Nurcahyo Andarusito* and Najib Askar

Magister Administrasi Rumah Sakit, Universitas Respati Indonesia, Indonesia

*Corresponding Author: Nurcahyo Andarusito, Magister Administrasi Rumah Sakit, Universitas Respati Indonesia, Indonesia.

Received: February 02, 2026; Published: May 31, 2026

Patient safety incident reporting is a critical component of quality improvement efforts and the prevention of recurrent adverse events in hospitals. However, in practice, incident reporting continues to face various barriers related to healthcare workers’ attitudes and organizational culture. Patient safety culture is regarded as a key factor in shaping a work environment that supports openness, learning, and a sense of safety in reporting patient safety incidents. This study aimed to analyze the role of patient safety culture in fostering attitudes toward patient safety incident reporting in hospitals. A quantitative analytic study with a cross-sectional design was conducted. The study respondents consisted of 178 nurses and midwives working at UMMI Hospital, Bogor. Data were collected using the Hospital Survey on Patient Safety Culture questionnaire to measure patient safety culture, along with a questionnaire assessing attitudes toward patient safety incident reporting. Data analysis was performed using univariate, bivariate, and multivariate analyses with multiple linear regression. The results showed that patient safety culture plays a significant role in shaping attitudes toward patient safety incident reporting. Several dimensions of patient safety culture—particularly open communication, handoff and information transition processes, and a non-punitive approach to errors—demonstrated a dominant influence on incident reporting attitudes. These findings indicate that a work environment that supports openness and learning from errors can enhance healthcare workers’ readiness to report patient safety incidents. The conclusion of this study emphasizes that strengthening patient safety culture is an important strategy for fostering positive attitudes toward patient safety incident reporting in hospitals. Efforts to improve patient safety should not rely solely on the provision of reporting systems, but also require organizational commitment to building a safety culture that supports open communication, continuous learning, and a non-blaming approach.

Keywords: Patient Safety Culture; Incident Reporting Attitude; Patient Safety Incident; Hospital Safety; Nursing Practice; Organizational Culture

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Citation

Citation: Nurcahyo Andarusito and Najib Askar. “The Role of Patient Safety Culture in Fostering Incident Reporting Attitudes in Hospitals". Acta Scientific Medical Sciences 10.6 (2026): 53-62

Copyright

Copyright: © 2026 Nurcahyo Andarusito and Najib Askar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.