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Re-engineering Prescription Services as an Alternative Solution Indriastutik, Nunung; Fitriasari, Nikma; Rusdiana, Dina
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

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

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

Relationship between Knowledge and Preparedness Levels of ER Staff on Pre-Triage System Implementation Yuvita, Emilda; Fitriasari, Nikma; Harjayanti, Nofita Dwi
Jurnal Kedokteran Brawijaya Vol. 31 Supplement 2 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.02.8s

The Emergency Department (ED), as the main entrance of health service access in hospitals, faces the highest infection risk and high service load due to the increasing number of patients during the Covid-19 pandemic. Implementing a pre-triage system offers a solution to deal with a surge in the number of patients who demand staff preparedness. This study aimed to determine the knowledge level on the pre-triage system and its relationship with the preparedness of emergency room staff in implementing the pre-triage system. The study was conducted with a cross-sectional approach in a private type C hospital in Malang District on all 30 ER staff as respondents. The research instrument used were questionnaires. Data analysis was done using descriptive analysis and the Fisher exact test. The results show that although 76.7% of respondents have insufficient knowledge, 86.7% of respondents are ready to implement the pre-triage system. The test results prove that there is no relationship between the knowledge and the preparedness levels of the emergency room staff in implementing the pre-triage system.

Role of Stocktaking Application using Barcode Scanning in Improving Stock Conformity in Hospital Pharmacy Installation Halim, Ratna Suryati; Fitriasari, Nikma
Jurnal Kedokteran Brawijaya Vol. 31 Supplement 2 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.02.12s

One of the most important managerial activities for hospitals is an internal control activity for drug supplies, including during the Covid-19 pandemic. A preliminary study at Graha Sehat Medika hospital (GSM hospital) showed that the inaccuracy of stocktaking results in the last six months was 40% -70%. The solution taken is the use of "SO PINTAR RS" application with barcode scanning. The purpose of this study was to determine the effectiveness of "SO PINTAR RS" application with barcode scanning in improving the accuracy of the stocktaking results at GSM hospital. The method used in this research is quasi-experimental. The data used is primary data from stocktaking activities in July-November 2020. A total of 162 drug items were used as research samples taken from the purposive sampling technique. The discrepancy between drug items in the hospital management information system (HIS) and the physical count results before and after using the application was measured in this study. The analysis of the results was carried out through nonparametric statistical tests with the Wilcoxon test. The results showed a significant difference in the results of stocktaking activities before and after using "SO PINTAR RS" application (p <0.001). The difference between the calculation results of the stocktaking with the data in the HIS decreased significantly. In addition, using this application can reduce the number of staff involved and reduce the loss of uncounted medicine items. This application is still not linked to HIS, so it is necessary to manually merge the results into HIS.

Paramedic Mental Workload in Pandemic Covid-19 Era Arifianto, Dedy; Fitriasari, Nikma; Mastuti, Ni Luh Putu Herli
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.1s

The number of Covid-19 patients hospitalized continues to increase in line with the increase in Covid-19 cases in Indonesia. The increasing number of Covid-19 patients in hospitals is increasing the workload of paramedics. High workloads will cause saturation and fatigue. In addition, an increase in the number of Covid-19 patients increases anxiety and depression will be infected when treating patients. Paramedics should also use personal protective equipment during shift guards which causes dehydration and discomfort. This situation can degrade the quality of service to patients. The study aims to measure the mental workload of paramedics by NASA-TLX (National Aeronautics and Space Administration Task Load Index) method and find out the factors that affect mental workload levels. This research is a quantitative research with a cross sectional approach. The research was conducted at Hospital X type C in Malang Regency in October 2020. The samples used were all 100 Hospital X paramedics. Research instruments in the form of questionnaires shared through Google Form. Data analysis is done with descriptive analysis and Chi-Square analysis with p value <0.05. The results found paramedics had a low mental workload of 1%, a moderate mental load of 3%, a high mental workload of 47%, and a very high mental workload of 49%. The Chi-Square test results found that age factors had an effect on the mental workload level of paramedics.

