Associated Factors with the Implementation of Patient Safety Culture in Hospital

in the future 2 .In developed countries, no less than 8% of hospital patients experience adverse events (AEs), with more than 50% of these incidents being preventable.Many of the events result in permanent disability or death 3 .In Indonesia, 7,465 incidents were reported by 334 or 12% of the 2,877 Indonesian hospitals in 2019 4 .A report suggests about 37.9% of patient safety incidents in Indonesia were reported in DKI Jakarta, 15.9% in Central Java, 13.8% in DIY, 11.7% in East Java, 10.7% in Aceh, 6.9% in South Sumatera, 2.8% in West Java, 1.4% in Bali, and 0.7% in South Sulawesi 5 .Barriers to the lack of incident reporting by hospitals in Indonesia included the lack of knowledge, feedback, commitment, incentives, socialization and training, fear of blame, avoidance of conflict, and timeliness of reporting 4 .Creating a patient safety culture has been important for healthcare organizations to enhance patient safety and care quality 6 .Research revealed only 23.9% of healthcare professionals demonstrated a positive patient safety culture.The overall average score for patient safety culture was 67.8, with job satisfaction scoring the highest.Factors such as age, gender, education level, workplace, patient safety training, and perception of a non-punitive, instructive incident reporting system were positively correlated with patient safety culture.These indicate the need for 85 ABSTRACT OBJECTIVE: To identify factors associated (i.e., organizational culture, patient safety regulation, patient safety management quality) with implementing a patient safety culture in hospitals.METHODOLOGY: Quantitative research was used with a cross-sectional approach.All 219 nurses working in inpatient wards of a hospital in Banda Aceh were conveniently included in this study using a non-probability convenience sampling technique with some inclusion and exclusion sample criteria.Data were collected from 18 to 28 April 2024 using the Organizational Culture Assessment Instrument (OCAI), the Karen-personnel instrument for managing the QPSM, the Hospital Survey on Patient Safety for assessing patient safety culture, and a questionnaire comprising questions based on existing literature for evaluating patient safety regulations.Data analysis involved Pearson correlation and multiple linear regression by SPSS 26 for Windows.RESULTS: There was a relationship between organizational culture (p < .0001,r 2 = 0.659), patient safety regulation (p < .0001,r 2 = 0.423), and quality management of patient safety (p < .0001,r 2 = 0.442) and patient safety culture.The results of the multiple linear regression analysis indicated that higher levels of organizational (p < .0001)and regulatory culture (p < .0001)were associated with a higher patient safety culture among nurses in the hospital's nursing wards.CONCLUSION: Implementing a hospital patient safety culture is associated with the organizational and regulatory culture levels.Organizational and Regulatory Culture Hospitals are encouraged to foster a positive organizational culture by ensuring a comfortable and secure working environment and providing training opportunities for nurses to enhance patient safety practices.