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All Journal Jurnal Kedokteran Muhammadiyah Indonesian Journal of Disability Studies JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Fair Value: Jurnal Ilmiah Akuntansi dan Keuangan Integritas: Jurnal Teologi
Erwin Santosa
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Religion Humanities Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Social Sciences

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Journal : JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)

 1 
ANALISIS KINERJA DAN BUDAYA MUTU DI IGD RS PKU MUHAMMADIYAH YOGYAKARTA II Erwin Santosa; Yunita Pransisca
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 2, No 2 (2013): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v2i2.1094

Abstract

Concern to quality service in nowadays becoming global issue that triggered by consciousness to give best service for patient or by request from eksternal side of hospital. Goverment push hospital to give good quality of service by giving evaluation of hospital standarization. PKU Muhammadiyah Hospital Jogjakarta unit II which new one of health service unit right now striving to improve quality of service. Result of the beginning observation findout evaluation of activity are often neglected, particularly on unit emergency. The objective of this observation is to find out performance and quality culture in management unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II, This observation using qualitative method with case study as observation plan that using interview as observation instrument involving board of management and officer of unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II. The Self Assesment accreditation in 2008 and first edition of accreditation standard in 2012 result show that quality service standard that using by unit emergency of PKU Muhammadiyah Jogjakarta unit II for develop their quality of service its guided line for survey of hospital accreditation in 2008 instructed by Indonesia health ministry that poured into activity guidance of unit emergency, but because lack availability of unit emergency officer make unit emergency can’t support implementation of unit emergency activity guidance. Working culture in unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II its only doing fast emergency response but not yet support quality service development because not yet develop service evaluation process. Service process evaluation hard to do because of limitation number of human resource. The result of unit emergency performance show by AKPPGD, DOA and result of accreditation in 2008 already achieve the standard, but not yet fulfill quality standard evaluation of health service management base on first edition of accreditation in 2012. Keyword: Performance, Quality, Accreditation, IGD
ANALISIS KAPASITAS FUNGSIONAL RSU PKU MUHAMMADIYAH BANTUL DALAM PENANGGULANGAN BENCANA Erwin Santosa; Tentrem Rianita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 1, No 1 (2012): January
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v1i1.1091

Abstract

PKU Muhammadiyah Bantul Hospital has been developing a disaster management hospital concept since 2008. A training through HOPE (Hospital Preparedness for Emergency and Disaster) has been conducted successfully. This research was aimed to measure the functional capacity of the PKU Muhammadiyah Bantul hospital in responding disaster and awareness of the staff as in Contingency Plan. The Hospital Safety Index criteria were used as the measurement instrument, which was consisted of five group indices. A descriptive survey technique was applied by means purposive sampling method. The samples were the staff in the Hospital Disaster Management Boards. A number of 61 questions were required by interview, observation and documents identification method. The hospital’s functional capacity index was calculated as 0.66. The scores varied for each group indices from 0.25 to 0.87. The highest score of 0.87 was obtained for group index of the operational plan, preventive maintenance and critical service restoration, whilst, the disaster emergency plan was assigned to the lowest score as 0.25. The mean score of all staffs about their job descriptions in contingency plan was 75.45 out of 100. Knowledge mean score of formulator staffs was 100 (high), while non formulator staffs was 69.7 (average). The core staff positioned in disaster management gained highest score (80.2), while the supporting staff was 74.7 (average). Hospital functional capacity index was 0.66 assessed in A class, indicating deemed to keep functioned during disaster situation. Awareness of the staffs, who designed Contingency Plan, were higher than the others. Deviation in awareness was also found among the staff involved in Contingency Plan. The manager level had a higher understanding in disaster preparedness if compared to the supporting staff.Keywords: hospital functional capacity, disaster management, hospital safety index.
PERSEPSI DAN EKSPEKTASI DOKTER TERHADAP JASA MEDISDI RS PKU MUHAMMADIYAHNANGGULAN Heru Yuliyanto; Erwin Santosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 1 (2015): January
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.981

Abstract

Background: General practitioners / specialist considerations a hospital which are most suitable to be used as a practice. There are several considerations in determining a doctor's office, one of which is the most powerful pull factor is the amount of medical services to be received from the PKU Muhammadiyah Hospital Nanggulan.Objectives: in this study is to describe the perceptions and expectations of general practitioners and specialists for medical services in PKU Muhammadiyah Hospital Nanggulan.Method: This study used a qualitative research approach. The study was conducted in PKU Muhammadiyah Hospital Nanggulan, KulonProgo, Yogyakarta during the month of July 2011 - February 2015. The subjects in this study were four general practitioners and four specialists in PKU Muhammadiyah Hospital Nanggulan who has had a license to practice. Data analyze used descriptive qualitatively.Result: Perception of general practitioners / specialists in PKU Muhammadiyah Hospital Nanggulan vary according to the characteristics of informants that includes needs, age, status, workplace, social conditions, and hope the doctor. General practitioners revealed that remuneration has been timely received, but not yet in accordance with the load of work done. Specialist physicians perceive that the medical services received are in accordance with the assumption that the meaning of work for informants as worship and religious symbols. General practitioners hope that hospitals provide child support and medical benefits. Specialist doctors have hope in order to meet current needs and hope that PKU Muhammadiyah Hospital Nanggulan can improve the quality and infrastructure for specialists, provide health insurance for specialists, and in order to improve reply to specialist medical services in accordance with the development of the hospital.          Conclusion: Remuneration received by general practitioners has on time, but not in accordance with the load of work done. Medical services received by specialists are in accordance with the assumption that the meaning of work for informants as worship and religious symbols.Keyword: Doctor Perceptions, Doctor Expectations, Medical Services
EVALUASI MUTU REKAM MEDIS DI RS PKU 1 MUHAMMADIYAH YOGYAKARTA: STUDI KASUS PADA PASIEN SECTIO CAESARIA Hafid Hutama; Erwin Santosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v5i1.816

