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All Journal Journal Of Vocational Health Studies Journal Health & Science : Gorontalo Journal Health and Science Community JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Jurnal Ners Jurnal Scientia Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences International Journal Of Science, Technology & Management (IJSTM) Archives of The Medicine and Case Reports Jurnal EduHealth Jurnal Ekonomi INTERNATIONAL JOURNAL OF CULTURAL AND SOCIAL SCIENCE Jurnal Multidisiplin Madani (MUDIMA) JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) International Journal of Health and Pharmaceutical (IJHP) International Journal of Science and Environment Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health
Ermi Girsang
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An Analysis Acceptance of Hospital Management Information Systems Using Technology Acceptance Model at Hospital Harapan Bunda Batam Depi Yunaspi; Ermi Girsang; Sri Lestari Nasution; Tan Suyono
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 5, No 3 (2022): Budapest International Research and Critics Institute August: In Progress
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.5910

Abstract

The hospital is one of the health care facilities by empowering various units of trained and educated personnel in dealing with and dealing with medical problems for the recovery and maintenance of good health (Setyawan D, 2016). From the explanation above about the definition of a hospital, it can be concluded that the hospital performs several types of services including medical services, medical support services, nursing services, rehabilitation services, prevention and health improvement, as a place for education and/or medical and medical training, as a place of research and the development of science and technology in the health sector as well as to avoid health risks and disturbances as intended, so it is necessary to carry out hospital environmental health in accordance with health requirements. This paper described a hospitals, which are part of the facilities that provide health services, are currently facing increasingly fierce competition, so hospitals must continue to strive to improve the quality of services offered to the community. Hospital competition conditions have a positive impact, namely providing more choices for the community. Efforts to improve service quality are efforts to improve the efficiency and effectiveness of organizational management as well as efforts to satisfy community needs. These efforts were carried out in all fields including the procurement of Hospital Management Information System (SIMRS).(Putra & Vadriasmi, 2020).
Analysis of Management System Implementation Occupational Health and Safety (SMK3) at Hospital Royal Prima Medan 2018 Diana Agustina Ritonga; Sri Lestari Ramadhan; Ermi Girsang; Sri Wahyuni Nasution
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.5902

Abstract

Based on data from BPJS Employment for North Sumatra (Sumbagut), the number of BPJS Employment accidents in 2016 reached an average of 226 cases per day. Implementation of Occupational Safety and Health Management (SMK3) at RSU Royal Prima Medan in 2018. The study was conducted in November-December 2018. The sample in this study amounted to 5 people. The type and design of this research are qualitative. The results of the research, commitments, and policies of SMK3 at the Royal Prima Hospital Medan have been carried out with written decisions regarding K3, the planning which was prepared directly by the leader of the Royal Prima Medan Hospital orally already exists and has been fully realized, the organization and implementation are carried out verbally comprehensive and significant so that all workers are controlled for their health and minimize the occurrence of work-related accidents, the implementation of SMK3 is by participating in K3 training, Royal Prima Hospital Medan also requires Personal Protective Equipment (PPE) in the occupational health and safety management system, the organization has been made but not running optimally. Royal Prima Hospital is expected to further improve the implementation of SMK3RS, make a thorough improvement of SMK3 and review SMK3 documents. 
An Evaluation of Implementation Nosocomial Infection Prevention and Control Program in The Space Covid-19 Isolation at Hospital Royal Prima Medan Tommy Adhi Wijaya; Ermi Girsang; Sri Lestari Ramadhani Nasution
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6455

