How’s Work Environment Affecting Patient Safety Climate: Case Study in Hospital X Indonesia

dyah utari


The work environment becomes one of the motivation for someone to work. The climate of working environment is very important for a person, especially for medical staffs who actually handle and deal with sick people. Medical officers are required to always be friendly, agile, discipline and polite in front of patients thus the patient feels comfortable and quiet. This study aims to analyse the relationship between work environment and patients’ safety climate. This study was conducted with questionnaires. Based on the survey results, it was revealed that the hospital environment determines the form of services provided to patients. The working environment has positive relationship to patients’ safety climate. At the hospital, there are latent conditions that may be a risk of accidents that come from heavy work load, management and inadequate supervision, work environment filled with pressure and inadequate communication systems. Work environment contributes greatly because the overall work in providing services to patients requires good teamwork.


World Health Organization, “Patient safety Global Action on Patient Safety” World Health Organization Excecutive Boards, 2018.

Depkes RI. Pedoman Nasional Keselamatan Pasien Rumah Sakit (Patient Safety). Jakarta: Depkes RI. 2008.

Van der Schaaf, T. W. Near Miss Reporting in the Chemical Process Industry. Eindhoven, Netherlands: Technische Universiteit Eindhoven. 1992.

McLinton, S.S., Dollard, M.F., & Tuckey, M.M.R. New perspectives on psychosocial safety climate in healthcare: A mixed methods approach. Safety Science, (109): 236-245, 2018.

Taveras, M.P. Access to health care and Patient safety: A model for measurement and analysis. University of Miami, 2011.

Potter, R.E., Dollard, M.F., Owen, M.S., O’Keeffe, V., Bailey, T., Leka, S. Assessing a national work health and safety policy intervention using the psychosocial safety climate framework. Safety Science, (100): 91–102. 2017.

McTernan, W.P., Dollard, M.F., LaMontagne, A.D. Depression in the workplace: an economic cost analysis of depression-related prod uctivity loss attributable to job strain and bullying. Work Stress, 27 (4): 321–338. 2013.

Lake, E. T. Development of the Practice Environment Scale of the Nursing Work Index. Research in Nursing & Health, 2002.

Gershon, R.R.M., Karkashian, C.D., Grosch, J.W., Murphy, L.R., Cejudo, A.E., Falanagan, P.A., Bernacki, E.,Katsing, C., dan Martin, L, Hospital safety Climate and its realtionship with safe work practices and workplace exposue incidents. Journal of Association for Professionals in Infection Control and EpidemiologyInc, 2000.

Merrill, K.C, The relationship among nurse manager leadership style, span of control, staff nurse practice environment, safety Climate, and nurse-sensitive patient outcomes. The University of Utah, 2011.

Idris, M.A., Dollard, M.F., Coward, J., Dormann, C, Psychosocial safety climate: conceptual distinctiveness and effect on job demands and worker psychological health. Safety Science, 50 (1): 19–28, 2011.

Byers JF, White SV. Patient safety: Principles and practice. Springer Publishing Company 2004-Medical-563.

Gallagher, R, Compassion fatigue. Can. Fam. Phys. 59 (3): 265–268, 2013.

Miftha Thoha, Kepemimpinan Dalam Manajemen, PT. Raja Grafindo Perkasa, Jakarta, 2004.

Pronovost, P.J., Weast, B., Holzmueller, C.G., Rosenstein, B.J., Kidwell, R.P., Haller, K.B., Feroli, E.R., Sexton, J.B., danRubin, H.R, Evaluation of the culture of safety: Survey of clinician and managers in an academic medical center. Journal of Quality safety Health Care, 2003.

Blendon, R., Desroches, C., Brodie, M., Benson, J., Rosen, A., Scheider, E., Altman, D., Zapert, K., Herrmann, M. and Steffenson, A, “Patient safety: views of practicing physicians and the public on medical errors”, New England Journal of Medicine, Vol. 347, pp. 1933-40, 2002.

O’Keeffe, V., Thomson, K., Tuckey, M.R., Blewitt, V, Putting safety in the frame: nurses’ sensemaking at work. Global Qual. Nurs. Res. 1–12, 2015.

American Nurses Association Health Risk Appraisal Executive Summary, Retrieved from <, 2017.

Buchholz, Steve, Creating the High Performance Team. Canada: John Wiley & Sons, Inc, 2000.

Rozovsky, F.A., Woods, Jr, The Handbook of Patient safety Compliance, a Practical Guide for Health Care Organization. USA: Jossey-Bass, 2005.

White D, Plews-Ogan ML, Nadkarni MM, Forren S, Leon D, Marineau D, Schorling JB, Schectman JM, Patient safety in the ambulatory setting. A clinician-based approach. J Gen Intern Med, 2004.

Gay, L.R., dan P.L. Diehl., Research Methods for Business and Management, New York; MacMillan Publishing Company, 1992.

Dollard, M.F., Opie, T., Lenthall, S., Wakerman, J., Knight, S., Dunn, S., McLeod, M, Psychosocial safety climate as an antecedent to work characteristics and psychological strain: a multilevel model. Work Stress, 26 (4): 385–404, 2012.

Zwetsloot, G.I.J.M., van Scheppingen, A.R., Bos, E.H., Dijkman, A., Starren, A, The core values that support health, safety and well-being at work. Saf. Health At Work, 4 (4): 187–196, 2013.

Hoffmeister, K., Gibbons, A.M., Johnson, S.K., Cigularov, K.P., Chen, P.Y. and Rosecrance, J.C, “The differential effects of transformational leadership facets on employee safety”, Safety Science, Vol. 62, pp. 68-78, 2014.

Nelson, Shanelle. Stone, Patricia. Jordan, Sarah. Halpin, Helen. Vanneman, Megan. Larson, Elaine, Patient safety climate: Variation in Perception by Infection Preventionists and Quality Directors. Hindawi Publishing Corporation, 2011.

McClure, M.L. & Hinshaw, A.S, Magnet hospitals revisited. Washington, DC: American Nurses Publishing, 2002.

Naveh, E., Katz-Navon, T. and Stern, Z, Treatment errors in healthcare: a safety Climate approach. Management Science, 2011.

Currie, dan Lynne, Assessing safety Climate supports targeted quality improvement interventions. Paper presented at NICE conference, 2007.

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