test. Incident reports from the same years were compared using the Chi-Square test and correlated with safety culture through descriptive analysis. Safety culture survey scores increased from a composite average of 52% in 2022 to 63% in 2024. The Wilcoxon Rank-Sum test showed significant results for 16 of 34 questions (p<0.05). An increase in incident reporting occurred alongside improvements in safety culture. The number of incident reports rose from 317 in 2022 to 1,623 in 2024. The Chi-Square test demonstrated significant results. PSLW implementation enhanced both safety culture and safety-related incident reporting. Improvements in safety culture coincided with increased incident reporting numbers.
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Waruwu, E. C., Pertiwi, A. S. P., & Andikarya, R. O. (2026). Pengaruh Patient Safety Leadership Walkrounds terhadap Budaya Keselamatan dan Implikasinya pada Pelaporan Kejadian Keselamatan pada Rumah Sakit. Jurnal Pengabdian Nasional (JPN) Indonesia, 7(2), 353-363. https://doi.org/10.63447/jpni.v7i2.1760
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References
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Shaw, K. N., Lavelle, J., Crescenzo, K., Noll, J., Bonalumi, N., & Baren, J. M. (2006). Creating unit-based patient safety walk-rounds in a pediatric emergency department. Clinical Pediatric Emergency Medicine, 7(4), 231–237. https://doi.org/10.1016/j.cpem.2006.08.012
Sorra, J., Khanna, K., Dyer, N., Mardon, R., & Famolaro, T. (2012). Exploring relationships between patient safety culture and patients' assessments of hospital care. Journal of Patient Safety, 8(3), 131–139. https://doi.org/10.1097/PTS.0b013e318258ca46
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Thomas, E. J., Sexton, J. B., Neilands, T. B., Frankel, A., & Helmreich, R. L. (2005). The effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units. BMC Health Services Research, 5, 46. https://doi.org/10.1186/1472-6963-5-46.
Ayanian, J. Z., & Markel, H. (2016). Donabedian's lasting framework for health care quality. New England Journal of Medicine, 375(3), 205–207. https://doi.org/10.1056/NEJMp1605101
Berwick, D. M., & Fox, D. M. (2016). Evaluating the quality of medical care: Donabedian's classic article 50 years later. The Milbank Quarterly, 94(2), 237–241. https://doi.org/10.1111/1468-0009.12189
Bethune, R. M., Ball, S., Doran, N., Harris, M., Medina-Lara, A., Fornasiero, M., Giles, S., & Sheaff, R. (2023). How safety culture surveys influence the quality and safety of healthcare organisations. Cureus, 15(9), e44603. https://doi.org/10.7759/cureus.44603
Binder, C., Torres, R. E., & Elwell, D. (2021). Use of the Donabedian model as a framework for COVID-19 response at a hospital in suburban Westchester County, New York: A facility-level case report. Journal of Emergency Nursing, 47(2), 239–255. https://doi.org/10.1016/j.jen.2020.10.008
Churruca, K., Ellis, L. A., Pomare, C., Hogden, A., Bierbaum, M., Long, J. C., Braithwaite, J. (2021). Dimensions of safety culture: A systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. BMJ Open, 11(1), e043982. https://doi.org/10.1136/bmjopen-2020-043982
Cooper, M. D. (2018). The safety culture construct: Theory and practice. In C. Gilbert, B. Journé, H. Laroche, & C. Bieder (Eds.), Safety cultures, safety models (pp. 47–61). Springer. https://doi.org/10.1007/978-3-319-95129-4_5
Davis, T. R., Straatmann, K., Snyder, N., Shiner, D., Evans, A., Caruso, C., & Alton, M. (2025). Promoting a culture of patient safety: Using the principles of just culture to improve transparency and risk reporting in the hospital setting. Patient Safety, 7(1), e137737. https://patientsafetyj.com/article/137737-promoting-a-culture-of-patient-safety-using-the-principles-of-just-culture-to-improve-transparency-and-risk-reporting-in-the-hospital-setting
aDiCuccio, M. H. (2015). The relationship between patient safety culture and patient outcomes. Journal of Patient Safety, 11(3), 135–142. https://doi.org/10.1097/PTS.0000000000000058
Donabedian, A. (1966). Evaluating the quality of medical care. The Milbank Quarterly, 44(3), 166–203. https://doi.org/10.1111/j.1468-0009.2005.00397.x
Frankel, A. (2004). Patient safety leadership walkrounds. Institute for Healthcare Improvement. https://www.ihi.org/sites/default/files/2023-10/PatientSafetyLeadershipWalkRoundsTool.pdf
Girerd-Genessay, I., & Michel, P. (2015). Should we establish patient safety leadership walkrounds? A systematic review. Revue d'Épidémiologie et de Santé Publique, 63(5), 315–323. https://doi.org/10.1016/j.respe.2015.08.005
Iba, Z., & Wardhana, A. (2023). Metode penelitian. Eureka Media Aksara.
