Analysis of Factors Causing Work Accidents Using the Root Cause Analysis (RCA) Method at the Sumber Asih 1 Bitung Clinic

  • Veza Azteria universitas esa unggul
  • Meri Hasibuan Departemen of Public Health, Faculty of Health Science, Esa Unggul University
  • Desyawati Utami Departement of Public Health, Faculty of Health Science, Esa Unggul University
  • Raya Sumber Asih Clinic 1 Bitung Serang Banten Cikupa Tanggerang
  • Gisely Vionalita Department of Sociological Studies, University of Sheffield, United Kingdom
Keywords: Root Cause Analysis (RCA), Work Accident, Work Safety, Personal Protective Equipment (PPE)

Abstract

Work accidents are unexpected events that can result in property loss and loss of life. Occupational safety and health in health installations are defined as activities to guarantee and protect the safety and health of human resources in health installations, patients, and patient companions so that protection standards are created for workers in health installations to prevent and reduce the risk of these dangers. The research was conducted at the Sumber Asih 1 Bitung Clinic in August – December 2023. Based on data on accidents at the Sumber Asih 1 Bitung clinic last year, there were ten work accidents. This research analyzes factors related to work accidents at the Sumber Asih 1 Bitung clinic in 2023. The method used in this research is the root cause analysis (RCA) method with five why analysis. The data source for this research consisted of 4 workers at the Sumber Asih 1 Bitung clinic. The data collection technique uses the observation method and in-depth interviews, followed by the triangulation method to validate the research results. The research found that the causes of work accidents were environmental factors: Lack of lighting in several clinic areas, slippery floors, and limited movement space. Meanwhile, human factors include unsafe actions, Lack of work safety training, Lack of concentration at work, and Lack of awareness of workers using personal protective equipment. It is necessary to carry out K3 (Occupational Safety and Health) training so that workers know the importance of working safely.

References

Benny M.P Simanjuntak B. The Relationship of K3 Commitment to The Application of Safety and Health Management Systems in The Utility Division PT Almasindo Bogor. J Ilm Wijaya [Internet]. 2020 Jun 22;11(2):71–80. Available from:https://jurnalwijaya.com/index.php/jurnal/article/view/pv11n2p71

Nathan Ezie K, Amekpor F, Scott GY, Andigema AS, Musa SS, Takoutsing BD, et al. Healthcare Workers’ Safety; A Necessity for a Robust Health System. Ann Glob Heal [Internet]. 2023 Sep 6;89(1). Available from: https://annalsofglobalhealth.org/articles/10.5334/aogh.4167/

Jeleff M, Traugott M, Jirovsky-Platter E, Jordakieva G, Kutalek R. Occupational challenges of healthcare workers during the COVID-19 pandemic: a qualitative study. BMJ Open [Internet]. 2022 Mar 7;12(3):e054516. Available from: https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2021-054516

Adams JG, Walls RM. Supporting the Health Care Workforce During the COVID-19 Global Epidemic. JAMA [Internet]. 2020 Apr 21;323(15):1439. Available from: https://jamanetwork.com/journals/jama/fullarticle/2763136

Schaefer JD, Welton JM. Evidence based practice readiness: A concept analysis. J Nurs Manag [Internet]. 2018 Sep;26(6):621–9. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jonm.12599

Nurul Imam, Taufan Citra Darmawan, Siska Christianingsih, Khalifatus Zuhriyah Alfianti. Factors Affecting Nurse Response Time in Indonesian Hospital Emergency Installation: A Literature Review. Nurs Heal Sci J [Internet]. 2024 May 31;4(2):227–38. Available from: http://nhs-journal.com/index.php/nhs/article/view/372

Holifahtus Sakdiyah S, Eltivia N, Afandi A. Root Cause Analysis Using Fishbone Diagram: Company Management Decision Making. J Appl Business, Tax Econ Res [Internet]. 2022 Aug 30;1(6):566–76. Available from: https://equatorscience.com/index.php/jabter/article/view/103

Mega Astuti DR, Uwes Anis Chaeruman, Mulyadi. Penerapan Root Cause Analysis pada Penurunan Kinerja Karyawan. J Pembelajaran Inov [Internet]. 2019 Sep 1;2(2):133–43. Available from: http://journal.unj.ac.id/unj/index.php/jpi/article/view/12111

Mardiyanti ANS, Wahyuni A, Rahim MR. FAKTOR YANG BERHUBUNGAN DENGAN UNSAFE ACTS PADA PROYEK TRANSMISI SUTT 150 KV MATOPAS. Hasanuddin J Public Heal [Internet]. 2021 Feb 28;2(1):1–10. Available from: https://journal.unhas.ac.id/index.php/hjph/article/view/12433

