The primary concern in healthcare services within hospitals is patient safety. Quality management and patient safety are not only related to medical factors; several non-medical factors also influence them. These factors are personal, organizational culture, motivation, and patient safety culture. There has been no research at Koja Regional Hospital to date regarding patient safety culture related to personal factors, organizational culture, and motivation, which are crucial for implementing a patient safety culture as a primary step in improving service quality. This study aimed to identify and explain the factors that influence patient safety culture, including personal factors, organizational culture, and motivation. It used a cross-sectional design. Primary data were collected through questionnaires with 116 respondents. This study involved a dependent variable, Patient Safety Culture, two independent variables, Personal Factors and Organizational Culture, and one mediating variable, Motivation. It was analyzed using path analysis via Structural Equation Modeling (SEM). The results showed that personal factors have a significant positive effect on patient safety culture, indicated by a path coefficient of 0.311, a T-statistic of 3.603 (p = 0.000). Correspondingly, organizational culture plays a positive and significant role, with a path coefficient of 0.396 and a T-statistic of 2.957 (p = 0.003). The influence of organizational culture on motivation shows a path coefficient of 0.778 and a T-statistic of 11.996 (p < 0.000). To improve patient safety culture, Koja Regional Hospital requires simultaneous, complementary, and continuous interventions. The success of a patient safety program depends not only on individual abilities but also on innovation within a supportive organizational culture, good motivation, and a work environment that fosters patient safety.

The tariff measures launched during Donald Trump’s presidency substantially remodeled global trade patterns, with profound impact for India’s economy. This paper examines the impact of these tariffs on India’s export potential, trade balances, and sectoral growth, particularly in steel, pharmaceuticals, textiles, and agriculture. It also explores cascade effects through supply chain disruptions, shifts in bilateral trade relations, and the strategic reform of India’s trade policy. Using trade statistics, policy analysis, and global market trends, the study appraises both short-term and long-term impressions. The findings provide insights into how protectionisms abroad impact emerging economies like India, designing their economic sustainability and resilience measures.