Lessons Learned for Establishing Hospital Safety Climate with ROI vs Cost Control Approach as a Budget Policy Advocacy
Abstract Views: 176
PDF Downloads: 138
DOI:
https://doi.org/10.56211/pubhealth.v4i1.1083Keywords:
ROI vs Cost Control; Hospital Safety; Safety Climate; Budget Policy Advocacy
Abstract
Objective: The classical issue in most of the Asian countries on establishing hospital safety climate is the lack of budget for safety program due to the management perspective that safety is a burden. It makes safety programs annually only submitted but unapproved because of various management decisions allocating the budget to another program which is considered to be more important. With a lack of budget makes many safety programs are stuck and unimproved. Activity: In the field visit from one of the famous referral hospitals in Yogyakarta, hospital safety climate implementation is reviewed as a picture of hospital safety climate in general. This paper tries to solve the classical issue that inhibits the safety climate implementation in the hospital with a brief introduction to the ROI vs Cost Control for the decision-makers which referenced from various journals as the evidence. Regulation Review: The laws and regulations regarding hospital safety have entered into the legal system that must be fulfilled by the hospital through accreditation at least once every 3 years. However, some of the hospital safety implementations as a major part of the safety climate in hospital runs into unsustain because it is only done as a fulfillment of the obligation to pass accreditation completely which is called "SNARS" (Standar Nasional Akreditasi Rumah Sakit). Even though the rules regarding hospital safety should be used as a reference for establishing a sustainable hospital safety climate but in facts it is not well implemented. Lessons Learned: Safety paradigm will change among the decision-makers from the perspective of safety as a burden and fulfilment of accreditation requirements to the perspective of safety as an investment that can provide long-term benefits for hospitals by calculating ROI vs Cost Control for all safety program and its infrastructure. However, it is very important to establish safety climate in the hospital.ROI vs Cost Control calculations are the main tool for making a paradigm shift from viewing K3 as a cost center to a profit center that can provide long-term competitive advantages.
Downloads
References
Ballangrud, R., Hedelin, B., & Hall-Lord, M. L. (2012). Nurses’ perceptions of patient safety climate in intensive care units: A cross-sectional study. Intensive and Critical Care Nursing, 28(6), 344–354. https://doi.org/10.1016/J.ICCN.2012.01.001 DOI: https://doi.org/10.1016/j.iccn.2012.01.001
Brousselle, A., Benmarhnia, T., & Benhadj, L. (2016). What are the benefits and risks of using return on investment to defend public health programs? Preventive Medicine Reports, 3, 135–138. https://doi.org/10.1016/J.PMEDR.2015.11.015 DOI: https://doi.org/10.1016/j.pmedr.2015.11.015
Cowie, J., Nicoll, A., Dimova, E. D., Campbell, P., & Duncan, E. A. (2020). The barriers and facilitators influencing the sustainability of hospital-based interventions: a systematic review. BMC Health Services Research, 20(1), 588. https://doi.org/10.1186/s12913-020-05434-9 DOI: https://doi.org/10.1186/s12913-020-05434-9
Cox, Tom., Griffiths, Amanda., & Rial-González, Eusebio. (2000). Research on work-related stress. Office for Official Publications of the European Communities ; Bernan Associates [distributor].
Donaldson, L., Ricciardi, W., Sheridan, S., & Tartaglia, R. (2021). Textbook of Patient Safety and Clinical Risk Management (L. Donaldson, W. Ricciardi, S. Sheridan, & R. Tartaglia, Eds.). Springer International Publishing. https://doi.org/10.1007/978-3-030-59403-9 DOI: https://doi.org/10.1007/978-3-030-59403-9
Fukami, T. (2024). Enhancing Healthcare Accountability for Administrators: Fostering Transparency for Patient Safety and Quality Enhancement. Cureus. https://doi.org/10.7759/cureus.66007 DOI: https://doi.org/10.7759/cureus.66007
Gavious, A., Mizrahi, S., Shani, Y., & Minchuk, Y. (2009). The costs of industrial accidents for the organization: Developing methods and tools for evaluation and cost–benefit analysis of investment in safety. Journal of Loss Prevention in the Process Industries, 22, 434–438. https://doi.org/10.1016/j.jlp.2009.02.008 DOI: https://doi.org/10.1016/j.jlp.2009.02.008
Gershon, R. R. M., Karkashian, C. D., Grosch, J. W., Murphy, L. R., Escamilla-Cejudo, A., Flanagan, P. A., Bernacki, E., Kasting, C., & Martin, L. (2000). Hospital safety climate and its relationship with safe work practices and workplace exposure incidents. American Journal of Infection Control, 28(3), 211–221. https://doi.org/10.1067/mic.2000.105288 DOI: https://doi.org/10.1067/mic.2000.105288
Hussein, M., Pavlova, M., Ghalwash, M., & Groot, W. (2021). The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Services Research, 21(1), 1057. https://doi.org/10.1186/s12913-021-07097-6 DOI: https://doi.org/10.1186/s12913-021-07097-6
J., Aileen, K., Pushpanjali, Federico, Frank, Joseph, Lallu, & Manjunath, Usha. (2024). Psychometric Analysis of the Indian Version of the Patient Safety Culture Tool (I-HSOPSC 2.0) Validation. Journal of Health Management, 26(1), 109–115. https://doi.org/10.1177/09720634231216564 DOI: https://doi.org/10.1177/09720634231216564
Leka, S., & Jain, A. (2010). Health Impact of Psychosocial Hazards at Work: An Overview.
