The communication and nonpunitive response analysis to the incident report at Krakatau Hospital

Background: In hospitals, cultural change is required to move towards a safer health system. There were only a few incident reports because of closed communication and blaming others as a punitive response. This study aimed to analyze whether there is a relationship between open communication and nonpunitive responses with organizational learning as an intervening variable to the patient safety incident reports at Krakatau Hospital, Cilegon. Method: This a quantitative approach with cross sectional study design. The research was conducted at Krakatau Hospital Cilegon, during a 1 year period in 2022. The study participants were 193 respondents from Krakatau Hospital employees. A path analysis and goodness fit model analysis will be used to analyze open communication (X1), nonpunitive responses (X2), patient safety incident reports (Z) and the organizational learning variable (Y). Result: The analysis of open communication, nonpunitive responses affect patient safety incident reports through the organizational learning as an intervening variable. The result of path analysis is that there is an effect of X1, X2 through Y on Z as known as a direct effect of X1 on Z is 0.127 and X2 on Z is 0.334. The result of the goodness fit model analysis shows 0.650 means Hα can be accepted as significant (<0.805). Conclusion: The influence of open communication and nonpunitive responses that focus on the object of the problem without a blaming culture will give improvement of patient safety incident reports and organizational learning of employees at Krakatau Medika Hospital, Cilegon.