Hospital Occupational Health Research Articles

Readiness Analysis of Sis Al-Jufrie Hospital and the Bhayangkara Hospital in Palu in Fire Management in the Hospital Occupational Safety and Health Program

Readiness Analysis of Sis Al-Jufrie Hospital and the Bhayangkara Hospital in Palu in Fire Management in the Hospital Occupational Safety and Health Program

The Relationship of The Level of Knowledge, Motivation and Compliance of Nurses To the Implementation of Occupational Health and Safety Mega Buana Palopo Hospitalte

Implementation is a process of putting something into practice which is influenced by internal and external factors. Implementation of occupational health and safety in hospitals concerns the nursing workforce, work methods/methods, work tools, work processes and the work environment which includes improvement, prevention, treatment and recovery. The aim of this research is to determine the relationship between knowledge, motivation and compliance of nursing staff with the implementation of occupational safety and health at Mega Buana Palopo Hospital in 2023. The method uses a quantitative type of research using analytical observational methods, using a cross sectional approach. The sample in this study amounted to 76 respondents. The sampling technique uses random sampling with research instruments, questionnaires and observations. Data analysis used the Fisher exact test and chi-square test. Factors related to the implementation of occupational health and safety for nurses were a good level of knowledge, namely 68 respondents (89.5%), 74 respondents (97%) were motivated and complied with implementation of occupational health and safety, namely 42 respondents (55.3%). The results of the study showed that there was a relationship between knowledge (p= 0.012), motivation (p = 0.034), and compliance of nursing staff (p= 0.016) with the implementation of hospital occupational health and safety. The level of knowledge, motivation and compliance of nursing staff is related to the implementation of occupational health and safety in hospitals

Analysis of The Implementation of The Occupational Safety and Health Management System at Bhayangkara Kendari Hospital

Background: The occupational safety and health management system is part of the overall management system in the context of controlling work-related risks in order to create a safe, efficient and productive workplace. The aim of this research is to analyze the implementation of the occupational safety and health management system in hospitals. According to the management report of the Occupational Safety and Health committee at Bhayangkara Kendari Hospital in 2023, it was stated that the hospital had not carried out occupational risk management as part of the hospital’s occupational safety and health planning. Method: This research is a qualitative descriptive research method. There were 11 informants in the research. The sampling technique used was purposive sampling. Results: The results of the research show that Bhayangkara Kendari Hospital has implemented an Occupational Safety and Health Policy and Occupational Safety and Health risk management planning, but the results obtained in the Implementation of Occupational Safety and Health, Monitoring and Evaluation in the Hospital’s Occupational Safety and Health program do not meet standards. Optimal Occupational Safety and Health. Conclusion: Bhayangkara Kendari Hospital has implemented the Hospital Occupational Safety and Health policy in accordance with Minister of Health Regulation No. 66 of 2016 with a commitment to implementing Occupational Safety and Health, but is hampered by the unavailability of special health services. There are still health workers who provide health services without using personal protective equipment, and there are still those who violate the KTR and there are no monthly and annual evaluation reports on Hospital Occupational Safety and Health. This research can be used as reference material for hospitals to optimally implement Hospital Occupational Safety and Health to increase the knowledge of health workers in implementing occupational safety and health by familiarizing themselves with occupational safety and health cultural behavior.

ANALISIS IMPLEMENTASI SISTEM MANAJEMEN KESELAMATAN DAN KESEHATAN KERJA (SMK3) DI RSUD dr. M. THOMSEN NIAS KABUPATEN NIAS TAHUN 2023

