Hospital Patient Safety Research Articles

Experience of health workers in improving patient safety in hospitals through interprofessional collaboration: study qualitative

Introduction: Patient safety is a global problem because patient safety incidents that occurare estimated to be 134 million incidents due to unsafe care and 2.6 million resulting indeath. Indonesia recorded a patient safety incident rate of 23.5%, so interprofessionalcollaboration is necessary to minimize this condition.Objective: This study aims to identify the experience of health workers in improvingpatient safety in hospitals through interprofessional collaboration. The method in this studyis a qualitative design with an interpretive descriptive approach.Methods: The method in this study is a qualitative design with an interpretive descriptiveapproach. The method in this study is qualitative with a descriptive-interpretative approachdesign. Implementation method with FGD on five professional health workers.Result: The results of the study contained 8 (eight) themes showing the experience ofhealth workers in improving patient safety in hospitals through interprofessionalcollaboration including understanding health workers in improving patient safety,implementation of patient safety for health workers in interprofessional collaboration,hospital management support, obstacles and expectations health workers in improvingpatient safety through interprofessional collaboration.Conclusion: The results of the study contained the experience of health workers on theimplementation of patient safety in hospitals through interprofessional collaboration,namely identifying actions in providing services with uniform documentation and alsocoordinating actions according to Standart Operastional Procedur (SOPs), creatingcommunication according to Situation, Background, Assessment, Recommendation (SBAR),joint commitment in providing services in hospitals, uniform training in hospitals, reducingbarriers in both personal and management services, awareness, interest and motivationfrom each profession, facilities that support the implementation of patient safety open andtransparent system, monitoring evaluation regulary and facilitating staff.

Health staff perceptions of patient safety and associated factors in hospitals in Vietnam.

Patient safety is a global challenge of preventing and mitigating medical errors which might harm patients during their course of treatment and care. This study was employed to contribute to the existing literature aimed to assess patient safety culture among health staff and to determine predictors of health staff perceptions of patient safety in hospitals in Vietnam. A cross-sectional study was conducted in three hospitals of Vietnam with a total of 763 participants. This study used the Hospital Patient Safety Scale developed by the American Health and Quality Research Organization. In general, 8 of 12 patient safety dimensions in two hospital; and 10 of 12 dimensions in a third hospital had average scores of 60% and above positive responses. The communication openness and organizational learning dimensions were found to be significant different when comparing hospitals. Regarding sample characteristics, department (subclinical department) and health staff positions (nurses/technicians, pharmacists) were significant predictors in the total model including three hospitals (R2 = 0.07). This study reported that communication openness and organization learning are two aspects that need to be improved they are strongly related to patient safety culture and to knowledge exchange among health staff. It has been suggested that hospitals should deliver patient safety training courses and establish a supportive learning environment to improve these challenges.

Nurse managers’ leadership styles as an impetus to patient safety in an academic hospital

Background: Successful implementation of patient safety plans in a hospital necessitates, among other things, the leadership capacity of nurse managers. Patient care delivery errors and adverse events continue to occur for a variety of reasons, including a failure to follow recommended patient safety strategies. Certain leadership styles foster interactions with healthcare staff, resulting in work environments that promote positive patient outcomes. It is unclear what nurse managers believe about the type of leadership style that drives patient safety.Aim: The goal was to explore the nurse managers’ perceptions of leadership styles as an impetus to patient safety.Setting: The study was conducted at an academic hospital in the Tshwane District of Gauteng province.Methods: A qualitative exploratory and descriptive contextual design was used. Semi-structured face-to-face interviews were conducted with 20 purposefully selected nurse managers. A thematic data analysis method was used to analyse data.Results: Common leadership styles among nurse managers and challenges affecting the efficiency of nurse managers’ leadership styles emerged as themes.Conclusion: Nurse managers must have appropriate leadership styles to improve patient safety. Human and material resource shortages, as well as a lack of collaborative practice among healthcare professionals, jeopardise nurse managers’ ability to maximise patient safety.Contribution: The article provides insight into nurse managers’ perceptions of leadership styles as critical to improving patient safety. Recommendations included the need for a structured ongoing leadership training programme to develop and strengthen the skills of newly appointed and existing nurse managers.

