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All Journal Jurnal Kedokteran Brawijaya SALAM: Jurnal Sosial dan Budaya Syar-i JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Bioinformatics and Biomedical Research Journal
Fitriasari, Nikma
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Pengaruh Loyalitas terhadap Komitmen dan Keinginan Bertahan Berobat pada Pasien Rawat Jalan Fitriasari, Nikma; Rohman, Fatchur; Koeswo, Mulyatim
Jurnal Kedokteran Brawijaya Vol 29, No. 4 (2017)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (434.076 KB) | DOI: 10.21776/ub.jkb.2017.029.04.14

Abstract

Keberlanjutan pelayanan pada rawat jalan menjadi aspek penting untuk keberhasilan program pengobatan pasien. Rumah sakit perlu mengembangkan strategi untuk meningkatkan kepatuhan berobat kembali yang dicerminkan dengan loyalitas dan keinginan bertahan.   Penelitian dilakukan untuk mengetahui pengaruh loyalitas pasien terhadap komitmen dan  keinginan bertahan berobat di pelayanan rawat jalan RSI Gondanglegi.  Penelitian menggunakan desain kuantitatif cross sectional dengan membagikan kuesioner selama dua  minggu pada bulan Januari dan Februari 2016.  Pengambilan sampel melalui metode consecutive sampling pada 255 pasien.  Hasil penelitian menunjukkan bahwa sebagian besar pasien yang berkunjung di pelayanan rawat jalan RSI Gondanglegi memiliki loyalitas yang tinggi, dan memiliki komitmen untuk tetap bertahan berobat saat mereka berpindah kepesertaan menjadi peserta BPJS. Loyalitas dan komitmen membentuk keinginan bertahan dengan faktor komitmen normatif sebagai indikator yang palin akurat. Rumah sakit perlu membangun strategi mengelola switching barrier dan rasa memiliki untuk meningkatkan keinginan bertahan.
Sistim Pengawasan dan Pengendalian Linen sebagai Strategi Mengurangi Angka Linen Hilang Fitriasari, Nikma; Hariyanto, Tuti; Yuliansyah, Navis
Jurnal Kedokteran Brawijaya Vol 29, No 3 (2016)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2016.029.03.8

