Keselamatan pasien merupakan prinsip dasar dari pelayanan kesehatan yang memandang bahwa keselamatan merupakan hak bagi setiap pasien dalam menerima pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui evaluasi penatalaksaan standar operasional prosedur handover, komunikasi terapeutik, dan lingkungan kesehatan terhadap kepuasan pasien di Rumah Sakit Umum Haji Medan. Jenis penelitian metode kuantitatif merupakan penelitian analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 52 pasien di Rumah Sakit Haji dan semua populasi dijadikan sampel. Teknik pengumpulan data dilakukan dengan menggunakan angket kuesioner. Analisa data menggunakan analisa univariat, chi square dan analisis regresi berganda. Hasil penelitian menunjukkan bahwa ada hubungan antara evaluasi penatalaksaan standar operasional prosedur handover terhadap kepuasan pasien dengan p-value 0,000<0,05, nilai OR = 18,125 dan nilai koefisien regresi 0,410, hubungan komunikasi terapeutik perawat terhadap kepuasan pasien dengan p-value 0,000<0,05, nilai OR = 7,138 dan nilai koefisien regresi 0,255, hubungan antara kesehatan lingkungan rumah sakit terhadap kepuasan pasien dengan p-value 0,000<0,05, nilai OR = 5,571 dan nilai koefisien regresi 0,120. Kesimpulan menunjukkan bahwa ada hubungan antara management evaluasi standar operasional prosedur handover, antara komunikasi terapeutik perawat dan lingkungan kesehatan rumah sakit dan kepuasan pasien di Rumah Sakit Haji Medan.Kata Kunci : Handover, Komunikasi Terapeutik, Kesehatan Lingkungan, Kepuasan pasien di Rumah Sakit Haji Medan. Patient safety is a basic principle of health services which views that safety is the right of every patient in receiving health services. The study aimed to determine the evaluation of the management of standard operating procedures for handover, therapeutic communication, and environment health on patient satisfaction at Haji Hospital Medan. The research was quantitatively analytic with a cross-sectional approach. The stuay population was 52 patients in Haji Hospital. All were taken as the sample. Data collection techniques using a questionnaire. Data analysis used bivariate analysis, chi-square and multiple regression analysis. The results of the study were based on the relationship between evaluation of the standard operational management of handover procedures on patient satisfaction with p-value 0.000<.05, OR value = 18.125 and regression coefficient value .410; nurse therapeutic communication relationship to patient satisfaction with p-value .000<.05, OR value = 7.138 and regression coefficient value .255; The relationship between hospital environment health and patient satisfaction with p-value 0.000<.05, OR value = 5.571 and regression coefficient value .120. The conclusion showed there was a relationship between evaluating the management of standard operational procedures handover, between nurse therapeutic communication and environment health hospital, and patient satisfaction at Haji Hospital Medan.Keywords: Handover, Therapeutic Communication, Environmental Health, Patient Satisfaction, Haji Hospital Medan