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Peran Kepemimpinan dalam Meningkatkan Budaya Keselamatan Pasien di Rumah Sakit (Suatu Kajian Kepustakaan) Nikita Nabilla; Dhamanti, Inge
Jurnal Kesehatan Komunitas Vol 9 No 3 (2023): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss3.1458

Abstract

One of the elements that contribute to patient safety issues is poor leadership. Leadership is an essential component of changing the culture of patient safety. This literature review aims to examine the role of leadership in enhancing hospital patient safety culture. The method employed is a review of the literature using articles published between 2017 and 2022. The literature was gathered using the terms "leadership," "patient safety culture," and "hospital" from two database sources: Garuda Portal and Google Scholar. According to the keywords, the search yielded 77 articles. Five articles were evaluated after being screened using inclusion criteria. According to the five articles obtained, there are five leadership roles in improving patient safety culture: encouraging and ensuring the implementation of the Seven Steps Toward Hospital Patient Safety, ensuring ongoing programs to identify patient safety risks and reduce incidents, encouraging and fostering communication and coordination between units and individuals, allocating adequate resources, and measuring and reviewing the effectiveness. It is expected that hospital leaders can show commitment to making the hospital institution safe by implementing five leadership roles and involving staff in the commitment.
Analisis Inovasi dan Teknologi dalam Layanan Rawat Jalan Rumah Sakit Mata pada Masa Pandemi COVID-19 Andreasih, Chika; Dhamanti, Inge
Jurnal Kesehatan Komunitas Vol 10 No 1 (2024): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol10.Iss1.1629

Abstract

ABSTRACT The pandemic has had an impact on efforts to provide services at eye hospitals. The implications are related to services with the role of outpatient service preparedness and technological innovation. Objective: By Knowing the various management of outpatient services in eye hospitals during the COVID-19 pandemic, it is hoped that it can help increase patient safety rates and reduce the occurrence of errors in handling COVID-19. Method: The method used in the research is a literature review. Article searches use keywords, namely "eye hospital" and "outpatient" and "innovation" or "service" and "COVID-19". This reference is based on two database sources, namely Google Scholar and Science Direct in the last 5-year publication period (2019-2023). Selection of literature sources is carried out based on inclusion and exclusion criteria, source credibility, and relevance to the topic being discussed. Using this method, 173 selected literatures were selected resulting in 5 selected literatures. Results: From the selected literature, several innovations and technologies were found that can be used for services in eye hospitals during the pandemic, starting from the use of patient self-registration platforms, long-distance treatment, examinations with a combination of video and face-to-face consultations, telehealth and ride-hailing services -hailing, as well as teleophthalmology services with video consultation during the pandemic. The application of innovation and technology has proven to be effective and has had a positive impact on services at eye hospitals. Conclusion: Adjusting conditions and using technology to provide services to patients in eye hospitals during the pandemic can be done by using self-registration platforms, telemedicine, combined video and face-to-face consultation examinations, telemedicine-based services, and teleophthalmology video consultation services.
EFEKTIVITAS BAR CODE MEDICATION ADMINISTRATION (BCMA) SEBAGAI UPAYA PATIENT SAFETY DI RUMAH SAKIT: KAJIAN LITERATUR Wahidah, Laila Farisya; Dhamanti, Inge
JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama Vol 11, No 3 (2023): JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jkm.v11i3.1457

