KARYA KESEHATAN SIWALIMA
Original Article Open Access Full Text Article Strengthening Hospital Care Quality through Patient Safety Education: Evidence from a Regional Hospital in Eastern Indonesia Feby ManuhutuA.
Dene Fries Sumah2.
Vanny Leutualy3.
Valencia Yeslin Tomasoa4.
Syulce Luselya Tubalawony5.
Nenny Parinussa6.
Hery Jotlely7.
Olivia Talahatu8 1,2,3,4,5,6,7,8 Faculty of Health Sciences.
Universitas Kristen Indonesia Maluku.
Ambon.
Indonesia Vol 5.
,10-17 A 2026 The Author.
http://dx.
org/10.
54639/kks.
Abstract Article Information Patient safety is an essential component in improving the quality of healthcare services.
The World Health Organization, through the Global Patient Safety Action Plan 2021Ae2030, emphasizes the importance of healthcare systems that prioritize patient safety.
However, the implementation of patient safety practices in hospitals continues to face several challenges, including limited knowledge among healthcare workers and a low culture of incident reporting.
This community service activity was conducted by nursing lecturers at a regional hospital and involved 60 nurses.
The methods employed included interactive lectures, group discussions, and practical simulations based on the six International Patient Safety Goals.
Evaluation was carried out using pre-tests and post-tests.
The results demonstrated a significant improvement in knowledge, with the average score increasing from 56% to 87%.
Patient safety education was proven to be effective in enhancing nursesAo strengthening the culture of patient safety and improving the overall quality of healthcare services in hospitals.
Submitted: 28-08-2025 .
Revised: 30-09-2025.
Accepted: 20-02-2026.
Published: 30-03-2026.
Corresponding Author:
Feby Manuhutu.
Faculty of Health Sciences.
Universitas Kristen Indonesia Maluku.
Ambon.
Indonesia Email: nsfebymanuhutu@gmail.
Citation Information (APA Styl.
Manuhutu.
Sumah.
DF.
Leutualy.
Tomasoa.
VY.
Tubalawony.
SL.
Parinussa.
Jotlely.
Talahatu.
Strengthening Hospital Care Quality through Patient Safety Education: Evidence from a Regional Hospital in Eastern Indonesia.
Karya Kesehatan Siwalima, 5.
, http://dx.
org/10.
54639/kks.
This work is licensed under a Creative Commons Attribution-ShareAlike International License.
Keywords: Patient safety.
Nursing staff.
Quality of Patient safety culture.
Health
E-ISSN: 2828-8181
P-ISSN: 2828-8408
Publisher Lembaga Penerbitan Fakultas Kesehatan.
Universitas Kristen Indonesia Maluku https://ojs.
id/index.
php/KKS/index Strengthening Hospital Care Quality Manuhutu et al.
Introduction Low levels of incident reporting may be influenced by both individual and Patient safety is a top priority in systemic factors.
efforts to improve the quality of sanctions, and negative perceptions of Organization (WHO) emphasizes that more than 134 million adverse events (World Health 2021Ae2030.
These care and patient safety.
Sarwadhamana, conditions directly affect the quality of launched the Global Patient Safety Plan Meanwhile, managerial support (Apriliya.
Ningrum.
Organization, 2.
In response.
WHO Action facilities, heavy workloads, and weak middle-income countries, resulting in approximately 2.
systemic factors involve inadequate caused by unsafe healthcare occur each include limited knowledge, fear of healthcare services.
The World Health Individual A regional referral hospital in implementing healthcare systems that are safe, proactive, and patient-centered (World Health Organization, 2.
barriers in implementing a patient safety and strengthen patient safety programs established by WHO through the Global identification, effective communication, as part of a broader effort to implement Safety, which mandates six patient Preliminary community service activity is positioned Number 11 of 2017 on Hospital Patient incident reporting.
In this context, this Regulation of the Republic of Indonesia consistency in patient identification and reflected in the Ministry of Health culture, particularly in maintaining In Indonesia, this commitment is Indonesia Patient Safety Action Plan 2021Ae2030 high-alert and by the Ministry of Health through medications, ensuring correct location.
Regulation No.
11 of 2017.
Through educational approaches, (Kementerian Kesehatan RI, 2.
training, and mentoring for nursing However, research indicates that the staff, this program aims to enhance nursesAo practice continues to face challenges, practices in fostering a culture of patient particularly in the area of incident safety, particularly in incident reporting reporting (Sari.
Rosyidah, & Rulyandari, and patient identification.