Patient Safety Culture Instrument: A Systematic Review

The instruments of Hospital patient safety culture are connected to organizational culture aspects. This study aimed to review and synthesize knowledge and explore various instruments to measure hospital patient safety culture. Articles from 2018 to 2022 were selected from Web of Science, Sage Journals, SpringerLink, and Scopus. The terms used were patient safety culture, safety culture, clinical supervision, web-based, electronic, and technology. The selection procedure was managed by PRISMA 2020, and the inclusion and exclusion criteria were determined using PICO. 2.120 articles were found after duplicates were eliminated and the titles, abstracts, and keywords began to be checked. After excluding an irrelevant study, only ten publications remained on assessing patient safety culture in hospitals. The prevailing definitions highlight patient safety culture as managing values, beliefs, attitudes, and competencies within a healthcare organization, influencing member behavior and the approach to errors, reporting, and learning. It aims to reduce and prevent unintended patient harm through various mechanisms and tools tailored to fit each institution's values. Paper-based or electronic-based instruments have advantages because they were created and utilized in numerous investigations. The survey response rate is also influenced by how healthcare personnel view the culture surrounding patient safety. This research is crucial for hospitals and the broader healthcare community as it equips them with the knowledge and tools needed to cultivate a culture of patient safety, reduce errors, and ultimately protect the well-being of patients. It addresses the evolving healthcare landscape, emphasizing customization, technology, and staff involvement in pursuing safer healthcare environments. Keywords: Hospital, instruments, patient safety culture

Awareness and practice of nine life-saving patient safety solutions among healthcare workers

Millions of people die or are injured each year due to unsafe patient care at a huge human cost. Healthcare workers play a pivotal role in reducing errors, enhancing safety, and ensuring high-quality patient care. There are a number of ways in which patient safety can deteriorate in healthcare. Some important factors include a lack of patient safety research, inadequate training of healthcare professionals, and lack of patient safety guidelines in hospitals. There are nine life-saving patient safety solutions that, combined, can have an immediate, significant, and measurable impact. It is critical that healthcare workers are aware of the nine life-saving patient safety solutions and adopt them into their daily practice. Patient safety is one of the most important characteristics of good care, measured by clinically effective care. It is primarily the safety of patients in hospitals but also covers the continuum of care. Can it be implemented in non-institutional care? Adopting each of these solutions will not only reduce many common medical errors such as medication and medication errors, surgical site infections, bed sores, and hospital-acquired delirium, but will also significantly meet most international quality standards.

Enhancing Hospital Service Quality and Patient Safety through the MIRACLE Model: A Partial Least Squares Equation Approach

Objective: Give a background why this model is worthwhile by briefly highlighting the current health system and how this study may help to improve this system. This study aims to assess the impact of the MIRACLE model onquality enhancement and patient safety within healthcare settings.
 Study Design: Employing a cross-sectional design, this research centers on four key variables and 19 corresponding indicators. Data were collected using a questionnaire distributed via Google Forms, targeting heads of work units at M. Djamil Central General Hospital in Padang, Indonesia.
 Method: The analysis utilizes the Partial Least Squares Structural Equation Modeling (PLS-SEM) technique to evaluate variable relationships. The variables studied are Communitarian, Apprenticing Affinity, Managing, and Quality and Patient Safety, with indicators integrated into the questionnaire.
 Results: Communitarian and Apprenticing Affinity emerged as influential factors directly impacting quality of health servicesand patient safety, moderated by Managing variable. Research findings reveal a significant positive impact of the Apprenticing Affinity variable on Managing (p-value = 0.013), underlining its significance in hospital management. Moreover, Apprenticing Affinity significantly affects quality and patient safety (p-value = 0.00), highlighting its pivotal role in healthcare enhancement. Similarly, the Communitarian variable significantly influences Managing (p-value = 0.11), notably impacting quality and patient safety (p-value = 0.00). However, Managing alone does not significantly impact quality and patient safety (p-value = 0.15). Indirectly, the research unveils that the Managing-moderated Apprenticing Affinity variable lacks significant influence on quality and patient safety (p-value = 0.268). Similarly, Managing-moderated Communitarian influence does not substantially impact quality and patient safety (p-value = 0.411).
 Conclusion: This study highlights the substantial impact of Communitarian and Apprenticing Affinity, moderated by Managing, on quality and patient safety. Notably, Managing alone lacks direct influence. These findings underscore the significance of cultivating collaborative, learning-oriented environments, alongside effective management practices, to bolster healthcare quality and patient safety.