Abstract

An Infectious diseases are still one of the health problems in the world, including in Indonesia. According to the World Health Organization (WHO) in 2013, the percentage of nosocomial infections in hospitals worldwide reached 9% (variation 3 – 21%) or more than 1.4 million hospitalized patients worldwide had nosocomial infections. At the end of 2019, there was an outbreak of a virus called Corona Virus Disease / COVID-19 in Wuhan City, China. Efforts to minimize the risk of infection in Royal Prima Hospital and other health facilities need to be implemented in infection prevention and control (PPI). Researchers are interested in evaluating how to implement a nosocomial infection prevention and control program in the COVID-19 isolation room at Royal Prima Hospital Medan. This research used is qualitative research with a descriptive approach with the method of determining the informants using purposive selection. The research was carried out in the Covid-19 Isolation Room of Royal Prima Hospital Medan. The sources of data or sources of information in the study were parties who were considered competent in providing internal information at the Royal Prima Medan Hospital related to nosocomial infections as many as 7 people consisting of the head of the Covid-19 isolation room at the RSU Royal Prima, PPI Team (Infection Prevention and Control in Hospitals) Royal Prima General Hospital, Five nurses on duty to nurse patients in the Covid-19 isolation room at Royal Prima Hospital. The results showed that the implementation of the infection prevention and control program at the Royal Prima Hospital was running well. Management support has been running optimally.
An Application of Activity Based Costing Method as Alternative to Prices Laparatomy in Hospital the True Partner of Medan Ali Napiah Nasution; Ermi Girsang; Vijay Dhillon
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6605

Abstract

Ileus is an occlusion or paralysis of the intestine that prevents the forward passage of intestinal contents, causing accumulation proximal to the site of the blockage. The problem of cost distortion can be avoided by using an activity-focused cost accounting method, namely the ABC (Activity-Based Costing) method. The ABC method uses more cost drivers than traditional cost accounting methods. The purpose of this study was to determine the application of the activity-based costing method as an alternative to laparotomy rates at Mitra Sejati Hospital Medan. The real cost of laparotomy with a diagnosis of obstructive ileus at Mitra Sejati General Hospital Medan is Rp. 26,875,905.00. There is a difference in the cost of a laparotomy with a diagnosis of obstructive ileus with a unit cost using the activity-based costing method and using real cost calculations at Mitra Sejati General Hospital Medan in 2020 with a cost difference of Rp. 2,804,156.3.
Analysis of Costs, Tariffs and Utilization of Increased Cost Recovery Rates Ermi Girsang; Sri Lestari Ramadhani Nasution; Ibnu Rushd; Primanita Novi Andriati
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6032

Abstract

Analysis of costs, tariffs and utilization of the Cost Recovery Rate (CRR) are important things to consider in providing health services. This study aims to analyze rates, costs and utilization in increasing CRR at Harapan Bunda Hospital. The type of research is quantitative and qualitative. The participants of this study were the Director, Head of Medical Services, Head of Finance, Head of Marketing, with 5 participants, quantitatively the samples taken were the top 5 diseases that were analyzed in 2019-2020. Collecting data with primary and secondary data, data were analyzed by reduction, data display and data verification. The results showed that there was a change in CRR every year, the method of determining service product rates and their comparison with competitor hospital rates in Batam, the number of patients with the disease, which amounted to 4222 people, only about 53 people were discharged dead for various reasons, the strategy adopted by the Harapan Bunda Hospital in increasing CRR is to promote several superior service products. The author suggests to further researchers using different methodologies, and to related staff and health workers to increase motivation and service quality, so as to make health care facilities to get better.
An Analysis of Total Quality Management (TQM) Implementation on BPJS Patients at Hospital Royal Prima Medan Muhammad Insan Andika; Ermi Girsang; Sri Lestari Ramadhani Nasution; Gusbakti Gusbakti
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6998

Abstract

The quality of health services is essential in health service organizations in increasing public awareness about health and health services, encouraging every organization to be quality conscious in providing services to service users of health service organizations, Total Quality Management (TQM) is a customer-oriented approach that introduces changes in management that systematic and continuous improvement, which is suitable to meet the quality needs of customers, which is simply a quality product or service if it can satisfy its customers. This study aimed to analyze the implementation of Total Quality Management (TQM) for BPJS inpatients at Royal Prima Hospital Medan. The sample in this study were 133 nurses, data analysis used univariate, bivariate and multivariate analysis.with the level of relationship with the category enough,Respondents' assessment was based on the teamwork variable, the majority of respondents answered satisfactorily, the results showed that there was a relationship between the teamwork variable and the satisfaction of BPJS inpatients at Royal Prima Hospital Medan with a relationship level with a strong category,Respondents' assessment was based on the variable of periodic system improvement, the majority of respondents answered satisfactorily, the results showed that there was a relationship between the variable of irregular system improvement on the satisfaction of BPJS inpatients at Royal Prima Hospital Medan with a relationship level with a strong category.
An Analysis of Health Personnel based on Workload using the WISN Method in Hospital Melati Perbaungan Syaifullah Syaifullah; Ermi Girsang; Sri Lestari Nasution; Tan Suyono
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6282

