PENGARUH PENERAPAN ONLINE INCIDENT REPORTING SYSTEM DAN RESPONSIVITAS PERAWAT TERHADAP KESELAMATAN PASIEN DI RSKB COLUMBIA ASIA PULOMAS

Abstrak

Keselamatan pasien merupakan prioritas utama dalam pelayanan kesehatan, yang salah satunya dipengaruhi oleh efektivitas sistem pelaporan insiden dan responsivitas perawat dalam pelaporan serta penanganan insiden keselamatan pasien. Online Incident Reporting System (OIRS) dikembangkan sebagai upaya untuk meningkatkan pelaporan insiden secara sistematis dan berkelanjutan. Penelitian ini bertujuan untuk menganalisis perbedaan tingkat responsivitas perawat dan keselamatan pasien sebelum dan sesudah intervensi, serta menganalisis pengaruh perubahan penerapan OIRS terhadap responsivitas perawat dan keselamatan pasien, termasuk peran responsivitas perawat sebagai variabel mediasi. Penelitian ini menggunakan desain quasi-eksperimental dengan kelompok intervensi dan kelompok kontrol. Sampel penelitian adalah perawat di RSKB Columbia Asia Pulomas yang dipilih sesuai kriteria inklusi. Intervensi yang diberikan berupa penerapan Online Incident Reporting System (OIRS). Data dikumpulkan menggunakan kuesioner terstruktur dan dianalisis menggunakan uji Wilcoxon Signed Rank Test, uji korelasi Spearman, serta analisis mediasi. Hasil penelitian menunjukkan bahwa terdapat perbedaan yang signifikan pada tingkat responsivitas perawat dan keselamatan pasien sebelum dan sesudah intervensi. Perubahan penerapan OIRS berpengaruh signifikan terhadap peningkatan responsivitas perawat dan keselamatan pasien. Selain itu, responsivitas perawat terbukti berperan sebagai variabel mediasi dalam pengaruh perubahan penerapan OIRS terhadap keselamatan pasien setelah intervensi. Penelitian ini menyimpulkan bahwa penerapan Online Incident Reporting System (OIRS) merupakan strategi efektif dalam meningkatkan keselamatan pasien melalui penguatan responsivitas perawat. Penguatan sistem pelaporan insiden berbasis teknologi perlu disertai dengan dukungan organisasi untuk memastikan keberlanjutan peningkatan mutu dan keselamatan pelayanan keperawatan.

Patient safety is a fundamental priority in healthcare services and is strongly influenced by the effectiveness of incident reporting systems and nurses’ responsiveness in reporting and managing patient safety incidents. The Online Incident Reporting System (OIRS) was developed to improve systematic and sustainable incident reporting practices. This study aimed to analyze differences in nurses’ responsiveness and patient safety levels before and after the intervention, to examine the effect of changes in OIRS implementation on nurses’ responsiveness and patient safety, and to analyze the mediating role of nurses’ responsiveness in the relationship between OIRS implementation and patient safety. This study employed a quasi-experimental design with intervention and control groups. The sample consisted of nurses at RSKB Columbia Asia Pulomas selected based on inclusion criteria. The intervention involved the implementation of the Online Incident Reporting System (OIRS). Data were collected using structured questionnaires and analyzed using the Wilcoxon Signed Rank Test, Spearman correlation, and mediation analysis. The results demonstrated significant differences in nurses’ responsiveness and patient safety levels before and after the intervention. Changes in OIRS implementation had a significant effect on improving nurses’ responsiveness and patient safety. Furthermore, nurses’ responsiveness was found to act as a mediating variable in the effect of OIRS implementation on patient safety outcomes. This study concludes that the implementation of the Online Incident Reporting System (OIRS) is an effective strategy for enhancing patient safety through strengthening nurses’ responsiveness. The integration of technology-based incident reporting systems with organizational support is essential to ensure sustained improvements in the quality and safety of nursing care.