Abstract

Kejadian medication error di rumah sakit masih menunjukkan angka yang cukup tinggi. Hal ini harus menjadi perhatian khusus mengingat keselamatan pasien merupakan hal penting dalam proses pemberian pelayanan kesehatan yang bermutu. Upaya peningkatan keselamatan pasien dapat dilakukan dengan inovasi teknologi Barcode Medication Administration (BCMA). Tujuan penelitian ini adalah mengetahui (1) pengaruh BCMA terhadap angka kejadian Medication Administration Error, (2) pengaruh BCMA terhadap jenis dan potensi keparahan Medication Administration Error, dan (3) pengaruh BCMA terhadap waktu yang dihabiskan untuk kegiatan penyiapan obat oleh staf medis. Studi literatur melalui database yang tersedia pada Pubmed dan Google Scholar menggunakan kata kunci “barcode medication administration”, “patient safety”, “medication error”, dan “hospital”. Hasil pencarian awal mendapatkan 316 artikel.  Kriteria inklusi adalah diterbitkan dalam lima tahun terakhir, artikel asli dari sumber utama orginal article, full text, dan free access. Lokasi penelitian adalah rumah sakit. Desain penelitian dibatasi hanya pada experimental design. Dari hasil penelusuran, didapatkan 3 artikel yang sesuai dengan kriteria inklusi. Terdapat total studi 3 rumah sakit di negara berbeda telah menerapkan teknologi BCMA menunjukkan hasil terjadi penurunan angka pada Medication Administration Error dengan tingkat penurunan bervariasi. Jenis kategori kesalahan yang terdapat pada semua studi adalah terkait dengan  kesalahan dosis. Setiap jenis kesalahan administrasi secara keseluruhan menurun secara signifikan. Namun, pada kesalahan proses administrasi terlalu cepat, kesalahan pemesanan obat, dan kesalahan teknis yang menyebabkan obat hilang justru terjadi kenaikan. Waktu yang dibutuhkan dalam kegiatan penyiapan obat juga menurun secara signifikan. Penerapan teknologi BCMA di rumah sakit menunjukkan hasil yang positif terhadap upaya keselamatan pasien khususnya pada kejadian Medication Administration Error sehingga perlu dilakukan di Indonesia agar pelayanan kesehatan yang bermutu dapat tercapai secara optimal
Hospital quality classification based on quality indicator data during the COVID-19 pandemic Nurhaida, Ida; Dhamanti, Inge; Ayumi, Vina; Yakub, Fitri; Tjahjono, Benny
International Journal of Electrical and Computer Engineering (IJECE) Vol 14, No 4: August 2024
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijece.v14i4.pp4365-4375

Abstract

This research aim is to propose a machine learning approach to automatically evaluate or categories hospital quality status using quality indicator data. This research was divided into six stages: data collection, pre-processing, feature engineering, data training, data testing, and evaluation. In 2020, we collected 5,542 data values for quality indicators from 658 Indonesian hospitals. However, we analyzed data from only 275 hospitals due to inadequate submission. We employed methods of machine learning such as decision tree (DT), gaussian naïve Bayes (GNB), logistic regression (LR), k-nearest neighbors (KNN), support vector machine (SVM), linear discriminant analysis (LDA) and neural network (NN) for research archive purposes. Logistic regression achieved a 70% accuracy rate, SVM a 68% accuracy rate, and neural network a 59.34% of accuracy. Moreover, K-nearest neighbors achieved a 54% of accuracy and decision tree a 41% accuracy. Gaussian-NB achieved a 32% accuracy rate. The linear discriminant analysis achieved the highest accuracy with 71%. It can be concluded that linear discriminant analysis is the algorithm suitable for hospital quality data in this research.
IMPLEMENTATION OF ROOT CAUSE ANALYSIS ON PATIENT SAFETY IINCIDENCE IN HOSPITAL: LITERATURE REVIEW Alifia, Redina Thara; Dhamanti, Inge
Journal of Public Health Research and Community Health Development Vol. 6 No. 1 (2022): October
Publisher : Fakultas Ilmu Kesehatan, Kedokteran dan Ilmu Alam (FIKKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v6i1.31556