Abstract

Hasil studi pendahuluan di Rumah Sakit Islam Gondanglegi ditemukan bahwa masih ada kejadian linen hilang sebanyak 3,4% yang menunjukkan pentingnya pengembangan sistem pengawasan dan pengendalian (wasdal) linen. Kajian dilakukan untuk mengembangkan sistem wasdal linen dan mengevaluasi implementasinya. Pengembangan sistem dilakukan melalui workshop yang didahului dengan kajian pustaka dan mengikuti pelatihan. Sistem wasdal disusun dalam bentuk alur sistem dan dokumen, yang kemudian disosialisasikan dan diuji coba dalam jangka waktu dua minggu. Hasil penelitian menunjukkan adanya penurunan linen hilang sebesar 2,6% sebelum dan sesudah implementasi sistim wasdal linen hilang. Sistim wasdal yang diterapkan terdiri dari lima standar prosedur operasional dan delapan dokumen pendukung.Kata Kunci: Linen hilang, rumah sakit, sistim pengawasan dan pengendalian
Are Segmenting, Targeting, and Positioning Necessary for Strategic Marketing? Amira, Hisan; Fitriasari, Nikma
Jurnal Kedokteran Brawijaya Article in Press
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Changes in the hospital environment have led to an increasingly competitive market. Marketing strategies are vital ingredients to offer more creative, innovative, and valuable products to customers to compete with other hospitals. Hyperbaric Oxygen Teraphy (HBOT) installation is one of the superrior service at  Paru Hospital Jember which have a low number of visit for the last three years. Segmenting, targeting, and positioning (STP) strategies will help to identify the most profitable market, which can be used to create the right connection to customers. This research aimed to arrange STP strategies as a base for the hospital strategic marketing plan at Hyperbaric Oxygen Therapy (HBOT) installation of Paru Hospital Jember. This research was a descriptive study. The root of the problems was identified using the urgency, seriousness and growth (USG) method and followed by identifying the problem solutions with the capability, accessible, readiness and leverage (CARL) method before finding the solutions. The results of this study show that the five geographic segmentation areas of the target market are Jember, Probolinggo, Lumajang, Bondowoso, and Banyuwangi. The targets are patients older than five years old, middle-high economic class people, patients with diabetic foot, Buerger's disease, and sudden deafness. The new tagline “Tabik” stands for “Instalasi Hiperbarik,” and the new motto “Jadikan hidup lebih baik bersama Tabik” is a positioning made for STP strategies. Ten-year projection showed a gap visit number as many as 1.958 patients with STP as a strategic marketing plan in HBOT Installation Paru Hospital Jember. The implementation of the marketing mix is one tool to reach the gap. Implementation of the promotion is the first element of the marketing mix to complete to reach number of visits gap. 
Re-engineering Prescription Services as an Alternative Solution Indriastutik, Nunung; Fitriasari, Nikma; Rusdiana, Dina
Jurnal Kedokteran Brawijaya Article in Press
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Medication errors could occur at any stage, including prescribing, transcribing, dispensing, and administration stages. Errors in the prescribing stage accounted for the most significant percentage, ranging from 70% to 99%. The most mistake at the prescribing stage is the illegible prescription. This situation causes high morbidity and mortality in hospitals. This study aimed to analyze the root of the problems of the incidence of illegible prescriptions and find anticipating strategies. This research is a descriptive study initiated by finding the root of the problems, followed by identifying alternative solutions and preparing priority solutions. From the analysis of the root of the problems, the illegible prescription included incomplete identity, drug name and the preparation, unclear usage, the error in assuming the writing in the prescription, and ineffective design of the prescription. The solution chosen was the improvement of prescription service flow (re-engineering) that added an identity labeling procedure to correct the error on patient's identity due to the repetition of manual writing and the addition of an authorization procedure by double-checking. The second solution was creating patient identity labels, creating appropriate prescription designs, and developing prescription service guidelines to support the implementation of prescription services re-engineering. This research concludes that the root of the problems on the illegible prescription is the absence of prescription service procedures that aim to anticipate medication errors. Hence, a re-engineering of prescription service needs to be prepared as an alternative solution
Frontliner: Does it play a role in reducing the waiting time of outpatient registration? Hapsari, Riva Redianita; Fitriasari, Nikma; Pratama, Bramantya Surya
Jurnal Kedokteran Brawijaya Article in Press
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Outpatient services often become the first gateway for patient access to hospital services. One of the minimum service standards for improving the quality of hospital services is collecting the medical record files in less than 10 minutes. This study aimed to prove whether the frontliners can help cut the process in the outpatient registration by revising the SOP and describing the outline of the outpatient service flow involving the frontliners at Ananda Srengat Hospital. The study applied quantitative analysis methods with a descriptive analysis technique to patients, medical records unit employees, outpatients, and related units. A total population of 10 people was taken within one week. The methods of collecting data were using a questionnaire instrument and a stopwatch. The results of this study are the changes in the SOP and the description of frontliner tasks in assisting the process of sorting files that can reduce the process of registration waiting time.
Spirituality in The Workplace: Solution to Reduce Nurse Turnover Intention Fitriasari, Nikma
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.92125

Abstract

A frequent problem in hospitals is nurse turnover, which reaches 27.3% annually in Indonesia. The solution to this problem is increasing spirituality intelligence through the formation of spirituality in the workplace. Good spirituality in the workplace can increase productivity and organizational commitment, and reduce turnover. The study was conducted to determine the effect of spirituality in the workplace on nurse turnover intention. The study used a quantitative design with a cross-sectional approach. The sample used was 92 nurses who were determined by Proportionate Random Sampling. Data were processed using Partial Least Square (PLS). The PLS results showed T statistics of 8.927 with direct coefficients of -0.423. The application of spirituality in the workplace shapes nurses’ perceptions more positively towards hospitals, so that, nurse turnover intention is low.
Medication Error Factors, Safety Guideline System, Flow of Drug Use, and Code of Conduct to Prevent Medication Error Panca, Arvidareyna; Fitriasari, Nikma; Supartiwi, Wiwik
Bioinformatics and Biomedical Research Journal Vol. 1 No. 2 (2018): Volume 1 Issue 2
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/bbrj.01.02.01

Abstract

Medication error is any preventable event that may lead inappropriate drug service or patient harm while the drug administration is in control of the healthcare professional or patient. This study aimed to analyze the factor that may lead the medication error and identify the medication error solution to pharmaceutical installation in research hospital, Indonesia. This study used an action research method. The research subject included doctor, pharmacist, pharmaceutical engineering personnel and nurses. Action research involves six process: diagnosis, reconnaissance, action plan, action, evaluation and monitoring the subject. Diagnosis were obtained from primary and secondary data. Primary data were obtained by interview, observation, and Focus Group Discussion (FGD). Secondary data were obtained from adverse event and near-miss events in medication error data in pharmacy installation. The results indicated that there were four major factor of medication error. First, prescribing error is an unclear written prescription, incomplete administration and unavailable prescription. Second, transcribe error is a misread of prescription drug that lead to mistreatment. Third, dispensing error is involved the misreading of prescription drug by pharmacist, wrong dose, wrong quantity of drugs, and incompetent pharmacist personnel. Fourth, administration error is an incorrect administration by hospital personnel. In conclusion, the establishment of safety guideline is important to medication error in pharmaceutical installation. The safety guidelines consist of the policy and standard operational procedure, flowchart of outpatient service, code of conduct of pharmacy safety and monitoring to ensure the quality of medical service.
PRE-TRIAGE SYSTEM : A SOLUTION TO FACING SURGE OF PATIENT DURING OF COVID-19 PANDEMIC Yuvita, Emilda; Fitriasari, Nikma; Harjayanti, Nofita Dwi
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