Study of Budget Efficiency Related to Covid-19 Hospitalization Claim Policy in X Hospital Malang: A Case Study Fitriasari, Nikma; Hariyanto, Engelbert; Kodriyah, Lailatul; Retno Suryaningati, Engelbertha; Silvaira, Natasya
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.8s

Coronavirus Disease 2019 (Covid-19) infection spread rapidly to more than 114 countries. Covid-19 spreading has a tremendous effect socially and economically, Indonesia included. Indonesian Government was issuing regulations about Technical Claim Instructions for anticipation. This Technical Claim Instruction was regulated on Keputusan Menteri Kesehatan (KMK) No HK 01.07/Menkes/238/2020, then renewed on KMK No HK.01.07/Menkes/446/2020. The purpose of this research is to analyze budget efficiency related to the change of Covid-19 hospitalization claim regulation. The research was done retrospectively, using secondary data such as claims and patient's medical records. Research conducted in October 2020 on X Hospital. The research sample used was every Covid-19 patient from March to September 2020 totaling 146. The data were analyzed using chi-square with the result showing that there is no correlation between changes of technical claim regulation with budget efficiency.

Instagram Optimization as Digital Marketing Media: Study at a Private Hospital in Batu City Sunaryo, Nico Christian; Indriani, Wiwin; Fitriasari, Nikma
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.14s

During the COVID-19 pandemic, up-to-date information becomes a necessity for the public, and social media, especially Instagram, play a significant role in digital marketing, including hospitals. The Instagram account of a private hospital in Batu City had a decreasing performance and has become inactive since the Covid-19 pandemic outbreak. This study aimed to find a solution to the decreasing performance of the hospital's Instagram account to increase visits, trust, and patient satisfaction. This research was a quasi-experimental study with a pre- and post-test design without control conducted from September to October 2021. The intervention carried out was conducting training on optimizing the Instagram features. The research sample was ten people obtained through the total sampling method. The data were analyzed using a descriptive analysis test. The training was carried out twice in a period of one week. The first training session discussed the basic features of Instagram and their use, and discussions on the technical aspects of content creation were done in the second session. Measurement of training understanding was carried out by pre-test and post-test. All points in the questionnaire showed positive points of increasing knowledge after the training. Instagram optimization training at the hospital in Batu City can improve staff understanding of digital marketing and is expected to expand the business and introduce the hospital to new patients.

Implementation of Google Forms as Alternative for Quality Indicator Recording and Reporting Systems in the Time of Covid-19 Pandemic Octavianus, Marshal; Indriani, Wiwin; Fitriasari, Nikma
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.11s

Recording and reporting are parts of health services aiming to create administrative discipline to improve health service quality. Covid-19 pandemic prevalence has impeded unit quality indicator recording and reporting, causing suboptimal quality measurements. This study aimed to see the implementation of Google Forms as a solution to overcome obstacles in unit quality indicator recording and reporting. This study was a one-group pre-experimental with a pre-and post-intervention design without control. The sample was seven people who were Laboratory Unit staff of a Private Hospital in Batu City. The results showed that applying Google Forms can provide staff's ability and timeliness in measuring unit quality indicators. A good quality measurement method can increase the effectiveness of monitoring and evaluation related to patient-centered quality improvement.

Pengaruh Waste Dengan Pendekatan Lean Hospital Terhadap Pengendalian Biaya Kualitas dan Produksi Nugroho, Taufik; Fitriasari, Nikma; Ekasari, Putu Ayu; Prasanti, Ira
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 5, No 1 (2019): JMK Yayasan RS.Dr.Soetomo, Pertama 2019
Publisher : STIKES Yayasan RS.Dr.Soetomo

