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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kedokteran Brawijaya Health Science Journal of Indonesia Jurnal Kesehatan Masyarakat Jurnal Administrasi Publik JAM : Jurnal Aplikasi Manajemen Research Journal of Life Science Folia Medica Indonesiana JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) MNJ (Malang Neurology Journal) Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Jurnal Penelitian Pendidikan IPA (JPPIPA) Journal Of Nursing Practice Journal of Nursing Care and Biomolecular PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Manajemen Bisnis dan Kewirausahaan Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Ilmiah Kesehatan Rustida International Journal of Science and Society (IJSOC) Parsimonia: Jurnal Akuntansi, Manajemen dan Bisnis Journal of Nursing Science Update Jurnal Kebidanan dan Keperawatan Aisyiyah Journal of Community Health and Preventive Medicine (JOCHAPM) Jurnal Keperawatan JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Penelitian Pendidikan Indonesia Promotion and Prevention in Mental Health Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Media Penelitian dan Pengembangan Kesehatan
Tita Hariyanti
Faculty Of Medicine, Universitas Brawijaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Pengembangan Alur Pasien dan Berkas Rekam Medis sebagai Optimalisasi Sistem Informasi Rekam Medis P, Agni Hadi; Hariyanti, Tita; Susilo, Sugeng
Jurnal Kedokteran Brawijaya Vol 28, No 2 (2015)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2015.028.02.3

Abstract

Alur sistem dan dokumen merupakan komponen penting dalam sistem informasi rekam medis baik berbasis komputer maupun konvensional. Tujuan dari penelitian ini adalah mengidentifikasi alur pasien dan berkas rekam medis yang sesungguhnya untuk merancang rekomendasi alur pasien dan alur berkas rekam medis. Data diperoleh dari wawancara dengan perawat Instalasi Gawat Darurat (IGD), rawat inap, koordinator keperawatan, penanggung jawab bidang layanan medis dan keperawatan, serta petugas rekam medis sebagai dasar dalam pengembangan alur pasien dan alur berkas rekam medis. Data menunjukkan alur yang diterapkan di rumah sakit terlalu panjang dan pada pasien rawat inap yang datang kembali tidak mendapatkan berkas rekam medis. Alur pasien IGD dan berkas rekam medis rawat inap belum sesuai dengan alur yang ditetapkan oleh Depkes RI. Alur pasien rawat jalan, rawat inap dan alur berkas rekam medis pasien rawat jalan sudah sesuai dengan alur yang ditetapkan oleh Depkes RI walaupun pada pengelolaan berkas rekam medis masih terdapat kekurangan. Untuk meningkatkan efisiensi alur perlu adanya tenaga distribusi, pemotongan alur Instalasi Gawat Darurat, dan pasien lama mendapatkan berkas rekam medis sebelumnya, serta koordinasi antara petugas rekam medis dan petugas pendaftaran rawat inap  saat ada pasien lama kembali ke rumah sakit.Kata Kunci: Alur pasien, alur rekam medis, dokumen
COGNITIVE IMPAIRMENT AND DEPRESSION ARE THE MOST IMPORTANT RISK FACTORS FOR FRAILTY Hariyanti, Tita; Sunarti, Sri; Vistiandini, Seravina Ayu
Malang Neurology Journal Vol 6, No 1 (2020): January
Publisher : Malang Neurology Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2020.006.01.4

Abstract

Background: Frailty is a condition that causes a decline or failure in homeostasis mechanism on older people resulting in increased susceptibility to stressor. The risk factors of frailty include: cognitive impairment and depression.Objective: To prove the relation between cognitive impairment and depression with frailty.Methods: This study is using cross-sectional approach. Samples are collected from 222 citizens from the elderly population of Malang using accidental sampling method. Variables measured in this study are frailty that is determined by Fried Criteria, cognitive impairment that is determined by MMSE score and depression status that is determined by GDS score.Results: The analysis result of relation between cognitive impairment and depression and frailty using the Spearman correlation test produces the value of p = 0,000 and the correlation coefficients for rare 0,500 and 0,508 respectively. