Peran Staf Administrasi dalam Penguatan Budaya Keselamatan Pasien Rumah Sakit

Authors

  • Didit Setiawan Universitas Modern Al Rifa’ie Indonesia

DOI:

https://doi.org/10.55606/jurrikes.v5i1.8007

Keywords:

Healthcare Administration, Hospital Risk Management, Interprofessional Communication, Medical Errors, Patient Safety Culture

Abstract

Patient safety is often viewed exclusively as the responsibility of clinical personnel. However, administrative errors occurring during the admission process and documentation stages constitute major contributors to medical risk. This study aims to explore the strategic role of administrative staff in strengthening patient safety culture and mitigating medical risks through effective communication coordination. A narrative literature review was conducted extensively using the Scopus, PubMed, and Web of Science databases, covering publications from 2014 to 2024. Data were analyzed using a thematic synthesis approach. The findings identify four main themes: administrative staff as information gatekeepers, the role of health information technologies (HIS/EMR) in bridging communication gaps, collaboration barriers arising from hierarchical structures, and the need for an Interprofessional Shared Governance framework. Administrative accuracy in the early phases of care is proven to be critical in preventing latent errors with potentially fatal consequences. Strengthening patient safety culture requires the integration of administrative staff through cross-departmental training, standardized communication protocols, and non-punitive incident reporting systems. Administrative staff are not merely bureaucratic support personnel but are key actors within the modern hospital patient safety ecosystem.

Downloads

Download data is not yet available.

References

Afifi, A. (2024). The impact of risk management implementation on healthcare projects: An applied study on hospitals in Jeddah. International Journal of Scientific Research (IJSR), 3(8), 860–892. https://doi.org/10.59992/ijsr.2024.v3n8p24

Alenezi, A., Pandaan, R., Almazan, J., Pandaan, I., Casison, F., & Cruz, J. (2019). Clinical practitioners’ perception of the dimensions of patient safety culture in a government hospital: A one-sample correlational survey. Journal of Clinical Nursing, 28(23–24), 4496–4503. https://doi.org/10.1111/jocn.15038

Arora, V. (2005). Communication failures in patient sign-out and suggestions for improvement: A critical incident analysis. BMJ Quality & Safety, 14(6), 401–407. https://doi.org/10.1136/qshc.2005.015107

Bell, S. K., Delbanco, T., Elmore, J. G., Fitzgerald, P. S., Fossa, A., Harcourt, K., & DesRoches, C. M. (2020). Frequency and types of patient-reported errors in electronic health record ambulatory care notes. JAMA Network Open, 3(6), e205867. https://doi.org/10.1001/jamanetworkopen.2020.5867

Brook, J., & Calcia, M. (2016). Improving the quality of handover in a liaison psychiatry team. BMJ Quality Improvement Reports, 5(1), u206492.w3442. https://doi.org/10.1136/bmjquality.u206492.w3442

Carvalho, H., Sousa, Á., Almeida, C., Moura, M., Andrade, D., & Valle, A. (2020). Análise de prescrições de antimicrobianos na atenção primária à saúde. Revista da Escola de Enfermagem da USP, 54, e03607. https://doi.org/10.1590/s1980-220x2018046903607

Chua, C., Ko, S., Lai, Y., Lim, Y., & Shorey, S. (2022). Perceptions of hospital-at-home among stakeholders: A meta-synthesis. Journal of General Internal Medicine, 37(3), 637–650. https://doi.org/10.1007/s11606-021-07065-0

Fukami, T. (2025). The importance of supportive leadership in advancing patient safety. Cureus. https://doi.org/10.7759/cureus.94056

Koppel, R., Metlay, J. P., Cohen, A., Abaluck, B., Localio, A. R., Kimmel, S. E., & Strom, B. L. (2005). Role of computerized physician order entry systems in facilitating medication errors. JAMA, 293(10), 1197–1203. https://doi.org/10.1001/jama.293.10.1197

Kripalani, S., Lefèvre, F., Phillips, C. O., Williams, M. V., Basaviah, P., & Baker, D. W. (2007). Deficits in communication and information transfer between hospital-based and primary care physicians. JAMA, 297(8), 831–841. https://doi.org/10.1001/jama.297.8.831

