Introduction: The goal of this research was to determine the recording and implementation of patient safety during a pandemic. Materials and Methods: This study was conducted through in 2 phases. In the first phase, the design used is pre and post-design. The researchers analyzed patient safety reports from each treatment room. The data collected retrospectively were patient safety data in the patient safety recording 2019 and data in the 2020 report. The second part consisted of conducting structured interviews through focus group discussions held in two sessions, with five respondents in each session. Results: A total of 33 patient care units were included in this study. There were differences in the recording and reporting of patient safety before the pandemic and during the pandemic (P=0.001), there were differences in the implementation of patient identification (P= 0.026), there was a difference in effective communication (P= 0.040), while drug alertness was not significantly different (P= 0.970); there was a difference in the accuracy of surgical procedures (P= 0.016), there was a difference in infection prevention (P= 0.011), and prevention of falling risk (P= 0.001). Conclusion: There was a decrease in the number of recordings and reporting on patient safety because officers serving patients are more focused on the condition of patients with Covid-19. Nurses are faced with a new disease that raises concerns about transmission and the use of complete PPE so that voices are not heard. Recommendations for using research results as learning materials in policymaking.
Wu AW, Sax H, Letaief M, Bellandi T, Newman-Toker D, Paine LA, et al. COVID-19: The dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137–41. Available from: https://doi.org/10.1177/ 2516043520957116
Chavez S, Long B, Koyfman A, Liang SY. Coronavirus Disease (COVID-19): A primer for emergency physicians. Am J Emerg Med. 2020;(XXXX). Available from: https:// doi.org/10. 1016/j.ajem.2020.03.036
Zipperer L. COVID-19 : Team and Human Factors to Improve Safety. Patient Saf Prim. 2020;(July):1–8.
Rangachari P, Woods JL. Preserving organizational resilience, patient safety, and staff retention during covid-19 requires holistic consideration of the psychological safety of healthcare workers. Int J Environ Res Public Health. 2020;17(12):1–12. Available from: https:// doi. org/10.3390/ijerph17124267
Pesulima TL, Hetharie Y. Perlindungan Hukum Terhadap Keselamatan Kerja Bagi Tenaga Kesehatan Akibat Pandemi Covid-19. 2020;26(28):280–5.
Huang L, Lin G, Tang L, Yu L, Zhou Z. Special attention to nurses’ protection during the COVID-19 epidemic. Crit Care. 2020;24(1):10–2. Available from: https://doi.org/10.1186/s13054-020-2841-7
Ismail A, Ghazi HF, Ismail MS, Nurul’Ain A. Disaster management: Identifying knowledge of emergency nurses and community health nurses and its predictors in Malaysia. Malaysian J Public Heal Med. 2016;16(3):66–74.
Nugroho WD, C WI, Alanish ST, Istiqomah N, Cahyasari I. Literature Review : Transmisi Covid-19 dari Manusia ke Manusia Di Asia. J Bionursing. 2020;2(2):101–12.