Implementation of Effective Communication as an Effort to Improve The Quality of Service in North Sumatra University Dental and Oral Hospital

Communication is the most important aspect of collaboration between professionals consisting of doctors, nurses, pharmacists, medical records, and patients. In fact, 70–80% of errors in health services are caused by poor communication and a lack of understanding between team members or between professionals. Lack of communication can also cause delays in serving patients and errors in handling patients. One of the ways to provide Effective Communication training is through using the Situation Background Assessment Recommendation (SBAR) method. The purpose of this study was to create and correct effective communication to improve service quality and patient safety at the Dental and Oral Hospital of North Sumatra University. The research method used a qualitative approach, and the informants were all the staff or employees at the Dental and Oral Hospital of North Sumatra University. Methods of data collection were carried out by direct observation and giving questionnaires before and after the communication training. The changes observed or measured in the research were before and after the SBAR training, that is the increase and the change in the behaviour of the officers. The result of this study shows that respondents had fairly good percentage results, with knowledge of 73.65% and applying effective communication with the SBAR method of 57.49%. Concluded that Therefore, effective communication is one of the indicators for monitoring hospital quality and patient safety.

A-183 Improving Turnaround Time of Critical Value Reporting by Reducing Redundant Workflow

Abstract Background Most laboratories and hospital patient safety committee define the critical value parameter together, and laboratory should notice the doctor when critical value reporting. “Critical value” as a result refers to the patient may be life-threatening or in imminent danger and require immediate treatment by a doctor. Especially, Troponin-I result is greatly affect door to balloon time. As soon as the critical value reporting, the patient will get therapy earlier. For patient safety, we implemented some methods to reduce the turnaround time of critical value reporting. Methods (1) Shorten the distance between specimen receiver and testing operator from 2 meter to 0 meter. Specimens are analyzed sooner due to reduced unnecessary walk. (2) Assess the difference of results between first and second exam, there are no significant difference. Reducing unnecessary repeat test to report critical value as soon as possible. (3) Reading barcode by both clockwise and counterclockwise way to improve barcode reading performance of analyzer, and reducing unnecessary re-label or manual operate. Results Emergency patient critical value report in 30 min completion rate increased from 80.5% to 93.3%. Inpatient critical value report in 60 min completion rate increased from 94.1% to 96.6%. Troponin-I report in 30 min completion rate increased from 89.3% to 97.0%. Conclusion Doctors treat according to result from laboratory, and delayed report is an impediment to patient care. Particularly critical value reports, that causes delays in urgent patient treatment. We reduced unnecessary work to short turnaround time for critical value reporting, patient will get better therapy faster, and further improve patient safety.

Middle manager responses to hospital co-workers’ unprofessional behaviours within the context of a professional accountability culture change program: a qualitative analysis

BackgroundThe critical role that middle managers play in enacting organisational culture change designed to address unprofessional co-worker behaviours has gone largely unexplored. We aimed to explore middle managers’ perspectives on i) whether they speak up when they or their team members experience unprofessional behaviours (UBs); ii) how concerns are handled; iii) the outcomes; and iv) the role of a professional accountability culture change program (known as Ethos) in driving change.MethodsQualitative, constructivist approach. Five metropolitan hospitals in Australia which had implemented Ethos. Purposive sampling was used to invite middle-level managers from medicine, nursing, and non-clinical support services. Semi-structured interviews conducted remotely. Inductive, reflexive thematic and descriptive thematic analyses undertaken using NVivo.ResultsThirty interviews (approximately 60 min; August 2020 to May 2021): Nursing (n = 12), Support Services (n = 10), and Medical (n = 8) staff, working in public (n = 18) and private (n = 12) hospitals. One-third (n = 10) had a formal role in Ethos.All middle managers (hearers) had experienced the raising of UBs by their team (speakers). Themes representing reasons for ongoing UBs were: staying silent but active; history and hierarchy; and double-edged swords. The Ethos program was valued as a confidential, informal, non-punitive system but required improvements in profile and effectiveness. Participants described four response stages: i) determining if reports were genuine; ii) taking action depending on the speaker’s preference, behaviour factors (type, frequency, impact), if the person was known/unknown; iii) exploring for additional information; and iv) addressing either indirectly (e.g., change rosters) or directly (e.g., become a speaker).ConclusionsAddressing UBs requires an organisational-level approach beyond supporting staff to speak up, to include those hearing and addressing UBs. We propose a new hearer’s model that details middle managers’ processes after a concern is raised, identifying where action can be taken to minimise avoidant behaviours to improve hospital culture, staff and patient safety.