Therefore, this activity not only supports the Strengthening Hospital Care Quality Manuhutu et al.
achievement of patient safety goals at of patient identification wristbands, the the regional healthcare facility level but application of SBAR communication, also contributes to strengthening the and fall prevention procedures.
The follow-up and evaluation phase alignment with global and national was conducted through mentoring and health policy directions.
field observations to reinforce the Method application of patient safety principles in daily nursing practice.
Evaluation was This community service activity was carried out using pre-tests and post- conducted in 2025 at a regional referral hospital in eastern Indonesia by a team The Through units participated in the activity.
participantsAo The culture within regional hospital settings.
Results The patient safety education activity educational and interactive approaches.
implementation of a patient safety enhancing nursesAo capacity through Learning functioned as a practical empowerment to identify needs, define activity targets, service activity not only enhanced coordination with hospital management participatory approach, the community The implementation began with a related to patient safety.
nurses from various hospital service knowledge, attitudes, and practices patient safety culture.
A total of 60 descriptively to illustrate changes in workers as partners in strengthening the active participation during the sessions.
collaboration, empowerment, and the observations of their engagement and adopted a participatory community participantsAo knowledge, as well as of nursing lecturers.
The program was conducted with the participation of 60 nurses.
As presented in Table 1, the through interactive lectures on the six majority of participants were in the adult patient safety goals, group discussions age group .
Ae50 year.
3%),
based on case studies to promote followed by those aged >50 years problem-solving and peer learning, and .
0%) and <30 years .
7%).
Most simulation practices, including the use participants were female .
7%), with Strengthening Hospital Care Quality Manuhutu et al.
predominantly at the vocational level (Diploma/Bachelo.
0%),
experience, the majority had more than 10 years of service .
0%), indicating a Figure 1.
Comparison of Pre-test and Post-test Scores on the Six Patient Safety Table 1.
Characteristic of Participants Goals included an analysis of the six patient high-alert procedures, infection prevention, and The challenges, including limited facilities nursesAo workload, and a suboptimal culture of incident reporting.
These results are The pre-test evaluation showed an consistent with previous studies (Afiasi, average knowledge score of 56%, which Apriliya et al.
, 2.
, which increased to 87% in the post-test.
emphasize the importance of fostering a illustrated in Figure 1, improvements strong patient safety culture and its were observed across all six patient safety goals.
The greatest increases were proved to be an effective strategy for (SBAR) and patient identification, while strengthening patient safety culture in relatively smaller gains were noted in hospital settings.
infection prevention.
Education.
Further evaluation was conducted using pre-tests and post-tests consisting of 20 multiple-choice questions covering Strengthening Hospital Care Quality Manuhutu et al.
the six patient safety goals.
The pre-test at the service level.
This finding is consistent with Afiasi .
, who knowledge, whereas the post-test results reported that the culture of patient safety in Indonesian hospitals remains As shown in Figure 1, the variable and has not been consistently most notable improvements occurred in The average increase of effective communication (SBAR) and 31% in post-test scores indicates that patient identification, likely due to the practical and simulation-based learning approaches applied during the sessions.
simulationsAiare effective strategies for In contrast, the smallest improvement improving nursesAo understanding.
was observed in infection prevention.
Research by Apriliya et al.
which may be influenced by limitations in supporting facilities.
Beyond interventionsAithrough demonstrating that the implementation of patient safety is positively correlated improvements were also evident in with patient satisfaction, particularly participantsAo attitudes and practical Through identification procedures.
Therefore, the identifying potential risks frequently results of this activity reaffirm the encountered in daily practice, such as importance of continuous education as a medication errors, patient falls, and key component of hospital quality improvement programs.
During simulation sessions.
Analysis Based on the Six Patient most participants were able to correctly Safety Goals The identification wristbands and verbal program demonstrated positive effects on nursesAo understanding across the six International Patient Safety Goals.
Discussion the area of patient identification, some Improvement of NursesAo Knowledge nurses previously relied solely on facial recognition without formal verification.
The relatively low pre-test results Following the simulation, participants illustrate a gap between national patient understood that the use of identification safety policies and their implementation Strengthening Hospital Care Quality Manuhutu et al.
wristbands and verbal verification are critical role in preventing procedural mandatory standards, resulting in a 40% errors (Nijor et al.
, 2.
improvement in scores for this domain.
Effective Infection prevention showed the smallest improvement in knowledge another critical area where errors The primary barriers identified included the limited availability of introduction of the SBAR method alcohol-based hand hygiene facilities (Situation.
Background.
Assessment, and inconsistent compliance with the Recommendatio.
