Evaluation of Patient Safety Goals Implementation for Postoperative Inpatient Protection at Bhakti Kartini Hospital in 2023

Abstract

Background: Patient safety is one of the foundational elements in strengthening health system resilience, particularly in hospital-based care. In Indonesia, the implementation of Patient Safety Goals (PSGs) is mandated as part of national standards to reduce preventable incidents such as infections, complications, and falls—especially among postoperative inpatients who are clinically vulnerable.

Objective: This study aimed to evaluate the implementation of PSGs and their role in protecting postoperative inpatients at Bhakti Kartini Hospital in 2023.

Design and Methodology: This qualitative study employed a descriptive design using triangulated data sources: in-depth interviews with five informants (including health personnel and patients), non-participant observation, and document analysis. Data were analyzed thematically to identify patterns in PSG implementation and factors influencing their application.

Findings: The hospital consistently implemented five out of six PSGs, including patient identification, effective communication, medication safety, surgical accuracy, and infection prevention. However, follow-up assessments related to fall risk were not conducted systematically, potentially affecting patient safety outcomes. Contributing factors included human resource competence and structured SOPs, while barriers involved incomplete incident reporting, communication challenges with elderly or local-language-speaking patients, and infrastructure limitations.

Conclusion and Implications: Strengthening monitoring systems for fall-risk patients, enhancing communication strategies, and optimizing the reliability of material resources are essential for sustaining patient protection practices. These efforts should be positioned as part of broader strategies to improve institutional resilience and quality of care.