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All Journal Jurnal Kedokteran Brawijaya JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Journal of Issues in Midwifery Journal of Community Health and Preventive Medicine (JOCHAPM)
Ratri, Devita Rahmani
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Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Jurnal Kedokteran Brawijaya

 1 
LOSS OF LINEN STOCK AT RSIA PURI BUNDA: WHAT IS AFFECTING? DRIE, IVAN -; Ratri, Devita Rahmani; Nuthea, Merry -
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

The number of linens is insufficient, the cleanliness of the linen is lacking, and the inaccuracy of the time in linen services will affect the quality of hospital services. In addition, it has an impact on inefficient financing for linen needs and decreased patient satisfaction with linen services. Based on the results of research conducted at RSIA Puri Bunda Malang, it was found that there were still 108 linen incidents from the initial stock of linen 792. This research is a descriptive study that aims to find the root of the problem about what factors influence the loss of linen at RSIA Puri Bunda. From the results of the research conducted, there were several root problems that affected the missing linen in the inpatient unit, namely the absence of a hospital policy that regulated complete linen management techniques, weak evaluation monitoring, and inadequate linen management planning. The problem of the factors that influence the loss of linen in the inpatient unit of RSIA Puri Bunda Malang is the hospital management repairing and completing the existing linen management system or guidelines with a missing management monitoring and control system to make it more effective and efficient as well as strengthening the monitoring and evaluation functions under general manager coordination.
THE COMMUNITY’S STIGMA CAUSE OF DECREASE VISITING “X” HOSPITAL IN COVID-19 PANDEMIC Megawati, Devvy; Erzi’, Alfan; Ratri, Devita Rahmani
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

“X” hospital Tulungagung is a class D with madya accredited hospital in collaboration health BPJS. "X" hospital Tulungagung has a problem of decreasing the utilization bed in the Inpatient Unit during Covid-19 pandemic. These problems lead to decline of 32.5% income. Decreasing income has an impact on cash flow, increasing operating expenses, hospitals experiencing losses, and threatening the continuity of service operations. At "X" hospital Tulungagung the research aims to identify the root of problem and find the best solution based on the problem. The research at "X" hospital Tulungagung is mixed method research. Qualitative research method uses interviews and quantitative methods uses a questionnaire in totaling 164 samples with eta correlation test method. The results of the fishbone diagram analysis obtained the root of problem, namely community's stigma about Covid-19 pandemic and rapid test at the "X" Tulungagung hospital, Tulungagung Regency's had the policy for private hospitals not take care of Covid-19 patients, Prohibition to visiting families for inpatients, expensive operational costs of Covid-19 screening, and SDI's stigma regarding to care of Covid-19 patients. The most dominant root of problem is community's stigma about Covid-19 pandemic and rapid test at the "X" Tulungagung hospital. The efforts to enhance visits at "X" Tulungagung hospital, namely eliminating the stigma of society through the creation of an educational Starter Kit about Covid-19 protocol at "X" Tulungagung hospital, which is part of hospital health promotion.
FACTORS CAUSES OF STOCK OUT AND DRUG STAGNANT AT PHARMACY INSTALLATION OF HOSPITAL X MALANG Tri Utami, Ni Nyoman Ayu; Ratri, Devita Rahmani; Nuthea, Merry
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Hospital pharmacy service is a supporting service as well as a revenue center in the hospital. More than 90% of hospital services use pharmaceutical supplies and 50% of hospital revenues come from managing pharmaceutical supplies. In the Covid-19 pandemic situation, the Pharmacy Installation must calculating the logistics management of the medicine properly. However, based on the hospitalization stock in May-July at X Hospital, there was still an incidence of stock out of 4.06% and stagnation of 2.44% due to poor drug procurement, which caused drug sales to decline. This study aims to analyze the factors that causing drug stock outs and stagnation in the Pharmacy Installation of X Hospital. This study uses a descriptive approach with data collection methods through observation, Focus Group Discussion (FGD), and a Likert scale questionnaire to get the root of the problem. Then the data was analyzed using the Fishbone Diagram and Pareto Diagram. The research subjects based on total sampling were all 11 staff of the Pharmacy Installation. The results obtained through the Fishbone Diagram are 13 root causes covering aspects of Man, Money, Method, Machine, Material, and Environment. The priority of the root cause of drug stock outs and stagnation in the Pharmacy Installation of X Hospital, namely HMIS is not optimal. Solutions that can be given are conducting intensive training for Pharmacy Installation staff in the use of HMIS, developing HMIS related to drug procurement, as well as repairing warehouse and pharmacy installation facilities and infrastructure.
Loss of Linen Stock at Puri Bunda Mother and Child Hospital: What Affects This? Drie, Ivan; Ratri, Devita Rahmani; Nuthea, Merry
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.2021.031.02.16s