Hospital is a workplace that has a high risk for the safety and health of hospital human resources, patients, patient companions, visitors, and the hospital environment. Realizing an effective, efficient, integrated and sustainable implementation of Hospital Occupational Health and Safety (HOHS) requires the implementation of an Occupational Health and Safety Management System (OHSMS) in the hospital. This research aims to analyze the implementation of OHSMS in RSUD dr. M. Thomsen Nias. This research uses mixed methods with the explanatory sequential design that combines quantitative and qualitative research methods in sequence. The informants in this study amounted to 5 people. Quantitative data was collected by survey using a checklist form from annex 2 of Government Regulation No. 50 of 2012 as evidenced by document review and on-site observation. Qualitative data was collected by interview using guidelines from the quantitative data results. Based on the results of the study, the level of achievement of OHSMS implementation was obtained with an initial category audit of 56.25%, which is included in the category of less implementation. Of the 64 total criteria, there are 36 criteria that are appropriate and 28 criteria that are inappropriate. Commitment in the form of a written policy has not been made, but a decree has been issued to establish an OSH organization and committee. OHS planning has been made in the form of a work program. The implementation of the OHS plan has not been fully implemented by the OHS committee, but the hospital's efforts in implementing OHS are carried out by several related units such as the Infection Prevention and Control (IPC) Committee, the Hospital Facilities Maintenance Installation (HFMI) and the Environmental Installation. The implementation of OHSMS at RSUD dr. M. Thomsen Nias starting from the policy setting stage to evaluation has not been fully implemented properly according to Government Regulation No. 50 of 2012.

FACTORS INHIBITING THE IMPLEMENTATION OF THE OCCUPATIONAL SAFETY AND HEALTH MANAGEMENT SYSTEM (HOSHMS) AT CILEGON CITY REGIONAL HOSPITAL

Hospitals are one of the places that have a risk of occupational diseases and work accidents caused by various dangerous factors. The potential risk of disease or work accidents does not only occur to workers, patients but also to visitors and the community around the hospital. Therefore, hospitals are obliged to implement occupational safety and health through the management of the Hospital Occupational Safety and Health Management System (HOSHMS). This study aims to determine the relationship between inhibiting factors and the implementation of HOSHMS at Cilegon City Regional Hospital in 2023. The population in this study was all 335 nurses with a sample of 88 respondents. The samples were taken with proportional random sampling. The research design used is cross-sectional with chi square test at the level of significance (CI=95%, α=5%). The research data was collected through direct interviews using a questionnaire. The results of the analysis showed that there was no relationship between the quality of human resources and the implementation of OSHMS (p-value = 1.000) and no relationship between education and OSH training (p-value = 0.578) with the implementation of HOSHMS. In addition, there was a relationship between data management and OSH information (p value = 0.004) and a relationship between the implementation of law enforcement and the implementation of HOSHMS (p value = 0.012). Hospitals were advised to carry out a continuous OSH monitoring which is carried out in all work units and implement law enforcement more intensively.

Safety Culture in Acc¬¬redited Hospitals During Pandemic of COVID-19

COVID-19 pandemic is a challenge for hospitals to ensure quality and safety of patients and health workers to create a hospital safety culture. Referring to cases, till December 25, 2022, number of deaths worldwide reached 6,678,098 people with 656,864,989 people confirmed positive. This case infects health workers with highest death rate during hospital treatment. Hospital safety culture is related to improving health services quality. Measuring safety culture requires combination of quantitative and qualitative to get comprehensive of safety culture. This study aimed to obtain a qualitative description of safety culture during the COVID-19 pandemic in accredited hospitals. Qualitative descriptive research by selecting informants using purposive sampling at three accredited hospitals. Instruments refer to modified questionnaire from forty-two focus group discussion’s questions and ten in-depth interview’s questions grouped into six indicators. Results showed that three accredited hospitals have safety culture programs and hospital occupational safety and health. Hospitals have commitment, supportive leadership, supervision, and sustainability monitoring and evaluation. They have adapted regulations for COVID-19. A conducive work environment is also available for making patients and workers safe. They have provided information, reminded each other, and behaved safely as safety participation. Communication is carried out through socialization and feedback. Training is available for supporting patient and worker safety. Accreditation standards could be immensely helpful in conducting safety efforts. The conclusion is three accredited hospitals have implemented safety culture during COVID-19 by six indicators, including: leadership, safety communication, regulations, work environment, participation, and training. Accreditation is important for safety culture hospital. Keywords: safety culture, hospital, accreditation, qualitative, pandemic