Abstract

ABSTRACT Background: Root cause analysis (RCA) is a process used by hospitals to reduce the level of patient safety incidents. The minimized application of root cause analysis has resulted in inevitable patient safety incidents. Research objectives: "‹"‹ This study aims to determine the application of RCA to patient safety incidents in hospitals. Method: The method used in this study was a literature review. Articles were obtained through the Pubmed, SAGE, and Google Scholar databases published in 2016-2021. Results: The implementation of RCA in 46 hospitals in France, the United States, and Hong Kong is known to run inadequately. This is due to the fact that the overall causative factors are not identified and the type of solution produced is ineffective in preventing the occurrence of the same patient safety incidents (PSI) in the future. Conclusion: The results of the article review shows that the application of RCA is not optimal. Therefore, it is necessary to improve the quality of RCA in hospitals. ABSTRAK Latar belakang: Analisis akar penyebab merupakan proses yang digunakan oleh rumah sakit untuk mengurangi tingkat kejadian insiden keselamatan pasien. Penerapan analisis akar penyebab yang belum maksimal menyebabkan insiden keselamatan pasien belum berhasil untuk dicegah.  Tujuan: Penelitian ini bertujuan mengetahui efektivitas dan hambatan penerapan RCA pada insiden keselamatan pasien di rumah sakit. Metode: Metode yang digunakan pada penelitian ini adalah scoping review. Pencarian artikel didapat melalui database Pubmed, SAGE, dan Google Scholar yang dipublikasikan pada tahun 2016-2021. Hasil: Penerapan RCA pada 46 rumah sakit di negara Prancis, Amerika Serikat, dan Hongkong diketahui belum berjalan secara optimal. Hal ini disebabkan, karena tidak mengidentifikasi faktor penyebab secara keseluruhan dan jenis solusi yang dihasilkan tidak efektif untuk mencegah terjadinya insiden keselamatan pasien (IKP) yang sama di masa mendatang. Kesimpulan: Hasil tinjauan artikel menunjukkan penerapan RCA belum optimal, sehingga dibutuhkan peningkatan kualitas RCA di rumah sakit.
QUALITY IMPROVEMENT FOR MATERNAL AND CHILD HEALTH IN PRIMARY HEALTH CARE: A SCOPING REVIEW Tarigan, Dhea Benedikta; Dhamanti, Inge
Journal of Public Health Research and Community Health Development Vol. 6 No. 2 (2023): March
Publisher : Fakultas Ilmu Kesehatan, Kedokteran dan Ilmu Alam (FIKKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v6i2.34624

Abstract

ABSTRACT Background: Primary Health Care (PHC) is a gatekeeper in providing comprehensive services for maternal and child health (MCH). MCH services in PHC remain limited and have not been entirely handled and distributed. Based on this, MCH in PHC requires Quality Improvement (QI) interventions. Purpose: Identify the implementation of QI in maternal and child health in PHC and identify the most QI tools or approaches used. Methods: This is a scoping review of the qualitative and quantitative results of studies that focused on Quality Improvement for maternal and child health in Primary Health Care. The inclusion criteria consist of articles published in English and original articles; the topic is an improvement for maternal and child health in Primary Health Care; full text and open access.  Results: Six findings have been found, which are: QI interventions for MCH problems mostly happen in Low Middle Income Countries (LMIC); Plan-Do-Study-Act (PDSA)  was the most used QI intervention approach; the success of QI implementation including the interventions; the most used QI Intervention; the role of stakeholders; and factors related to the successes of QI intervention.  Conclusion: Implementation QI is often carried out in Low-Middle Income Countries (LMIC).  Furthermore, various QI interventions have been used to solve maternal and child health issues. The most used QI tool was PDSA. Training, mentoring, and workshops for midwives and clinic teams were most often QI interventions implemented.
IMPACT OF IMPLEMENTING A SURGICAL SAFETY CHECKLIST IN HOSPITAL: LITERATURE REVIEW Arimbi, Ezha Gadis Rekly; Dhamanti, Inge
Journal of Public Health Research and Community Health Development Vol. 6 No. 2 (2023): March
Publisher : Fakultas Ilmu Kesehatan, Kedokteran dan Ilmu Alam (FIKKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v6i2.34769

Abstract

ABSTRACT Background: The Surgical Safety Checklist is part of WHO's efforts to reduce the number of deaths worldwide. Purpose: To analyze the impact of implementing the WHO Surgical Safety Checklist in hospitals. Methods: Article search was carried out through PubMed and ScienceDirect databases using keywords ("impact") OR ("effect") AND ("implementation") AND ("surgical safety checklist") AND ("hospital") . The total number of articles found was 195, but only six articles met the inclusion criteria. Results: A comprehensive study in 7 hospitals located in 4 countries found the impact of implementing the Surgical Safety Checklist in hospitals could improve the quality of care, reduce the length of hospitalization, reduce mortality and complications that cause morbidity, reduce treatment costs, improve surgical team communication, increase trust in the safety culture in the operating room, improve teamwork climate, safety climate, surgical outcomes, and improve patient safety. Conclusion: Surgical Safety Checklist can reduce mortality and morbidity, improve quality of care, reduce treatment costs, and affect the attitudes & perceptions of team members and patient safety.
Studi Literatur: Penerapan Komunikasi SBAR dalam Pelaksanaan Keselamatan Pasien di Rumah Sakit (Studi di Indonesia) Shafira, Risma Ainun; Dhamanti, Inge
Media Gizi Kesmas Vol 12 No 1 (2023): MEDIA GIZI KESMAS (JUNI 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i1.2023.441-452

