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Evaluation of the Implementation of Automated Early Warning Scoring System in Improving Patient Safety in Inpatient Ward Kasih Ibu Hospital Denpasar Widhyari, Kadek Dwi; Wahyudi, Bayu; Andikarya, Oke
Journal of Economics and Social Sciences (JESS) Vol. 4 No. 1 (2025): Journal of Economics and Social Sciences (JESS)
Publisher : CV. Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/jess.v4i1.812

Abstract

This study evaluates the implementation of an Automated Early Warning Scoring System (AEWSS) in enhancing patient safety in the inpatient ward of Kasih Ibu General Hospital, Denpasar. Using a qualitative case study approach, data were collected through in-depth interviews, FGDs, observations, and document analysis. Findings indicate that AEWSS effectively enables early detection of patient deterioration via real-time physiological parameter monitoring, accelerates medical response (from an average of 15 minutes to 5 minutes), and prevents Adverse Events. The system also improves medical staff efficiency by reducing nurses’ administrative workload by 30% and supports clinical decision accuracy through objective scoring. Key challenges include unstable network infrastructure (affecting 15% of rooms), specialist physician resistance, and uneven training. The implications highlight the need for infrastructure investment, regular training, and integrated AEWSS-Electronic Medical Records (EMR) protocols to optimize patient safety.
PENINGKATAN KUALITAS PENDIDIKAN MELALUI PENERAPAN MANAJEMEN STRATEGI Andikarya, Oke; Muluk, Kiki Abdul
JP3M: Jurnal Pendidikan, Pembelajaran dan Pemberdayaan Masyarakat Vol 7 No 1 (2025): JURNAL PENDIDIKAN PEMBELAJARAN DAN PEMBERDAYAAN MASYARAKAT
Publisher : Universitas Insan Cendekia Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37577/jp3m.v7i1.928

Abstract

The review aims to determine the improvement of educational management through the implementation of strategic management. The review method used is literature, by collecting various article references, supporting international and national journals. The results of the study in the form of articles, describe a significant increase in the quality of education in well-managed universities. Universities that are not supported by good management processes can cause irregular organizational rhythms so that they fail to achieve educational goals properly. Improving the quality of education has an impact on graduates from these universities. Through strategic management, future opportunities can be expanded and realized risks can be minimized. Strategic management can be achieved if all parties directly interested in universities, such as university administrators, parents of students, lecturers and staff, are involved. directly
Pengaruh Tujuan, Materi, Metode, serta Manfaat Pelatihan Internal Terhadap Kompetensi Embriolog pada Klinik Gladiool IVF Magelang Suyono, Seso Sulijaya; Hidayat, Dasrun; Andikarya, Oke
J-CEKI : Jurnal Cendekia Ilmiah Vol. 4 No. 5: Agustus 2025
Publisher : CV. ULIL ALBAB CORP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/jceki.v4i5.11418

Abstract

Permintaan embryologist di Indonesia meningkat seiring bertambahnya pasangan infertil yang membutuhkan teknologi reproduksi bantuan seperti IVF atau ICSI. Namun, ketersediaan embryologist berkualitas masih terbatas, dengan hanya 137 terdaftar di PERFITRI, sementara kebutuhan diperkirakan mencapai 2.700 untuk 405.000 siklus IVF. Penelitian ini mengevaluasi pengaruh pelatihan internal—meliputi tujuan, konten, metode, dan manfaat pelatihan—terhadap kompetensi embryologist. Data dikumpulkan melalui metode campuran, yaitu kuesioner kepada 31 embryologist dan wawancara dengan 5 embryologist. Hasil menunjukkan bahwa tujuan pelatihan berpengaruh signifikan terhadap kompetensi, sedangkan konten, metode, dan manfaat pelatihan tidak menunjukkan pengaruh signifikan. Tujuan pelatihan selaras dengan target klinik menghasilkan embryologist kompeten, namun kurangnya jadwal pelatihan ulang, kebutuhan pelatihan eksternal, dan variasi kecepatan belajar individu menghambat optimalisasi kompetensi. Edukasi berkelanjutan diperlukan untuk mendukung perkembangan embryologist di Indonesia.
Implementation of Lean Six Sigma in Linen Management: A Case Study at Samarinda Medika Citra Hospital Bahri, Syamsul; Rohendi, A.; Andikarya, Oke
Journal of Economics and Social Sciences (JESS) Vol. 5 No. 1 (2026)
Publisher : CV. Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/jess.1276