Jefferson, E., Braly, T., & Henriksen, B. (2023). Culture of safety quality improvement project: Longitudinal AHRQ survey results from a family medicine residency program. PRiMER, 7, 15. https://doi.org/10.22454/PRiMER.2023.918491
Komara, E., Syaodih, E., & Andriani, R. (2022). Metode penelitian kualitatif dan kuantitatif. Refika.
Lu, L., Ko, Y.-M., Chen, H.-Y., Chueh, J.-W., Chen, P.-Y., & Cooper, C. L. (2022). Patient safety and staff well-being: Organizational culture as a resource. International Journal of Environmental Research and Public Health, 19(6), 3722. https://doi.org/10.3390/ijerph19063722
Mardon, R. E., Khanna, K., Sorra, J., Dyer, N., & Famolaro, T. (2010). Exploring relationships between hospital patient safety culture and adverse events. Journal of Patient Safety, 6(4), 226–232. https://doi.org/10.1097/PTS.0b013e3181fd1a00
Murray, J. S., Lee, J., Larson, S., Range, A., Scott, D., & Clifford, J. (2023). Requirements for implementing a 'just culture' within healthcare organisations: An integrative review. BMJ Open Quality, 12(2), e002237. https://doi.org/10.1136/bmjoq-2022-002237
Reason, J. (1990). Human error. Cambridge University Press.
Reason, J. (1997). Managing the risks of organizational accidents. Ashgate.
Reason, J. (2013). A life in error: From little slips to big disasters. Ashgate.
Sexton, J. B., Adair, K. C., Leonard, M. W., Frankel, T. C., Proulx, J., Watson, S. R., Magnus, B., & Frankel, A. S. (2018). Providing feedback following leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. BMJ Quality & Safety, 27(4), 261–270. https://doi.org/10.1136/bmjqs-2016-006399
Sexton, J. B., Sharek, P. J., Thomas, E. J., Gould, J. B., Nisbet, C. C., Amspoker, A. B., Kowalkowski, M. A., Schwendimann, R., & Profit, J. (2014). Exposure to leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout. BMJ Quality & Safety, 23(10), 814–822. https://doi.org/10.1136/bmjqs-2013-002042
Shaw, K. N., Lavelle, J., Crescenzo, K., Noll, J., Bonalumi, N., & Baren, J. M. (2006). Creating unit-based patient safety walk-rounds in a pediatric emergency department. Clinical Pediatric Emergency Medicine, 7(4), 231–237. https://doi.org/10.1016/j.cpem.2006.08.012
Sorra, J., Khanna, K., Dyer, N., Mardon, R., & Famolaro, T. (2012). Exploring relationships between patient safety culture and patients' assessments of hospital care. Journal of Patient Safety, 8(3), 131–139. https://doi.org/10.1097/PTS.0b013e318258ca46
Sorra, J., Yount, N., Famolaro, T., Gray, L., & Westat, R. (2019). AHRQ hospital survey on patient safety culture version 2.0: User's guide. Agency for Healthcare Research and Quality. https://www.ahrq.gov/sops/surveys/hospital/index.html
Sugiyono. (2017). Metode penelitian kuantitatif, kualitatif dan R&D. Alfabeta.
Terry, G. R. (1972). Principles of management. Richard D. Irwin.
Terry, G. R., & Rue, L. W. (2023). Dasar-dasar manajemen. Bumi Aksara.
Thomas, E. J., Sexton, J. B., Neilands, T. B., Frankel, A., & Helmreich, R. L. (2005). The effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units. BMC Health Services Research, 5, 46. https://doi.org/10.1186/1472-6963-5-46.