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All Journal Jurnal Kebidanan Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks
Abdiana
Andalas University
Computer Science & IT Health Professions Medicine & Pharmacology Social Sciences Other

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Pendampingan Kompetensi Failure Mode Effect Analysis (FMEA) Sebagai Upaya Deteksi Dini Permasalahan Pelayanan Kesehatan di RSUD Sadikin Kota Pariaman Adila Kasni Astiena; Rizanda Machmud; Rima Semiarty; Yuniar Lestari; Firdawati; Husna Yetti; Rosfita Rasyid; Ida Rahmah Burhan; Hardisman; Abdiana; Zurayya Fadilla; Nelmi Silvia; Anung Respati; Dyanti Oktalina
Warta Pengabdian Andalas Vol 33 No 2 (2026)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.33.2.146-155.2026

Abstract

Hospitals are not systematically designed to detect service errors as in non-healthcare products, thus increasing risks to patient safety. RSUD Sadikin in Pariaman City, which has been operating for only seven years, has not yet established mechanisms or training to detect service errors. This community service activity aimed to enhance managerial competence in managing the risk of healthcare service errors through the application of Failure Mode and Effect Analysis (FMEA). The activity was conducted in the form of a workshop involving 30 participants from top, middle, and lower management levels in Oktober-November 2025 at Sadikin Hospital. FMEA competence was assessed before and after the workshop using a paired t-test. The results showed that the mean pre-test score was 70.67 (SD±17.604) and the post-test score was 84.67 (SD±14.794), with an improvement of 14.00 points (SD±14.004), which was statistically significant (p=0.000). These findings indicate that the FMEA workshop effectively improved participants’ managerial competence in early detection and mitigation of service risks. Follow-up mentoring is recommended to evaluate the sustainability of training effects at 3, 6, and 9 months after the activity.
Determinants of Risk Factors for Placenta Previa at Government General Hospital Dr. M. Djamil Padang, 2020-2022 Zulfa Safitri; Fitrayeni; Abdiana
JURNAL KEBIDANAN Vol. 16 No. 1 (2026): April 2026
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v16i1.11894

Abstract

Placenta previa is a placenta that partially or completely covers the ostium uteri internum. Placenta previa accounts for 25% of antepartum hemorrhage. Risk factors associated with placenta previa are age, parity, interpregnancy interval, history of cesarean section, history of curettage, and history of placenta previa. The purpose of this research was to determine the risk factors associated with the incidence of placenta previa at Government General Hospital Dr. M Djamil Padang. The type of this research was quantitative with case control design. The sample was divided into two groups, the case (placenta previa) and the control (without placenta previa). The sample size was calculated using the unpaired categorical variable formula and obtained 160 samples with a ratio of cases:controls (1:1). The sampling technique used was simple random sampling. Data were obtained from the patient’s medical records. Univariate and bivariate data was analyzed with Chi-square test (p≤0,05). The results of this research showed that there was an association between maternal age (p=0,000, OR=3,621, 95% confidence interval, 1,828-7,175), parity (p=0,000, OR=3,646, 95% confidence interval, 1,898-7,001), interpregnancy interval (p=0,005, OR=3,370, 95% confidence interval, 1,498-7,585), history of cesarean section (p=0,000, OR=14,636, 95% confidence interval, 6,603-32,434), history of curettage (p=0,014, OR=3,203, 95% confidence interval, 1,323-7,755), and history of placenta previa (p=0,012, OR=11,286, 95% confidence interval, 1,409-90,395) with the incidence of placenta previa. Risk factors such as age, parity, interpregnancy interval, history of cesarean section, history of curettage, and history of placenta previa have a significant association with the incidence of placenta previa. Healthcare providers are expected to provide education on the importance of recognizing and avoiding risk factors associated with placenta previa.
Co-Authors Adila Kasni Astiena Anung Respati Dyanti Oktalina Firdawati Firdawati Fitrayeni Fitrayeni Hardisman Husna Yetti Ida Rahmah Burhan Nelmi Silvia Rima Semiarty Rizanda Machmud Rosfita Rasyid Yuniar Lestari Zulfa Safitri Zurayya Fadilla