Competency Mentoring Failure Mode and Effect Analysis (FMEA) as Effort for Early Detection of Healthcare Service Problems at RSUD Sadikin

Adila Kasni Astiena; Rizanda Machmud; Rima Semiarty; Yuniar Lestari; Firdawati; Husna Yetti; Rosfita Rasyid; Ida Rahmah Burhan; Hardisman; Abdiana; Zurayya Fadilla; Nelmi Silvia; Anung Respati; Dyanti Oktalina

doi:10.25077/jwa.33.2.146-155.2026

Authors

Adila Kasni Astiena Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Rizanda Machmud Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Rima Semiarty Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Yuniar Lestari Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Firdawati Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Husna Yetti Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Rosfita Rasyid Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Ida Rahmah Burhan Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Hardisman Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Abdiana Andalas University
Zurayya Fadilla Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Nelmi Silvia Department of Public Healhh and Community Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Anung Respati Regional General Hospital of Sadikin, Pariaman City, Indonesia
Dyanti Oktalina Regional General Hospital of Sadikin, Pariaman City, Indonesia

DOI:

https://doi.org/10.25077/jwa.33.2.146-155.2026

Keywords:

Keywords: Early detection, FMEA, hospital, patient safety, service quality

Abstract

Hospitals are not systematically designed to detect service errors as in non-healthcare products, thus increasing risks to patient safety. RSUD Sadikin in Pariaman City, which has been operating for only seven years, has not yet established mechanisms or training to detect service errors. This community service activity aimed to enhance managerial competence in managing the risk of healthcare service errors through the application of Failure Mode and Effect Analysis (FMEA). The activity was conducted in the form of a workshop involving 30 participants from top, middle, and lower management levels in Oktober-November 2025 at Sadikin Hospital. FMEA competence was assessed before and after the workshop using a paired t-test. The results showed that the mean pre-test score was 70.67 (SD±17.604) and the post-test score was 84.67 (SD±14.794), with an improvement of 14.00 points (SD±14.004), which was statistically significant (p=0.000). These findings indicate that the FMEA workshop effectively improved participants’ managerial competence in early detection and mitigation of service risks. Follow-up mentoring is recommended to evaluate the sustainability of training effects at 3, 6, and 9 months after the activity.

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