Anisa Aprilianti, Sumiaty, Chaeruddin Hasan. Faktor yang Berhubungan dengan Tindakan Tidak Aman (Unsafe Action) pada Tenaga Kerja di PT. Maruki Internasional Indonesia Makassar. Wind Public Heal J [Internet]. 2022 Jul 6;3(1):70–81. Available from: https://jurnal.fkm.umi.ac.id/index.php/woph/article/view/347

Nabila SPN, Widowati E. Correlation between the factors of unsafe acts and unsafe conditions and the occurrence of work accidents among construction workers (a case study of PT X at Hospital Y project). Period Occup Saf Heal [Internet]. 2023 Jan 24;1(2). Available from: http://journal2.uad.ac.id/index.php/posh/article/view/6650

Panuwatwanich K, Roongsrisoothiwong N, Petcharayuthapant K, Dummanonda S, Mohamed S. Ambient Intelligence to Improve Construction Site Safety: Case of High-Rise Building in Thailand. Int J Environ Res Public Health [Internet]. 2020 Nov 3;17(21):8124. Available from: https://www.mdpi.com/1660-4601/17/21/8124

Uzuntarla F, Kucukali S, Uzuntarla Y. An analysis on the relationship between safety awareness and safety behaviors of healthcare professionals, Ankara/Turkey. J Occup Health [Internet]. 2020 Jan 17;62(1). Available from: https://academic.oup.com/joh/article/7249968

Wang Z, Jiang Z, Blackman A. Linking emotional intelligence to safety performance: The roles of situational awareness and safety training. J Safety Res [Internet]. 2021 Sep;78:210–20. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0022437521000827

Naderpour M, Nazir S, Lu J. The role of situation awareness in accidents of large-scale technological systems. Process Saf Environ Prot [Internet]. 2015 Sep;97:13–24. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0957582015001032

Ruwanto ZS, Widjanari MP, Reni Wijayanti. The Correlation Among Knowledge Of Occupational Safety And Health (Osh), Safety Awareness And Unsafe Action On Nurses In Hospital. J Vocat Heal Stud [Internet]. 2023 Mar 30;6(3):215–22. Available from: https://e-journal.unair.ac.id/JVHS/article/view/38489

Widiyani LR, Istyastono EP, Priyatni N. Root Cause Analysis (Rca) Of E-Catalogue Procurement Of Medicine Using E-Purchasing In Public Health Center In Klaten Regency Of Central Java. J Farm Sains dan Prakt [Internet]. 2023 Jun 1;114–25. Available from: https://journal.unimma.ac.id/index.php/pharmacy/article/view/7970

Zhenjing G, Chupradit S, Ku KY, Nassani AA, Haffar M. Impact of Employees’ Workplace Environment on Employees’ Performance: A Multi-Mediation Model. Front Public Heal [Internet]. 2022 May 13;10. Available from: https://www.frontiersin.org/articles/10.3389/fpubh.2022.890400/full

Ghahramani A, Amirbahmani A. A qualitative investigation to discover causes of occupational injuries and preventive countermeasures in manufacturing companies. Heliyon [Internet]. 2022 Sep;8(9):e10501. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2405844022017893

Pereira C, Delgoulet C, Santos M. Safety Concerns in a Portuguese Chemical Industry: A Workers’ Perspective. In 2021. p. 200–6. Available from: https://link.springer.com/10.1007/978-3-030-80288-2_24

Wachter JK, Yorio PL. A system of safety management practices and worker engagement for reducing and preventing accidents: An empirical and theoretical investigation. Accid Anal Prev [Internet]. 2014 Jul;68:117–30. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0001457513002972

Rémery V. The transmission of prudent knowledge in a work collective: Issues and perspectives on an enabling intervention for the preservation of health at work. Saf Sci [Internet]. 2022 Jul;151:105650. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0925753521004902

Pereira C, Delgoulet C, Santos M. Fostering workplace safety: An exploration of the priority given to safety knowledge transmission in occupational environments. Saf Sci [Internet]. 2023 Dec;168:106316. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0925753523002588

Okamoto R, Kojima R, Nakatsui M. Toward AI-supported evaluation for safety control measures against near-miss events in pharmaceutical products. Saf Sci [Internet]. 2023 Dec;168:106314. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0925753523002564

Noor Arzahan IS, Ismail Z, Yasin SM. Safety culture, safety climate, and safety performance in healthcare facilities: A systematic review. Saf Sci [Internet]. 2022 Mar;147:105624. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0925753521004641

Published
2024-07-24
How to Cite
1.
Azteria V, Hasibuan M, Desyawati Utami, Raya, Gisely Vionalita. Analysis of Factors Causing Work Accidents Using the Root Cause Analysis (RCA) Method at the Sumber Asih 1 Bitung Clinic. woh [Internet]. 2024Jul.24 [cited 2025May16];7(3):284-96. Available from: https://jurnal.fkmumi.ac.id/index.php/woh/article/view/1452
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Articles