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Apakah Status Akreditasi Rumah Sakit Memberikan Perbedaan Pemberian Obat yang Benar dan Keselamatan Pasien? Saptono Putro; Viera Wardhani; Siswanto Siswanto
Media Kesehatan Masyarakat Indonesia Vol. 14 No. 4: DESEMBER 2018
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.361 KB) | DOI: 10.30597/mkmi.v14i4.4385

Abstract

Hospital accreditation provides guidelines for implementing quality management standards including drugmanagement management to reduce the incidence of patient safety (IPS). This study aims to determine the differencebetween the right implementation of drug administration and the perceieved of IPS based on hospital accreditationstatus. This researchusing a survey method with cross sectional analytical approach, which compares thecorrect implementation of the drug and IKP perception in 2 type D hospitals with different accreditation status inthe Greater Malang area. Measurements of the correct implementation of drug administration and IKP perceptionswere carried out using a closed questionnaire on 36 nurses and 99 primary hospital patients and 41 nursesand 96 full hospital patients. Analysis was carried out by Mann Whitney Z test and Rank Spearman test. Bothhospitals showed the correct level of implementation of good drug delivery and low IPS perception even thoughthe first accredited hospital showed a better picture than plenary accredited hospitals. In hospitals with initialaccreditation shows that the better the right implementation of drug administration, the lower the perception ofIPS according to nurses and patients. There was no similar relationship in the hospital with full accreditation status,where there was no difference in the level of true implementation of drug administration and IKP perceptionaccording to nurses and patients.
Priority setting in responding crisis: a hospital leaders’ perspective at the early stage of COVID-19 pandemic Aryo Dewanto; Yudi Setyawan; Viera Wardhani
Health Science Journal of Indonesia Vol 12 No 2 (2021)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v12i2.5295

Abstract

Background: The COVID-19 pandemic hit Indonesia when hospitals were striving to adjust to a changing environment after a new health insurance system implementation, a government’s effort to achieve Universal Health Coverage. As a result, the pandemic forced hospitals to exploit their resources. Due to limited resources, setting accurate priorities is highly important to secure hospital operations and maintain its track towards the expected goals. This study aims to explore how deep the crisis impacts hospitals and how hospital leaders in Indonesia set their priorities in responding to the impact of this pandemic. Methods: This study used a descriptive and analytical approach. Data were collected through an online survey from hospital leaders and several documentary sources. Results: The results show that almost all hospital directors consider patient visits and hospital finance the most significant impacts of the COVID-19 pandemic. However, government hospital directors emphasize different areas compared to non-government hospital directors; the former sets their priorities on the hospital’s human resources, quality of service, and operations, while the latter focuses on the impact of patient visits and hospital finance. Conclusion: Although directors of government and non-governmental hospitals have a different emphasis, their priority is the same, maintaining hospital sustainability to provide quality services to people. Keywords: COVID-19 pandemic, hospital leaders’ perspective, impacts, Indonesia, priority setting Abstrak Latar belakang: Pandemi COVID-19 melanda Indonesia ketika rumah sakit berusaha menyesuaikan diri dengan lingkungan yang berubah setelah penerapan sistem jaminan kesehatan baru sebagai upaya pemerintah untuk mencapai Universal Health Coverage. Akibatnya, pandemi memaksa rumah sakit untuk mengeksploitasi sumber daya mereka. Sumber daya yang terbatas membuat penetapan prioritas yang akurat menjadi sangat penting untuk menjamin keberlangsungan operasional rumah sakit dan memastikan rumah sakit bergerak menuju tujuan yang diharapkan. Penelitian ini bertujuan untuk mengeksplorasi seberapa dalam dampak krisis ini terhadap rumah sakit dan bagaimana pemimpin rumah sakit di Indonesia menetapkan prioritasnya dalam merespon dampak pandemi ini. Metode: Penelitian ini menggunakan pendekatan deskriptif dan analitik. Data dikumpulkan melalui survei online dari pimpinan rumah sakit dan beberapa sumber dokumenter. Hasil: Hasil penelitian menunjukkan bahwa hampir semua direktur rumah sakit menganggap kunjungan pasien dan pembiayaan rumah sakit mendapat dampak paling signifikan dari pandemi COVID-19. Namun, direktur rumah sakit pemerintah menekankan bidang yang berbeda dibandingkan dengan direktur rumah sakit non-pemerintah. Direktur rumah sakit pemerintah menetapkan prioritas mereka pada sumber daya manusia rumah sakit, kualitas layanan, dan operasi, sedangkan direktur rumah sakit non-pemerintah fokus pada dampak kunjungan pasien dan keuangan rumah sakit. Kesimpulan: Meskipun direktur rumah sakit pemerintah dan non-pemerintah memiliki penekanan yang berbeda, tetapi prioritas mereka sama yaitu menjaga keberlanjutan rumah sakit untuk memberikan pelayanan yang berkualitas kepada masyarakat. Kata kunci: pandemi COVID-19, perspektif pemimpin rumah sakit, dampak, Indonesia, penetapan prioritas.
Pengaruh Healthcare Service Quality terhadap Kepercayaan (Trust) Melalui Kepuasan Pasien pada Puskesmas di Kabupaten Jember Purwiningsih, Driana Desy; Ika Barokah Suryaningsih; Viera Wardhani
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.Iss3.1559

