Article Per Year (5 Year)
p-Index From 2021 - 2026
0.408
P-Index
This Author published in this journals
All Journal Community Medicine and Education Journal International Journal of Health, Engineering and Technology
Siswanto Pabidang
Regional Coordinator of XIV East Java Regions, Indonesian Health Facility Accreditation Institute, Jakarta, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Dentistry Education Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Adaptive Leadership and Evidence-Based Policy in Hospital Financial Crisis Management During Disruption: A Systematic Review and Meta-Analysis Katerine Katerine; Siswanto Pabidang
Community Medicine and Education Journal Vol. 7 No. 1 (2026): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v7i1.885

Abstract

Hospital financial resilience during crises requires adaptive leadership—the capacity to diagnose complex system challenges and mobilise sustained organisational change. Systematic evidence on adaptive leadership effectiveness in hospital crisis management remains fragmented. Objectives: To synthesise quantitative evidence on the effectiveness of adaptive leadership interventions for improving hospital organisational performance during financial and operational disruptions. Systematic review with meta-analysis using the PRISMA 2020 framework. We searched PubMed, ScienceDirect from 2017–2026 for studies examining adaptive leadership or resilience outcomes in hospital settings during financial or operational crises. Two independent reviewers extracted data and assessed risk of bias using Newcastle-Ottawa Scale (NOS). We estimated effect sizes (Hedges g) from 6 of 7 studies with estimated correlation coefficients (inter-rater reliability ICC=0.85), converted via d = 2r/√(1−r²). Random-effects meta-analysis used DerSimonian-Laird estimator. Certainty of evidence assessed via GRADE. Seven studies (k=7) contributed to meta-analysis; 10 to systematic review. Pooled standardised mean difference (SMD) = 0.467 (95% CI: 0.305–0.628, p<0.0001); I²=0% (Q=1.01, p=0.985). Effect remained robust in sensitivity analyses (leave-one-out: 0.445–0.493). Heterogeneity by study design minimal (Review k=3 SMD=0.476; Empirical k=2 SMD=0.438). GRADE assessment: moderate certainty (downgraded for indirectness and effect size estimation). In conclusion, adaptive leadership interventions show small-to-moderate evidence-supported effect on hospital organisational performance during crises. This effect persists across study designs and contexts despite methodological heterogeneity. This meta-analysis provides initial quantitative synthesis to guide hospital policy-makers and clinical leaders in crisis management strategy selection.
Transforming Quality And Patient Safety Through Healthcare Facility Accreditation: A Systematic Review Muhammad Iqbal Maulana; Siswanto Pabidang
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.835

Abstract

Healthcare facility accreditation has been widely adopted as an external mechanism for quality assurance and patient safety improvement. However, evidence on its real-world effectiveness remains fragmented across diverse settings, accreditation bodies, and outcome measures. This systematic review aimed to synthesize available evidence on the impact of hospital accreditation programs on the quality of care and patient safety outcomes, comparing accredited with non-accredited hospitals or pre-accreditation status. We searched PubMed, Scopus, Epistemonikos, Cochrane Library, Web of Science, and Google Scholar for quantitative studies published from April 2000 until April 2026. Two independent reviewers screened studies and extracted data. Quality appraisal was conducted using the Newcastle–Ottawa Scale (NOS), ROBINS-I, and the Critical Appraisal Skills Programme (CASP) tool. Twenty-one studies from 13 countries met the inclusion criteria, encompassing cross-sectional surveys, quasi-experimental designs, interrupted time series, longitudinal studies, and qualitative case studies. Evidence predominantly favored accreditation, demonstrating consistent improvements in clinical process quality, patient safety culture, and patient satisfaction. Quasi-experimental and longitudinal designs provided the strongest evidence. Barriers included resource constraints, staff resistance, and variability in leadership engagement.  Accreditation is a promising driver of quality and patient safety improvement in hospital settings, particularly when coupled with strong organizational leadership and adequate resourcing. Future research should employ more rigorous study designs and standardized outcome metrics to strengthen the evidence base.
Co-Authors Katerine Katerine Muhammad Iqbal Maulana