A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): A tool for patient safety in hospitals

Patient harm due to unsafe healthcare is widespread, potentially devastating, and often preventable. Hoping to eliminate avoidable harms, the World Health Organization (WHO) published the Global Patient Safety Action Plan in July 2021. The UK's National Health Service relies on several measures, including ‘never events’, ‘serious incidents’, ‘patient safety events’ and coroners’ Prevention of Future Deaths reports (PFDs) to monitor healthcare quality and safety. We conducted a systematic narrative review of PubMed and medRxiv on 19 February 2023 to explore the strengths and limitations of coroners’ PFDs and whether they could be a safety tool to help meet the WHO's Global Patient Safety Action Plan. We identified 17 studies that investigated a range of PFDs, including preventable deaths involving medicines and an assessment during the COVID-19 pandemic. We found that PFDs offered important information that could support hospitals to improve patient safety and prevent deaths. However, inconsistent reporting, low response rates to PFDs, and difficulty in accessing, analysing and monitoring PFDs limited their use and adoption as a patient safety tool for hospitals. To fulfil the potential of PFDs, a national system is required that develops guidelines, sanctions failed responses and embeds technology to encourage the prevention of future deaths.

Patient Safety Culture, Infection Prevention, and Patient Safety in the Operating Room: Health Workers' Perspective.

A hospital's patient safety culture affects surgical outcomes. Operating room safety culture has been overlooked despite the importance of patient safety. The AHRQ's Hospital Survey on Patient Safety Culture (HSOPSC) has been used worldwide to assess and enhance patient safety culture. This study examined how patient safety culture and infection prevention effect patient safety in the Operating Room (OR). This observational study used an online survey and included 143 OR workers. Descriptive statistics and multilinear regression were used to examine how patient safety culture and infection prevention affects level of patient safety. Most responders worked in excellent-accredited general hospitals. Most responders were male, aged between 26 to 40 years old, and had bachelor's degrees. Most were hospital-experienced nurses. Less than half had worked in units for over ten years. Organizational Learning - Continuous Improvement; Teamwork and Handoffs; and Information Exchange had the most positive responses in the OR. However, Staffing, Work Pace, and Patient Safety ranked lowest. Organizational Learning - Continuous Improvement and Hospital Management Support for Infection Prevention Efforts were found to affect OR patient safety level perceptions. According to the findings of our study, the overall patient safety culture in the operating room remains weak which highlights the importance of continuing efforts to improve patient safety in the OR. Further study could be directed to identify organizational learning in infection prevention to enhance the patient safety in the OR.

Perception of patient safety and associated factors among health staff: A cross-sectional study in some hospitals in Vietnam

Objectives: Patient safety is a global challenge of preventing and mitigating medical errors which might harm patients during their course of treatment and care. This research aimed to assess the perception of patient safety culture and its associated factors among health staff in some hospitals in Vietnam. Methods: A cross-sectional study was conducted in three hospitals in Vietnam with a total of 763 heath staff. This study used the Hospital Patient Safety Scale developed by the American Health and Quality Research Organization. Bivariate and multivariate regression were used to analyze the association between the overall perception of patient safety culture among health staff. Results: The overall perception of patient safety among health staff in three hospitals was on the average positive response at 39.19% with a score of 3.93. Among the 12 dimensions of patient safety culture, “Feedback and communication about errors” had the highest average positive response (92.5%) with a score of 4.25, however, “Frequent of event reported” scored the lowest percentage of positive responses (20.71%) with a score of 2.49. There are two factors of department and position being found to have significant association with overall positive responses. Staffs who worked at the subclinical department are more likely to have overall positive responses than those who worked at the administration department, with an adjusted odds ratio of 2.76 (95% CI = 1.22 – 3.86). Nurses were less likely to have overall positive responses than doctors, with an adjusted odds ratio of 0.65 (95% CI = 0.45 – 0.95). Conclusion: This study reported that “Frequent of event reported” aspects that need to be improved because they are strongly related to patient safety culture and to knowledge exchange among health staff. It has been suggested that hospitals should deliver patient safety training courses and establish a supportive learning environment to improve these challenges. Keywords: Patient safety, patient safety culture, Hospital Survey on Patient Safety Culture (HSOPSC), hospital, health staff, Vietnam.

