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All Journal e-Journal Pustaka Kesehatan Syntax Literate: Jurnal Ilmiah Indonesia Journal of Islamic Monetary Economics and Finance Jurnal Health Sains JOURNAL SCIENTIFIC OF MANDALIKA (JSM) MAHESA : Malahayati Health Student Journal Cermin Dunia Kedokteran Jurnal Jaminan Kesehatan Nasional Jurnal Ar Ro'is Mandalika (Armada) Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia
Permanasari, Vetty Yulianty
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Automated Dispensing Machine Sebagai Salah Satu Upaya Menurunkan Medication Error Di Farmasi Rumah Sakit Karundeng, Dicki Julianus; Permanasari, Vetty Yulianty
Cermin Dunia Kedokteran Vol 45, No 10 (2018): Muskuloskeletal
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (947.706 KB) | DOI: 10.55175/cdk.v45i10.583

Abstract

Medication Errors merupakan penyebab kematian tertinggi keempat di Amerika Serikat. Untuk menurunkan kejadian medication errors, khususnya dispensing errors, Amerika Serikat sudah menggunakan sistem dispensing otomatis Di Indonesia, hampir semua instalasi farmasi masih menggunakan tenaga manual. Studi ini menganalisis dampak ADM (Automated Dispensing Machine) terhadap medication errors, khususnya dispensing errors di instalasi farmasi rumah sakit. Metode: Systematic Review menggunakan metode PRISMA diambil dari online database seperti Scopus, Tripdatabase, Springerlink dan Google Scholar dengan kata kunci “Automated Dispensing Machine” dan “Medication Error” dengan rentang waktu studi 10 tahun terakhir. Hasil dan Diskusi: Sebelas penelitian menunjukkan dampak positif automated dispensing machine (ADM) menurunkan dispensing errors, baik di instalasi rawat jalan maupun rawat inap. Lima penelitian menunjukkan ADM harus terintegrasi dengan ePrescription , sistem barcoding, dan Sistem Informasi Rumah Sakit, agar dapat berdampak optimal. Sistem filling ADM otomatis dapat mendukung penurunan angka dispensing error. ADM juga berdampak positif menurunkan beban kerja di farmasi, waktu tunggu obat, nilai inventory farmasi, dan biaya karyawan. Kelemahan sistem ADM adalah sulit digunakan dalam pelayanan emergency, membutuhkan sumber daya manusia terlatih, dan biaya tinggi. Simpulan: ADM berdampak positif menurunkan angka medication error. Untuk hasil maksimal ADM harus diintegrasikan dengan sistem informasi rumah sakit.Medication Errors are the 4th leading cause of death in USA; to decrease medication errors, Automated Dispensing System had been used in USA. In Indonesia, most pharmaceutical departments still use manual system in drugs dispensing. This study analyze the effect of ADM (Automated Dispensing Machine) to medication errors, particularly dispensing errors in hospital pharmacy. Method: Systematic Review with PRISMA method retrieved from online database such as Scopus, Tripdatabase, Springerlink, and Google Scholar using keywords “automated dispensing machine” AND “medication errors” studied in the last ten years. Results and Discussion: All eleven studies show beneficial effects in ADM implementation, decreasing dispensing errors, both at outpatient and inpatient ward. Five studies suggest that ADM should be integrated with ePrescription, barcoding system, and hospital information system for optimal result. Automatic filling system also decrease dispensing error. ADM also gives beneficial effect in reducing pharmacy staffs’ workload, drug waiting time, drug inventory cost, and employee costs. ADM systems have some weaknesses : difficult to apply at emergency services, need trained staffs, and high costs. Conclusion ADM gives beneficial effect in reducing medication error. For better results, ADM should be integrated with hospital information system. 
ANALISIS MANAJEMEN RISIKO PASIEN JATUH DI INSTALASI RAWAT INAP RSIA XYZ JAKARTA TIMUR Umina, Rani; Permanasari, Vetty Yulianty
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

The incidence of patients fall is a second big issue after the incidence of medication errors. Reducing the risk of falls is one measure of service quality that is the main focus of the Hospital. This study aims to analyze the risk management of inpatient falls at Woman and Children Hospital SMB in 2020 by using FMEA tool. This research is a qualitative study by using in-depth interviews, observation, document review, and FGD as data collection methods. The results of this study indicate that factors of patient fall which become high priority potential failure modes are found in the structure and process variables. Factors in the structure variables include hospital protocols that do not regulate the mobilization of discharged patients and infrastructures that have not been provided. Factors in the process variable include inconsistent documentation and patient supervision. The potential impacts are difficulty to measure risk management of patient fall and increased risk of patient fall. Research recommendations are strengthening the monitoring system through the implementation of bedside checklist status, shift reports on patient needs related to falling prevention, optimization briefings and de-briefings of patient Safety, and improving the SOP of discharge planning.
Penerapan Metode ABC Indeks Kritis dalam Pengelolaan Persediaan Obat di Instalasi Farmasi Rumah Sakit XYZ Pekanbaru, Riau Tahun 2018 Susanto, Monika Noviera; Permanasari, Vetty Yulianty
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

