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Model peningkatan kapabilitas inovasi nasional
Indonesia urgently needs to have a comprehensive model of Indonesia national innovation capability to become a reference in determining policies to enhance national innovation capability. The national innovation capability enhancement will be the success key for the country in the future. The purpose of this study is to design a simulation model that can represent related stakeholder behavior in national innovation capability enhancement. Interaction among stakeholders in the model of the Indonesia national innovation capability is very dynamic and complex. Thus, the use of dynamic system methodology in this study is very appropriate. Dynamic systems are able to analyze a system dynamically and change over time.
Output indicators used to measure the increase in the Indonesia national innovation capability is the number of publications, number of patents, and the value of exports of high technology products. The input data is used as the baseline is data in 2011. These data are as follows: Government Research and Development (R&D) funding IDR 3,104 billion, the number of publications 1,281, the number of patent 533, and high-tech exports product USD 5,728 million. The model is determined to run for 20 times. At the end point the number of publications becomes 245.131, the number of patents becomes 82,429, and exports of high technology products USD 71.901 million.
Then the model is performed by six simulation scenarios. Government R & D funding extra increase of 5% in the first scenario is very influential on the increase in all of the output of innovation, especially high-tech product exports increased by 92%. Then in the second scenario, the increase in the level of collaboration of 30% showed a large increase in the export of high-tech products by 32%. The increase in the level of competency of researchers by 30% in the third scenario shows an increase in innovation output, but smaller than changes in the increase in the level of collaboration. It is different when the two input variables are raised simultaneously in the fourth scenario, where all innovation output increases sharply, especially in the export of high-tech products. Meanwhile, an additional increase in industrial R & D of 5% in the fifth scenario resulted in an increase in exports of high-tech products by 32%. The increase in innovation output is even greater in the sixth scenario, that is, by making changes to all input variables, namely the increase in Government and Industry R & D funds by 5%, collaboration rates by 30%, researchers' competency by 30%. The resulting innovation output is the number of scientific publications increasing by 175%, 182% of patent applications, and 246% of high technology product exports.
This study is limited to the input variables which include research and development funds of the Government and industry, the level of collaboration between researchers and the level of competence of the researchers. The implication of the policy is that the Government must commit to continue to increase R & D funding to R & D institutions, universities, as well as to the industry. With the limited availability of Government R & D funds, the Government can optimize efforts to encourage continued collaboration between researchers or stakeholders. The interaction between stakeholders is very influential in accelerating national innovation capabilities. In addition, improving the competence of researchers is also very important to improve the ability of researchers to conduct research and development.
To develop the model further, further studies need to be done, namely: (a) the addition of input variables in addition to the rate of increase of R & D funding, the level of collaboration and the level of competence of researchers; (b) the magnitude of the impact of innovation output, for example on increasing the number of innovation products and technology-based startup companies; and (c) high-risk funding schemes for technology-based start-ups
Pemodelan pengawasan terpadu atas kebijakan penyaluran dan penjaminan kredit usaha rakyat dalam perspektif audit internal
Micro, Small and Medium Enterprises (UMKM) have a great potential contribution to the nation’s economy. As stated by the United Nations-Economic and Social Commission for Asia and the Pacific (UN-ESCAP 2017) and Asian Development Bank (ADB 2015), 96% of existing companies in Asia-Pacific are Small and Medium Enterprises (UKM), absorbing 62% of the workforce, and contributing to 42% of the gross domestic product (GDP). Similarly, Indonesia has a great potency of UMKM where number of UMKM accounting for 99.9% of total enterprises, with a growth rate is counted at 2.4% per year in late 2013. In terms of GDP, UMKM contributes Rp5 715 trillion or 60.3% of GDP, with a growth rate of 17.4% (ADB 2015).
Indonesian government has a concern on UMKM by providing an access to financing through Credit for the Business Program (KUR). In term of the delivered credit, the implementation of the KUR program has achieved its target. However, KUR also has some problems, such as high non-performance loan rate in some banks. One alternative solution to increase KUR performance is to improve the internal audit process. This research is designed to develop an integrated audit model between related internal audit units, especially internal audit at government institutions involved in the process of delivery and guarantee of KUR. Furthermore, this study aims to assess the relevancy of the regulations and procedures, to evaluate the capabilities of internal audit units involved in the KUR program, to evaluate the performance of delivery and guarantee of KUR, and to identify the critical success factors, as well as institutional strategies and forms of joint audit in developing the integrated audit model.
