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Importance-Performance Map Analysis (IPMA) Faktor Enabling terhadap Persepsi Keselamatan Pasien di Kalangan Dokter Internship Indonesia
Abstract
Latar Belakang: Keselamatan pasien merupakan prioritas global yang masih menghadapi tantangan serius di Indonesia, di mana angka pelaporan insiden hanya mencapai 12% meski regulasi telah mewajibkan implementasinya. Tantangan ini semakin kompleks di rumah sakit tipe C yang menghadapi keterbatasan struktural dan manajerial, terutama bagi dokter internship. Meski faktor enabling telah diidentifikasi relevan terhadap patient safety, belum ada penelitian yang mengevaluasi tingkat kepentingan relatif dan kinerja aktualnya, khususnya di negara berkembang. Penelitian ini bertujuan menganalisis posisi strategis faktor-faktor enabling terhadap overall patient safety dokter internship melalui Importance-Performance Map Analysis (IPMA).
Metode: Survei kuantitatif cross-sectional dilakukan terhadap 202 dokter internship dari 38 rumah sakit tipe C di lima kota di Jawa Barat. Data dikumpulkan pada 16–30 Maret 2025 dan dianalisis menggunakan PLS-SEM melalui SmartPLS 4.1.0.2, dengan IPMA sebagai analisis utama untuk mengkaji posisi strategis faktor enabling (leader support, psychological safety, dan safety knowledge), terhadap persepsi overall patient safety.
Hasil: Leader support menempati kuadran high importance-high performance, menjadikannya faktor paling determinan. Namun, analisis tingkat indikator mengungkapkan bahwa respons aktif pimpinan terhadap laporan insiden memiliki kepentingan tertinggi namun kinerja terendah. Psychological safety menunjukkan kinerja tinggi dengan kepentingan relatif lebih rendah, dengan keberanian menyampaikan kelalaian kepada manajemen sebagai indikator terlemah. Safety knowledge mencatat kinerja terendah, khususnya pada pemahaman peran manajemen dalam pelaporan insiden rutin. Tidak ditemukan indikator pada kuadran high importance-low performance.
Simpulan: Manajemen rumah sakit tipe C perlu memprioritaskan responsivitas pimpinan terhadap laporan insiden, memperkuat keberanian dokter internship dalam melaporkan kelalaian medis, dan mengintegrasikan modul keselamatan pasien secara sistematis ke dalam kurikulum PIDI.
Kata Kunci: Keselamatan Pasien; Faktor Enabling; Importance-Performance Map Analysis; Internship
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DOI: https://doi.org/10.52643/marsi.v10i4.8956
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