The process of making the XYZ Hospital formulary by the Therapy Pharmacy Team (TFT) has not considered the critical level of a medicine for patients. The failure to carry out the assessment has caused an unplanned purchase of the medicine that needed immediately and affecting patient safety. The ABC method can identify drugs that must always be available and worth a large investment. There is no cost control of drug supplies at XYZ Hospital because data on the value of investment in drugs have not been analyzed. This study uses a qualitative research design by applying the ABC index critical method to data on drug needs in 2018. The research data was obtained through in-depth interviews, observation and review of planning documents and drug procurement. 82% of the drugs in the warehouse are rarely used, but 53 of them are drugs that have high investment value that require special attention. Drugs that have the largest 5 (five) investment values but are very rarely used (group C usage value) are: Albuminar 25%, Octalbin 25%, Terfacef injection, Trijec 1 gram and Lanmer injection.The next XYZ Hospital formulary must issue 530 types of drugs that are not critical and have no use. The smaller number of types of drugs that enter the formulary will facilitate the process of control and storage of inventory
The Effectiveness of The Posyandu and Its Relation to Leadership and Management Maryati, Husnah; Permanasari, Vetty Yulianty
Journal of Indonesian Health Policy and Administration Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

Data on infant mortality in the city of Bogor has increased from 26 to be 62 cases in 2013. Posyandu is one of the facility in a society that runs the health program where one goal is carrying out activities to accelerate the decline in the death rate of mothers and babies. The problems at posyandu in Bogor is the number of active cadres continue to decline while cadre recruitment insufficient, and less active of the function of The National Working team of posyandu. The report of newborn deaths by 2013 and 2014 stated that more than half (55 and 52.7 percent) posyandu where there were cases of infant death were posyandu at first and medium development level. This research would like to see how the effectiveness of the leadership factor (communication, competence), management functions (planning, organizing, implementing and controlling), work environment (system support, availability, the availability of means of support and incentives) as well as the characteristics of respondents (posyandu classification, age, number of years served and the work) to mass based activities (UKBM) in Posyandu. We used a cross sectional design. About 70 posyandu chairman cadres as the respondents. This research resulted in the most decisive factor, namely the competence of the chairman of cadres. Knowledge and competence of cadres is already good and should continue to be maintained. The Division of duties and authorities which are clearly made in the region of posyandu organization Bogor City is already good (average rating scale 6.19). The strength of leadership and good management at the operational level of posyandu makes posyandu is more effective in achieving the objectives. There is a relationship between variables, functions, management leadership, the working environment and the characteristics of the respondents against the effectiveness of the posyandu. Data on infant mortality in the city of Bogor has increased from 26 to be 62 cases in 2013. Posyandu is one of the facility in a society that runs the health program where one goal is carrying out activities to accelerate the decline in the death rate of mothers and babies. The problems at posyandu in Bogor is the number of active cadres continue to decline while cadre recruitment insufficient, and less active of the function of The National Working team of posyandu. The report of newborn deaths by 2013 and 2014 stated that more than half (55 and 52.7 percent) posyandu where there were cases of infant death were posyandu at first and medium development level. This research would like to see how the effectiveness of the leadership factor (communication, competence), management functions (planning, organizing, implementing and controlling), work environment (system support, availability, the availability of means of support and incentives) as well as the characteristics of respondents (posyandu classification, age, number of years served and the work) to mass based activities (UKBM) in Posyandu. We used a cross sectional design. About 70 posyandu chairman cadres as the respondents. This research resulted in the most decisive factor, namely the competence of the chairman of cadres. Knowledge and competence of cadres is already good and should continue to be maintained. The Division of duties and authorities which are clearly made in the region of posyandu organization Bogor City is already good (average rating scale 6.19). The strength of leadership and good management at the operational level of posyandu makes posyandu is more effective in achieving the objectives. There is a relationship between variables, functions, management leadership, the working environment and the characteristics of the respondents against the effectiveness of the posyandu.
Gambaran Klaim Pelayanan Dialisis di Rumah Sakit dan Rekomendasi Kebijakan di Level Daerah: Studi Kasus Kota Pematangsiantar Hasibuan, Syarif Rahman; Prasetyo, Chandra Istanti; Darmawan, Ede Surya; Permanasari, Vetty Yulianty
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

