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The Barriers in Implementing Electronic Prescribing in The Health Care: a Systematic Review Leawaty Leawaty; Adik Wibowo
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians' needs for the features in the e-prescription.

DELAY OF ELECTIVE OPERATIONS IN AWAL BROS PANAM PEKANBARU HOSPITAL JANUARI-APRIL 2018 Muhammad Eriex Fornando Suka; Adik Wibowo
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Competition between hospitals is increasing, for thathospital should maintain the quality of service and patient satisfaction. Hospitals should have innovation targets for cost effectiveness and productivity without compromising patient safety and quality of care. Operation delays are one barrier to optimal patient flow, increasing patient anxiety, affecting interprofessional teamwork across the medical discipline and ultimately putting patients at risk of safety. Methods: This research is descriptive research with a quantitative approach, data obtained from the surgery room register and interview which then grouped and analyzed. Results: There was an elective delay in surgery of 38%, with the highest cause being the staffing factor of 81%, the highest percentage of delays was plastic surgery 61% of total surgery performed, The highest number of delays occurred in Urology that is 213 cases. Conclusions: To reduce the delay required clear rules in the event of delays and rules of payment based on performance services, which is timeliness of attendance elective operation schedule is one of the assessment tools, and scheduling operations outside the time outpatient service.

FACTORS RELATED TO THE REDUCTION OF MEDICATION DISCREPANCIES AT TRANSITION OF CARE: A SYSTEMATIC REVIEW Ida Bagus Nyoman Maharjana; Adik Wibowo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Adverse drug events (ADE) are a leading cause of injury and death within health care systems around the world. Up to 67% of patients’ prescription medication histories recorded on admission to hospital have one or more errors and 30 – 80% of patients have a discrepancy between the medicines ordered in hospital and those they were taking at home. This study aims to systematically evaluate the available literature on the medication history records as a quality improvement in reducing medication discrepancies during the transition of care. Methods: This study was used systematic review which performed according to the PRISMA method. The search included articles were obtained through databases: MEDLINE (1946), EMBASE (1966), CINAHL (1937) and PubMed (1946). Some of the key words or Medical Subject Heading (MeSH) terms used in the search were: “transition of care,” “medication discrepancies,” “medication errors,” “patient safety,” “medication history,” “patient admission,” “patient discharge,” “patient transfer,” and “hospital”. Only studies published in English were included. Exploring literature was focused on the articles published from 2009 to 2019. Results: Initially, a total of 162 potentially relevant articles were obtained. After screening tittle and reviewing abstracts, 14 full text were assessed for eligibility. Of the 10 articles met all inclusion criteria, 5 studies were randomized controlled trials, 2 quasi-experimental studies, 1 cohort study, and 2 qualitative studies with quantitative approaches. All studies found that involving best possible medication history in identifying medication discrepancies and communicating this information affected medication discrepancies in the medical record. Conclusions: The available literature such as lack of well-designed studies precluded us from concluding that no effect exists. Medication reconciliation supported by information technology was an important tool for minimizing the percentage of medications with unintentional discrepancies

THE INFLUENCE OF MARKETING MIX TO PATIENT SATISFACTION IN HOSPITALS: NARRATIVE REVIEW Nurul Qosimah Batubara; Adik Wibowo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Hospitals, as service providers, have a large role in meeting people's needs regarding their health. The increasing growth of hospitals adds to the menu of choices for people to utilize health services according to their needs. This competition has changed the mechanism by which customers are not only users of health services but as determinants of the future and the continuity of a hospital. Marketing activities can help hospitals improve and win the competition. Marketing managers must be able to combine the marketing mix variables appropriately so that all variables can increase consumer's decision and patient satisfaction. Aims. The purpose of this study was to determine the effect of mix marketing on patient satisfaction at the hospital. Method: This study was conducted in a literature review by searching for articles and journals related to hospital mix marketing. Search journal articles are done through Google Scholar database with the search year 2010 until 2018. The keywords used are "marketing mix and "hospital." So that six articles will be reviewed. Results: In the six studies reviewed there was one study that showed that all the mix marketing variables namely product, price, people, place, promotion, process, and the physical evidence had a significant influence on patient satisfaction and the hospital for medical treatment. The significant results are known from the results of statistical tests showing that p-value <0.05. In several other studies, it shows that there are significant variables and some that are not significant for consumer decision and patient satisfaction. Conclusion: The Marketing mix has an important cost for the decision to choose a hospital. The mix marketing has varied significant influence on consumers’ decision and satisfaction to choose the hospital for medical treatment. By knowing the mix marketing variable that affects customer satisfaction, hospital management, namely the marketing department, can optimize and develop marketing types that can increase public interest so that the target profit of the hospital is achieved.