, nurses learned to use of personal protective equipment convey information more systematically (PPE) (Sousa et al.
, 2.
Although (Nurti et al.
, 2.
Case discussions participants understood the principles revealed that miscommunication during shift handovers often led to duplication or omission of care, underscoring the infrastructural constraints.
Through need for structured communication Finally, fall prevention emerged as a significant concern.
Case discussions Regarding high-alert medication safety, the training emphasized the frequently occurred in inpatient wards, double-checking particularly among elderly patients.
The medications such as insulin, heparin, training enhanced participantsAo ability and chemotherapy agents (Ayre.
Lewis, to assess fall risk using standardized Keers.
Participants demonstrated improved understanding, preventive strategies, such as the use of although they also reported limitations bed rails and family education.
in facilities for the specialized storage of Overall, these findings demonstrate high-risk medications.
Ensuring that a combination of lectures, case simulation-based locations, and patients was reinforced through the practice of a Autime-outAy nursesAo knowledge, attitudes, and skills prior to medical interventions.
This in implementing patient safety, while consistently implemented, despite its Implementation Challenges Strengthening Hospital Care Quality The Manuhutu et al.
These findings are consistent with safety is not without challenges.
One of the primary barriers is the limitation of Organization .
, which identify common barriers to patient safety For World Health wristbands are not always available, and countries, including limited resources, alcohol-based hand hygiene facilities are unevenly distributed across hospital ineffective reporting systems.
These limitations hinder the Implications for Service Quality Patient safety education not only identification and infection prevention.
improved nursesAo knowledge but also had broader implications for the overall Another significant challenge is the quality of healthcare services.
Increased workload of nurses.
An imbalance awareness among nurses can reduce the between the number of nurses and patients often limits the time available to (Zaitoun.
Said, ensure adherence to patient safety strengthening public trust in healthcare Improved service quality Tantillo, 2.
Consequently, although ultimately contributes to higher patient knowledge improves through training.
Apriliya et al.
practice remains constrained by limited also presents challenges.
Some nurses improved the knowledge and skills of 60 remain hesitant to report errors or This activity demonstrated that adverse events due to fear of sanctions, patient safety education is a simple yet indicating that the reporting system has effective intervention for enhancing not fully embraced a no-blame culture nursesAo competence in both knowledge (Zaitoun.
Said, & de Tantillo, 2.
This highlights the need for supportive Patient safety education conducted The culture of incident reporting Conclusion time and human resources.
The implementation of the six patient safety goals must be supported by hospital openness and learning from incidents management through the provision of without punitive consequences.
adequate facilities and infrastructure, as Strengthening Hospital Care Quality Manuhutu et al.
well as the establishment of a safe and 45Ae57.
https://doi.
org/10.
12345/jkks.
Nijor.
Rallis.
Lad.
, & Gokcen.
Patient safety issues from information overload in electronic medical records.
Journal of Patient Safety, 18.
, e999Aee1003.
https://doi.
org/10.
1097/PTS.
Nurti.
Simamora.
Indrawati.
Pranata.
Nuryanti.
, & Deniati.
Strengthening nursing SBAR communication compliance to improve patient safety.
The Malaysian Journal of Nursing (MJN), 17.
, 84Ae93.
https://doi.
org/10.
31674/mjn.
Sari.
Rosyidah.
, & Rulyandari.
Penerapan budaya keselamatan pasien di rumah sakit (Implementation of patient safety culture in hospital.
Afiasi:
Jurnal Kesehatan Masyarakat, 8.
, 527Ae https://doi.
org/10.
31943/afiasi.
Sousa.
Gonyalves.
Silva.
, &
Echevarria-Guanilo.
Personal protective equipment in hospital nursing care: A scoping review.
Texto & Contexto-Enfermagem, 31, e20210421.
https://doi.
org/10.
1590/1980-265X-TCE2021-0421
World Health Organization.
Global patient safety action plan 2021Ae2030.
https://w.
int/publications/i/item/ World Health Organization.
Global https://w.
int/publications/i/item/ Zaitoun.
Said.
, & de Tantillo.
Clinical nurse competence and its effect on patient safety culture: A systematic review.
BMC Nursing, 22.
, https://doi.
org/10.
1186/s12912-02301327-5 supportive incident reporting system.
this way, a strong patient safety culture can be fostered, ultimately contributing to improvements in the overall quality of healthcare services within the hospital.
Conflict of Interests Statement The authors declare that there are no conflicts of interest regarding the publication of this study.
This research was conducted independently without any financial support, sponsorship, or personal relationships that could have influenced the results or interpretation of the findings.
References