Chronic kidney disease is a global health issue affecting more than 10% of the world's population and poses a significant disease burden, especially in developing countries. In Indonesia, the National Health Insurance program (JKN) has enabled access to dialysis care for patients with chronic kidney failure, but it also presents challenges in sustaining financing. This study aims to analyze the trends in dialysis service claims in Pematangsiantar City during the period from 2017 to 2022 and project the service needs until 2025. The research design is descriptive-analytic, using claim data from BPJS Health related to dialysis procedures. Analysis is conducted using polynomial trends to identify historical patterns and future projections. The results show that the average annual cost of dialysis service claims in Pematangsiantar City is 85 billion rupiah. There was an annual increase in visits and claims costs by 25.56% and 23.52%, respectively. In 2021, dialysis visits surged by 91.6%, with claim costs reaching Rp128.2 billion. Projections up to 2025 indicate a significant upward trend, with an estimated number of visits approaching 350,000 in that year. The study's conclusions emphasize the importance of maintaining sustainable health financing through the JKN program and adjusting dialysis service capacity according to demand to prevent over- or undersupply. Additionally, primary prevention efforts through health education and early detection of kidney disease should be prioritized to reduce the number of new patients requiring dialysis.
Economic Burden Bore by Patients and Families because of stroke: Policy Assessment Fadhilah, Honesty; Permanasari, Vetty Yulianty
Journal of Indonesian Health Policy and Administration Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

Stroke to this day is still a disease that causes a high disability. In the future, it will require a prohibitive cost so that it has an impact on the socio-economic consequences for patients and their families. The price is prohibitive so that the impact on socioeconomic implications for patients and their families. Because of that, the purpose of the study is to estimate the cause of the cost that causes an economic burden from a stroke. The method that is used is a content analysis by doing a further literature review from various sources, from journal to textbook from a national level to international. Literature studies show that direct medical cost, which is rehabilitation, and nursing care cost is identified as the leading contributor to the high price of economic burden from a stroke. High costs incurred cause family to experience catastrophic financial disaster; it even impacts to drop welfare level. Social preventive action is needed to reduce the high prevalence of stroke to reduce the cost, to protect every household from financial disaster from a stroke.
Analisis Efisiensi Biaya Operasi Bedah Umum Jaminan Kesehatan Nasional di Rumah Sakit Jakarta Tahun 2023 Mahardhika, Jeffrey Christian; Soewondo, Prastuti; Permanasari, Vetty Yulianty; Pramanto, Heru
Journal Scientific of Mandalika (JSM) e-ISSN 2745-5955 | p-ISSN 2809-0543 Vol. 6 No. 9 (2025)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/10.36312/vol6iss9pp3600-3609

Abstract

The National Health Insurance (JKN) program has increased the volume and revenue of inpatient general surgery procedures. However, Jakarta Hospital experienced a profit decline in 2023 due to low Indonesian Case-Based Group (INACBG) tariffs and cost inefficiencies. This study aims to analyze the cost efficiency of JKN-covered inpatient general surgeries as a basis for hospital development strategies. A descriptive-analytic method was applied, using activity-based costing to calculate procedure costs. Cost efficiency was assessed by comparing actual costs to normative benchmarks from clinical pathways, and further analyzed using Data Envelopment Analysis (DEA). Results indicate that unit costs were inefficient compared to normative standards (efficiency score: 101.9%, average: IDR 3,488,115.59), driven by high expenditures on medical services, drugs, and disposable medical supplies. Total costs, including accommodation, were also inefficient (score: 108.1%, average: IDR 4,729,373.69), with accommodation accounting for 26.2%. DEA identified perianal abscess incision as the most efficient procedure, while hemorrhoidectomy, inguinal herniotomy, and breast tumor excision were relatively efficient. Overall, inpatient general surgery procedures remain cost-inefficient. Enhancing efficiency requires stricter clinical pathway adherence, optimized use of drugs and supplies, reduced length of stay, and revised physician payment models. Promoting efficient procedures is essential for hospital sustainability.
Analisis Rendahnya Realisasi Bantuan Operasional Kesehatan (BOK) Puskesmas Melalui Mekanisme Salur Langsung Di Kabupaten Bogor Tahun 2023 Indriansyah, Fahlepi; Soewondo, Prastuti; Permanasari, Vetty Yulianty
Jurnal Ar Ro'is Mandalika (Armada) Vol. 5 No. 1 (2025): JURNAL AR RO'IS MANDALIKA (ARMADA)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59613/armada.v5i1.5153