Hubungan Kemampuan Adaptasi Kerja dengan Penerapan Kesehatan dan Keselamatan Kerja Perawat

The Hospital occupational health and safety programs’ objectives to guarantee and protecting the nurses’ health and safety. However, nurses need to adapt regarding the working conditions to implement the nursing service optimally. This study aims to identify the relationship between the nurses' working adaptability and the implementation of occupational health and safety among associate nurses. This study was a quantitative study employed a cross-sectional design. The sampling technique employed in this study was purposive sampling with a sample size of 103 associate nurses choosen by using inclusion and exclusion criteria. The instruments employed to measure adaptability and application of occupational health and safety was questionnaires that has been tested for validity and reliability. This study has been ethically approved through ethical clearance number 070/5630/RSUDW. The data analyzed employed in this study was Rank Spearman Correlation test. The study results found that the majority of nurses showed have a good working adaptability (86 peoples;83,5%), the occupational health and safety implementation (88 peoples, 85,4%) by p-value = 0.000; r = 0.780 which means there is a significant relationship between the nurses' working adaptability and the implementation of occupational health and safety with a strong positive relationship. Nurses are expected to implement occupational health and safety optimally in order to improve the quality of nursing care services delivered to patients.

THE EFFECT OF MENTAL HEALTH AND WORK PERFORMANCE LEVEL OF HOSPITAL EMPLOYEES ON OCCUPATIONAL HEALTH AND SAFETY CULTURE

In this study, it is aimed to determine the relationship between mental health and work performance levels of hospital employees and occupational health and safety culture. The study is cross-sectional, and was conducted in 2022 among employees of a university hospital. No sample selection was made in the study, and the study was conducted with 208 people who agreed to participate in the study. Data were collected using a socio-demographic questionnaire, Occupational Health and Safety Culture (OHSC) scale, Depression-Anxiety-Stress Scale (DASS-21) and Work Performance Scale (WPS). Data were evaluated by ANOVA, correlation and linear regression analysis. Of the employees, 33.7% stated that their duration of work in the institution is less than 3 years, 84.6% of them received in-service training about OHSC, and 41.3% of them stated that their knowledge about OHSC is sufficient. In order of importance, the OHSC total score average is increased by decreasing the duration of work in the institution (β= -0.352), receiving in-service training at OHSC (β=0.209), increasing work performance (β=0.190) and working as medical staff (β=0.183) (p<0.05), while depression, anxiety, stress, age, gender, marital status, income level, health perception, and received OHS training were not found statistically significant (p>0.05). The OHS culture level of the hospital employees is medium, and the increase in work performance is to increase the OHSC level. No relationship was found between OSHC and mental status. Hospital administrations should implement policies that increase the OHS culture and work performance in the institution.

Incidence of commuting accidents among non-physician staff in a large French university hospital centre from 2012 to 2016.

Traffic road crashes are the leading cause of fatal crashes at work. The circumstances of work-related road accidents have been a regular focus of study, but there is still a lack of knowledge about commuting accidents. The aims of this study were to estimate the overall incidence of commuting accidents for non-physician professionals in a major French university hospital, by gender and different professional categories, and to assess its evolution over a 5-year period. A descriptive analysis was performed on 390 commuting accidents from 2012 to 2016 extracted from the university hospital's occupational health service. Incidences of commuting accidents were calculated according to gender, occupational categories, and years. Crude relative risk (RR) for the association of commuting accidents with gender, occupational categories, and year of the accident was also estimated using log-binomial regressions. The annual incidence ranged from 354 to 581 accidents per 100,000 employees. Compared with administrative staff, the relative risk (RR) for commuting accidents for service agents was 1.6 (95% confidence interval (CI): 1.1-2.4) and for auxiliary nurses and childcare assistants was 1.3 (95% CI: 1.0-1.9). Nursing executives had a non-significantly lower RR of 0.6 (95% CI: 0.3-1.5). The increased risk observed for the auxiliary nurses and childcare assistants and for the service agents may be related in part to the fatigue caused by work schedules, long commuting distances, physical work, and psychological burden.