Lee, S. E., & Dahinten, V. S. (2020). The enabling, enacting, and elaborating factors of safety culture associated with patient safety: A multilevel analysis. Journal of Nursing Scholarship, 52(5), 544–552. https://doi.org/10.1111/jnu.12585

Magrabi, F., Ong, M.-S., Runciman, W., & Coiera, E. (2012). Using FDA reports to inform a classification for health information technology safety problems. Journal of the American Medical Informatics Association, 19(1), 45–53. https://doi.org/10.1136/amiajnl-2011-000369

Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Singh, H. (2014). An analysis of electronic health record-related patient safety concerns. Journal of the American Medical Informatics Association, 21(6), 1053–1059. https://doi.org/10.1136/amiajnl-2013-002578

Menon, S., Singh, H., Giardina, T. D., Rayburn, W. L., Davis, B. P., Russo, E. M., & Sittig, D. F. (2017). Safety huddles to proactively identify and address electronic health record safety. Journal of the American Medical Informatics Association, 24(2), 261–267. https://doi.org/10.1093/jamia/ocw153

Nakajima, K. (2005). A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. BMJ Quality & Safety, 14(2), 123–129. https://doi.org/10.1136/qshc.2003.008607

Olson, R., & Bialocerkowski, A. (2014). Interprofessional education in allied health: A systematic review. Medical Education, 48(3), 236–246. https://doi.org/10.1111/medu.12290

Panagioti, M., Khan, K., Keers, R. N., Abuzour, A., Phipps, D., Kontopantelis, E., & Ashcroft, D. M. (2019). Prevalence, severity, and nature of preventable patient harm across medical care settings: Systematic review and meta-analysis. BMJ, l4185. https://doi.org/10.1136/bmj.l4185

Polisena, J., Gagliardi, A., Urbach, D., Clifford, T., & Fiander, M. (2015). Factors that influence the recognition, reporting, and resolution of incidents related to medical devices and other healthcare technologies: A systematic review. Systematic Reviews, 4(1), 37. https://doi.org/10.1186/s13643-015-0028-0

Provenzano, M., Cillara, N., Curcio, F., Pisu, M., González, C., & Herrera, M. (2024). Electronic health record adoption and its effects on healthcare staff: A qualitative study of well-being and workplace stress. International Journal of Environmental Research and Public Health, 21(11), 1430. https://doi.org/10.3390/ijerph21111430

Tamondong-Lachica, D., Panganiban, L., Roberto, G., Calacday, C., & Mejia, A. (2023). Description of core performance measures and indicators of patient safety used by select government and private hospitals in the Philippines. Acta Medica Philippina. https://doi.org/10.47895/amp.vi0.6931

Tsai, C.-H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: A scoping review and qualitative analysis. Life, 10(12), 327. https://doi.org/10.3390/life10120327

Velji, K., Baker, G. R., Fancott, C., Andreoli, A., Boaro, N., Tardif, G., & Sinclair, L. (2008). Effectiveness of an adapted SBAR communication tool for a rehabilitation setting. Healthcare Quarterly, 11(Special Issue), 72–79. https://doi.org/10.12927/hcq.2008.19653

Vira, T. (2006). Reconcilable differences: Correcting medication errors at hospital admission and discharge. BMJ Quality & Safety, 15(2), 122–126. https://doi.org/10.1136/qshc.2005.015347

Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & Van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1), 676. https://doi.org/10.1186/s12913-020-05542-6

Wurster, F., Beckmann, M., Cecon, N., Dittmer, K., Hansen, T., Jaschke, J., & Karbach, U. (2024). The implementation of an electronic medical record in a German hospital and the change in completeness of documentation: Longitudinal document analysis. JMIR Medical Informatics, 12, e47761. https://doi.org/10.2196/47761

Downloads

Published

2026-01-13

How to Cite

Didit Setiawan. (2026). Peran Staf Administrasi dalam Penguatan Budaya Keselamatan Pasien Rumah Sakit. JURNAL RISET RUMPUN ILMU KESEHATAN, 5(1), 449–462. https://doi.org/10.55606/jurrikes.v5i1.8007