Abstract

Background:Healthcarein patients whocome for treatmentcan not be handledby one personalone. Because it isa means of communicationas a source ofpatient informationstoredsystematically. Medical recordsis one sourceinforrmasiwell as a meansof communicationneeded formedical servicesandadministrativeactivitiesatthe hospital. However, the management ofmedical recordshave so farhamperedthe low quality ofmedical records. Some studiesrevealincompletenessdocumentmedical records, doctorswritingdifficult to readandmanagementthat seemedsober. LikewiseinPKU Muhammadiyah Hospital inYogyakartawheremanagement ofmedical recordsthere areconstraints such asincompletefillingof doctors inthe medical records.Research Methods:This research is a qualitative descriptive research with case study design. Subjects were doctors, medical record quality control manager, and supervisor of data processing in medical records. Data collected by observation, document check medical records, interview the research subjects.Research Results:Completeness of medical records at PKU Muhammadiyah Hospital in Yogyakarta It is 75% of the completeness of the medical record documents. Data were recorded accurately, Returns medical record file on time, already the SOP charging medical records, medical records format complexity, less a maximum of organizing medical records, existing storage procedures, extermination and confidentiality in medical records, and the less the maximum guidance and supervision of the management of PKU Muhammadiyah Hospital in Yogyakarta. Conclusion:Quality of Medical Records at PKU Muhammadiyah Hospital in Yogyakarta has been good only there are some advantages that already SOP is used as a standard in filling out medical records, has maximum storage efforts, extermination and confidentiality of medical records, but there are some obstacles include limitations charging time medical record, less maximum effort organizing, and less the maximum guidance and supervision of the management.Keywords:Quality of medical records, management of medical records, completness of medical records.
KELENGKAPAN PENGISIAN BERKAS REKAM MEDIS PELAYANAN MEDIK RAWAT JALAN DAN PATIENT SAFETY DI RSGMP UMY Erwin Santosa; Elsye Maria Rosa; Famella Tiara Nadya
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 3, No 1 (2014): January
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v3i1.964

Abstract

Background: health care givers are required to make the medical record and give priority to patient safety. The problems that often arise in medical record is charging charging medical record completeness and implementation of patient safety. The purpose of this research is to know the implementation and problems in charging medical record and patient safety that is run by koass at RSGMP UMY.Method: qualitative descriptive method. The subjects of the research koass in RSGMP UMY. Medical record file the research object 2013 as much as 367 medical record. Qualitative Data using descriptive statistics and coding interviews.Results: completeness of patient identity aspects 367 (100%) name, medical record number 338 (92,1%), place/date of birth and gender of 366 (99,7%). Increase of effective communication has not been fully carried out effectively. Improving drug safety needs to be policed for the right drug, right dose, right patient, right document 66 (68.7%) and timely and precise ways of administering 64 (66,7%). Exact location of certainty, right procedure, the right of patients to the operating date and time actions 320 (99.3%), anamnesa 322 results (100%), charging odontogram 169 (91,8%), 318 (98.7%) diagnostic, treatment action plan of 321 (99,7%), supporting and physical examination (94.5 per cent) of 120 and informed consent 71 (65,1%). Reduction of risk of infection related to medical services is already quite good but not completely orderly run.Summary: the completeness of charging medical record and implementation of patient safety in RSGMP UMY due to time limitations, the knowledge operator, not a supervisor and physician supervision.Key words: completeness, medical record, patient safety.
GOOD CORPORATE GOVERNANCE DI RUMAH SAKIT A DAN B Firman Pribadi; Erwin Santosa; Bobet Evih Hedi Ihnuna Rusep
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 1, No 2 (2012): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v1i2.1093

