COVID-19 infection prevention and control for hospital workers in Indonesia.

Introduction: The outbreak of SARS-CoV-2 in 2019 led to a global pandemic, posing unprecedented challenges to healthcare systems, particularly in hospitals. Purpose: This study explores the intricacies of strategies employed for preventing and controlling COVID-19 in Indonesian hospitals, with a particular focus on the protocols, challenges, and solutions faced by healthcare professionals. Methods: Using a cross-sectional analysis, we examined 27 hospitals and uncovered disparities in their preparedness levels. During our investigation, we observed the robust implementation of infection prevention measures, which encompassed stringent protocols, adequate ventilation, and proper use of personal protective equipment. However, shortcomings were identified in areas such as surveillance, mental health support, and patient management. Discussion: This study underscores the importance of addressing these gaps, suggesting tailored interventions, and continuous training for healthcare staff. Effective leadership, positive team dynamics, and adherence to comprehensive policies emerge as pivotal factors. Hospitals should strengthen weak areas, ensure the ethical execution of emergency protocols, and integrate technology for tracking and improving standard operating procedures. By enhancing the knowledge and skills of healthcare workers and maintaining strong management practices, hospitals can optimize their efforts in COVID-19 prevention and control, thereby safeguarding the wellbeing of professionals, patients, and communities.

A self-assessment model for hospital safety culture maturity.

BACKGROUND: Studies on safety culture maturity in health care is very rare, and the existing ones only focus on patients and the use of Manchester Patients Safety Framework (MaPSaF) instrument. The objective of this study is to develop a comprehensive instrument for measuring safety culture maturity in hospitals. DESIGN AND METHODS: This study used a cross-sectional design with three stages. First, we used secondary data analysis from the Hospital Accreditation Commission. Second, evaluation of primary data obtained from safety climate questionnaire. Third, we did focus group discussions, and in-depth interviews for validation of secondary data and development of DUTA-RS website. We analyzed using Structural Equation Modeling (SEM) test. RESULTS: DUTA-RS instrument contains 1,118 elements based on the first edition of the Indonesian Hospital Accreditation National Standard. Its safety culture maturity is at the proactive level (58.0%), with the highest accreditation levels of proactive (50.8%) and generative (48.7%). The variables affecting the safety culture maturity are situational and safety behavior variables, with leadership, risk management, and safety compliance as the strongest indicators. The weakest indicators of climate are organizational learning and communication. The mean value of climate for primary and secondary data is in the good category and showed in proactive level. CONCLUSIONS: The DUTA-RS as a website to measure the safety culture maturity in accredited hospitals by taking the advantage of the existing information technology of hospital accreditation committee as the benchmark enables improvement of SCML in hospitals. Further studies are required for the development of DUTA-RS website.

An analysis of pivotal factors in the implementation of occupational health and safety management systems in micro, small and medium enterprises (MSMEs): Literature review.

OBJECTIVE: In its aim to develop a model of an occupational safety and health management system (OSHMS) for MSMEs in Indonesia, this study seeks to explore crucial factors in relation to the implementation of such a system in MSMEs by conducting a review of previous studies on the topic. METHODS: This systematic review is an exploratory study from several online databases our using a combination of two keywords that refer to the population and exposure variables in the PROSPERO Approach by using the "AND" strategy. Each literature goes through selection based on PRISMA flow chart. A Critical Appraisal Skill Programme (CASP) checklist for risk of bias assessment was used for the evidence quality appraisal. RESULT: From 37 papers, books, online books and local articles were selected, we identified pivotal factors in the implementation of OHSMS in MSMEs which can be classified into downstream factors (OSH training, commitment, risk management, and communication), middle stream factors (support from the third party), and upstream factors (the role of government). CONCLUSION: Various pivotal factors in promoting OSH implementation at MSMEs can be seen as role of MSMEs actors (employer and employee); third party and government.

An analysis of pivotal factors in the implementation of occupational health and safety management systems in micro, small and medium enterprises (MSMEs): Literature review

Objective: In its aim to develop a model of an occupational safety and health management system (OSHMS) for MSMEs in Indonesia, this study seeks to explore crucial factors in relation to the implementation of such a system in MSMEs by conducting a review of previous studies on the topic. Methods: This systematic review is an exploratory study from several online databases our using a combination of two keywords that refer to the population and exposure variables in the PROSPERO Approach by using the “AND” strategy. Each literature goes through selection based on PRISMA flow chart. A Critical Appraisal Skill Programme (CASP) checklist for risk of bias assessment was used for the evidence quality appraisal. Result: From 37 papers, books, online books and local articles were selected, we identified pivotal factors in the implementation of OHSMS in MSMEs which can be classified into downstream factors (OSH training, commitment, risk management, and communication), middle stream factors (support from the third party), and upstream factors (the role of government). Conclusion: Various pivotal factors in promoting OSH implementation at MSMEs can be seen as role of MSMEs actors (employer and employee); third party and government. (AU)