Abstract

An insufficient number of linens, lack of linen cleanliness, and untimely linen provision will affect patient satisfaction, service quality, and hospital financing. Data at Puri Bunda Mother and Child Hospital Malang showed 108 linen loss incidents from the initial stock of 792 linens. This study was conducted to identify the factors that influence linen loss at Puri Bunda Mother and Child Hospital Malang. The root of the problems was identified through observations, interviews, and Focus Group Discussion (FGD) with the laundry staff, followed by analysis using a fishbone diagram and creating a Pareto diagram to select the main root of the problems. The study results indicate the absence of hospital policies that regulate the technical management of linen, weak evaluation monitoring, and inadequate linen management planning that contribute to the incidence of linen loss.
Causes of Decreasing Hospital Visit during the Covid-19 Pandemic Megawati, Devvy; Ratri, Devita Rahmani; Erzi, Alfan
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.2021.031.02.2s

Abstract

The problem of decreasing bed utilization resulted in a decrease in hospital income during the Covid-19 pandemic, including in a class D private hospital, Tulungagung, that experienced a 32.5% decrease in revenue. The decrease in hospital income has made the hospital suffer losses and, at the same time, threatened the cash flow, the operating expenses, and the continuity of service operations. The study was conducted to identify the root cause of the decreasing patient visits at the hospital. The research was conducted with a case study approach at a private hospital in Tulungagung in September and October 2020. The data were collected using a Focus Group Discussion (FGD) with eight respondents who were determined based on purposive sampling. Data were analyzed using Fishbone diagrams and priorities were set based on cumulative percentages. The public's stigma about hospitals during the Covid-19 pandemic and the cost of rapid tests are the two root causes that are suspected of contributing to the decline in patient visits at the hospital.
Factors Causing Stock-Outs and Drug Stagnation at Pharmacy Installation of Puri Bunda Mother and Child Hospital Malang Tri Utami, Ni Nyoman Ayu; Ratri, Devita Rahmani; Nuthea, Merry
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.2021.031.02.14s

Abstract

Hospital pharmacy service is a supporting service as well as a revenue center in a hospital. More than 90% of hospital services utilize pharmaceutical supplies, and 50% of hospital revenues originate from pharmaceutical supply management. In the Covid-19 pandemic situation, the pharmacy installation must calculate the logistics management of the medicine correctly. However, based on stocktaking in May-July at Puri Bunda Mother and Child Hospital, there were stock-outs (4.06%) and drug stagnation (2.44%) due to poor drug procurement, causing declining drug sales. This study analyzed the factors causing stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital. This study uses a descriptive approach with data collection methods using observations, Focus Group Discussion (FGD), and Likert-scale questionnaires to find the roots of the problems. The data were analyzed using the Fishbone Diagram and Pareto Diagram. The research subjects based on total sampling were all 12 staff of the Pharmacy Installation. The results obtained through the Fishbone Diagram were 13 root causes covering the aspects of Man, Money, Method, Machine, Material, and Environment. The priority of the root cause of stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital Malang is the suboptimal use of the Hospital Management Information System (HMIS). The possible solutions are conducting intensive training for Pharmacy Installation staff in using HMIS, developing HMIS related to drug procurement, as well as repairing warehouse and pharmacy installation facilities and infrastructure.
Co-Authors Ahsan Asfi Manzilati Drie, Ivan DRIE, IVAN - Dwi Ratna Sari, Dwi Ratna Erzi, Alfan Erzi’, Alfan Harjayanti, Nofita Dwi Hasyim, Mafrurrochim Hidayati, Khusnul Jimmy S., Rifdinia Bregita Megawati, Devvy Nuthea, Merry Nuthea, Merry - Rahmawati, Tri Wahyuning Ratna Diana Fransiska Suhailah, Wildatus Suyanto Suyanto Tita Hariyanti Tri Utami, Ni Nyoman Ayu Viera Wardhani Widodo Mardi Santoso, Widodo Mardi Wulandari, Meidina