Determine Hospital Management Priority Strategies from the Results of Measuring Hospital Readiness in Indonesia

WHO publishes an interim guideline on the Rapid Hospital Readiness Checklist. Countries can use the guidelines to help determine hospital capacity in response to the COVID-19 pandemic and identify gaps and key areas that require development/investment actions to maintain hospital quality. This study is to analyze the readiness of hospitals in Indonesia from the results of filling out the Hospital Readiness Checklist uploaded on the mutufasyankes.kemkes.go.id application of the Indonesian Ministry of Health. This study used a quantitative approach by utilizing secondary data taken by researchers from the application. The Rapid Hospital Readiness Checklist consists of 12 components that can be measured as a percentage achievement of each component. Data collection from the mutufasyankes.kemkes.go.id application was obtained by a total of 618 hospitals from 3081 registered hospitals in Indonesia that filled and uploaded on the application until April 30, 2023. A total of 618 hospitals reported Hospital Readiness from 12 existing components, the average achievement per component of 618 hospitals was 88%. The 12th component (Infection Prevention and Control Component) has the highest percentage (94%) and the 10th component (Occupational Health, Mental Health and Psychosocial Support Component has the lowest percentage (77%). Looking at the average results of the profit web picture as a visual illustration of Hospital Readiness measurements in 618 hospitals in Indonesia, it is said that hospitals in Indonesia in terms of the Infection Prevention and Control component are said to be good and for the components of Occupational Health, Mental Health and Psychosocial Support from hospitals need to be followed up again. So that the condition of hospitals in Indonesia at the lowest component of Hospital Readiness during the pandemic can be said to be unprepared. Therefore, the results of Hospital Readiness measurements in Indonesia can be used to determine priority strategies for hospital management by maximizing the Hospital Occupational Health and Safety (K3RS) program so that healthy Indonesian health workers are realized.

Studi Kasus: Analisis Pengendalian dan Manajemen Risiko Kesehatan dan Keselamatan Kerja di Rumah Sakit (K3RS)

Risk management as a process for analysis, identification, evaluation, control, and overcoming risks faced by organizations or Hospital Agencies. This control is carried out by implementing Hospital Work Safety Health (HWSH). The purpose of this case study is to find out the analysis of occupational health and safety risk control and management in hospitals. The method in the case study is by implementing the Hospital Occupational Health Safety Risk Management system (HOH SRMS). Hospital management system as a whole which includes the organizational structure, planning, responsibilities, implementation, procedures, processes and resources needed for the development, implementation, achievement and maintenance of occupational health and safety policies. The results of the analysis state that the Occupational Safety & Health (OSH) plan in the hospital is the key as a reference for performance in health worker safety with risk identification, risk analysis, risk assessment, implemented solutions, and risk monitoring. It can be concluded that risk management in hospitals is a comprehensive control activity in the form of identification and evaluation to reduce the risk of injury and loss to patients, hospital employees and to improve the quality of health services. Hospital Agencies have the duty and obligation to identify and control thoroughly both in the service area, infectious area and hospital environment area. HOH SMRS as an important aspect designed to prevent negative impacts on business processes or minimize financial loss. It is hoped that the hospital will carry out risk management by identifying weaknesses in the system and correcting these weaknesses.

Fire Protection System Evaluation in the Oncology Center Building of Hospital in Surabaya

Introduction: The Oncology Center Building is the part of Hospital X Surabaya that focuses on developing cancer services. As a type A hospital, Hospital X is required to have a preparedness program in the facilities and infrastructure for fire protection and prevention. The purpose of this study was to evaluate the fire protection facilities and infrastructure in the Oncology Center Building of Hospital X Surabaya. Methods: This study was an observational study using a cross-sectional approach. The data analysis method used was descriptive. The primary data collection was carried out through interviews with the Hospital Occupational Safety and Health committee of Hospital X and the secondary data was in the form of profiles on Hospital X, as well as its policies, programs, guidelines, and SOPs related to fire prevention in Hospital X. Results: Active fire protection facilities and infrastructure in the form of fire detectors and fire alarms are in accordance with SNI 03-3985-2000. Meanwhile, other active fire protection facilities and infrastructure, such as fire extinguishers, hydrants, and sprinklers, are still not in accordance with the applicable policies because there are several elements that have not been fulfilled. The passive fire protection facilities and infrastructure are still not in accordance with existing policies because there are no walls, windows, and fireproof glass in the Oncology Center Building. Conclusion: The active and passive fire protection facilities and infrastructure in the Oncology Building, Hospital X still do not comply with the applicable policy because there are several elements of each fire protection facility and infrastructure that do not meet the specified standards.

Identification of Work Accidents at Nurse in General Hospital Langsa Area

The hospital as a service industry is an industry that has a variety of complex labor problems with various risks of occupational diseases and even work-related accidents according to the type of work, so hospitals are obliged to implement Hospital Occupational Health and Safety (K3RS) efforts. The purpose of this study was to identify the causes of work accidents at Langsa Hospital. This type of research is descriptive analytic with a qualitative approach. The informants in this study consisted of 5 people, namely 1 Hospital Director or deputy, 1 K3RS team leader, 1 head nurse and 2 nurses. The results showed that the K3 staff at the Langsa City Hospital had not all received special K3 training, the implementation of health promotion to nurses and K3 workers was not carried out comprehensively and continuously, nurses carried out their duties in accordance with the applicable Standard Operating Procedures (SPO), but not all nurses had discipline in carrying out their duties, nurses have attended training on the use of PPE, but not all nurses ensure that PPE functions properly and correctly. It is recommended that Langsa Hospital provide a special budget for the implementation of K3 in the hospital and facilitate all K3 personnel to have good competence and be firm, such as by giving sanctions to all nurses who do not carry out their duties and do not have a good work culture.

Implementation of Hospital Occupational Health and Safety Standards at General Hospitals in Kendari City

A hospital is a health service facility with various activities with many potential dangers for hospital human resources and patients or patient companions. Potential hazards in the hospital can be in the form of occupational diseases and infectious diseases. There are also other potential hazards that affect the situation and conditions in the hospital. The specific objective of this research is to see the implementation of the Occupational Health and Safety standards, implemented in 3 (three) General Hospitals in Kendari City, Southeast Sulawesi. This research uses qualitative research methods with an observational approach and in-depth interviews. This research took place in 3 (three) General Hospitals in Kendari City, namely: Hospital A, Hospital B, and Hospital C. The informants in this study are those related to the K3 standard policies implementation in hospitals. The results showed that there are several hospitals that have not carried out all the stages of equipped facilities and infrastructure related to risk management aspects, efforts to manage hazardous and toxic materials (B3) from occupational safety and health aspects, to prevent and control fire as well as efforts to prepare for the face. Emergency or Disaster Conditions. It shows that the K3RS standards implementation in several hospitals has not been implemented optimally. It is recommended for the hospital to continue to refer to the rules governing the K3RS implementation. It includes the lack of infrastructure and facilities. Like always, briefings for all officers before working and evaluation at the end of each working hour.

Occupational health and safety management system and work-related accidents among hospital nurses

