- freely available
Healthcare 2019, 7(2), 64; https://doi.org/10.3390/healthcare7020064
2. Materials and Methods
2.1. Study Design and Sample
2.2. Data Collection and Analysis
3.1. Roles Related to the Implementation of Patient Safety Initiatives
Related to the budget…, in the last few years we have prioritized the achievement of the MDGs (Millennium Development Goals) whereas for the patient safety we motivated the hospitals to do [the patient safety program] with their own hospital funds [relying] neither upon the regional nor the state budget.(JT2, provincial)
Our roles, according to the regulations, were focused on the safety of hospital buildings, licensing and hospital accreditation.(SB1, District B)
The DHO provided advocacy and coaching program[s] to hospitals under our supervision in the form of a three-monthly meeting.(SD2, District A)
We conducted the advocacy on patient safety program. However, we did not do any intervention related to budgeting.(SB1, District B)
I did not have a special budget for patient safety programs. I included the patient safety [issue] in our quarterly meeting with hospital as the hospital coaching program.(SD2, District A)
Only one hospital implemented patient safety initiatives, such as hand-washing, socialization, and a band identification system, and did so with its own resources. “Socialization”, is an Indonesian term that refers to a process by which individuals acquire new knowledge on certain topics or a process by which people are exposed to appropriate ways of doing things. In this study, socialization is related to patient safety or incident reporting. The other two hospitals in the sample have not implemented patient safety activities.We have not advocated the policy maker to disburse funds or give more attention on certain regulations to reduce patient safety.(GR2, District C)
3.2. Roles Related to the Implementation of Incident Reporting
... the implementation of patient safety should ideally be reported to the Provincial Health Office, because the Health Office is responsible for health care in the region. But what has happened so far is that we have never received reports from hospitals.(JT2, Provincial level)
Yes, indeed [we’re] not involved. The incidents are supposed to be reported to us, so we will know what has happened in this region.(SD1, District A)
The Ministry of Health has not provided a direction whether [the reporting has] entered into the mandatory program or not, and also the indicators related to the patient safety program do not exist yet.(JT2, Provincial level)
Conflicts of Interest
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|Organization||Level||Roles according to National Guidelines|
|Provincial Health Office||Province|
|District/City Health Office||District/city|
|Organizations||Number of Participants|
|East Java Provincial Health Office||2|
|District A DHO||2|
|City B DHO||1|
|District C DHO||2|
|Public Hospital in District A||3|
|Public Hospital in City B||3|
|Public Hospital in District C||3|
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