Abstract

Through the Special Allocation Fund (DAK), effort is made to improve development and community welfare in line with national priorities. Health Operational Assistance (BOK) is the non-physical DAK program in the health sector. This study aims to analyze the causes of the low realization of the 2023 Health Operational Assistance (BOK) Salur budget at the Bogor Regency Health Center using the Public Financial Management (PFM) approach. The study focused on 3 Health Centers in the Bogor Regency area and the Bogor Regency Health Office by considering aspects of distance, time and cost. The research period started from February to April 2025.The results of the study indicate that low budget absorption is caused by several main factors, including a lack of understanding of technical instructions on the implementation limits of the BOK Salur menu, low unit costs set by the local government, and a lack of understanding of the SPJ report organizer by PPTK and the treasurer's financial administrator. This indicates a weakness in the synchronization between the planning, budgeting, and budget implementation stages at the Health Center level. In addition, the limited technical and managerial capacity of the implementers also affects program implementation. Therefore, it is hoped that local governments can further consider the unit cost unit to encourage work performance and motivation. Increasing human resource capacity and strengthening cross-sector coordination to ensure the effectiveness of the use of BOK Salur funds.
Efektivitas Penggunaan ITN (Insecticide Treated Nets) terhadap Penurunan Kasus Malaria pada Anak di Bawah 5 Tahun di Indonesia Khairunnisa, Dhiennada Putri; Katon, Hilda Sri; Andriani, Helen; Permanasari, Vetty Yulianty
Pustaka Kesehatan Vol. 13 No. 1 (2025): Volume 13 No. 1, 2025
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Malaria is caused by the Plasmodium parasite and is transmitted through the bites of infected Anopheles mosquitoes, which are prevalent in tropical regions, including Indonesia. In 2010, Indonesia recorded 465.7 thousand positive malaria cases, but this number decreased to 235.7 thousand in 2020. Additionally, the Annual Parasite Incidence (API) also showed a decline from 1.96 in 2010 to 0.87 in 2020. Various preventive measures have been implemented, including the use of Insecticide-Treated Nets (ITN). This research employed a literature review method with the PRISMA (Preferred Reporting Items for Systematic Review & Meta-Analysis) approach, gathering data from international journal sources such as Google Scholar and PubMed, comprising a total of 13 journal articles. The study found that ITNs can reduce the incidence of malaria, particularly among children under five years old in Indonesia. The government's program for distributing ITNs has proven effective in decreasing malaria cases. Health workers, community health volunteers, and community-based health service centers play a crucial role in disseminating information, distributing, and promoting the use of ITNs. Based on the literature review, it was concluded that the use of ITNs is effective in reducing malaria cases in children under 5 years old in Indonesia.
DEVELOPMENT OF SHARIA HOSPITALS AS A SOURCE OF NEW ECONOMIC GROWTH Sulistiadi, Wahyu; Ayuningtyas, Dumilah; Permanasari, Vetty Yulianty; Jati, Prasetyaning; Gustina, Ira; Widyasanti, Nisrina
Journal of Islamic Monetary Economics and Finance Vol. 11 No. 3 (2025)
Publisher : Bank Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21098/jimf.v11i3.2714

Abstract

The development of Sharia hospitals represents a unique integration of Islamic values into healthcare services, fostering new avenues for economic growth. This study has three key objectives: (1) examining factors contributing to the establishment of Sharia hospitals, (2) analyzing the essential elements of Sharia hospital development using the Business Model Canvas (BMC) to ensure sustainability; and (3) assessing Sharia hospitals' potential to drive economic growth. Through a mixed-methods approach, quantitative data were collected from 619 patients and 149 respondents, while qualitative insights were gathered through focus group discussions and in-depth interviews with stakeholders including hospital managers and policymakers. Results indicate that Sharia hospitals report higher levels of patient satisfaction and loyalty compared to non-sharia hospitals, with significant emphasis on service quality, and experiential marketing. The integration of Islamic financial instruments such as Zakat, Infak, Sedekah, and Wakaf (ZISWAF) also enhances financial accessibility for underserved populations, promoting equitable healthcare. Indonesia also has the opportunity to open up Muslim-friendly health tourism destinations, attracting patients from other Muslim-majority countries. The growth of Sharia hospitals also contributes to the expansion of the halal ecosystem in Indonesia. This is not only beneficial for the health sector but also drives economic growth. ACKNOWLEDGMENT The authors acknowledge the support from the Research Grant Bank Indonesia (RGBI) 2024, for funding this research endeavor.
Co-Authors Andriani, Helen Dumilah Ayuningtyas Ede Surya Darmawan Fadhilah, Honesty Gustina, Ira Indriansyah, Fahlepi Jati, Prasetyaning Karundeng, Dicki Julianus Katon, Hilda Sri Khairunnisa, Dhiennada Putri Kusumo, Bimo Mahardhika, Jeffrey Christian Maryati, Husnah Munthe, Sarah Narumi Nugraha, Erfan Chandra Pertiwi, Khairunnisa Cahya Pramanto, Heru Prasetyo, Chandra Istanti Prastuti Soewondo Pujiyanto Pujiyanto Silalahi, Ronauli Margaretha Susanto, Monika Noviera Syarif Rahman Hasibuan Umina, Rani Wahyu Sulistiadi Widyasanti, Nisrina Zalukhu, Linna Asni