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All Journal Jurnal Kedokteran Brawijaya Journal of Community Health and Preventive Medicine (JOCHAPM) Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Harjayanti, Nofita Dwi
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Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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PRE-TRIAGE SYSTEM : A SOLUTION TO FACING SURGE OF PATIENT DURING OF COVID-19 PANDEMIC Yuvita, Emilda; Fitriasari, Nikma; Harjayanti, Nofita Dwi
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

It is difficult to predict the end of Covid-19 pandemic. The emergency department (ED) as the main access for health services in the hospital has the highest risk of infection and overwhelmed by surge of patients. Modification of the emergency service system by implementing a pre-triage system can be a solution to dealing with surge of patients. The results of the preliminary study succeeded in forming a pre-triage system model. The pre-triage system model was carried out by identifying patients with the risk of Covid-19 in ED and modification of the emergency service flow. The implementation of the pre-triage system requires the readiness of the emergency department’s team. The sample used was all staff of emergency department of X Hospital which total 30. The results showed that 23,3% of respondents had good category knowledge, 56,67 % respondents had sufficient category knowledge, and 20% had less knowledge. The level of readiness found that 90% of respondents are ready for implementation of the pre-triage system. The Chi-Square test result show that the level of knowledge of the pre-triage system is not related to readiness to implement the pre-triage system.
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

Abstract

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.
Pengembangan Sistem Pendaftaran Pasien Rumah Sakit Umum X Malang Tahun 2017 Nursanti, Fajar Juli; Hariyanti, Tita; Harjayanti, Nofita Dwi
Journal of Ners and Midwifery Vol 5 No 2 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i2.ART.p154-158

Abstract

Waktu tunggu merupakan komponen penting dalam pelayanan si rumah sakit dan merupakan pintu gerbang pertama yang berperan penting dalam memberikan kesan pertama yang baik bagi pasien. Antrian di loket pendaftaran yang panjang dan lama menyebabkan tidak efektifnya pelayanan pasien secara keseluruhan dan membuat pasien tidak nyaman, pada akhirnya kepuasan pasien akan rendah. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang menyebabkan lamanya waktu tunggu pelayanan pendaftaran di RSU X Malang. Penelitian dilakukan mulai September 2017 sampai dengan Oktober 2017.Data dikumpulkan dengan study literature, pengamatan dengan lembar observasi dan wawancara dengan bagian pendaftaran, perawat poli, perawat IGD dan bagian humas. Data menunjukkan bahwa waktu tunggu pelayanan pendaftaran Rumah Sakit Umum X tergolong lama. Untuk mempersingkat waktu tunggu pelayanan perlu dilakukan pengembangan sistem pendaftaran pasien di Rumah Sakit Umum X Malang dengan membuat alur dan informasi yang jelas bagi pasien, menambah tenaga di bagian informasi dan menyediakan Standar Prosedur Operasional (SPO) pendaftaran pasien.
CHALLENGES OF JKN MOBILE APPLICATION UTILIZATION IN THE BPJS PATIENT REGISTRATION PROCESS AT X HOSPITAL: A CASE STUDY IN X HOSPITAL Jimmy S., Rifdinia Bregita; Ratri, Devita Rahmani; Harjayanti, Nofita Dwi
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The JKN mobile application (MJKN), is an application presented by BPJS with the aim of providing convenience for its participants. MJKN utilization in registration process is one of the BPJS compliance indicators for hospitals. As part of BPJS partners, the achievement of compliance indicators is something that must be achieved by Hospital X. Until September 2024, the highest rate of MJKN utilization in X Hospital was 21% of the target achievement of ≥30%. This study aims to determine the challenges and barriers of fulfilling the MJKN utilization indicators in registration process at X Hospital. This research is a qualitative research with a case study approach. In-depth interviews were conducted with eight BPJS patients and eight people from X Hospital management related to the implementation of MJKN. Data analysis is strengthened by triangulating based on observations and secondary data related to the MJKN process. Seven challenges were identified, including the low quality of evaluation of staff performance at Hospital X related to MJKN, the difficulty of bridging between hospital information system and the MJKN information system, patient difficulties during the MJKN account registration process, low access to information related to MJKN, the complexity of the MJKN check in process, resistance to technology, and patient devices that do not meet MJKN standards. The results of this study can be the basis for Hospital X management in determining solutions to improve the achievement of MJKN utilization.
Co-Authors Fitriasari, Nikma Jimmy S., Rifdinia Bregita Nursanti, Fajar Juli Ratri, Devita Rahmani Tita Hariyanti Yuvita, Emilda