The prevalence of hospital work-related accidents is increasing each year in Indonesia. To tackle the issue, the ministry of health requires each hospital organizes Occupational Health and Safety Management System (OHSMS). Occupational Health and Safety (OHS) management is an effort to prevent accidents and illnesses due to work among hospital nurses. This study aims to determine the relationship between OHSMS and work related accidents among nurses. This study used cross sectional study design with simple random sampling technique towards 244 nurses and got 152 samples with solving formula . The study was carried out on June 2019 with questionnaires that had done test of validity and reliability. The validity content is done by consulting expert and the construction validity of 20 nurses ( r = 0.444). The reliability test result show crombach alpha = 0.959. The inform consent sheet is given at the front of questionnaire for approval by signing. Data analysis consisted of univariate and bivariate analyzes. Univariate analysis is used to see the frequency distribution and percentage of each variable, while bivariate analysis is done to see the correlation between variables using the Chi-Square test . There was no relationship between Hospital Occupational Health and Safety's (HOHS) policy/regulation ( p = 0.151), training ( p = 0.281), and supervision ( p = 1.000) with workplace accidents among nurses. However, there were a relationship between the implementation of the HOHS's plan ( p = 0.011) and promotion ( p = 0.011) with workplace accidents among nurses at the hospital. The conclusions is that a good policies/regulations is not enough to prevent a work accident among nurses but it also requires the attention of the nurses itself to observe the policies/regulations. Implementing of the HOHS's plan (training, supervision and promotion) has relationship to prevent accidents among nurses.

Causes of Work Accidents Experienced by Healthcare Workers: A Retrospective Five-Year Study

Occupational accidents are health and safety issues specific to working life. The person, place and time characteristics of work accidents can be examined. Examination of these points will be beneficial in preventing accidents. The aim of this study is to investigate the causes of occupational accidents the healthcare workers in a children’s hospital are exposed to. 
 In this descriptive study, healthcare workers who experienced occupational accidents in a children’s hospital, were included. Occupational accident forms of the Hospital Occupational Health and Safety Unit between 2015 and 2019 were analyzed retrospectively. 
 A total of 100 occupational accidents were reported in the last five years. The mean age of the employees who were exposed to occupational accidents was 32.6±8.5 years. 63% of the employees were women. The mean years of employment of the employees was 8.7±7.3 years. In terms of profession, 70% of the employees were nurses and 19% were cleaning staff. 45% of the occupational accidents occurred in intensive care units and 26% in pediatric clinics. 60% of the accidents occurred in the morning hours. 72% of occupational accidents were needlestick injuries, 9% were falling or bumping, 8% were exposure to blood and other infectious fluids. Most of the NSIs in nurses occurred while applying treatment, drawing blood, establishing vascular access and due to patient movement, respectively. 
 In conclusion, the most common occupational accidents in hospitals are needlestick injuries. Among the employees, those who are exposed to work-related injuries most frequently are nurses and cleaning staff.

The Influence of Workload Factors, Work Stress and Health Personnel Competency on the Implementation of Hospital Occupational Safety and Health Management Systems (SMK3RS)

Background: Accident prevention in the workplace cannot be separated from the influence of behavior and application by health workers in its implementation which prioritizes the interests of patient safety. The behavior and abilities of health workers play an important role in the implementation of patient safety. Several factors that influence the behavior of nurses in implementing the Hospital Occupational Health and Safety Management System (SMK3RS) are influenced by motivation, perceptions, attitudes, organizational culture, knowledge and experience. Purpose: The purpose of this study was to determine and analyze how the description influence and relationship between workload, work stress and implementation of Hospital Occupational Health and Safety Management System (SMK3RS) at Lira Medika Hospital Karawang. Methods: The sampling technique used is purposive sampling with a total sample of 100 people. This type of research is descriptive verification research. The statistical instrument used is regression analysis using validity, reliability, normality tests. Results: An influence of workload, work stress and competence on the assessment of the implementation of Hospital Occupational Health and Safety Management System (SMK3RS) by 19.05% because the rest is influenced by other variables or factors such as training, education level, motivation, leadership and others. Conclusion: Based on the results of the study, it appears that the workload parameters have no effect on the implementation of Hospital Occupational Health and Safety Management System (SMK3RS) for Medical Service/Supporting Staff at Lira Medika Hospital. Meanwhile, the direct effect is work stress and work competence.