Abstract

Background: In carrying out patient safety, the hospital has varied ways to maximize the implementation of patient safety, one of which is the use of effective communication as an effort to maximize the implementation of patient safety at the hospital. One of the effective communication methods is SBAR communication (Introduction, Situation, Background, Assessment, Recommendation) to achieve critical thinking skills and save time.  SBAR communication used in effective communication is a system that is easy to remember amd a real mechanism used to convey a patient's condition that is critical or needs immediate attention and action. Purpose: The purpose of this study is to determine the application of effective SBAR communication in the implementation of patient safety in hospitals. Methods: The method used is to conduct literature reviews from various journals and articles related to the application of SBAR communication in hospitals and its implementation in patient safety in hospitals in Indonesia. The articles used are taken based on filtering through a database which is then filtered for titles, abstract to completeness and conformity with the research theme. Result:  The results are implementation of the effective SBAR communication technique recommended by WHO has been used by most hospitals in Indonesia, although in practice there are still some things need to be fixed and managed but the implementation itself has proven to be effective and very influential on patient safety in the hospital. Conclusion: SBAR communication is an effective communication framework used in patient safety in hospitals. There are factors that influence the implementation of SBAR communication including experience, years of service of practitioner, equalization of perceptions and understanding of implementation related to SBAR techniques, socialization or debriefing related to the use of these techniques and the existence of SOPs in hospitals. In its implementation, SBAR communication is mostly considered effective and has a positive relationship with patient safety efforts.
Analisis Kepatuhan Jaga Jarak Fisik untuk Mencegah Penyebaran Covid-19 di Indonesia: Scoping Review Melania, M. Karomah Nastiti; Dhamanti, Inge
Media Gizi Kesmas Vol 12 No 1 (2023): MEDIA GIZI KESMAS (JUNI 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i1.2023.522-529

Abstract

Background: Obedience is a positive attitude shown by someone in response to a regulation. Physical distancing is one of the ways to limit physical contact to stop the spread of infectious diseases such as Covid-19. Keeping a distance from other people when in a crowd is important to apply. Because wearing a mask is not enough to prevent someone from being exposed to other people's droplets. Physical distancing can also prevent the transmission of Covid-19 from people who are not aware that they have been infected and are not self-isolating. Objectives: This study aim to determine physical distancing obedience in a group of people who live throughout Indonesia. Methods: This study was scoping review research.  Article searches were conducted through Google Scholar anf Portal Garuda.. The keywords used to search for articles included "masyarakat” AND "jarak fisik” OR "jaga jarak” "OR "kepatuhan” AND "Covid-19" dan "community” AND "physical distancing” OR "social distancing” OR "obedience” AND "Covid-19”. Results: The results of the search for articles found were 30 articles and 6 articles were taken to be analyzed because they met the research inclusion criteria. From several articles analyzed, the result show that in West Nusa Tenggara the level of obedience with physical distancing has not reached half of the people studied. In Ubud, Bali, it was shown that the majority of people implemented physical distancing but did not meet the standard of more than 1 meter. The people of the Riau, DKI Jakarta, Sumerta Kelod, and 16 other provinces show that community obedience with physical distancing is quite good. Conclusions: The conclusion that can be drawn is that the obedience amongs Indonesian people are  fairly good category regarding physical distancing, even though there are differences in the level of compliance in several regions.
Jenis-Jenis Insiden Keselamatan Pasien di Pusat Kesehatan Masyarakat Nuria, Shinta; Dhamanti, Inge
Media Gizi Kesmas Vol 12 No 2 (2023): MEDIA GIZI KESMAS (DECEMBER 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i2.2023.795-801