Linhard, J. B. (2005). Understanding the return on health, safety and environmental investments. Journal of Safety Research, 36(3), 257–260. https://doi.org/10.1016/J.JSR.2005.06.007 DOI: https://doi.org/10.1016/j.jsr.2005.06.007
Mah, S. S., Teare, G. F., Law, J., & Adhikari, K. (2024). Facilitators and barriers for implementing screening brief intervention and referral for health promotion in a rural hospital in Alberta: using consolidated framework for implementation research. BMC Health Services Research, 24(1), 228. https://doi.org/10.1186/s12913-024-10676-y DOI: https://doi.org/10.1186/s12913-024-10676-y
Masters, R., Anwar, E., Collins, B., Cookson, R., & Capewell, S. (2017). Return on investment of public health interventions: a systematic review. Journal of Epidemiology and Community Health, 71(8), 827–834. https://doi.org/10.1136/jech-2016-208141 DOI: https://doi.org/10.1136/jech-2016-208141
Neal, A., Griffin, M. A., & Hart, P. M. (2000). The impact of organizational climate on safety climate and individual behavior. Safety Science, 34(1–3), 99–109. https://doi.org/10.1016/S0925-7535(00)00008-4 DOI: https://doi.org/10.1016/S0925-7535(00)00008-4
Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations. Quality and Safety in Health Care, 12(suppl 2), ii17. https://doi.org/10.1136/qhc.12.suppl_2.ii17 DOI: https://doi.org/10.1136/qhc.12.suppl_2.ii17
Pongutta, S., Suphanchaimat, R., Patcharanarumol, W., & Tangcharoensathien, V. (2019). Lessons from the Thai Health Promotion Foundation. Bulletin of the World Health Organization, 97(3), 213–220. https://doi.org/10.2471/BLT.18.220277 DOI: https://doi.org/10.2471/BLT.18.220277
Rosen, A. K., Gaba, D. M., Meterko, M., Shokeen, P., Singer, S., Zhao, S., Labonte, A., & Falwell, A. (2008). Recruitment of Hospitals for a Safety Climate Study: Facilitators and Barriers. The Joint Commission Journal on Quality and Patient Safety, 34(5), 275–284. https://doi.org/10.1016/S1553-7250(08)34034-3 DOI: https://doi.org/10.1016/S1553-7250(08)34034-3
Thai Health Foundation. (2014). Selected Cases from Thai Health Promotion Foundation Social Return on Investment (SROI).
Zohar, D. (2000). A group-level model of safety climate: Testing the effect of group climate on microaccidents in manufacturing jobs. Journal of Applied Psychology, 85(4), 587–596. https://doi.org/10.1037/0021-9010.85.4.587 DOI: https://doi.org/10.1037//0021-9010.85.4.587
Zohar, D. (2010). Thirty years of safety climate research: Reflections and future directions. Accident Analysis & Prevention, 42(5), 1517–1522. https://doi.org/10.1016/J.AAP.2009.12.019 DOI: https://doi.org/10.1016/j.aap.2009.12.019
Downloads
Article History
Pages: 102-107
How to Cite
Issue
Section
License
Copyright (c) 2025 Promisetyaningrum Fitria Nurani, M Arbi Siregar, Pramadyo Adhi N, Ria Nuril H
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Penulis yang mempublikasikan naskahnya pada PubHealth Jurnal Kesehatan Masyarakat menyetujui ketentuan berikut:
Hak cipta atas artikel apapun dalam PubHealth Jurnal Kesehatan Masyarakat dipegang penuh oleh penulisnya di bawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License. dengan beberapa ketentuan sebagai berikut:
"Penulis mengakui bahwa PubHealth Jurnal Kesehatan Masyarakat berhak sebagai yang mempublikasikan pertama kali dengan lisensi Creative Commons Attribution-ShareAlike 4.0 International License / CC BY SA 4.0"
"Penulis dapat memasukan tulisan secara terpisah, mengatur distribusi non-ekskulif dari naskah yang telah terbit di jurnal ini ke dalam versi yang lain (misal: dikirim ke respository institusi penulis, publikasi ke dalam buku, dll), dengan mengakui bahwa naskah telah terbit pertama kali pada PubHealth Jurnal Kesehatan Masyarakat."
"Pembaca diperbolehkan mengunduh, menggunakan, dan mengadopsi isi artikel selama mengutip artikel dengan menyebutkan judul, penulis, dan nama jurnal ini. Pengutipan tersebut dilakukan demi kemajuan ilmu pengetahuan dan kemanusiaan serta tidak boleh melanggar hukum yang berlaku."