Evaluation Of Planning And Implementation Occupational Safety And Health In Hospital Embung Fatimah Batam In 2021

Hospital occupational health programs have not been fully implemented in hospitals such as evaluation of the work environment, documentation of special and periodic health checks, the risk of occupational diseases (PAK). This type of research is qualitative with 10 informants selected purposively. on the input component: HR K3, the budget, and safety facilities provided are still lacking. In the process component: Risk management, hospital safety and security efforts, occupational health services, and B3 management are good. There are not enough fire prevention and control facilities. Infrastructure management is good with water sources, backup electricity, and periodic maintenance. Management of medical equipment and disaster preparedness is good. In the output component: Supervision is carried out by internal hospitals cases of work accidents are still found, and there is still a shortage of human resources, budget, and K3 facilities. It is recommended to the management of the hospital to add human resources in the field of work safety according to standard.

SARS-CoV-2 outbreak in a Canadian suburban tertiary hospital necessitating full facility closure: a descriptive observational study.

Background:SARS-CoV-2 can cause outbreaks in community- and hospital-based settings. The aim of this study was to provide a detailed epidemiologic account of a hospital-wide SARS-CoV-2 outbreak and provide a description of case evaluations, transmission networks and the interventions implemented to stem the outbreak.Methods:We conducted a retrospective descriptive study of a hospital-wide SARS-CoV-2 outbreak at the Misericordia Community Hospital (Edmonton) from June 21 to Aug. 14, 2020. We reviewed hospital chart, public health and occupational health records to determine demographics, case type (community- or hospital-acquired), need for critical care and outcome for each case linked to the outbreak (patients, hospital staff, and community and patient visitors). We developed detailed transmission networks using epidemiologic data to determine what variables may have contributed to transmission.Results:Fifty-eight cases of SARS-CoV-2 infection were linked to this hospital outbreak (31 patients, 25 staff members and 2 visitors; 66% female, age range 19–97 years). One patient required critical care, and 11 deaths were recorded (all among inpatients). Most cases were hospital-acquired (91%), and 28% were asymptomatic at the time of diagnosis. The outbreak was composed of 2 clusters driven by protective equipment breaches, premature removal of precautions, transmission in small staff quarters and infection of a staff member after exposure to a wandering patient with dementia and asymptomatic, undetected SARS-CoV-2 infection.Interpretation:A detailed epidemiologic review of this hospital-wide outbreak shows that a SARS-CoV-2 outbreak can involve complex transmission chains and clusters. Multipronged bundled approaches, aggressive contact tracing, and patient and staff prevalence screening are important to help bring such outbreaks under control, along with ongoing vigilance in detecting delayed cases.

FAKTOR-FAKTOR YANG MEMPENGARUHI KEPATUHAN PENGGUNAAN ALAT PELINDUNG DIRI (APD) PERAWATPADA MASA PANDEMI COVID-19 DI INSTALASI GAWAT DARURAT RUMAH SAKIT UMUM DAERAH dr. ZUBIR MAHMUD

Hospital Occupational Health and Safety (K3RS) are all activities to ensure and protect the safety and health of hospital human resources, patients, patient companions, visitors, and the hospital environment through efforts to prevent work accidents and occupational diseases in hospitals. This study aims to determine the factors related to compliance with the use of personal protective equipment (PPE) for nurses during the COVID-19 pandemic in the ER RSUD dr. Zubir Mahmud 2021. The research design used was a quantitative design with a cross sectional approach. The population is all nurses who work in the ER dr. Zubir Mahmud as many as 29 and the sample in this study as many as 29 respondents. Collecting data using a questionnaire. Data analysis using Chi-Squre and looking at Fisher's Exact Test. The results of research on the bivariate test show that there is a significant influence on the independent variables, namely the knowledge factor (p-value = 0.008), attitude (p-value = 0.006), availability (p-value =0.000) and supervision (p-value =0.001). and there was no significant effect, namely the education factor (p-value = 0.622) and years of service (p-value = 0.139) with the dependent variable being the compliance with the use of personal protective equipment (PPE) by nurses during the Covid-19 pandemic.Suggestions in this study are hospitals must make clear SOPs about the use of PPE and increase vigilance during the pandemic.