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A Systematic Review
Andri.LP.¹, Soewondo .P.SE.,MPH.,PhD²
Study of Hospital Administration ,Faculty of Public Health
Lecture of Health Policy Administration Departement , University of Indonesia

Introduction And Objective

Hospital accreditation is a main requirement of health. hospital accreditation for quality assurance and patient safety. Nurse is the largest
community in the hospital and is the front line related health care for patients. Patient safety is one of the most important points to
consider in healthcare. The purpose of this study was to describe many factors that influence the nurse's perception of patient safety in the
era of accreditation and to see its impact on the quality of health services in hospitals

Methods Results

Using A systematic Review in the study, We searched Proquest, Ebsco

Host and Sage journals.. Full text articles assessed for eligibility n = 32.
Inclusion criteria included studies addressing to describe factors
affecting the nurse's perception of patient safety in the era of
accreditation and see the impact on the quality of health services in
hospitals, And the final Articles n = 7. Article restrictions based on
included and excluded criteria and also restrictions on the publication
limited by year ( 2012-2017)

As a result of this review, in Korea

the highest level of perception on
the dimensions of managing safety
risks, In Saudi Arabia ,accreditation
increases the nurse's perception of
safety patients, in China and korea
shows the perception of nurses
lowers the medication errors rate,
and in turkey the perception of
nurses is very good, 78% of the
nurses graded patient safety as

Based on the results of the analysis above article can be concluded that the perception of
nurses on the patient's safety culture influenced by many factors including internal factors
nurses and external factors / environment. Internal factors are Competence and position in
organization. and Competency consists of age, educational level, and clinical experience. And
those classified as external factors that influence the nurse's perception on patient safety
culture are Leadership, hospital policy, team work, management support, communication
openness, Promotion and reward.

Fig 2. Factors Affecting Nurses Perception to Patient Safety

Culture in The Hospital Accreditation Era

Nurses at the accredited hospital perceived a higher level of quality of healthcare in terms of quality result; leadership, commitment, and
support; strategic quality planning; education and training; quality management; and the use of data compared with their counterparts at
nonaccredited hospitals. The study findings demonstrated evidence of a positive association between patient safety competencies and
safety climate perception. Strengthening safety climate in the workplace is an essential step to- wards improving patient safety. At the
dimensional level of patient safety competencies, teamwork and communicationwere significantly associated with perceived safety climate.
Therefore, improving nurses’ safety competency, with an emphasis on teamwork and effective communication, could contribute to building
strong safety cultures.
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