It is difficult to predict the end of Covid-19 pandemic. The emergency department (ED) as the main access for health services in the hospital has the highest risk of infection and overwhelmed by surge of patients. Modification of the emergency service system by implementing a pre-triage system can be a solution to dealing with surge of patients. The results of the preliminary study succeeded in forming a pre-triage system model. The pre-triage system model was carried out by identifying patients with the risk of Covid-19 in ED and modification of the emergency service flow. The implementation of the pre-triage system requires the readiness of the emergency department’s team. The sample used was all staff of emergency department of X Hospital which total 30. The results showed that 23,3% of respondents had good category knowledge, 56,67 % respondents had sufficient category knowledge, and 20% had less knowledge. The level of readiness found that 90% of respondents are ready for implementation of the pre-triage system. The Chi-Square test result show that the level of knowledge of the pre-triage system is not related to readiness to implement the pre-triage system.
Are Segmenting, Targeting, and Positioning Necessary for Strategic Marketing? Amira, Hisan; Fitriasari, Nikma
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Changes in the hospital environment have led to an increasingly competitive market. Marketing strategies are vital ingredients to offer more creative, innovative, and valuable products to customers to compete with other hospitals. Hyperbaric Oxygen Teraphy (HBOT) installation is one of the superrior service at  Paru Hospital Jember which have a low number of visit for the last three years. Segmenting, targeting, and positioning (STP) strategies will help to identify the most profitable market, which can be used to create the right connection to customers. This research aimed to arrange STP strategies as a base for the hospital strategic marketing plan at Hyperbaric Oxygen Therapy (HBOT) installation of Paru Hospital Jember. This research was a descriptive study. The root of the problems was identified using the urgency, seriousness and growth (USG) method and followed by identifying the problem solutions with the capability, accessible, readiness and leverage (CARL) method before finding the solutions. The results of this study show that the five geographic segmentation areas of the target market are Jember, Probolinggo, Lumajang, Bondowoso, and Banyuwangi. The targets are patients older than five years old, middle-high economic class people, patients with diabetic foot, Buerger's disease, and sudden deafness. The new tagline “Tabik” stands for “Instalasi Hiperbarik,” and the new motto “Jadikan hidup lebih baik bersama Tabik” is a positioning made for STP strategies. Ten-year projection showed a gap visit number as many as 1.958 patients with STP as a strategic marketing plan in HBOT Installation Paru Hospital Jember. The implementation of the marketing mix is one tool to reach the gap. Implementation of the promotion is the first element of the marketing mix to complete to reach number of visits gap. 
Frontliner: Does it play a role in reducing the waiting time of outpatient registration? Hapsari, Riva Redianita; Fitriasari, Nikma; Pratama, Bramantya Surya
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Outpatient services often become the first gateway for patient access to hospital services. One of the minimum service standards for improving the quality of hospital services is collecting the medical record files in less than 10 minutes. This study aimed to prove whether the frontliners can help cut the process in the outpatient registration by revising the SOP and describing the outline of the outpatient service flow involving the frontliners at Ananda Srengat Hospital. The study applied quantitative analysis methods with a descriptive analysis technique to patients, medical records unit employees, outpatients, and related units. A total population of 10 people was taken within one week. The methods of collecting data were using a questionnaire instrument and a stopwatch. The results of this study are the changes in the SOP and the description of frontliner tasks in assisting the process of sorting files that can reduce the process of registration waiting time.
Co-Authors Agustina, Else Ali Djamhuri Amira, Hisan Arifianto, Dedy Bramantya Surya Pratama, Bramantya Surya Candradewi, Silvia Dina Rusdiana, Dina Dyah, Ninik Pujaning Ekasari, Putu Ayu Halim, Ratna Suryati Hapsari, Riva Redianita Hariyanto, Engelbert Harjayanti, Nofita Dwi Indriani, Wiwin Indriastutik, Nunung Lailatul Kodriyah Mulyatim Koeswo Ni Luh Putu Herli Mastuti Nugroho, Taufik Octavianus, Marshal Panca, Arvidareyna Prasanti, Ira Retno Suryaningati, Engelbertha Silvaira, Natasya Sunaryo, Nico Christian Supartiwi, Wiwik Tuti Hariyanto Yuliansyah, Navis Yuvita, Emilda