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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga.
Suryanto Eko Agung Nugroho
Brawijaya University
Health Professions Medicine & Pharmacology Public Health

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Comparing Disaster Medical Records: Insights from a Tabletop Exercise Ari Prasetyadjati; Arifin; Nanik Setijowati; Suryanto Eko Agung Nugroho; Istan Irmansyah Irsan
Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 22 No. 1 (2026): June 2026
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol22.SMUMM1.44307

Abstract

Background: Medical records are crucial for healthcare management during disasters. However, the World Health Organization’s Emergency Medical Team Minimum Data Set (EMT-MDS) is a relatively new standard and remains unfamiliar to many practitioners. In Indonesia, its implementation is further challenged by language barriers, making evaluation against locally adapted documentation formats necessary. Objectives: This study compares the effectiveness of EMT-MDS with a conventional medical record prototype adapted from Indonesian Ministry of Health guidelines. Methods: A quantitative comparative study was conducted using a Table Top Exercise (TTX) simulation. Two simulation teams acting as Type 1 EMT managed 64 randomized cases using either the EMT-MDS or the conventional format. Results: Statistical analysis using Mann-Whitney, McNemar, and Kappa tests showed no significant differences in completion time (p = 0.642) or data completeness (p = 0.980). Wilcoxon One-Sample tests indicated that both systems performed below ideal reference standards. However, EMT-MDS demonstrated better decision-making quality, with higher agreement with scenario keys for patient outcomes (Kappa = 0.848) and coordination assessments (Kappa = 0.968). Conclusion: EMT-MDS better supports accurate decision-making. Therefore, it is recommended for adaptation into the Indonesian EMT documentation system, accompanied by language adjustments and enhanced training for medical personnel.
Emergency Department Length of Stay Prior to Surgery in Head Injury Patients Suryanto Eko Agung Nugroho; Tita Hariyanti; Taufiq Abdullah; Yuddy Imowanto; Dewi Puspitasari
Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 22 No. 1 (2026): June 2026
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol22.SMUMM1.44440

Abstract

Preoperative delays in traumatic brain injury (TBI) significantly increase morbidity and mortality. While general emergency department (ED) crowding is well-documented, specific bottlenecks bridging ED admission to neurosurgical intervention remain underexplored. This study identifies primary determinants prolonging ED length of stay (LOS) for preoperative TBI patients, offering a novel perspective on systemic versus clinical delays. This retrospective cohort study evaluated 102 head injury patients requiring emergency surgery at Dr. Saiful Anwar Hospital from January 2024 to June 2025. Mean ED LOS was 575.5 minutes (≈9.6 hours). Multivariate linear regression showed that prolonged boarding time and extended diagnostic durations were primary predictors of increased LOS (P < 0.05). Conversely, clinical factors like triage priority and staffing ratios did not significantly influence stay duration (P > 0.05). Notably, boarding time was the most dominant factor, accounting for 40.6% of LOS variance (R² = 0.406). These findings indicate that systemic operational inefficiencies in preoperative waiting and diagnostic workflows are more critical drivers of delay than patient acuity. Consequently, hospital management should prioritize optimizing inter-departmental coordination and emergency surgical pathways to improve outcomes for head injury patients.
Co-Authors Ari Prasetyadjati Arifin Dewi Puspitasari Istan Irmansyah Irsan Nanik Setijowati Taufiq Abdullah Tita Hariyanti Yuddy Imowanto