Permenkes. Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 Tentang Keselamatan Pasien Dengan. Prog Phys Geogr [Internet]. 2017;14(7):450. Available from: https://tel.archives-ouvertes.fr/tel-01514176
Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Intern Med. 2020;172(12):822–3. Available from: https://doi.org/10.1177/2516043520957116
Denning M, Goh ET, Scott A, Martin G, Markar S, Flott K, et al. What has been the impact of Covid-19 on Safety Culture? A case study from a large metropolitan teaching hospital. medRxiv. 2020. Available from: https://doi.org/10. 1101/2020. 06.15.20129080
Armitage R, Nellums LB. Whistleblowing and patient safety during COVID-19. E Clinical Medicine. 2020;24(May):100425. Available from: https://doi.org/10.1016/j.eclinm.2020.100425
Berwick DM. Choices for the “New Normal.” JAMA - J Am Med Assoc. 2020;323(21):2125–6. Available from: https://doi.org/10. 1001/ jama. 2020. 6949
Kohn LT, Corrigan JM, Molla S. Rapporteur’s Report Session I: Origin of the problem: Malcolm Ross. Vol. 52, Regulatory Toxicology and Pharmacology. 2008. Available from: https:// doi.org/10.1016/j.yrtph.2007.09.017
Thomas MJW, Schultz TJ, Hannaford N, Runciman WB. Mapping the limits of safety reporting systems in health care-what lessons can we learn? Med J Aust. 2011;194(12):635–9. Available from: https://doi.org/10.5694/j.1326-5377. 2011.tb03146.x
De La Torre-Pérez L, Hernández Carcereny C, Fortes Bazaga I, Prat Marín A, Bertran Luengo MJ. The role of patient safety incident reporting systems in Home Hospitalization. J Patient Saf Qual Improv. 2021;0(1):19–27. Available from: Doi: 10.22038/psj.2021.52154.1289
De Rezende HA, Melleiro MM, Shimoda GT. Interventions to reduce patient identification errors in the hospital setting: A systematic review protocol. JBI Database Syst Rev Implement Reports. 2019;17(1):37–42. available from: https://doi.org/10.11124/JBISRIR-2017-003895
Hoffmeister LV, De Moura GMSS. Use of identification wristbands among patients receiving inpatient treatment in a teaching hospital. Rev Lat Am Enfermagem. 2015;23(1):36–43. Available from: https://doi. org/10. 1590/0104-1169.0144.2522
Tase TH, Tronchin DMR. Sistemas de identificação de pacientes em unidades obstétricas e a conformidade das pulseiras. Acta Paul Enferm. 2015;28(4):374–80. Available from: https://doi.org/10.1590/1982-0194201500063
Lee JY. Effective communication for patient safety. J Korean Med Assoc. 2015;58(2):100–4. Available from: https://doi.org/10.5124/ jkma. 2015. 58.2.100
Puspita Dewi P. Implementation Analysis Of Effective Communication Guide On Nurses In PKU Muhammadiyah Gamping Hospital. J Medicoeticolegal dan Manaj Rumah Sakit. 2018; 7(1): 60–8.
Reddy V, Gupta A. Importance of effective communication during COVID‑19 infodemic Venkatashiva. J Fam Med Prim Care [Internet]. 2020;9:3793–6. Available from: http://www. jfmpc.com/article.asp?issn=2249-
Dingley C, Daugherty K, Derieg MK, Persing R. Improving Patient Safety Through Provider Communication Strategy Enhancements. Adv Patient Saf New Dir Altern Approaches (Vol 3 Perform Tools) [Internet]. 2008;1–18. Available from: http://www.ncbi.nlm.nih.gov/ PubMed/ 21249923
ACSQHC. Medication Safety Standard. National Safety and Quality Health Service Standards. 2019. 1–6 p.
NSW. Information for Clinicians Safe handling of medications during COVID-19 pandemic Information for Clinicians Safe handling of medications during COVID-19 pandemic. NEJM. 2020;(May):4–5.
Elston DM. The coronavirus (COVID-19) epidemic and patient safety. J Am Acad Dermatol [Internet]. 2020;82(4):819–20. Available from: https://doi.org/10.1016/j.jaad.2020.02.031
Lovrec VG, Cokan A, Lukman L, Arko D, Takač I. Retained surgical needle and gauze after cesarean section and adnexectomy: A case report and literature review. J Int Med Res. 2018; 46(11): 4775–80. Available from: https:// doi. org/ 10. 1177/0300060518788247
Weprin SA, Meyer D, Li R, Carbonara U, Crocerossa F, Kim FJ, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on the United States operating rooms. Patient Saf Surg. 2021;15(1):1–9. Available from: https://doi.org/10.1186/ s13037-021-00287-5
