An Analysis of the Effect of Team Situation Awareness on Patient Safety Incidents using Teamwork as the Intervening Variable
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Abstract
The definition of Patient Safety Incidents (PSIs) refers to specific occurrences that unintentionally happen and result in, or potentially lead to, injuries in patients if not prevented. PSIs require special attention, especially in healthcare settings. According to the report collected by the Hospital Patient Safety Committee of the Surabaya Orthopedic and Traumatology Hospital from 2018 to 2021, there were 177 patient safety incidents recorded. This study aims to analyze the effect of Team Situation Awareness (TSA) on Patient Safety Incidents through Teamwork at Surabaya Orthopedic and Traumatology Hospital. The variables identified for analysis are Team Situation Awareness (TSA) and Teamwork. Because this study was conducted over a specific time period, it follows a cross-sectional design and is an analytical observational study. Path analysis was employed to analyze the data. The measurement revealed that TSA resulted in 64.3% of work units being categorized at level 2 (comprehension), and for Teamwork, 64.3% of the works units were categorized as “Good”. The results of the Path Analysis using SmartPLS 4.0 showed the effect of TSA was significant with a p-value of <0.05, and TSA’s effect on Teamwork was also significant with a p-value of <0.05. Based on the path analysis (SEM-PLS), it was found that TSA indirectly affected PSIs through Teamwork, with a significant indirect effect having a p-value <0.05. Team Situation Awareness indirectly influenced PSIs through Teamwork. One approach to reducing the frequency of PSIs is to improve Team Situation Awareness (TSA) within each work unit at Surabaya Orthopedic and Traumatologic Hospital.
Keywords: Patient Safety Incidents, PSIs, team situation awareness, TSA, teamwork
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Copyright (c) 2024 Ristiya Galih Paramita, Terivenna Wijaya , Djazuly Chalidyanto, Akas Yekti Pulih Asih
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References
Amaniyan, S., Faldaas, B. O., Logan, P. A., & Vaismoradi, M. (2020). Learning from patient safety incidents in the emergency department: a systematic review. The Journal of Emergency Medicine, 58(2), 234–244. DOI: 10.1016/j.jemermed.2019.11.015
Antoninda, DB., Indasah. (2023). Team Work, Openness of Communication and Working Period for Reporting Patient Safety Events at the Regional General Hospital dr. ISKAK Tulungagung. Journal Of Nursing Practice. 6 (2), 168-175. ISSN: 2614-3488 (print); 2614-3496 (online)
Arini, T. P., Yulia, S., & Romiko. (2018). Hubungan Kerjasama Tim Dengan Penerapan Budaya Keselamatan Pasien di Ruang Rawat Inap Rumah Sakit Bhayangkara Palembang Tahun 2018. Masker Medika, 6(2), 406–416
Coolen, Ester., Draaisma, Jos., Loeffen, Jan., (2019). Measuring situation awareness and team effectiveness in pediatric acute care by using the situation global assessment technique. European Journal of Pediatrics. 178, 837-850, https://doi.org/10.1007/s00431-019-03358-z
Cramton, C. D., Orvis, K. L., and Wilson, J. M. (2007). Situation invisibility and attribution in distributed collaborations. J. Manag. 33, 525–546. doi: 10.1177/0149206307302549
Despins, LA. (2018). Advancing Situation Awareness Research. West J Nurs Res. 40 (3), 303–4. https://doi.org/10.1177/0193945917729177
Endsley, M. R. (1995). Toward a Theory of Situation Awareness in Dynamic Systems. Human Factors: The Journal of the Human Factors and Ergonomics Society, 37(1), 32–64. doi:10.1518/001872095779049543
Endsley, Mica R. (1988). Design and Evaluation for Situation Awareness Enhancement. In Proceedings of the Human Factors Society Annual Meeting, 32(2), 97–101. DOI:10.1177/154193128803200221
Febriansyah, Kusumapradja, R., Ahmad, H. (2020). The Role of Teamwork in Improving Patient Safety Culture. JMMR, 9 (1): 41-52. DOI : https://doi.org/10.18196/jmmr.91115
Fernandez, R., Kozlowski, SWJ., Shapiro, MJ., Salas, E. (2008). Toward a definition of teamwork in emergency medicine. Acad Emerg Med 15(11), 1104-12. doi: 10.1111/j.1553-2712.2008.00250.x
Madden, C., Lydon, S., Curran, C., Murphy, A. W., & O’Connor, P. (2018). Potential value of patient record review to assess and improve patient safety in general practice: a systematic review. European Journal of General Practice, 24(1), 192– 201. DOI: 10.1080/13814788.2018.1491963
Martin, G., Ghafur, S., Cingolani, I., Symons, J., King, D., Arora, S., & Darzi, A. (2019). The effects and preventability of 2627 patient safety incidents related to health information technology failures: a retrospective analysis of 10 years of incident reporting in England and Wales. The Lancet Digital Health, 1(3), e127–e135. doi: 10.1016/S2589-7500(19)30057-3
Orique SB, Despins L. (2018) Evaluating Situation Awareness: An Integrative Review. Western Journal of Nursing Research. 40(3), 388-424. doi:10.1177/0193945917697230
Ouverson, K.M., Ostrander, A.G., Walton, J., Kohl, A., Gilbert, S.B., Dorneich, M.C., Winer, E., Sinatra, A.M., (2021). Analysis of Communication, Team Situational Awareness, and Feedback in a Three-Person Intelligent Team Tutoring System. Front. Psychol. 12: 553015. doi: 10.3389/fpsyg.2021.553015
Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 Tentang Keselamatan Pasien.
Poku, C.A., Attafuah, P.Y.A., Anaba, E.A. et al. (2023) Response to patient safety incidents in healthcare settings in Ghana: the role of teamwork, communication openness, and handoffs. BMC Health Serv Res. 23, 1072. https://doi.org/10.1186/s12913-023-10000-0
Rosen MA, DiazGranados D, Dietz AS, Benishek LE, Thompson D, Pronovost PJ, Weaver SJ. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol, 73(4), 433-450. doi: 10.1037/amp0000298. PMID: 29792459; PMCID: PMC6361117.
Schulz, C. M., Endsley, M. R., Kochs, E. F., Gelb, A. W., & Wagner, K. J. (2013). Situation awareness in anesthesia: concept and research. Anesthesiology, 118(3), 729–742. DOI:10.1097/aln.0b013e318280a40f
Wu, AW. (2000). Medical error: The second victim. The Western Journal of Medicine, 172, 358–359. 10.1136/ewjm.172.6.358 [PubMed: 10854367