The step of study includes (1) Need analysis, (2) Problem definition, (3) Situasional Analysis, (4) System modelling, (5) Designing Integrated Audit Model, (6) System Validation, and (7) Discussion and Operationalization. In system modelling is using interpretive structural modelling (ISM) for determining critical success factors and using ANP in determining strategic for designing integrated audit.
The results of the situational analysis indicate that regulations need periodic alignment process, high NPL level of KUR on several banks, lack of capability in internal audit coordination and demand of significant improvement of the internal control system. Interpretive Structural Model (ISM) resulted that the elements on the independent sector and the linkage sector which need to be prioritized in the development of the integrated audit strategy. Based on these priority variables, the professional guidelines and the results of the study, through focus group discussion, 6 components (clusters) were selected with 21 elements (nodes) to be used in Analytical Network Process (ANP).
Based on the result of ANP process, 5 (five) elements become priorities in the development of the integrated audit on delivery and guarantee of KUR, which are (1) Graduated Debtor, (2) Non Performing Loan (NPL), (3) Amount of KUR Delivery and Guarantee, (4) Number of Receiving Debtors, and (5) Stakeholder’s commitment of Shared Goals. Three out of six priority clusters are (1) Target, (2) Alternative Strategy, and (3) Institutional. On the other hand, the priority elements of each component are (1) Stakeholder’s commitment on Shared Goals (Institutional), (2) Maturity of Internal Control System (Work Mechanism), (3) Auditor Competence (Personnel), (4) Internal Audit of the Guarantor Companies, Banks and Financial Authority (OJK), (5) Graduated Debtor (Target), and Coordinated Audit (Alternative Strategy).
The priorities of audit cooperation forms in sequence are coordinated audit, joint audit, and parallel audit. However, there is no one size fits for all. This form of audit cooperation depends on the audit purposes and the audit institution whose conducts the audit. Every internal audit needs to improve the auditor competence, the maturity of internal control system, its capability so that it will be ready to conduct audit cooperation
Evaluasi kinerja BUMN perkebunan setelah restrukturisasi
SOE’s restructuring is one of the government's efforts to improve performance and competitiveness of companies. However, this doesn’t necessarily occur due to differences in the challenges of change in the each SOE. Therefore, in order to lookthe impact of restructuring, it was conducted the research on performance evaluation of BUMN Perkebunan.
Data collection was carried out in May-November 2017 at the Plantation Holding Office, Jakarta. The data used are secondary data in the form of company financial statements during the period 2012-2016. The data is then processed using EVA to find out the economic value added by the company. Next is the identification of EVA value drivers using the BSC technique. Finally, analyze the performance value of the plantation holding driver with a Key Performance Indicator (KPI) comparison technique.
The results showed that the highest and the only one positive EVA were achieved before the restructuring, namely in 2012. After that, the EVA continued to decline and was at its lowest point in the third year after restructuring, namely in 2016. This decrease occur due to the influence of components which support EVA, such as corporate income and expenditure, beta (ß), return market (rm), risk free (rf), and the capital structure. To increase the EVA, the company has to do improvements, by increasing the income, reducing the expenditure, reviewing the interest rate (rf), and keeping the proportion of capital structure.
Themost important perspective to improve company performance are financial, customer, internal business processes, also learning and growth. This condition affects the determination of goals and perspective indicators that must be oriented to the financial aspect. As for the measurement of company performance, it was found that there were still indicators that had not met the target, especially from the perspective of the customer. This indicates the company's service is still not satisfactory, so it needs to be improved. Furthermore, the service indicator can have an impact on customer loyalty and company revenue if it is not repaired
Strategi pengembangan bisnis madu pada cv ath-thoifah melalui pendekatan business model canvas
Honey has many benefits not only as a medicine but also can be used as a food supplement. The market opportunities for honey business is still very wide open, this is indicated by the high value of Indonesian honey imports compared to the export value (net importer). CV Ath-Thoifah as one of the enterprises of small and medium-scale enterprises, which focuses on honey processing industries that contribute to the fulfillment of domestic honey. The need for repairs and improvements to the company's business model is one of the strategies that can be developed by the company. Therefore, it should be made mapping the company’s business model using the business model canvas.