Lee G, Clough OT, Walker JA, Anakwe RE. The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients. Patient Saf Surg. 2021;15(1):4–9. Available from: https://doi. org/ 10.5124/jkma.2015.58.2.100
Tan J, Ngwayi JRM, Ding Z, Zhou Y, Li M, Chen Y, et al. Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China. Patient Saf Surg. 2021;15(1):1–12. Available from: https://doi.org/10.1186/s13037-020-00276-0
Forlenza EM, Chahla J, Forsythe B. Protecting Surgical Patient Safety During the Coronavirus Disease 2019 (COVID-19) Pandemic. Arthrosc Sport Med Rehabil [Internet]. 2021;3(2):e615–8. Available from: https://doi.org/10. 1016/j.asmr. 2020. 09.005
Lubis AJ. Meningkatkan Keselamatan pasien di Rumah Sakit, terkait dengan masa masa pandemi (Improving patient safety in hospitals, related to the pandemic period COVID-19) [Internet]. 2020. Available from: https://osf.io/ preprints/y4nxk/
Phan LT, Maita D, Mortiz DC, Bleasdale SC, Jones RM. Environmental Contact and Self-contact Patterns of Healthcare Workers: Implications for Infection Prevention and Control. Clin Infect Dis. 2019;69(Suppl 3): S178–84. Available from: https://doi.org/10.1093/cid/ciz558
WHO. Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19) - Interim guidance. WHO interim Guide [Internet]. 2020;2019(February):1–7. Available from: https://apps.who.int/iris/ bitstream/ handle/ 10665/331215/WHO-2019-nCov-IPCPPE_ use -2020.1-eng.pdf
WHO. Infection prevention and control during health care when COVID-19 is suspected. 2020; 38(1):71–86. Available from: https://doi. org / 10. 1016/ j.ccm.2016.11.007
Búřilová P, Pospíšil M, Dolanová D, Kučerová J, Štrombachová V, Mužík J, et al. Adherence to hand hygiene in a hospital setting – a questionnaire survey focused on compliance with the use of gloves. Kontakt [Internet]. 2021; 23(1): 3–7. Available from: https://doi.org/10.32725/ kont.2021.006
Schwendimann R. Patient falls a key issue in patient safety in hospitals [Internet]. 2006. 1–135 p. Available from: http://edoc.unibas.ch/495/
Aitken LM, Burmeister E, Clayton S, Dalais C, Gardner G. The impact of Nursing Rounds on the practice environment and nurse satisfaction in intensive care: Pre-test post-test comparative study. Int J Nurs Stud. 2011;48(8):918–25. Available from:https://doi.org/ 10.1016/j. ijnurstu. 2010.10.004
Rajasoorya C. Clinical Ward Rounds-Challenges and Opportunities. Ann Acad Med. 2018;45(July):152–6.
Setiawan S, Suza DE, Arruum D. Development of a patient safety round guideline for nurse managers: Action research study in Indonesia. Kontakt [Internet]. 2020;22(3):159–64. Available from: https://doi.org/10.32725/kont.2020.025
Kirk K, Kane R. A qualitative exploration of intentional nursing round models in the emergency department setting: Investigating the barriers to their use and success. J Clin Nurs. 2016;25(9–10):1262–72. Available from: https:// doi.org/10.1111/jocn.13150
Staines A, Amalberti R, Berwick DM, Braithwaite J, Lachman P, Vincent CA. COVID-19: patient safety and quality improvement skills to deploy during the surge.
Sudarmika, P., Gunahariati, N. N., Sutajaya, I. M., Arnyana, I. B. P., & Sudirtha, G. (2021). Patient Safety Reporting and Implementation during the Pandemic Covid 19. Journal of Patient Safety & Quality Improvement, 9(3), 141-153. doi: 10.22038/psj.2021.58685.1333
Putu Sudarmika; Ni Nyoman Gunahariati; I Made Sutajaya; Ida Bagus Putu Arnyana; Gede Sudirtha. "Patient Safety Reporting and Implementation during the Pandemic Covid 19". Journal of Patient Safety & Quality Improvement, 9, 3, 2021, 141-153. doi: 10.22038/psj.2021.58685.1333
Sudarmika, P., Gunahariati, N. N., Sutajaya, I. M., Arnyana, I. B. P., Sudirtha, G. (2021). 'Patient Safety Reporting and Implementation during the Pandemic Covid 19', Journal of Patient Safety & Quality Improvement, 9(3), pp. 141-153. doi: 10.22038/psj.2021.58685.1333
Sudarmika, P., Gunahariati, N. N., Sutajaya, I. M., Arnyana, I. B. P., Sudirtha, G. Patient Safety Reporting and Implementation during the Pandemic Covid 19. Journal of Patient Safety & Quality Improvement, 2021; 9(3): 141-153. doi: 10.22038/psj.2021.58685.1333