Abstract

Problems that often occur in organizations are the lack of the number and types of personnel needed, lack of competence (knowledge, skills, attitudes and values) of nursing staff and limited funds from hospitals so that they cannot add and maintain the human resources (HR) they need. . This study aims to determine the need for health workers by calculating the ideal number of health workers (nurses and pharmacists) based on the workload at the Melati Perbaungan General Hospital. This research is a qualitative research using observation techniques, interview guidelines and document review. This study uses research informants where the informants used are the head of the nursing room and the nurse in the inpatient room. Data analysis is the process of systematically searching and compiling data obtained from the results of field observations (work sampling), in-depth interviews and document review. The results obtained: 1) The total use of time for nurses during observations is known that the use of time for direct nursing activities of implementing nurses in the inpatient room is 36.3%, indirect nursing activities is 40.6% and personal activities is 23.1 %. This shows that the activities that are mostly carried out by nurses are indirect nursing activities. This is because nursing activities do not directly have to be carried out and completed in accordance with nursing procedures.
An Analysis of Quality Services on Patient Satisfaction Outside at Putri Bidadari Hospital Stabat Langkat Regency Ramadhan Efendi; Ermi Girsang; Ali Napiah Nasution; Chrismis Novalinda Ginting
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6999

Abstract

The purpose of the study was to determine the difference in service quality based on patient safety, effectiveness and efficiency, and patient orientation, as well as patient satisfaction between patients using BPJS and the general public. The study was conducted by as many as 60 respondents consisting of 30 BPJS patients and 30 general patients in out patient care for Hospitsl Putri Bidadari Stabat, Langkat Regency. Analysis of the data used is the independent t-test and then analyzed the effect of the independent variables on the dependent using multiple regression analysis. The results showed that there were significant differences in service quality based on patient safety, effectiveness and efficiency, and patient orientation, as well as patient satisfaction among patients using BPJS and the general public, as well as the influence between patient safety, effectiveness and efficiency, and patient-oriented variables on patient satisfaction. From the results of these equations, it is known that the three independent variables, namely patient safety, effectiveness and efficiency, and patient-oriented services have a positive effect on customer satisfaction. This means that if patient safety, effectiveness and efficiency, and patient-oriented services, the higher patient satisfaction.
The Compliance Evaluation of Type-2 Diabetes Mellitus Patients Treating Therapy Diet Review from Theory of Planned Behavior Sri Lestari Ramadhani Nasution; M. Ridho Fitra Alamsya; Ermi Girsang
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6739

Abstract

Diabetes mellitus (DM) is a chronic condition that occurs when there is an increase in blood glucose levels because the body cannot produce insulin or use insulin effectively. This study aims to evaluate more in-depth information about compliance with Type-2 DM undergoing diet therapy from the perspective of the Theory of Planned Behavior. The informants in this study consisted of 17 informants consisting of 1 Doctor, 1 Nurse, and 15 Type 2 DM patients. This type of research was qualitative using in-depth interviews related to dietary compliance with Type 2 DM patients, then analyzed by triangulation. The results showed that diet-adherent behavior was significantly influenced by attitudes, subjective norms, individual behavior control, and intentions. The amount of intention and obedient attitude and behavior possessed by Type 2 DM patients will make it easier for Type 2 DM patients to carry out diet therapy. The level of adherence to diet therapy in this study with a high category of 10 patients with a percentage of 66.7%, patients with a level of adherence to diet therapy with a moderate category of 4 patients with a percentage of 26.7%, and patients with a level of adherence to diet therapy with a low category as many as 1 patient with a percentage of 6.7%. The amount of intention and obedient attitude and behavior possessed by Type 2 DM patients will make it easier for Type 2 DM patients to carry out diet therapy.
Affecting Factors BPJS Users on the Tiered Referral System in the Pokenjior Community Health Center, Padang Sidempuan City Ria Hartaty; Sri Lestari Ramadhani Nasution; Ali Napiah Nasution; Ermi Girsang
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 4, No 2 (2021): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i2.1860

