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All Journal Medika Trada Indonesian Journal of Health Research Innovation
Aries Widyoko
Politeknik Indonusa Surakarta
Chemical Engineering, Chemistry & Bioengineering Control & Systems Engineering Dentistry Electrical & Electronics Engineering Engineering Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health

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Analisis Faktor Yang Mempengaruhi Lama Perawatan Pasien Pasca Operasi Di RSUD Bung Karno Surakarta Dyah Ayu Pitaloka; Sri Wulandari; Aries Widyoko
MEDIKA TRADA Vol 7 No 1 (2026): MEDIKA TRADA (JTEMP) Vol 7 No 1 (2026)
Publisher : LPPM POLBITRADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59485/jtemp.v7i1.181

Abstract

A health service facility is a tool and/or place used to carry out health service efforts, both promotive, preventive, curative and rehabilitative. Hospitals must pay attention to the quality and safety of patients. One of the indicators of the quality of hospital inpatient services is Length of Stay (LOS). This study aims to analyze the factors that affect the Length of Stay (LOS) of postoperative patients at Bung Karno Hospital Surakarta and determine the most dominant factors. The research method used a retrospective quantitative design with patient medical record data for the period January-December 2025 as many as 350 samples determined using the Slovin formula. Data analysis was carried out bivariously using the Chi-square test and the Eta test, as well as multivariate analysis using binary logistic regression. The results of the study showed that most patients experienced non-ideal LOS. Age variables and comorbid diagnosis had a significant association with LOS, while gender, type of surgery, complications, way home, and payment type showed no significant relationship. Multivariate analysis showed that comorbid diagnosis was the most dominant factor influencing LOS, followed by age. The conclusion of this study shows that the length of postoperative patient care is more influenced by clinical conditions, especially comorbid diagnosis and age. Therefore, it is recommended that hospitals improve the management of patients with comorbidities as well as the quality of medical record recording to support clinical decision-making and improve service quality.
ANALISIS FAKTOR KELENGKAPAN PENGISIAN INFORMED CONSENT PASIEN BEDAH RAWAT INAP DI RUMAH SAKIT UMUM DAERAH BUNG KARNO KOTA SURAKARTA Rheina Arfiandita; Wahyu Ratri Sukmaningsih; Aries Widyoko
Indonesian Journal of Health Research Innovation Vol. 3 No. 3 (2026): Indonesian Journal of Health Research Innovation
Publisher : Yayasan Menawan Cerdas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64094/yeq5qx06

Abstract

Kelengkapan pengisian informed consent merupakan salah satu indikator mutu pelayanan rekam medis di rumah sakit. Ketidaklengkapan pengisian informed consent dapat berdampak pada aspek administrasi, mutu pelayanan, keselamatan pasien, serta perlindungan hukum bagi tenaga kesehatan dan rumah sakit. Penelitian ini bertujuan untuk menganalisis kelengkapan pengisian informed consent pasien bedah rawat inap serta faktor yang memengaruhinya berdasarkan Theory of Planned Behavior di Rumah Sakit Umum Daerah Bung Karno Kota Surakarta. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan pendekatan kualitatif. Sampel penelitian sebanyak 300 dokumen informed consent pasien bedah rawat inap yang dipilih menggunakan teknik simple random sampling. Pengumpulan data dilakukan melalui observasi menggunakan checklist dan wawancara mendalam terhadap Dokter Penanggung Jawab Pasien (DPJP), Profesional Pemberi Asuhan (PPA), dan kepala ruang rekam medis. Analisis data dilakukan secara deskriptif dengan pendekatan Theory of Planned Behavior yang meliputi attitude toward the behavior, subjective norm, dan perceived behavioral control. Hasil penelitian menunjukkan bahwa tingkat kelengkapan pengisian informed consent masih belum mencapai standar ideal 100%. Review autentifikasi memiliki tingkat kelengkapan tertinggi sebesar 96,23%, sedangkan review identifikasi memiliki tingkat ketidaklengkapan tertinggi sebesar 33%. Faktor yang memengaruhi kelengkapan pengisian informed consent meliputi sikap positif tenaga kesehatan terhadap pentingnya informed consent, adanya dorongan dari pimpinan dan rekan kerja, serta hambatan berupa tingginya beban kerja, keterbatasan waktu pelayanan, dan sistem pengisian yang masih manual. Kesimpulan penelitian menunjukkan bahwa kelengkapan pengisian informed consent masih perlu ditingkatkan melalui evaluasi rutin, sosialisasi, monitoring, serta penerapan sistem reward and punishment guna meningkatkan kepatuhan tenaga kesehatan dalam pengisian dokumen rekam medis.
Co-Authors Dyah Ayu Pitaloka Rheina Arfiandita Sri Wulandari Wahyu Ratri Sukmaningsih