REDUCING THE RISK OF ACCIDENTS AND INFECTIONS IN THE WORKPLACE: EVALUATION OF OHSMS IMPLEMENTATION IN TYPE B HOSPITALS IN ACEH

Background: Hospitals are a work environment with a high risk of
occupational accidents and occupational diseases, including infections.
The implementation of the Occupational Health and Safety
Management System (OHSMS) is crucial to mitigate this risk.
However, the effectiveness of SMK3 implementation in Type B
hospitals in Aceh, Indonesia, still faces various challenges that require
in-depth evaluation. Objective: This study aims to evaluate the factors
that affect the successful implementation of SMK3 in Type B hospitals
in Aceh. The factors analyzed included policies, planning, implementati
on practices,monitoring and evaluation, and performance improvement.
Methods: This study used a descriptive quantitative design with an
evaluative approach. The study sample was the entire population
(census) of 9 Type B hospitals in Aceh, with 356 respondents
consisting of safety managers, section heads, and related staff. Data
collection was carried out through structured questionnaires, interviews
, and observations. Data analysis was conducted using Partial Least
Squares Structural Equation Modeling (PLS-SEM) with SmartPLS 3.0
software. Results: The results of the analysis showed that policies
(t=3.49), implementation practices (t=2.10), monitoring and evaluation
(t=4.00), and performance improvement (t=2.39) had a positive and
significant influence on the success of SMK3 implementation. Planning
factors showed no significant effect (t=1.95; p=0.052). The research
model showed high predictive power (R² = 0.88). Conclusion: The
successful implementation of SMK3 in Type B hospitals does not
depend only on written policies, but is significantly influenced by
implementation practices in the field, a strong monitoring and
evaluation system, and a commitment to continuous performance
improvement. Reinforcement on these aspects is essential to create a
safe and healthy work environment.