Article Per Year (5 Year)
p-Index From 2021 - 2026
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This Author published in this journals
All Journal Jurnal EduHealth Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa)
Rasmi Zakiah Oktarlina
Program Studi Pendidikan Dokter, Fakultas Kedokteraan, Universitas Lampung
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Systematic Study of Risk-Based Medical Waste Management in Teaching Hospitals Nawra Madzura; Rasmi Zakiah Oktarlina; Ratri Mauluti Larasati; Novita Carolia
Jurnal EduHealth Vol. 17 No. 02 (2026): Jurnal EduHealt, April - June
Publisher : Sean Institute

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Abstract

Background: Teaching hospitals are highly complex due to the integration of service, education, and research functions, resulting in a larger and more varied volume of hazardous medical waste. A risk-based management approach is crucial to mitigate occupational health impacts and environmental pollution. Objective: This systematic review aims to analyze risk-based medical waste management practices, operational indicators that determine waste generation, and control strategies in teaching hospitals. Methods: This study used the Systematic Literature Review (SLR) method following the PRISMA protocol. Article searches were conducted in Scopus, ScienceDirect, and Taylor & Francis databases for publications from 2021–2026, resulting in 9 primary articles for synthesis. Results: Risk analysis based on Failure Mode and Effects Analysis (FMEA) showed that the waste transfer stage and direct exposure to body fluids were critical points with the highest risks. In the laboratory area, risks were dominated by chemical and ergonomic hazards. Medical waste generation was strongly correlated with hospital operational indicators such as Bed Occupancy Rate (BOR), Bed Turnover Rate (BTOR), duration of hospitalization, and infection rates (HAIs). For final treatment, incineration is the optimal choice based on a multi-criteria decision-making (MCDM) for large capacities, while a combination of chemical disinfection and pyrolysis offers the most environmentally friendly option based on a Life Cycle Assessment (LCA). Human factors, particularly training frequency, have been shown to be a key predictor of staff sorting compliance. Conclusion: Medical waste management in teaching hospitals requires an integrated management system that combines periodic risk assessments, sustainable treatment technologies, and continuous staff training.
Factors Influencing the Success of E-prescribing in Hospitals: A Literature Review Nadia Miftahul Aini; Rasmi Zakiah Oktarlina; Selvi Marcellia; Syazili Mustofa
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
Publisher : SEAN Institute

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Electronic prescribing (e-prescribing) is an information technology–based innovation in healthcare systems aimed at improving patient safety and quality of care, particularly in the medication prescribing process. The implementation of e-prescribing in hospitals has been shown to reduce medication errors; However, its success is influenced by various complex and multidimensional factors. This study aims to identify and analyze the factors affecting the successful implementation of e-prescribing in hospitals using a literature review approach. The results indicate that the success of e-prescribing implementation is influenced by individual factors (knowledge, attitudes, and user skills), technological factors (system quality, user interface design, and clinical decision support systems), organizational factors (management support, infrastructure readiness, and workflow), and policy factors (regulations and interoperability standards). Additionally, several barriers were identified, including limited infrastructure, user resistance, alert fatigue, and technology-induced errors that may affect system effectiveness. Therefore, a comprehensive and integrated approach is required to optimize the implementation of e-prescribing in improving patient safety and healthcare service quality in hospitals.
Co-Authors Nadia Miftahul Aini Nawra Madzura Novita Carolia Ratri Mauluti Larasati Selvi Marcellia Syazili Mustofa