• Anastasia Yekti Heningnurani Hospital Administration and Management, Faculty of Public Health, Universitas Indonesia
  • Dumilah Ayuningtyas Hospital Administration and Management, Faculty of Public Health, Universitas Indonesia


Background: Patient safety is a serious issue in a healthcare organization. Building a patient safety culture is the first step in the improvement of safety. As patient safety culture is an inherent component of organizational culture; therefore, a study of organizational culture is required to develop it. This study aims to analyze the patient safety culture and identify the profile of the organizational culture in the hospital to find strategies to improve the patient safety culture.

Methods: This study was used the quantitative study using a cross-sectional research method, followed by a qualitative method to get descriptive information. This research conducted in Jambi Public Hospital, Indonesia with 128 respondents. Data were obtained from a survey by the HSOPSC (Hospital Survey on Patient Safety Culture) questionnaire and OCAI (Organizational Culture Assessment Instrument. Focus Group Discussion was conducted to identify obstacles and expectations in the implementation of patient safety culture.

Results: The highest positive perceptions are organizational learning and continuous improvement (90.6%) and teamwork within units (78.91%). While "staffing" (39.25) and "non-punitive responses to errors" (38.54 %) are the weakest dimension of patient safety. The most dominant type of organizational culture, followed by a hierarchy with a minimal score difference. This cultural assessment serves as a guide for changes with a quality strategy of clan culture and hierarchy culture were decided in the development of patients safety culture in this hospital.

Conclusion: The patient safety culture belongs to the moderate culture category, the reporting culture dimension is the weakest. A management’s commitment and staff empowerment, as well as system development, are all needed on the development of a patient safety culture. Further research is required to investigate various factors to develop the reporting culture.

Keywords: Patient Safety Culture, Organizational Culture, Hospital


WHO. Patient safety 2018. (accessed March 4, 2018).

Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Promoting a culture of safety as a patient safety strategy: a systematic review. Annals of Internal Medicine 2013;158:369–74.

Wang X, Liu K, You L, Xiang J, Hu H, Zhang L, et al. The relationship between patient safety culture and adverse events: a questionnaire survey. International Journal of Nursing Studies 2014;51:1114–22.

Sorra JS, Nieva VF. Hospital survey on patient safety culture. AHRQ publication no. 04-0041. Agency for Healthcare Reseaerch and Quality 2004.

Cooper MD. Towards a model of safety culture. Safety Science, 2000;36:111–36

Iriviranty A, Ayuningtyas D, Misnaniarti M. Evaluation of Patient Safety Culture and Organizational Culture as a Step in Patient Safety Improvement in a Hospital in Jakarta, Indonesia. Journal of Patient Safety & Quality Improvement 2016;4:394–9.

Cameron KS, Quinn RE. Diagnosing and changing organizational culture: Based on the competing values framework. John Wiley & Sons; 2011. 3 rd edition.

Komite Akreditasi Rumah Sakit. Standar Akreditasi Nasional Rumah Sakit (Hospital National Accreditation Standards) 1st. Komite Akreditasi Rumah Sakit, 2017.

Famolaro T, Yount ND, Hare R, Thornton S, Meadows K, Fan L, et al. Hospital survey on patient safety culture: user database report . Agency for Healthcare Research and Quality 2018.

Siourouni E, Kastanioti CK, Tziallas D, Niakas D. Health care provider’s organizational culture profile: A literature review. Health Science Journal 2012;6:212.

Singer SJ, Falwell A, Gaba DM, Meterko M, Rosen A, Hartmann CW, et al. Identifying organizational cultures that promote patient safety. Health Care Management Review 2009;34:300–11.

Speroff T, Nwosu S, Greevy R, Weinger MB, Talbot TR, Wall RJ, et al. Organisational culture: variation across hospitals and connection to patient safety climate. BMJ Quality & Safety 2010;19:592–6.

Hartmann CW, Meterko M, Rosen AK, Zhao S, Shokeen P, Singer S, et al. Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration. Medical Care Research and Review 2009;66:320–38.

Rabbani F, Wasim Jafri SM, Abbas F, Jahan F, Syed NA, Pappas G, et al. Culture and quality care perceptions in a Pakistani hospital. International Journal of Health Care Quality Assurance 2009;22:498–513.

Brazil K, Wakefield DB, Cloutier MM, Tennen H, Hall CB. Organizational culture predicts job satisfaction and perceived clinical effectiveness in pediatric primary care practices. Health Care Management Review 2010;35:365–71.

San Park J, Hyun Kim T. Do types of organizational culture matter in nurse job satisfaction and turn over intention?. Leadership in Health Services 2009;22:20–38.



How to Cite

Heningnurani, A. Y., & Ayuningtyas, D. (2019). PATIENTS SAFETY CULTURE DEVELOPMENT IN JAMBI PUBLIC HOSPITAL. Proceedings of the International Conference on Applied Science and Health, (4), 366–374. Retrieved from