Evaluation of the implementation of patient safety goals at the Oputa YI Koo heart and blood vessel hospital, Southeast Sulawesi Province

Introduction: Patient safety is a major component in efforts to improve the quality of health services in hospitals. 

Objective: This study aims to evaluate the implementation of six Patient Safety Objectives (PSOs) at Oputa Yi Koo Heart and Blood Vessel Hospital, Southeast Sulawesi. This hospital, which has just started operating in 2023, faces challenges in ensuring the implementation of SOPs in accordance with national and international standards, especially in the context of a newly established facility and a relatively low workload. 

Method: This study used a qualitative design with a case study approach. Key informants consisted of the Hospital Director, Head of the Quality Committee, and Head of the Patient Safety Objectives Sub-Committee, while supporting informants included the Head of the Emergency Room, Head of Pharmacy, Head of the VIP Room, and representatives from the PPI Committee. Data were collected through in-depth interviews, participatory observations, and document analysis related to hospital policies, reports, and procedures. The analysis was carried out using a content analysis model with the steps of data reduction, data presentation, and drawing conclusions. 

Results: The results of the study indicate that although the SOP policy has been designed in accordance with the Regulation of the Minister of Health (PMK) No. 11 of 2017, its implementation has not been optimal in all aspects. Factors such as limited training of health workers, inadequate facilities, and minimal routine monitoring and evaluation mechanisms are the main obstacles. In addition, the operating room that is not yet functioning means that the fourth target (ensuring that surgery is performed correctly) cannot be fully implemented. Other findings indicate a gap between health workers' understanding of the SKP policy and daily practice. 

Conclusion: This study recommends increasing ongoing training for health workers, providing facilities and infrastructure that meet standards, and implementing a more structured monitoring and evaluation system. This approach is expected to strengthen the culture of patient safety and increase the efficiency of SKP policy implementation, so that hospitals are able to meet national and international accreditation. This study contributes to the development of literature related to patient safety evaluation, especially in new hospitals, and provides a basis for hospital management to identify improvement priorities in an effort to create safe, quality, and sustainable health services.