Abstract

This study aims to determine the factors that influence BPJS users of the Tiered Referral System in the Work Area of Pokenjior Health Center, Padangsidimpuan City. This research is an analytical research type with explanatory research type. The populations in this study were all BPJS users or patients undergoing health services at the Pokenjior Public Health Center in Padang Sidempuan City with a sample of 98 patients participating in the Health BPJS. Data were collected using a questionnaire and analyzed using the Pearson Correlation test and multiple logistic regression tests. The results showed that there was an influence of BPJS user knowledge (p = 0.007), officer attitudes (p = 0.003), availability of infrastructure and human resources (p = 0.002), and referral information (p = 0.003) to the tiered referral system at Pokenjior Public Health Center. The results of multivariate analysis and modeling show that BPJS user knowledge, availability of infrastructure, and human resources and referral information are the dominant factors influencing the tiered referral system. Thus it was concluded that the knowledge factor of BPJS users, the availability of infrastructure and human resources as well as the referral information had a significant effect on the tiered referral system in Pokenjior Public Health Center, and the availability of infrastructure and human resources was the biggest or most dominant factor affecting the tiered referral system in the work area Pokenjior Public Health Center in Padangsidimpuan City
Co-Authors Akmalul Habib Damanik Ali Nafiah Nasution Alvin Abrar Harahap Analita Khoironissa Anita Merry Cisca Arie - Vonikartika Ary Denggan Syahputra Lubis Asri Widiya Sitompul Asyrun Alkhairi Lubis Ayu Hasanah Panjaitan Benedictus Juve Bethania Nadi Ida Febrina Siagian Chiuman, Linda Clinton Antony Dennis Wijaya Depi Yunaspi Dewi DIAN MELANI Diana Agustina Ritonga Dirgantara, Oscar Disti Amanda Putri Djohan Djohan Dzil Fikri Erisman Hondro Eva Kristina Pelawi Fioni Fioni Firdha Muharraran Ginting, Chrismis Novalinda Gusbakti Gusbakti Hanjaya hardiansyah siregar Hariyento Halim Ibnu Rushd Ira Syaputri Irfan Aulia irza Haicha Pratama Jeri Yuliansyah Liani Br Ginting Liena M. Ridho Fitra Alamsya Maria Seri Arihta Marlinang I. Silalahi Martin Loodwyck Simanjuntak Maya Sari Mutia Maya Sari Mutiara Muhammad Agus Muljanto Muhammad Insan Andika Muhammad Nawal Hasya Nadia Zenni Andari Nasution, Ali Napiah Nasution, Sri Lestari Ramadhani Noni Rokaya Pasaribu Primanita Novi Andriati Putri Satriani Dachi Rakhmat Akbar Dinur Ramadhan Efendi Rapael Ginting Redo Widhio Mahatvavirya Ria Hartaty S. Shelly Hazlina Hararap Saprilliani . Sindy Zelvia SITI AMINAH Sri Lestari Nasution Sri Lestari Ramadhan Sri Lestari Ramadhani Sri Lestari Ramadhani Nasution Stefenie SURYANI Syaifullah Syaifullah Tan Suyono Tommy Adhi Wijaya Ulina Karo Karo Ulina Karo-karo Vijay Dhillon Waoziduhu Ndruru Welly Ria Utami Lubis Widya Pasca Amir Widyaningsih Oentari Widyaningsih Oentari Winda Tri Mutia Wiwin Dwi Handayani Wulan Dhari Yuliani Yuliani Zsa Zsa Ranty Bianca Saragih