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EVALUATION OF STRATEGIES TO STRENGTHEN HOSPITAL RISK MANAGEMENT THROUGH THE IMPLEMENTATION OF CLINICAL RISK MANAGEMENT AT MURNI TEGUH MEMORIAL HOSPITAL Darma Abdinta Sitepu; Ermi Girsang; Sri Lestari Ramadhani Nasution
Journal of Gender and Social Inclusion in Muslim Societies Vol 7, No 1 (2026): Journal of Gender and Social Inclusion in Muslim Societies (JGSIMS)
Publisher : Pusat Studi Gender dan Anak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jgsims.v7i1.28725

Abstract

This study aims to evaluate the strategy for strengthening hospital risk management through the implementation of Clinical Risk Management (CRM) at Murni Teguh Memorial Hospital (MTMH). The research utilized a qualitative descriptive approach, with data collected through in-depth interviews, observations, and document reviews involving eight key informants from hospital management and clinical units. The findings reveal that while clinical risk identification and analysis are systematically conducted using incident reporting, clinical audits, and analytical tools like RCA and FMEA, operational challenges such as underreporting and high staff workloads remain. To address these issues, this study identified a five-pillar integrated CRM reinforcement model combining top-down and bottom-up approaches: leadership and risk governance, integrated CRM processes, human resource competency enhancement, a non-punitive safety culture, and continuous monitoring and evaluation. The implementation of this strategy has significantly improved the incident reporting culture, interprofessional coordination, and staff risk awareness. This demonstrates that strong top management commitment is crucial for sustaining patient safety improvements. 
Analysis of Service Quality and Its Impact on Infertility Patient Satisfaction at RSIA Stella Maris Medan Afra Nabila Ansar; Sri Lestari Ramadhani Nasution; Siti Zubaidah; Anjelimery P. Sihotang; Haryadi
International Journal of Science and Environment (IJSE) Vol. 6 No. 3 (2026): August 2026
Publisher : CV. Inara in Colaboration with www.stie-sampit.ac.id

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijse.v6i3.791

Abstract

Infertility is a reproductive health issue that has physical, psychological, social and economic implications for couples of childbearing age. Findings indicate complaints regarding waiting times. This study examined the level of satisfaction among infertility patients (SERVQUAL), which remains limited.This was a quantitative study using a cross-sectional design with an analytical approach with a sample of 94 respondents. Data were collected and analysed using univariate, bivariate (Chi-square test) and multivariate analyses (multiple logistic regression). The results of the study indicate that there is no significant association between these characteristics and patient satisfaction. Based on the bivariate analysis, the dimensions of Tangible, Responsiveness, Assurance and Empathy were significantly associated with patient satisfaction, whilst Reliability showed no significant association. Multivariate analysis showed that Assurance and Empathy jointly had a significant effect on patient satisfaction, with Empathy being the most dominant factor (OR = 7.117). It can therefore be concluded that the quality of care particularly the dimensions of Assurance and Empathy plays a crucial role in determining the level of satisfaction among infertility patients. It is hoped that the management of the Halim Fertility Centre at RSIA Stella Maris will enhance healthcare staff’s Empathy skills through training in communication and patient care.