The Effect of Professional Autonomy and Nursing Work Environment on Nurses’ Patient Safety Activities: A Perspective on Magnet Hospitals

Aim. This study aimed to identify the effects of nurses’ professional autonomy and work environment on patient safety in general hospitals. By understanding this relationship, we sought to identify practical measures to improve patient safety in the healthcare context. Background. Professional autonomy and nursing work environments have positive effects on job performance, job satisfaction, and patient outcomes. Methods. Data were collected from 200 nurses working in general hospitals, using a cross-sectional survey design. The survey was conducted in 2021 using self-report questionnaires that included the Nursing Work Environment Scale and items on professional autonomy and patient safety activities. Results. The total professional autonomy score was 162.06 (range: 60–240). The mean scores of nursing work environment and nurses’ patient safety activities were 2.55 out of 4 and 4.22 out of 5, respectively. Multiple regression analysis revealed that professional autonomy (β = 0.234 and p = 0.001 ) and nursing work environment (β = 0.138 and p < 0.05 ) were identified as variables that had significant effects on patient safety activities. Among the independent variables, professional autonomy had the greatest influence on patient safety. Conclusion. The findings confirm the need to improve and find ways to enhance nurses’ professional autonomy and nursing work environment. Implications for Nursing Management. The findings confirm the need to improve and find ways to enhance nurses’ professional autonomy and the nursing work environment. Based on these findings, medical institutions and nursing managers should continue to make efforts to improve the nursing work environment to enhance patient safety, especially system improvements, expand nurse autonomy within medical institutions, strengthen hospital management support to evaluate its effectiveness, and further improve government-level policies and systems.

A study of error reporting by nurses: the significant impact of nursing team dynamics.

Error reporting is crucial for organisational learning and improving patient safety in hospitals, yet errors are significantly underreported. The aim of this study was to understand how the nursing team dynamics of leader inclusiveness, safety climate and psychological safety affected the willingness of hospital nurses to report errors. The study was a cross-sectional design. Self-administered surveys were used to collect data from nurses and nurse managers. Data were analysed using linear mixed models. Bootstrap confidence intervals with bias correction were used for mediation analysis. Leader inclusiveness, safety climate and psychological safety significantly affected willingness to report errors. Psychological safety mediated the relationship between safety climate and error reporting as well as the relationship between leader inclusiveness and error reporting. The findings of the study emphasise the importance of nursing team dynamics to error reporting and suggest that psychological safety is especially important to error reporting.

Penerapan Keselamatan Pasien Preoperasi dan Post Operasi di Rumah Sakit

This research examines how the study of the implementation of pre-and post-operative patient safety in hospitals. The research used by researchers is a Systematic Literature Review with data obtained from journals and research articles from 2013-2023. The data source platforms used in this study are Google Scholar and PubMed. In this study, it is known that patient safety is an important health problem worldwide, and patient accidents in the operating room can cause serious problems. This miscommunication situation is a potential threat to patient safety because issues can easily go unnoticed by the rest of the team. Hospitals must provide a useful framework of requirements and safety protocols to address these challenges. One standard that can be used is the surgical safety checklist designed by WHO. The use of this list, in research, can increase safety procedurally, when surgery is performed, and after the action is given. Not only that, but hospitals must also provide formal instructions through various activities such as seminars, workshops, to conferences needed to increase awareness regarding patient safety before and after surgery.

Penerapan Sasaran Keselamatan Pasien di Rumah Sakit: Literatur Review

This study examines how the literature review regarding the implementation of patient health goals in hospitals. The research used in this research is a qualitative research which is described descriptively. Various sources were processed in this study such as books, research results, journals, and research articles. The results of this study are patient safety is a variable for measuring and evaluating the quality of hospital services that have an impact on health services. One of the safety services in this hospital is the application of patient safety goals which starts with the accuracy of patient identification. This is because patient identification errors at the beginning of the service will continue to the next service error. Patient Safety Goals encourage specific improvements in patient safety including the Hospital Patient Safety Goal Standards. All of this must be done considering the complexity of hospital operations, of course, has the potential for errors. Furthermore, patient safety will have an impact on the patient's medical condition and increase health costs.

