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Dwinuarisha, Eggie
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Humanities Environmental Science Health Professions Public Health

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ANALISA BUDAYA KESELAMATAN PASIEN PADA IMPLEMENTASI PELAPORAN INSIDEN KESELAMATAN PASIEN DALAM UPAYA MENINGKATKAN MUTU PELAYANAN DI RAWAT INAP RUMAH SAKIT X Wardhana, Bagus Kusuma; Aziz, Abdul; Subardi, Arda Yunita; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2046

Abstract

The incident reporting system in Indonesia in 2019 found around 12% of 2877 hospitals reporting patient safety incidents, with the number of patient safety incident reports as many as 7465, the number consisting of Near Miss Incidents 38%, Non-Injury Incidents 31% and Adverse Events 31% (Daud, 2020). The aim is to analyze the implementation of patient safety incident reporting in inpatient care at Hospital X so that priority problems are found and alternative solutions are obtained. The design processes the data obtained using a qualitative approach through in-depth interviews, observations, and comparisons with ideal conditions based on the latest regulations. This activity was carried out during the period from May to July 2024. The results of the examination during the research process found several problems, namely there was a fear of reporting patient incidents, not being used to carrying out the reporting process and not understanding the categories of patient incidents, limited human resources in the safety culture quality team, having a sense of burden such as getting additional tasks if reporting patient incidents, the safety culture quality team has several other important tasks / is not focused, and the implementer feels that complaints related to the cause of the incident are not followed up. Based on the priority assessment using the Urgency, Seriousness and Growth method, the highest point was 24, which came from the problem of the implementer feeling that complaints related to the cause of the incident were not followed up or the implementer's misperception of the follow-up to reporting patient safety incidents. Hospital X should develop a patient safety incident reporting system (SIPENKES) by showing the incident reporting follow-up process on the front page of the information system so that it is more transparent and the implementer is expected to understand that there is feedback and remain enthusiastic about cultivating the reporting of patient safety incidents.
IMPLEMENTASI REKAM MEDIS ELEKTRONIK PADA UNIT RAWAT JALAN DI RSUD X BEKASI Situmorang, Budi Asih; Aziz, Abdul; Subardi, Arda Yunita; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2047

Abstract

Electronic medical records (EMRs) represent a significant technological transformation in Indonesia's national health system, but they still pose challenges. According to Minister of Health Regulation No. 24 of 2022, all health service facilities in Indonesia are mandated to implement EMRs. However, the adoption of EMRs across the country's healthcare facilities has not been uniform. RSUD X has been preparing for the digitization of health services since 2018 by using SIMRS Khanza, but after four years, it has yet to fully implement EMRs. In October 2022, RSUD X transitioned to a new system, SIMRS BJB Hope, and began rolling out EMRs for outpatient services in August 2023. After 10 months of implementation, this initiative was expanded to include inpatient services. The initial results show an improvement in performance indicators for outpatient services, with faster provision of medical record documents in 2023 compared to 2022. However, these improvements still fall short of the Minimum Service Standards outlined in Minister of Health Regulation No. 43 of 2016, indicating ongoing challenges in the effective implementation of EMRs in hospital services.
ANALISIS IMPLEMENTASI MANAJEMEN CASEMIX DALAM PENINGKATAN PENDAPATAN DI RSUD X Herdiani, Erni; Aziz, Abdul; Subardi, Arda Yunita; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2048

