Factors Affecting the Failure of Patient Safety Target Indicators in the Regional Hospital of the Datu Beru Takengon Central Aceh

The application of patient safety management is very important in an effort to prevent or minimize the occurrence of adverse patient safety incidents. The purpose of this study was to identify the factors that influence the achievement of patient safety target indicators. The method is a quantitative observational study with a cross sectional study approach. The study population was a nurse who worked in the inpatient room with a sample of 60 people who were taken by purposive sampling. The statistical test used is Multiple Linear Regression Analysis. The results of the Multiple Linear Regression Test show that knowledge, communication systems, commitment and experience (regression coefficient values ​​of 0.164, 1.1192, 0.528 and 1.169 have a positive influence on the achievement of patient safety goal indicators and leadership, risk management systems and reporting systems have a significant influence. Negative impact on the achievement of patient safety target indicators (regression coefficient values ​​of -0.064, - 0.967 and -0.281). The results of the t test were obtained that the communication system is the dominant factor that has a significant effect on the achievement of the patient safety goal indicators. Significant towards the achievement of patient safety target indicators. It is expected that input or consideration for the hospital in evaluating and improving hospital policies in increasing the achievement of patient safety target indicators is in accordance with existing targets.

Genetic Basis of Water Stress Tolerance in Triticum Aestivum L.

Water stress is a key constraint in grain production of bread wheat. Using genomic and advanced breeding tools, genetic improvement in wheat and other crops is possible under water stress conditions. Fifty wheat genotypes were screened against water stress using traits like relative water contents and excised leaf water loss. Two water stress tolerant (Chakawal-50 and mairaj-08) and two susceptible (9436 and Millat-11) genotypes were identified and crossed to develop F1, F2 and backcross generations. Genetic analysis was conducted for relative water contents, excised leaf water loss, cell membrane thermo-stability, photosynthetic rate, stomatal conductance, CO2 assimilation, chlorophyll contents, plant height, flag leaf area, specific flag leaf area, peduncle length, spike length, number of tillers per plant, grain weight per spike, number of grains per spikes, 1000-grain weight, grain yield per plant and harvest index. Presence of additive, dominance and epistatic components were identified. Gene action was found complex showed that selection should be done in later generations for improvement of traits. Medium to high broad sense heritability, low to medium narrow sense heritability and low to high genetic advance was observed. Analysis under normal and water stress conditions revealed heterosis for relative water contents, excised leaf water loss, chlorophyll contents and plant height. Correlation analysis showed that relative water contents, cell membrane thermo-stability, photosynthetic rate and grain yield per plant were positively correlated with each other. Excised leaf water loss was negatively correlated with cell membrane thermo-stability, photosynthetic rate, relative water contents and grain yield per plant. A total of 30 ISSR markers were used to survey F2 population developed by a cross of Chakawal-50 (tolerance) and 9436 (susceptible) revealing a lots of DNA polymorphism. DNA polymorphism was used to construct genetic linkage map. In linkage analysis 73 bands produced from 4 ISSR markers were mapped on chromosomes. One QTL for photosynthetic rate on chromosome 3A, one for cell membrane thermo-stability on chromosome 2B and one for relative water contents on chromosome 4D was identified. These QTLs could be used to mold wheat genome into water stress tolerant wheat genome.