Abstract

Background: Developing a patient safety culture in the public health center is less significant than in hospitals. According to WHO, primary care services can prevent up to 80% of injuries, which accounts for half the global burden of patient injury. Objectives: This study aims to determine the type of patient safety incidents in public health centers in Surabaya. Methods: This research is classified as descriptive-analytic research with a cross-sectional research design, used secondary data collected through the monthly reports of "Public Health Center X" located in Surabaya in the period from January to July 2022. Results: The frequency of patient safety incidents was 65 cases consisting of order entry error (10.76%), administration error (24.61%), human error (10.76%), medical error (3.07%), healthcare-acquired infection (6.15%), patient falls (18.46%), medication error (13.84%) and technical error (12.3%). Most patient safety errors were considered preventable, and 29% of the errors from human error and patient falls were viewed as having the potential to cause serious harm to the patients. Conclusions: The types of patient safety errors are mostly administration errors, that occur in the management of medical record documents.
Co-Authors Adinda Nur Salsabila Adinda Nur Salsabila Aditya Putra Pratama Santosa Adiva Husniyah Ali, Adiva Ahmad Rido'i Yuda Prayogi Ainur Rohmah, Fitria Aisyah Putri Rahvy Alifia, Redina Thara Amiati, Mia Amilia, Sri Lanti Andreasih, Chika Anisa Nur Kholipah Arimbi, Ezha Gadis Rekly Ariska, Rinda Minanti Asterix, Ayu Astiria Maya Audrey Louissia Herman Ayumi, Vina Azmi Handhoko, Hani Mutia Berliani, Attalya Zahra Brigitta, Innes Rizma Budhi Setianto Budhi Setianto Cyrus Y Engineer Dahlui, Maznah Davina Mutia Devilia, Laela Agrista Diah Khrisma Putriana Diansanto Prayoga Djazuly Chalidyanto Eka Suci, Aurel Artamevia Edrian Elida Zairina Erdiana Rhamalia F. Himmatul Aliyah Fadhilah, Fildza Rizkya Fahmeeda, Yasmin Alia Fazria, Nokky Farra Fitri Yakub Fitria, Sherly Nur Fransiska Oktavia Puteri Habibah, Tamaamah Hanifa, Yumna Nur Millati Havida Aini Fauziyah Hengky Irawan Ida Nurhaida Ida Nurhaida Ika Marta Nia Immanuel, Theofeus Indana Tri Rahmawati Intan Resvilani Ismawantri, Putu Ismiyatul Izza Jarghon, Ali E M Juliarizky Shinta Dewi Karida, Rahma Kurniasari, Shinta Larasati, Andriyani Larasati, Andryani Luckyta Ayu Puspita Sari MAHARANI, AYUNDA REGINA Mahmudin, Ahmad Amin Martanto, Tri Wahyu Melania, M. Karomah Nastiti Mistri, Shinta Putri Muhamad, Rosediani Muhammad Atoillah Isfandiari Muhammad Rizky Widodo Murtiningtyas, Randa Arnika Nabila Rahma Salsa Nikita Nabilla Nokky Farra Fazria Novenda, Diva Nuranisah Djunaedi Nuria, Shinta NURUL HIDAYAH Nyoman Anita Damayanti Oktavia, Wildya Syauqi Palupi, Sayekti Intan Pratiwi, Rika Meylina Putri, Dwi Resicha Adna Putri, Fadillah Andriani Putri, Maurilla Shafira rifa, fabrella Rosediani Muhamad Sabrina Tria Damayanti Safira Anis Rahmawati Salsabila Salsabila Salvany Zahra Sari, Luckyta Ayu Puspita Sari, Rima Putri Permata Shafira, Risma Ainun Sungkonoputri, Lisa Syifa’ul Lailiyah Syifa’ul Lailiyah Tamaamah Habibah Tarigan, Dhea Benedikta Taufik Rachman Taufik Rachman Thinni Nurul Rochmah Tjahjono, Benny Tri Martiana Wahidah, Laila Farisya Wardahni, Rizka Kusuma Wibowo, Lydia Ivana Widya Hapsari Murima Wirasasmita Paripih Yulinar, Velynta Sephia Yulinda, Renicke Titania Yumna Nur Millati Hanifa