Abstract

Hospitals are currently facing high VUCA (vulnerability, uncertainty, complexity & ambiguity) challenges. In order to remain able to compete in a healthy manner, to grow and develop successfully in accordance with its vision and mission, hospitals need to respond to these changes quickly and appropriately. One form of response to these changes is that hospital management understands the Casmix system and can implement it. Therefore, research was carried out at Hospital The research was carried out using a qualitative method with a descriptive analytical approach where this research carried out observations of the management casemix activity process, documented and interviewed and analyzed the research results. The results obtained are the implementation of casemix management at RSUD X in the Casemix unit. It can be concluded that Casemix management is less than optimal. The obstacles to less than optimal casemix management are the lack of optimal mapping of workload analysis and empowerment of casemix team personnel evenly and optimally and the lack of re-socialization of both coding and clinical pathway compliance for medical service teams. Apart from that, the work mechanism does not yet contain minimum time standards for each step of filing, coding and submission and there is no completeness checklist so that monitoring and eval__uation cannot be carried out optimally. Apart from that, RME is not yet optimal, especially in inpatient settings, it is not yet integrated and does not include interoperability. Optimization can be carried out, including by optimizing the casemix team by analyzing workloads and job descriptions whose performance indicators can be measured by updating existing SKs according to the analysis carried out, optimizing BPJS Claims SOPs, equipped with time limits for each step, making it easier to carry out monitoring and eval__uation. It is also necessary to prepare a checklist for completeness of files so that proper monitoring and eval__uation can be carried out, improving supporting facilities, namely RME, is very vital to be able to carry out Competency improvement can continue to be carried out periodically, especially in inpatient settings, periodically increasing competency for casemix teams and resocializing clinical pathways.
ANALISA INDIKATOR MUTU PPI (PENCEGAHAN DAN PENGENDALIAN INFEKSI) UNIT RAWAT INAP DI RS X Rosidin, Rona Qurrotul Aina; Aziz, Abdul; Subardi, Arda Yunita; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2049

Abstract

The increasing incidence of HAIs has become an important problem in the world. The increased risk of HAIs infection is due to the lack of implementation of the IPC program, including implementing isolation precautions, implementing HAIs bundles and implementing surveillance. Nurses play an important role in preventing and controlling the transmission of infections through the implementation of standard precautions and maintenance of the Health care environment. The aim of this research is to carry out an analysis of quality indicators for Infection Prevention and Control so that priority problems can be found for which alternative solutions will be sought. The research design uses a qualitative approach through in-depth interviews, observations, and comparisons with ideal conditions based on the latest regulations. The research was conducted during the period May to July 2024. The results of examinations during the residency process found several problems, namely not optimal hand hygiene for officers (germs were found on the palms of the hands after Hand Hygiene), lack of compliance by officers in washing hands, lack of compliance with using PPE according to indications, lack of trained PPI team, found cases of HAIs Surgical Area Infection (SSI) and lack of reporting of cases of HAIs Phlebitis. Based on the priority assessment using the USG (Urgency, Seriousness and Growth) method, a priority problem was found, namely that the hand hygiene of staff was not optimal (germs were found on the palms of the hands after Hand Hygiene. Hospital in the treatment room.
THE INFLUENCE OF SERVICE QUALITY AND HOSPITAL IMAGE ON THE LEVEL OF PATIENT SATISFACTION IN THE EMERGENCY INSTALLATION UNIT (IGD) HELSA JATIRAHAYU HOSPITAL IN 2024 Aziz, Abdul; Ayu, Winda; Sanjaya, Titus; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2050

Abstract

Introduction: When patients are dissatisfied with the health services they receive, they often choose to seek care at another hospital that offers better quality. Patient dissatisfaction can arise from various factors, including service quality and the hospital's reputation. Addressing these factors is essential for enhancing patient satisfaction. This research aims to assess how service quality and hospital image impact patient satisfaction in the Emergency Unit (IGD) of Helsa Jatirahayu Hospital in 2024. Research Method: The study employed a non-experimental, cross-sectional analytic design to eval__uate the influence of independent variables on the dependent variable. Data analysis was conducted using logistic regression software. The research involved a questionnaire distributed to Emergency Room patients at Helsa Jatirahayu Hospital. The target population consisted of 550 patients, from which a sample of 85 was selected. Data analysis was performed using SPSS Version 24.0. Results: The findings indicated that service quality significantly influenced patient satisfaction, with a p-value of 0.001 (p < 0.05) and an Odds Ratio (OR) of 5.161. This suggests that respondents who rated service quality poorly were 5.161 times more likely to be dissatisfied compared to those who rated it as good. Additionally, hospital image also affected patient satisfaction, with a p-value of 0.021 (p < 0.05) and an OR of 2.990, indicating that those perceiving a poor hospital image were 2.990 times more likely to report dissatisfaction than those who viewed the image positively. Overall, service quality and hospital image accounted for 75.8% of the variance in patient satisfaction, leaving 24.2% attributed to other unexamined factors.
Co-Authors Abdul Aziz Ayu, Winda Herdiani, Erni Rosidin, Rona Qurrotul Aina Sanjaya, Titus Situmorang, Budi Asih Subardi, Arda Yunita Wardhana, Bagus Kusuma