ABSTRAK Instalasi farmasi beralih dari revenue center menjadi cost center terbesar rumah sakit berupa biaya produksi dan biaya kualitas. Identifikasi dan penghapusan waste diharapkan dapat menjadi solusi efisiensi biaya di rumah sakit. Tujuan penelitian untuk melihat pengaruh kejadian waste terhadap biaya produksi dan biaya kualitas. Penelitian menggunakan desain penelitian kuantitatif observasional dengan pendekatan cross sectional. Jumlah responden 33 dengan teknik total sampling. Analisis data menggunakan Partial Least Square (PLS). Hasil PLS menyatakan bahwa koefisien direct effect waste terhadap pengendalian biaya produksi sebesar 0.184, berarti waste berpengaruh positif dan signifikan terhadap pengendalian biaya produksi. Koefisien direct effect pengendalian biaya kualitas terhadap pengendalian biaya produksi sebesar 0.616, berarti pengendalian biaya kualitas berpengaruh positif dan signifikan terhadap pengendalian biaya produksi. Koefisien indirect effect waste terhadap pengendalian biaya produksi melalui pengendalian biaya kualitas sebesar -0.056, berarti waste berpengaruh negatif dan tidak signifikan terhadap pengendalian biaya produksi melalui pengendalian biaya kualitas. Semakin tinggi waste, maka cenderung meningkatkan pengendalian biaya kualitas dan biaya produksi. Semakin baik pengendalian biaya kualitas yang disebabkan oleh semakin rendahnya waste, maka cenderung meningkatkan pengendalian biaya produksi, meskipun penurunan tersebut tidak signifikan.Kata Kunci : Waste; Lean; Biaya Kualitas; Biaya Produksi.

Pencegahan Primer Membentuk Masyarakat Sehat Di Era Covid-19 Fitriasari, Nikma
SALAM: Jurnal Sosial dan Budaya Syar-i Vol. 7 No. 6 (2020)
Publisher : SALAM: Jurnal Sosial dan Budaya Syar-i

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/sjsbs.v7i7.15407

The situation of the growth of COVID-19 cases is very fast in Indonesia. Primary prevention efforts become the most appropriate prevention because there is no drug for COVID-19 therapy. This research aims to further study the proper and rational primary prevention to establish a healthy society as an effort to prevent transmission of COVID-19. Primary prevention can be done in the form of health promotion and special protection. Primary prevention through promotion is done by selectively selecting information from social media, applying a cough ethic, consumption of nutritious food, and exercise. Primary prevention through special protection is done by resignation. cleaning hands regularly, using masks, social distancing and self-isolation, and avoiding unprotected contact with wild animals.Keyword: COVID-19, primary prevention, healthy society Abstrak Situasi pertumbuhan kasus COVID-19 sangat cepat di Indonesia. Upaya pencegahan primer menjadi pencegahan yang paling tepat karena belum ada obat untuk COVID-19. Penelitia ini bertujuan untuk mengkaji lebih jauh tentang pencegahan primer yang tepat dan rasional untuk membentuk masyarakat sehat sebagai upaya pencegahan penularan kasus COVID-19. Pencegahan primer dapat dilakukan berupa promosi kesehatan dan perlindungan khusus. Pencegahan primer melalui promosi dilakukan dengan selektif memilih informasi dari media sosial, menerapkan etika batuk, konsumsi makanan bergizi, dan olahraga. Pencegahan primer melalui perlindungan khusus dilakukan dengan resignasi. membersihkan tangan secara rutin, menggunakan masker, social distancing dan isolasi diri, serta menghindari kontak tanpa pelindung dengan hewan liar.Kata Kunci: COVID-19, pencegahan primer, masyarakat sehat

Paramedic Mental Workload in Pandemic Covid-19 Era Arifianto, Dedy; Fitriasari, Nikma; Mastuti, Ni Luh Putu Herli
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.1s

The number of Covid-19 patients hospitalized continues to increase in line with the increase in Covid-19 cases in Indonesia. The increasing number of Covid-19 patients in hospitals is increasing the workload of paramedics. High workloads will cause saturation and fatigue. In addition, an increase in the number of Covid-19 patients increases anxiety and depression will be infected when treating patients. Paramedics should also use personal protective equipment during shift guards which causes dehydration and discomfort. This situation can degrade the quality of service to patients. The study aims to measure the mental workload of paramedics by NASA-TLX (National Aeronautics and Space Administration Task Load Index) method and find out the factors that affect mental workload levels. This research is a quantitative research with a cross sectional approach. The research was conducted at Hospital X type C in Malang Regency in October 2020. The samples used were all 100 Hospital X paramedics. Research instruments in the form of questionnaires shared through Google Form. Data analysis is done with descriptive analysis and Chi-Square analysis with p value <0.05. The results found paramedics had a low mental workload of 1%, a moderate mental load of 3%, a high mental workload of 47%, and a very high mental workload of 49%. The Chi-Square test results found that age factors had an effect on the mental workload level of paramedics.

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