The objective of this study is to identify the business model of CV Ath-Thoifah approach to mapping business model canvas, draw up a business model canvas repair, organize and prioritize strategic alternatives for the development strategy of honey business at CV Ath-Thoifah. The method used in this research is a descriptive method in the form of case studies. This study used Business Model Canvas (BMC) approach to map the organization's current business model then continued with priority analysis on the nine elements to get the highest priority elements using Importance Performance Analysis (IPA), for the determination of priority used Analytical Hierarchy Process (AHP) method.
The results showed nine elements of the business model canvas at CV Ath-Thoifah currently. Based on the analysis of IPA was chosen three priority elements there are key activities, key partnerships, and cost structure, and four elements that affected the development of the business model canvas there are customers segments, customer relationships, channels, and key resources. Key activities, key partnerships, and cost structure were analyzed using SWOT and alternative strategy was obtained using SWOT matrix. The determination of strategic priorities is selected using the SWOT-AHP combination method. Strategic priorities selected in key activities element was to improve communication to the community about the benefits of Ath-Thoifah’s honey, holding training human resources with the external at regular intervals, implementing the production process in accordance with the principles of Good Manufacturing Practices (GMP) and included the certification of BPOM on product packaging, strategic priorities in key partnership elements is to develop a marketing system including promotional programs and recruitment of new employees, strategic priorities in cost structure elements is performed production efficiency and review the suitability of the selling price of bottle
Analisis pengembangan model bisnis rizky food
Indonesia has an abundance of marine potential. Fisheries sector in Indonesia has a stable increase in production over the years. West java is one of the provinces in Indonesia which has great potential of marine and fisheries resources. Fishery resources in Indonesia are abundant but unfortunately, under nutrition especially from animal source protein is still occurring in many of Indonesian population. Indonesian fish consumption rate is still pretty low, whereas annual fish supply is continuously increasing. Fast food consumption pattern has become a trend in Indonesia. In case of fast food consumption, nutritional status has to be considered. Fish are foodstuff group which have high nutrient content but yet they are perishable food. In order to prolong the fish shelf life, there are many efforts that can be done, one of them is by fish processing. One of the fish processing unit in Indonesia is Rizky Food which is an micro small business that run in fisheries product processed food area which provide fast food type such as frozen seafood.
The research objective is to formulate an alternative strategy in developing Rizky Food based on Business Model Canvas. This research was performed by using descriptive method based on primary and secondary data. Primary data was obtained from pre-Focus Group Discussion, questionnaire and interview and also Focus Group Discussion. Whereas, secondary data was obtained from various relevant sources. The respondents’ sides in this research were divided into two groups which were internal and external side. Data analysis and processing technique in this research were qualitative descriptive analysis, KSF determination, and identification of current business model canvas, SWOT analysis of all nine canvas element, business model canvas improvement and formulating Rizky Food business development strategy.
This research produced five alternative strategies for business development, namely: (1) market development, (2) partners addition, (3) increase in venture capital, (4) brand awareness improvement, and (5) human resources quality improvement. Rizky Food therefore was advised to implement these research results as a strategy for their business development
Kajian faktor penentu minat penggunaan ulang aplikasi mobile-commerce untuk melakukan pembelian online
The development of technology in human life makes the process of buying and selling is currently underway with the online system. Buy and sell transactions using electronic devices are also called e-commerce. The development of e-commerce brought changes in business activities that have been run in the real world and then developed into the virtual world. This phenomenon makes many retail stores have decreased profits and even closed. Although the number of electronic transactions using e-commerce in Indonesia is high, the level of e-commerce penetration in Indonesia is low compared to ASEAN countries.
E-commerce companies see the opportunity to make their e-commerce into the form of applications on smartphones that are more easily accessed by users. This application is called mobile-commerce or m-commerce and predicted to dominate the field of business and society in comparison with e-commerce. The use of e-commerce applications that exist in the smartphone or also called m-commerce is one of the adoption of technology to conduct purchase transactions. This study has several objectives, the first goal is to know know the effect of perceived usefulness, attitude of the use of m-commerce applications, subjective norms, and behavioral control of interest in m-commerce applications on smartphones for online purchases. The second goal is to analyze the ease of use of perceived usefulness. The third objective is to analyze the effect of ease of use and perceived usefulness on the attitude of using m-commerce applications for online purchases. The fourth objective is to analyze the effect of security perception on the interest of using m-commerce application for online purchase.
