European Journal of Molecular & Clinical Medicine

Introduction: Patient safety is the primary objective of health care. Success and failures are part of it. Adverse events can be controlled but cannot be eliminated. They should be reported, documented, and studied. Such data is important to monitor hospital performance and also they serve as a medium for training, simulation and improvement in standards of anaesthesia care.
Material and method: An observational retrospective study was conducted in a teaching tertiary level government hospital from patient records who underwent adverse events or deaths related to anaesthesia over one year from October 2016 to September 2017. Type of adverse events and their relation to ASA grading, type and speciality of operation, age, sex and comorbidities of the patient, time of critical incident when occurred with relation to anaesthesia were analysed. Mortality was included as a critical event in our study and analysed.
Results: Critical events were documented in 50 patients (0.5%), with mortality 54%, while rest recovered completely. Highest number were documented in age group 31 to 50 years (26%) and ASA III patients(50%). Critical incidences happened more with emergency surgeries (52%), in patients with single preoperative comorbidity(35) and under general anaesthesia(78%) in maintenance phase(32.8%). Highest cause of mortality was related to cardiovascular and respiratory events.
Conclusion:  Morbidity and critical events will always be part of anaesthesia practice. They might be prevented with proper vigilance. When they happen, it should be reported without fear of punitive results. They should be studied and analysed, and proper protocols and checklists should be developed according to local guidelines and medical practices. Such studies are important part of medical education process and improve patient care.

Patient safety is one of the important efforts to guarantee and improve hospital quality.However, there are still patient safety incidents in several hospitals in Surabaya, both government and private hospitals.Based on patient safety incident reports, hospital X (private hospital) still has a high number of patient safety incidents in the last three years. It shows that the performance of patient safety in hospital X is still not optimal. The purpose of this study is to analyze the correlation between organizational communication climate and teamwork to patient safety incidents in hospital X. This research is an analytic study with a cross-sectional design conducted in a private hospital in Surabaya. There are 77 respondents from 21 work units as the sample of this study, where the population is 378 respondents from 21 work units. The results of this study indicate the influence of organizational communication climate and teamwork on the implementation of patient safety efforts. Well-organized organizational communication climate and teamwork in the hospitals can reduce the number of patient safety incidents and improve the patient safety culture.Therefore,this study concludes that there is a correlation between organizational communication climate and teamwork onpatient safety incidents.

Patient safety is one of the important efforts to guarantee and improve hospital quality.However, there are still patient safety incidents in several hospitals in Surabaya, both government and private hospitals.Based on patient safety incident reports, hospital X (private hospital) still has a high number of patient safety incidents in the last three years. It shows that the performance of patient safety in hospital X is still not optimal. The purpose of this study is to analyze the correlation between organizational communication climate and teamwork to patient safety incidents in hospital X. This research is an analytic study with a cross-sectional design conducted in a private hospital in Surabaya. There are 77 respondents from 21 work units as the sample of this study, where the population is 378 respondents from 21 work units. The results of this study indicate the influence of organizational communication climate and teamwork on the implementation of patient safety efforts. Well-organized organizational communication climate and teamwork in the hospitals can reduce the number of patient safety incidents and improve the patient safety culture.Therefore,this study concludes that there is a correlation between organizational communication climate and teamwork onpatient safety incidents.

An error due to the mistake in identifying the patient can happen at almost all stages of diagnosis and treatment. The possible result is the incident in patient safety which can cause damage to the patient along with the hospital. This research was focused on the implementation of correct identification to the patient at the regional public hospital of North Lombok regency using Donabedian model for the analysis with qualitative type research. The research subjects were six officers. Additionally, the data collection was through an in-depth interview, direct observation, and document analysis. The finding showed that some patients were not given (using) the patient ID wristbands (wristlet) and the Standard Operating Procedure (SOP) for identifying the patients had not been distributed to the officer yet. The infrastructures and the facilities were not sufficient in terms of both quality and quantity. In addition, the executing officer did not perform the identification maximally and correctly. Thus, the implementation of identifying the patient based on the Donabedian model (structure/input, process, and outcome) has not been performed at the maximum extent.

Risk Management has an important role in identifying risks to reduce patient safety incidents. However, patient safety incidents are still very high. In 2016, there were 36 cases found at one of the hospitals in Surabaya. It means that it has not met zero-incident as the Hospital targets. The purpose of this study was to analyze the implementation of risk management at one of the hospitals in Surabaya. This study was a quantitative research with a cross-sectional research design which collected data at one time. The sampling technique was done withtotal sampling. The study results showed that 18 working units (81.8%) at the Hospital had implemented the risk identification process very well. Afterward, as many as 17 working units (77.3%) carried out an excellent risk analysis at the Hospital. They have classified types of risks found, and 15 working units (68.2%) at the Hospital have notably performed it. In addition, the risk control process as a follow-up of risk priority among 19 working units (86.4%) has been well-executed. However,risk management should be supported by awareness of all human resources at the Hospital. Thus, a strategy that can be carried out is strengthening collaboration among health workers, so they are integrated to adopt patient safety in accordance with their profession. The implementation of risk management was carried out very well in most of the hospital's working units. Still, the hospital needs more effort to raise awareness of the importance of patient safety.