Abstract

This exploratif qualitative research is a longitudinal case study to see hospital A and hospital B good corporate governance (GCG) with Center for Good Corporate Governance (CGCG) Gajah Mada University (GMU) version of GCG questionnaires then completed by interview. Good corporate governance be observed by transparency, accountability responsibility, responsiveness, and fairness principle intended for board of commissioners (board of supervisors), board of directors, executive office (manager), auditor, and stakeholders of the hospital. Result show that both of hospitals are at bad level of good corporate governance application, different scoring result both of their good corporate governance principles can be caused by local wisdom, organization behaviour, and organization culture factors.Keywords: Good corporate governance, hospital, Hospital good corporate governance questionnaires.
INTISARI ANALISIS PERSIAPAN PELAKSANAAN PATIENT SAFETY DI RUANG RAWAT INAP (STUDY KASUS DI RSUD KABUPATEN BIMA) Erwin Santosa; Arif Budi Wibowo
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 2, No 1 (2013): January
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v2i1.1092

Abstract

The era of globalization impact very rapidly, in the development of advanced medical technology. These conditions have an impact on medical services is very complex and it is potentially causing the error, so that the necessary improvement of health care quality. Patient safety is one important component in the quality of health care. Improved patient safety is a necessary step to prevent and minimize unwanted incident (KTD). Nurses are one of the health workers who are at the forefront of health care and have a very important role in improving patient safety. To determine attitudes on the analysis of patient safety in the inpatient unit nurse Bima district hospital and in particular to identify the components of patient safety attitudes include climate of team work, working conditions, employment decisions, and some factors that support and hinder patient safety attitudes.The research is descriptive qualitative. Subjects were 3 nurses and 3 patients with interview techniques. Data collection techniques in this study used the analysis of qualitative data. A qualitative data analysis technique is using descriptive analysis techniques to describe the data in the field which were analyzed and concluded.Components of the patient safety attitudes is climate of teamwork that showed lower patient safety attitudes, job satisfaction showed high patient safety attitudes, working conditions showed lower patient safety attitudes, for logistical support in the form of medical equipment are laboratory equipments that still lacking.Components of the patient safety attitudes were high  that  consist  job satisfaction, and the low patient safety attitudes components were the teamwork climate and conditions of employment, because they needed additional medical equipment such as laboratory equipments.Keywords: Patient safety attitudes, nurses, patient safety component.
EVALUASI FAKTOR ORGANISASI DALAM UPAYA PENINGKATAN PERFORMA SISTEM INFORMASI KESEHATAN : STUDI KASUS MUTU KELENGKAPAN PENGISIAN REKAM MEDIS PASIEN APPENDISITIS AKUT DI RS PKU MUHAMMADIYAH YOGYAKARTA Chandra Mukti Erryandari; Erwin Santosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 2 (2015): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.689

Abstract

Latar belakang:. Sistem informasi yang baik akan berguna dalam memajukan sistem kesehatan lokal. Rekam medis merupakan bagian dalam sistem informasi rumah sakit. Menjadi sangat penting dalam dunia kesehatan karena sistem informasi rumah sakit akan memberikan data untuk menentukan keputusan guna meningkatkan kualitas pelayanan. Mutu kelengkapan rekam medis sebagai salah satu sistem informasi kesehatan masih banyak mengalami kekurangan karena berbagai macam kendala. Untuk itu, peneliti tertarik untuk mengevaluasi faktor organisasi dalam unit rekam medis dalam upaya peningkatan performa sistem informasi kesehatan.Metode Penelitian : Penelitian ini merupakan jenis penelitian deskriptif analitik. Metode deskriptif analitik dilakukan dengan pendekatan mix method. Tujuannya adalah untuk mengetahui tentang faktor organisasi dalam unit sebagai bagian dari sistem informasi kesehatan.Hasil : Konsep peningkatan mutu kelengkapan rekam medis di RS ini sudah cukup baik. Namun, dari segi pelaksanaannya masih terdapat banyak kendala, seperti SDM kurang, proses sosialisasi tidak efisien, belum bekerjanya panitia sesuai tupoksi dan belum rutinnya proses pelaporan indikator mutu kepada direksi, serta belum adanya tindak lanjut dari direksi kepada dokter yang belum bisa lengkap dalam pengisian rekam medis.Kesimpulan : Konsep peningkatan mutu sebenarnya sudah tertanam dalam proses rumah sakit ini, tetapi dalam pelaksanaannya konsep ini masih menemui banyak permasalahan. Perlu kerja yang lebih keras lagi dari  staf  rekam medis, panitia rekam medis, panitia penjamin mutu, dan direksi dalam bersama-sama meningkatkan mutu kelengkapan rekam medis supaya lebih terintegrasi. Kata Kunci : sistem informasi kesehatan, faktor organisasi, rekam medis
Co-Authors Angaripeni Mustikasiwi Anggaripeni Mustikasiwi Arif Budi Wibowo Bobet Evih Hedi Ihnuna Rusep Chandra Mukti Erryandari Dadang Irawan Elsye Maria Rosa Famella Tiara Nadya FIRMAN PRIBADI Hafid Hutama Heru Yuliyanto Kanti Ratnaningrum Oki Hermawati Oki Hermawati Tentrem Rianita Wylen Djap Wylen Djap Yohana Palupi Yunita Pransisca