This study uses descriptive quantitative method that provides an overview of an event or symptoms in a particular place by using data processing in the form of numbers with statistical tools with surveys conducted on people who have used m-commerce applications to make online purchases. Consumers who became respondents in this study as many as 200 people. The analytical tool used is Structural Equation Modeling (SEM) with an alternative method based on variance or component based SEM called Partial Least Square (PLS) using Smart PLS version 2.0 software.
Based on the result of research there is significant influence from the attitude of the use of m-commerce application to the interest of using m-commerce application for online purchase with effect coefficient equal to 0,226 with t-count (4.53) bigger than t-table (1,96). The security factor significantly influenced the interest of using m-commerce application with the effect coefficient of 0.223 with t-count (4.98) bigger than t-table (1,96). The perceived usefulness has a significant effect on the interest of using m-commerce application with the effect coefficient of 0.203 with t-count (4.03) greater than t-table (1.96). Behavioral control significantly influences the interest of using m-commerce application with influence coefficient 0,119 with t-count (2,16) bigger than t-table (1,96). Ease of use has a significant effect on perceived usefulness with the effect coefficient of 0.601 with t-count (18.90) greater than t-table (1.96). Ease of use has significant effect on the attitude of using m-commerce application with influence coefficient 0,173 with t-count (3,98) bigger than t-table (1,96). The perceived usefulness significantly affects the attitude of using m-commerce application with the effect coefficient of 0.487 with t-count (12,93) bigger than t-table (1,96)
Analisa perbandingan tingkat efisiensi bank umum syariah di indonesia
One of the interesting sectors in Indonesia is the sharia banking. Banking in generally is an important aspect of economic growth. According to (Miranti, 2016), Since the 1980s, the need for alternative banking services began to grow. This was initiated by the Indonesian Ulama Council (MUI) to establish the first sharia bank in Indonesia under the name of Bank Muamalat Indonesia (BMI) which effectively operated on May 1st, 1992. After the establishment of the BMI, sharia banking regulations explicitly began issuing UU No. 10 of 1998 on amendment to UU No. 7 of 1992. This provides opportunities for conventional banks to open sharia units, so the government began to organize the existence of Islamic banking comprehensively by issuing UU no. 21 of 2008 concerning about sharia banking. Sharia banks in Indonesia is experiencing slower growth in 2014-2015. There are many factors that can be attributed to this slower growth. One such factor is the competitiveness of sharia banks in the banking system, because, in a dual banking system, sharia banks are faced with direct competition with conventional banks.
This research selected the input and output variables in measuring the efficiency level by using Data Envelopment Analysis (DEA) analysis with the intermediation approach done by (Hosen, 2013), and (Hidayat, 2011), where the input variable (X) used in this research is funds (deposito, savings, etc.) (X1), and labor cost (X2). Meanwhile, the output variable (Y) used is financing (Y1). Data Envelopment Analysis (DEA) is a tool that can be used to measure and compare the performance of a unit (DMU). This research used Charnes, Cooper and Rhodes (CCR) model collaborated with output orientation. The timeframe used in this research is 2014 and 2015. Then the result can be compared and analyzed using Malmquist index to know how the efficiency improvement happened. On the other hand, the CCR model projection tells how much improvement should be made by inefficient DMUs to achieve efficiency.
The result of measurement of eleven sharia bank in Indonesia in 2014 is two of eleven banks have efficiency score equal to one (? = 1). In 2015 also gives a similar result that two banks have an efficiency score equal to one, but with different compositions. This means there are banks that have increased efficiency or decreased efficiency. The two Islamic banks that have an efficiency score equal to one are Bank Panin Syariah and Maybank Syariah
Pengaruh relationship marketing terhadap customer retention bank aceh syariah di kota banda aceh
The Islamic Sharia law has been implemented in Aceh for 12 years and used in all aspects of life including banking sectors. The growing competition leads bank to increase their customer satisfaction in order to retain the customer. Aceh Sharia Bank needs to follow the development of marketing strategy that has grown rapidly by implementing relationship marketing strategy that aimed to retain its customers. The purpose of this research is to analyze the influence of relationship marketing (quality service, communication, and trust) to customer retention and to formulate managerial implications in case to increase customer retention Aceh Sharia Bank in Banda Aceh City.