A Well-understood Surgical Informed Consent : A Scoping Review Rieke Cahya Budi; Adik Wibowo
Unnes Journal of Public Health Vol 12 No 1 (2023): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v12i1.57731

The implementation of surgical consent has shifted from simply getting a signature to a focus on doctor-patient communication. Providing adequate information is very important for patients in making decisions so that patients do not feel forced to agree. Good understanding is required before a patient gives consent, but many patients have difficulty understanding and doctors fail to provide correct information. The aim of this scoping review is to investigate and evaluate patient comprehension of surgical informed consent provided by standard procedure or other methods and factors affecting patient comprehension. Three electronic database searches (ProQuest, ScienceDirect, and Scopus) were performed from 2017 until 2022. A total of 391 articles were identified and 25 articles were selected according to the PRISMA guidelines and the PCC framework. 9 of 11 articles stated that patient understanding level was low. Factors that influence it include education level, age and language limitations. 12 studies (85%) showed that patient understanding improved with the use of additional information media. Overall patient comprehension of surgical informed consent is low. This depending on the communication between the doctor and the patient. An interesting interventions can be used to improve patient understanding of surgical informed consent

Risiko Infeksi COVID-19 pada Tenaga Kesehatan di Rumah Sakit dengan Riwayat Infeksi atau Vaksinasi COVID-19: Systematic Review: Risk of COVID-19 Infection Among Healthcare Workers in Hospitals with Previous Infection or Vaccination: A Systematic Review Kartika Qonita Putri; Adik Wibowo; Muhammad Ichsan Sulaiman Taufik
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 1 (2022): January 2022
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Pandemi COVID-19 telah berlangsung selama lebih dari 1 tahun mengakibatkan beban signifikan kepada rumah sakit dan tenaga kesehatan yang memiliki risiko paparan virus SARS-COV-2 tertinggi. Berbagai upaya pencegahan transmisi COVID 19 sudah dilakukan, salah satunya adalah program vaksinasi. Walaupun tingkat kematian dan morbiditas akibat COVID-19 telah berkurang secara signifikan, ada semakin banyak laporan yang menyatakan adanya risiko infeksi ulang pada individu yang telah sembuh dari COVID-19 ataupun telah di vaksinasi. Penelitian ini bertujuan untuk mengevaluasi pengaruh riwayat infeksi COVID-19 atau vaksinasi terhadap angka kejadian infeksi COVID-19 pada tenaga kesehatan khususnya di rumah sakit. Pencarian literatur dilakukan secara sistematis menggunakan kata kunci dilakukan pada 4 database online selama Maret 2020 hingga Juni 2021. Setelah itu, dilakukan penilaian risiko bias dan pengambilan kesimpulan. Dari 10 studi yang didapatkan menunjukkan hasil yang konsisten bahwa infeksi atau vaksinasi COVID-19 sebelumnya dapat mengurangi risiko infeksi di masa yang akan datang. Namun beberapa studi masih menunjukkan angka infeksi COVID-19 setelah vaksinasi dosis kedua ataupun infeksi COVID-19 sebelumnya. Disimpulkan bahwa riwayat infeksi COVID-19 atau vaksinasi sebelumnya mengurangi risiko infeksi COVID-19 selanjutnya tetapi tenaga kesehatan yang sudah divaksinasi tetap berisiko tertular infeksi SARS-COV-2, sehingga perlu pertimbangan untuk revaksinasi dalam memberikan perlindungan terhadap varian baru yang mungkin akan muncul.

Strategi Implementasi Clinical Pathway Terhadap Mutu Pelayanan Obstetri di Rumah Sakit pada Masa Pandemi COVID-19: Systematic Review: Clinical Pathway Implementation Strategy on the Quality of Obstetric Services in Hospitals during the COVID-19 Pandemic: Systematic Review Vanda Sativa; Amal Chalik Sjaaf; Adik Wibowo
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 3 (2022): March 2022
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Pendahuluan: Pandemi COVID-19 memberikan dampak bagi semua sektor termasuk sektor kesehatan. Ibu hamil merupakan kelompok rentan terpapar virus ini. Data WHO menunjukkan terdapat 290 juta kasus terkonfirmasi positif, dan dari data CDC didapatkan 155 ribu kasus pada ibu hamil di United States. Tujuan: Penelitian ini dilakukan untuk mengetahui bagaimana strategi implementasi clinical pathway pada pelayanan obstetri di masa pandemi ini. Metode: Penelitian dilakukan secara systematic review berdasarkan alur diagram PRISMA. Didapatkan 7 artikel yang dibahas dalam penelitian ini. Hasil: Implementasi clinical pathway pada masa pandemi ini meliputi diagnosis COVID-19 pada ibu hamil, alat pelindung diri (APD) saat persalinan, manajemen sistem clinical pathway, serta pendukung dan penghambat dalam implementasi clinical pathway. Kesimpulan: Implementasi clinical pathway pada pelayanan obstetri di rumah sakit pada masa pandemi merupakan suatu tantangan dan langkah penting yang tetap harus dapat diterapkan oleh rumah sakit agar mutu pelayanan dan keselamatan pasien tetap terjamin.

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