Abstract

The decrease in the Community Satisfaction Index from 2018 to 2021 from 89% to 79% shows the dissatisfaction with services at the Public Health Center, so it is necessary to manage the improvement of service quality through behavioral attitudes, officer expertise, and process quality in providing services. The purpose of this study was to prove the effect of health service quality on trust through patient satisfaction at the  Public Health Center in Jember Regency. The research was conducted through a survey using a questionnaire on 204 patients from 6 selected health centers with consecutive sampling techniques. Data analysis techniques using Structural Equation Model (SEM) with Partial Least Square (PLS). The results show that satisfaction is influenced by attitudes and behaviors and process quality, but not expertise. Attitude, behavior, and satisfaction have a direct effect on trust, while process quality has an indirect effect through satisfaction. Trust was not influenced by expertise. The attitude and behavior of health workers greatly affect satisfaction and trust, so officers at the  Public Health Center must have good attitudes and behavior in serving patients.
COVID-19 Detection on Chest X-Ray Images Using Modified VGG-19 Muhammad Irfan Yusuf; Agus Wahyu Widodo; Viera Wardhani
Journal of Information Technology and Computer Science Vol. 8 No. 3: December 2023
Publisher : Faculty of Computer Science (FILKOM) Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25126/jitecs.202383503

Abstract

A global pandemic infecting human respiratory system identified as COVID-19 emerged in 2019 has been a critical issue concerning worldwide, including Indonesia. The massive and relatively easy spread of the virus requires COVID-19 patients to be separated from other patients to avoid hospitals being the major source of the virus spread. The gold standard in COVID-19 testing known as rRt-PCR was established to help detecting the virus. This method, however, is found to be less time-efficient due to the sample examination taking 5-7 hours to conduct. Another COVID-19 testing method called Rapid Antigen Test is claimed to be more practical since the sample examination only takes 5-30 minutes to complete. One disadvantage of this testing method is its sensitivity, which is believed to be relatively low. Further supporting examinations are needed in diagnosing COVID-19 when using the Rapid Antigen Test, one of which is chest imaging. Most hospitals in Indonesia are type C hospitals, which means radiology specialists’ availability is limited and sometimes not available. Therefore, it is necessary to develop an automation system for detecting COVID-19 disease on chest X-ray images using the Convolutional Neural Network method to help doctors interpreting chest X-rays of patients effectively faster in determining whether the patient is potentially infected with COVID-19 or not. The algorithm proposed in this study was modified VGG-19, with ADAM optimization method and categorical cross-entropy loss function. This algorithm resulted in a model accuracy rate of 81%, a precision/recall model of 62%, and a specificity model of 87%. The area under the curve in the Receiver Operatic Characteristic Curve indicates that the accuracy level of the test is below the Excellent curve, suggesting that the model created successfully serves as a screening test tool.
THE DIFFERENCES IN COMPLETENESS AND TIMELINESS OF ELECTRONIC MEDICAL RECORD DOCUMENTATION IN NURSING WARDS: PERSPECTIVES FROM SURGICAL AND NON-SURGICAL DOCTORS Asmiragani, Syaifullah; Sri Andarini; Viera Wardhani
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The 2023 Quality Committee Report of Hospital X revealed lower levels of completeness and timeliness in the surgical ward, especially in the initial assessment, initial medical plan, and patient progress notes. Regarding this, the present study aims to analyze problematic Electronic Medical Records (EMR) components and the factors causing incompleteness and delay in data entry in surgeons and non-surgeons. This cross-sectional study was conducted by using 362 inpatient EMRs to analyze four key components, namely initial assessment, initial medical plan, Integrated Patient Progress Note (IPPN), and medical resume. Besides, 293 doctors completed questionnaires assessing their understanding of EMR-related regulations and their data entry timing for the four components. Completeness and timeliness analysis was performed using Chi-Square, while understanding of regulations and entry time was analyzed using Mann-Whitney. The findings indicated that non-surgeons showed higher completeness and timeliness in the initial assessment, medical resume, and CPPT (p<0.05), while surgeons excelled in the initial diagnostic plan in the initial medical plan (p<0.05). There was no difference in understanding of regulations, but non-surgeons took longer to enter data on assessment and initial medical plan (p<0.05). Finally, contributing factors include EMR technology, physician workflow, and physician interaction time with the EMR.