Sample collection method in this study is used based on non-probability sampling method which is convenience sampling. The number of respondents in this research are 150 respondents which are obtained based on rule of thumb. Respondents were taken 5 from 10 branches of Aceh Sharia Bank in Banda Aceh City. The independent variable used in this study are consist of quality service, communication and trust, while the dependent variable is customer retention. Data processing and analysis performed in this study is the descriptive quantitative analysis assisted by SEM and LISREL 8.72 software as the tool of analysis.
The results show that there are positive and significant effects of each variable namely quality service, communication, and trust to customer retention. These results indicate that the better quality of service, communication, and trust given by the bank to customers will keep customers using Aceh Sharia Bank, or customer retention rate to Aceh Sharia Bank is higher.
To achieve the expected performance targets, it is necessary to have strategic planning supported by relationship marketing that focuses on developing and maintaining long-term relationships with customers. The strategy should be able to realize the creation of customer retention through relationship made by improving the quality of service, harmonious communication, enhancing customer trust by continuously providing information in a transparent manner and always giving a sense of security when transacting, increasing satisfaction by always giving sincere attention the employee of Aceh Sharia Bank will be able to increase customer retention. Customer retention can be realized if Aceh Sharia Bank continuously learns to provide customers’ needs and improve service quality so that customers can be satisfied with banking services from Aceh Sharia Bank. Thus, customer satisfaction is achieved so that it expected that they become loyal customers at Aceh Sharia Bank and retain at it
Analisis daya saing bawang merah di kabupaten pati jawa tengah
Shallot is one of horticulture commodities which obtains huge interest on national level in the period 2015 to 2019. In addition, it is also strategic horticulture commodities in national level. Pati Regency is one of regencies in Central Java which is prospective to cultivate. However, there are several problems, for example production and productivity decreased in 2012 to 2015. The other problems is small of production scale and few of shallot farming in Pati Regency. Shallot farming competes to commodities farming others in Pati Regency. Except shallot farming, the main farming in Pati Regency is rice farming. To take on globalization era, farmers should increase the competitiveness. Consequently, analysis of shallot competitivenss to rice farming in Pati Regency has to be conducted.
The data were taken on October, 2017. Farming data were taken in three sub-districts in Pati Regency. There were Wedarijaksa, Jaken, and Batangan. The marketing data were taken in Pati, Semarang, and Jakarta. The Farmers were taken by interview with 33 farmers choosen by convenience sampling. The marketing actors were taken by interview choosen by snowball sampling. Production factors, tecnical, economic, and allocative efficiency were analysed by Frontier 4.1. Analysis of B/C Ratio, benefit risk, marketing margins and distribution of marketing margins were analysed by Microsoft Excell.
The result of Stochastic Frontier Cobb-Douglas showed that several inputs influence significantly to shallot and rice production. The inputs influencing significantly to shallot production were land, seeds, organic fertilizer, and labour and the inputs influencing significantly to rice production were land, seeds, and organic fertilizer. The result of economis efficiency, allocative efficiency, B/C Ratio shallot to rice showed that competitiveness of shallot was higher than competitiveness of rice, but the result of technique efficiency, benefit risk, marketing margins, and distribution of marketing margins showed that competitiveness of shallot was lower than competitiveness of rice. The research concluded that shallot competitiveness was lower than rice competitiveness in Pati Regency. Therefore, the formulation strategy to increase shallot competitiveness in Pati Regency should be created.
The fomulation strategies which can be taken from the research to encourage shallot competitiveness in Pati Regency were as follows, a) increase of shallot seeds until 10 percent, b) use of true shallot seeds, c) increase of organic fertilizer until 10 percent, d) increase of labour for cultivation and post-harvest until 10 percent, e) use of Pest Integrated Management, f) co-operation farmers and marketing actors in central market in Pati, g) co-operation marketing actors inside and outside Pati Regency, and h) expansion of shallot distribution in outside Java Island
Pengaruh faktor kepemimpinan, pendidikan dan saluran komunikasi terhadap budaya keselamatan pasien
The patient safety goal is a requirement to be applied in all hospitals accredited by the Hospital Accreditation Commission. Increasing patient safety through management has been a major problem since 2000 where risk and safety management interventions are related to various aspects of the organization. An effective organizational culture is critical to the success of new initiatives in patient safety. In addition to efforts to meet human resource needs, improving the quality of human resources through improving patient safety culture needs to be carried out. For cultural improvement, it is necessary to understand the appropriate patient safety culture and to know how to measure and monitor it.