Abstract

Hospitals deliver healthcare services supported by both medical and non-medical ancillary units. The laundry unit functions as a non-medical support service that provides linen, particularly for inpatient care during cleaning procedures. Samarinda Medika Citra Hospital, a type C hospital with a capacity of 174 beds and a Bed Occupancy Rate (BOR) of 84% in 2024, faces several issues in linen management. These include linen loss, undocumented handovers between ward staff and laundry staff, discrepancies between the quantity of soiled linen collected and clean linen delivered, and the presence of worn-out linen with duplicate identifiers. This study aims to analyze the implementation of linen management using the Lean Six Sigma approach, identify existing challenges, and formulate improvement strategies based on Lean Six Sigma principles. This research employs a qualitative method with a descriptive case study design. The findings show that the application of Lean Six Sigma in linen management at Samarinda Medika Citra Hospital provides a foundation for enhancing efficiency and service quality through waste identification, workflow improvements, and strengthening of standard work procedures. Key challenges include staff understanding of efficiency principles and continuous improvement–based work standards, limitations in infrastructure, administrative systems, and management support. Improvement efforts include strengthening staff understanding and compliance with standard procedures through regular socialization and training, enhancing supporting facilities, developing digital recording systems, and promoting an adaptive, improvement-oriented work culture through coaching and performance-based incentives.
Analisis Indikator INA-CBGs dalam Perencanaan Strategis Kinerja Rumah Sakit Karya Dharma Husada Singaraja Suandewi, Dewa Ayu Sri Agung; Hendriana, Heris; Andikarya, Oke
SENTRI: Jurnal Riset Ilmiah Vol. 5 No. 2 (2026): SENTRI : Jurnal Riset Ilmiah, Februari 2026
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v5i2.5866

Abstract

Strategic planning plays a crucial role for hospitals in maintaining sustainability and competitiveness amid the dynamic healthcare environment and the National Health Insurance (JKN) financing system. The implementation of the prospective payment system based on Indonesian Case Based Groups (INA-CBGs) requires performance indicators that adequately reflect service volume, case complexity, and hospitals’ financial implications. INA-CBGs–based indicators, namely Casemix (CM), Casemix Index (CMI), and Hospital Base Rate (HBR), have the potential to support performance assessment and strategic planning; however, their utilization in private hospitals remains limited. This study aims to analyze the performance achievement of INA-CBGs indicators and examine their relevance for strategic performance planning at Karya Dharma Husada Hospital (RS KDH) Singaraja. This study employed a mixed methods approach with a sequential explanatory design. Quantitative analysis was conducted longitudinally using a trend study approach on inpatient INA-CBGs claim data from 2022 to January–June 2024, followed by qualitative analysis through in-depth interviews to interpret and contextualize the quantitative findings. The results showed a total of 7,361 inpatient JKN cases, predominantly involving class III patients and low-severity cases. Casemix values fluctuated in line with changes in service volume and case mix, with obstetric cases being the dominant contributor. CMI values remained within the typical range for private class C hospitals, reflecting low to moderate service complexity. HBR performance demonstrated periods of surplus and deficit, indicating discrepancies between actual service costs and national INA-CBGs tariffs. Overall, the study indicates that INA-CBGs indicators have not yet been systematically integrated into performance evaluation and strategic planning; however, hospital management has recognized them as valuable information with potential to support future managerial decision-making.
Evaluation of Physician Compliance in the Implementation of Clinical Pathways at Moh Ridwan Meuraksa Level Ii Hospital Jakarta Ahyaita, Ahyaita; Wahyudi, Bayu; Andikarya, Oke
Research of Service Administration Health and Sains Healthys Vol 7, No 1 (2026): Research of Service Administration Health and Sains Healthys (Maret)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/rehat.v7i1.10475

Abstract

This study aims to evaluate the level of physician compliance in the implementation of Clinical Pathways (CP) at Moh Ridwan Meuraksa Class II Hospital, Jakarta. Clinical Pathways function as a clinical care management tool designed to ensure consistency, efficiency, and quality of patient services based on scientific evidence and standardized procedures. The research applied a quantitative approach with an observational cross-sectional design through direct observation and the distribution of questionnaires to physicians. The sample consisted of 40 physicians involved in the implementation of CP for five major diagnoses, namely Acute Myocardial Infarction (AMI), Severe Preeclampsia, Hypertrophic Tonsils, Femur Fracture, and Cervical Cancer. The research instruments included observation sheets and questionnaires that had been tested for validity (r > 0.361) and reliability (Cronbach’s Alpha = 0.857). The findings indicate that overall physician compliance with CP implementation falls into the moderate category (65.8%). The highest compliance occurred in emergency clinical examinations and initial therapy administration, while the lowest compliance appeared in variance documentation and multidisciplinary consultation. The study recommends strengthening training, improving information systems, and integrating CP into Electronic Medical Records to enhance compliance and service quality.