Effect of Early Warning Score on Length of Stay and Mortality of Non-Surgical Patients in the Intensive Care Room at Dr. Moewardi Hospital Surakarta

Background: One of the efforts to improve the quality of life and patient safety in hospitals is the use of the Early Warning Score (EWS). The purpose of this study was to analyze the effect of EWS on the length of stay and mortality of non-surgical patients in the intensive care unit of Dr. Moewardi Hospital Surakarta.Subjects and Method: This study is an observational study conducted using a prospective cohort study. A purposive sampling study conducted on June 10 - July 10 was carried out by taking a sample of 120 non-surgical patients in the ICU of Dr. Moewardi Hopital, Surakarta with inclusion and exclusion criteria. This study chose the early warning score as the independent variable and length of stay and mortality as the dependent variable. The method of collecting data on EWS, length of stay, and mortality was using an observation sheet filled out by the researcher. This study assessed differences in baseline characteristics and outcomes using the Chi-Square test and one-way analysis of variance (ANOVA).Results: There is a statistically significant effect of EWS on length of stay (p = 0.024). EWS also has a statistically significant effect on mortality p<0.001.Conclusion: There is an effect of EWS on the length of stay and mortality of non-surgical patients.Keywords: EWS, length of stay, mortality, non-surgical patients, intensive careCorrespondence: Luthfiana Nadhiifa Khoirunnisa. Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: luthfiana@student.uns.ac.id. Mobile: +62 82111170000.Indonesian Journal of Medicine (2023), 08(03): 310-316https://doi.org/10.26911/theijmed.2023.08.03.08

Penerapan Sasaran Keselamatan Pasien melalui Penilaian Resiko Jatuh yang Terintegrasi dengan Rekam Medik Elektronik

This study aims to discuss the methods used to implement patient safety standards through a fall risk assessment in a hospital integrated with electronic medical records, which were obtained from several research journals. The method used is a Literature Review, which originates from journal searches on online databases, including Pubmed, ProQuest, Clinical Key Nursing, and Science. The study results show that using technology to prevent falls in patients generally indicates positive results, which are very beneficial for both patients and improve the quality of patient safety in hospitals. In conclusion, there is a need for further development of how to prevent falls in patients at the hospital so that they can show even better results.
 
 Keywords: Assessment, Patient Safety, Nursing, Electronic Medical Records, Fall Risk

Pelaporan Indikator Mutu Keperawatan dengan Penerapan Berbasis Teknologi dan Sistem Informasi

This study aims to improve the application of unit quality indicator reporting through a digital system that makes it easier for nurses to access so that reports can be submitted quickly and accurately. The method used is a literature review of 11 kinds of literature and various other literature on improving the quality of nursing through the reporting system. The research results show that the basis for nurses in supporting the work program of the Department of Nursing is to maintain the quality or quality of nursing services, which is guided by hospital patient safety. One is implementing a technology-based and information system-based nursing quality indicator reporting system. In conclusion, reporting unit quality indicators becomes more accessible, faster, and precise. It becomes an effort to determine the quality of performance and nursing services in each nursing unit which is very beneficial for health workers, hospitals, and the community.
 
 Keywords: Nursing Quality Indicators, Hospital Information Systems, Digital Technology

A Literature Review: Implementation of SBAR Communication in The Implementation of Patient Safety in Hospital in Indonesia (Study in Indonesia

Background: In carrying out patient safety, the hospital has varied ways to maximize the implementation of patient safety, one of which is the use of effective communication as an effort to maximize the implementation of patient safety at the hospital. One of the effective communication methods is SBAR communication (Introduction, Situation, Background, Assessment, Recommendation) to achieve critical thinking skills and save time. SBAR communication used in effective communication is a system that is easy to remember amd a real mechanism used to convey a patient's condition that is critical or needs immediate attention and action. Purpose: The purpose of this study is to determine the application of effective SBAR communication in the implementation of patient safety in hospitals. Methods: The method used is to conduct literature reviews from various journals and articles related to the application of SBAR communication in hospitals and its implementation in patient safety in hospitals in Indonesia. The articles used are taken based on filtering through a database which is then filtered for titles, abstract to completeness and conformity with the research theme. Result: The results are implementation of the effective SBAR communication technique recommended by WHO has been used by most hospitals in Indonesia, although in practice there are still some things need to be fixed and managed but the implementation itself has proven to be effective and very influential on patient safety in the hospital. Conclusion: SBAR communication is an effective communication framework used in patient safety in hospitals. There are factors that influence the implementation of SBAR communication including experience, years of service of practitioner, equalization of perceptions and understanding of implementation related to SBAR techniques, socialization or debriefing related to the use of these techniques and the existence of SOPs in hospitals. In its implementation, SBAR communication is mostly considered effective and has a positive relationship with patient safety efforts.