RSJPDHK (Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita) as the national reference center establishes the achievement of strategic objectives aimed at realizing the satisfaction of key stakeholders (patients) in the form of effective, appropriate, safe, patient centered, one stop service. However, with the increasing need for services, the increasing number of patients affects the waiting time in which treatments take longer time. The mitigation program for the realization of the master plan for new buildings and facilities is established to solve the problem. In the realization of the master plan, it is estimated that the number of human resources will be required to meet the service needs with the highest number of nursing personnel. Based on this background, the objectives of this study are to analyze patients safety culture of the nurses and among groups of nursing work units, to analyze the influence of leadership, education and communication channel factors on the patient safety culture, and to analyze the influence of the patient safety culture on its impacts (perception of patient safety, frequency of reporting, and number of reporting). This research used a descriptive approach with survey method which was conducted on nurse profession groups in RSJPDHK. Qualitative data were obtained through resource person interviews and focus group discussions. Sampling size was referred to Slovin method with a fault tolerance level of 10% to obtain a minimum sample number (n) of 88 people. The sample selection (n) of 100 nurses was determined based on Quota Random Sampling method. Data processing was conducted by ANOVA and SEM Partial Least Square (PLS) test. The safety culture of patients among groups of nursing work units showed that there was no significant difference. Perceptions of patient safety based on the results of the study showed a mean score of 3.63 or 73% (high category). Incident reporting frequency had an average score of 3.06 or 61% (medium category). Data on the number of incident reporting that had been filled and submitted based on this study showed that the number of reporting made was obtained from the 43 respondents in this study or as much as 43%. This showed that culture of reporting was reasonably high in nurses in which incident reporting has been considered important so that it can be the beginning of the learning process to prevent or avoid incidents. The results showed that leadership had a load factor value of 0.552 and a T-count value of 4.778 (T-count ? 1.96) which means there is a significant influence on the patient safety culture. Education/training showed a load factor value of 0.285 and a T-count value of 2.153 (T-count ?1.96) which means there is a significant influence on the patient safety culture. Meanwhile, the communication channel shows the value of load factor of 0.090 and the value of T-count of 0.741 (T-count? 1.96) which means there is no significant effect on safety culture. The safety culture of the patient shows a load factor value of 0.426 and a T-count value of 4,393 (T-count ? 1.96) which has a significant influence on the impacts (perceptions of patient safety, frequency of reporting, and number of reporting).
Leadership factor had a significant influence on patient safety culture and transformational leadership style was the most dominant with the highest t-count among other leadership styles. It is necessary to develop the need for leadership training that leads to the formation of a transformational leadership style. Training showed a significant influence on patient safety culture. Therefore, it is important for RSJPDHK to continuously improve the quality of training especially related to the job position, competence and teamwork to support the service. In addition, training was the first type of communication channel of choice to nurses at RSJPDHK as the most effective information intermediary related to patient safety. Intranet as one type of communication channels available in RSJPHK, although it is currently not a choice of the respondents related to patient safety; however, it should still be able to act as a medium of information to improve patient safety. It is; therefore, necessary to evaluate and improve its quality as well as to socialize it to the staff so that it can also become the communication channel of choice for the staff.
Patient safety culture on the nurses based on analysis of mean and Loading Factor showed “supervisor /manager expectations and actions promoting safety“ and “staffing” needs to get more attention and improvement. Meanwhile “center management support for patient safety”, “organizational learning continuous improvement” and “teamwork within center unit” are the best dimension and should be maintained.
Along with the new developments in researches related to the patient safety culture survey, suggestions for future researches are the need to conduct a survey of patient safety culture which not only measures based on staff perceptions on the patient safety culture but also links it to consumer reports regarding the consumer report related to the safety score toward the hospital in RSJPDHK. Therefore, it is expected to obtain a picture of research results related to patient safety culture which is more complete and directed to consumers, in this case, hospital patients and in accordance with the motto of the organization of "Patient First"