Abstract :
This study aims to analyze the culture of patient safety among healthcare workers at Way Halim II Inpatient community health center, Satelit Inpatient community health center, and Pasar Ambon community health center in Bandar Lampung, Indonesia, in 2025. This cross-sectional survey used quantitative data that were collected through questionnaires distributed to all 200 healthcare workers using total sampling and analyzed with SPSS software. The research looks at 12 aspects of patient safety culture, such as how openly information is shared, how feedback and communication about mistakes happen, how often safety incidents are reported, how handoffs and transitions are managed, the support from management, responses that don’t punish mistakes, learning within the organization, views on patient safety, staffing levels, actions to promote safety, cooperation between different units, and cooperation within the same unit. The findings indicate that, overall, patient safety culture in the three community health centers is relatively good, particularly in staff support, cross-unit collaboration, and leadership openness. However, challenges remain, especially regarding low reporting rates for non-severe incidents, suboptimal non-punitive environments, and uneven information completeness during handoffs. Promoting inclusive leadership, strengthening teamwork, and fostering open communication are critical for enhancing patient safety practices. This study provides recommendations for policy development, capacity building, and future research directions to foster a sustainable, safety-oriented organizational culture in primary healthcare settings.
Keywords :
Community health center, Healthcare worker, Indonesia, Patient safety cultureReferences :
- Camacho-Rodríguez, D. E. et al. (2022) “Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis,” International Journal of Environmental Research and Public Health, 19(21). doi: 10.3390/ijerph192114380.
- Chandrasekaran, R., Sankaranarayanan, B. dan Pendergrass, J. (2021) “Unfulfilled promises of health information exchange: What inhibits ambulatory clinics from electronically sharing health information?,” International Journal of Medical Informatics, 149, hal. 104418. doi: 10.1016/j.ijmedinf.2021.104418.
- Cihangir, S. et al. (2013) “Improving Patient Safety Culture in Primary Care: A Systematic Review,” Journal Patient Safety, 3(7), hal. 2029–2036.
- Giardina, T. D. et al. (2022) “Creating a Learning Health System for Improving Diagnostic Safety: Pragmatic Insights from US Health Care Organizations,” Journal of General Internal Medicine, 37(15), hal. 3965–3972. doi: 10.1007/s11606-022-07554-w.
- Hamed, M. M. M. dan Konstantinidis, S. (2022) “Barriers to Incident Reporting among Nurses: A Qualitative Systematic Review,” Western Journal of Nursing Research, 44(5), hal. 506–523. doi: 10.1177/0193945921999449.
- Hegde, S. et al. (2023) “A proactive learning approach toward building adaptive capacity during COVID-19: A radiology case study,” Applied Ergonomics, 110, hal. 104009. doi: 10.1016/j.apergo.2023.104009.
- Isangula, K. et al. (2022) “Factors shaping good and poor nurse-client relationships in maternal and child care: a qualitative study in rural Tanzania,” BMC Nursing, 21(1), hal. 247. doi: 10.1186/s12912-022-01021-x.
- Jankelová, N. et al. (2021) “Leading Employees Through the Crises: Key Competences of Crises Management in Healthcare Facilities in Coronavirus Pandemic,” Risk Management and Healthcare Policy, Volume 14, hal. 561–573. doi: 10.2147/RMHP.S288171.
- Mandriani, E., Hardisman, H. dan Yetti, H. (2019) “Analisis Dimensi Budaya Keselamatan Pasien Oleh Petugas Kesehatan di RSUD dr Rasidin Padang Tahun 2018,” Jurnal Kesehatan Andalas, 8(1), hal. 131. doi: 10.25077/jka.v8i1.981.
- Van Marum, S., Verhoeven, D. dan de Rooy, D. (2022) “The Barriers and Enhancers to Trust in a Just Culture in Hospital Settings: A Systematic Review,” Journal of Patient Safety, 18(7), hal. e1067–e1075. doi: 10.1097/PTS.0000000000001012.
- Rouhana, R. dan Van Caillie, D. (2025) “How do performance monitoring systems support sustainability in healthcare?,” Society and Business Review. doi: 10.1108/SBR-07-2024-0244.
- Tirzaningrum, A. et al. (2022) “Literature Review Terkait Faktor Yang Mememrngaruhi Pelaporan Insiden Keselamatan Pasien Pada Tenaga Kesehatan,” 9, hal. 81–86.
- Upadhyay, S. dan Hu, H. (2022) “A Qualitative Analysis of the Impact of Electronic Health Records (EHR) on Healthcare Quality and Safety: Clinicians’ Lived Experiences,” Health Services Insights, 15. doi: 10.1177/11786329211070722.
- White, C. H., Meier, N. dan Swint, C. (2021) “The Implementation of a Stress Management Program for Health Care Workers Through a Rural Occupational Health Clinic,” Workplace Health & Safety, 69(4), hal. 161–167. doi: 10.1177/2165079920982406.
- Woodhead, C. et al. (2022) “‘They created a team of almost entirely the people who work and are like them’: A qualitative study of organisational culture and racialised inequalities among healthcare staff,” Sociology of Health & Illness, 44(2), hal. 267–289. doi: 10.1111/1467-9566.13414.
- Youn, S., Geismar, H. N. dan Pinedo, M. (2022) “Planning and scheduling in healthcare for better care coordination: Current understanding, trending topics, and future opportunities,” Production and Operations Management, 31(12), hal. 4407–4423. doi: 10.1111/poms.13867.

