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Wahidi, Kemala Rita
Universitas Esa Unggul, Jakarta, Indonesia
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Analisis proses pemulangan pasien rawat inap dengan pendekatan lean management di Rumah Sakit Azra Kota Bogor Dieni Ananda Putri; Nofierni; Kemala Rita Wahidi; Dhita Widya Putri; Paula Tjatoerwidya Anggarina; Yusuf Enril Fathurrohman
Tarumanagara Medical Journal Vol. 8 No. 1 (2026): TARUMANAGARA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/tmj.v8i1.34564

Abstract

Lama waktu tunggu proses pemulangan pasien rawat inap sering melebihi waktu yang telah ditetapkan dan mempengaruhi kepuasan pelanggan. Rata-rata waktu tunggu proses pemulangan pasien di RS Azra Kota Bogor pada tahun 2023 ialah 4 jam 21 menit diiringi dengan angka komplain yang tinggi. Waktu ini melebihi waktu standar yang ditetapkan oleh KMK 129/2008 tentang Standar Pelayanan Minimal dimana proses pemulangan ≤2 jam. Lean management merupakan salah satu metode perbaikan yang bertujuan mengurangi lama waktu tunggu. Studi ini menggunakan mix method dengan desain sequential exploratory dan action research pada 24 pasien rawat inap jenis asuransi Third Party Assurance (TPA) di RS Azra Kota Bogor perode Juni-Juli Tahun 2024. Pengumpulan data kualitatif dilakukan melalui observasi pemulangan pasien rawat inap dengan time study sebelum dan setelah pendekatan lean management, analisis value stream mapping, wawancara, telaah dokumen, usulan perbaikan alur proses pemulangan pasien baru dan mitigasi risiko dengan Failure Mode and Effect Analysis (FMEA). Data kuantitatif dengan melakukan uji statistik t-paired test. Hasil studi menunjukkan bahwa terdapat 3 waste kritis yaitu waiting, transportation dan overprocessing. Waktu tunggu menurun secara bermakna dari 3 jam 10 menit menjadi 2 jam 8 menit setelah dilakukan pendekatan lean management yang dibuktikan dengan uji statistik dengan nilai p<0,001. Lama waktu proses pemulangan pasien rawat inap di RS Azra dapat diturunkan dengan pendekatan lean management, meskipun belum mencapai standar pelayanan minimal yang ditetapkan Pemerintah. Tindak lanjut perbaikan diperlukan untuk mencapai standar yang ditetapkan.
Transformational Leadership, Team Cooperation, and Motivation in Shaping Patient Safety Culture Among Healthcare Professionals Suci Romadhona; Kemala Rita Wahidi; Johanes; Titi Sundari; Farida Murtiani; Rokiah Kusumapraja
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 3 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i3.8819

Abstract

Introduction: Patient safety remains a critical global health agenda, as emphasized by the WHO and IOM. Fostering a robust patient safety culture within hospitals is paramount for minimizing adverse events and improving the quality of care. Understanding the psychosocial factors that drive this culture is essential for effective organizational interventions. This study aims to explore the direct and indirect effects of transformational leadership and team cooperation on patient safety culture, with a particular focus on assessing the mediating function of motivation within these relationships among healthcare professionals. Methods: An analytical cross-sectional research design was applied in this study. Study utilized a survey to collect data from 198 Healthcare Providers (HCPs) at Sulianti Saroso Infectious Disease (SSIDH). The primary instrument was the Hospital Survey on Patient Safety Culture (HSOPS) Version 2.0. Data analysis involved Structural Equation Modelling (SEM) based on Partial Least Squares (PLS-SEM) using SmartPLS 4.0 to test the proposed causal relationships. Results: Descriptive analysis showed that the variables of Transformational Leadership, Team Cooperation, Motivation, and Patient Safety Culture were all in the moderate category. However, hypothesis testing revealed significant findings. Both transformational leadership and team cooperation demonstrated a direct and significant positive influence on patient safety culture. Crucially, motivation was found to significantly mediate the relationship between transformational leadership and safety culture, as well as the relationship between team cooperation and safety culture. Conclusion: This study confirms that transformational leadership and teamwork are crucial factors that effectively enhance patient safety culture. The central finding of this study is the vital role of motivation as a psychological mechanism that translates managerial initiatives and team collaboration into proactive safety behaviors. Therefore, the practical recommendations from this research focus on strategies that directly target motivation, such as strengthening programs for recognition and responsibility, accompanied by improved interprofessional communication and more specific leadership training programs.
Co-Authors Adam Barlian Trisnadi Agusdini Banun Aida, Mus Anastina Tahjoo Andry Andry At Thaariq, Pertiwi Aulia Rahman Hakim, Ari Benny Chairuddin Cahyarini, Cahyarini Dedi Haryanto Dhita Widya Putri Dian, Wahyuni Dieni Ananda Putri Duta Liana Endang Ruswanti Endang Triyani Kusuma Widyawati Erfa, Roro Kusnabilla Erry Yudhya Erry Yudhya Mulyani Fachturohman, Mochamad Arfan Farida Farida Farida Murtiani Febri Dian Morina Feggy Ekatama Anggela Fernando Pausoan Gultom, Doddy Fifi Tandion Gina Fadhilah Gultom, Doddy Fernando Pausoan Hadiyani, Ai Hariyanto, Ari Herlinawati Herlinawati Hexanini, Clara Pelita Sri Hutapea, Fresley Indriaty, Julia Jhon perry B Simanjuntak Johanes JUS’AT, IDRUS Kusumapradja, Rokiah Linda Mirawati Marsela Marsela MF. Arrozi Adhikara Mohamad Reza Hilmy Muh. Tan'iem Nawawi Muhammad Fachrur Rozi, Muhammad Fachrur Mus Aida Mutiara Meilyn Pane Natsir Nugroho Nesya Noer Kemalasari Nofierni Nofierni, Nofierni Nurmaini Nurmaini Pamungkas, Idrus Jus’at Pamungkas, Winda Novita Pathiussina, Rimba Trishuta Paula Tjatoerwidya Anggarina Ramli Saibun Hasudungan Resti Mulya Sari Rian Adi Pamungkas Rina Anindita Rina Mutiara Rokiah Kusumapraja Rolianna Harianja Silvia Ayu Rianti Silviana Mustikawati, Intan Sri Setia Utami Sriyani Sriyani Suci Romadhona Susanti, Vivi Tandion, Fifi Tantri Yanuar R. Syah Tantri Yanuar Rahmat Syah Titi Sundari Tuti Ona Wekadigunawan, Cri Sajjana Prajna Yaputra, Steven Kristianto Yusuf Enril Fathurrohman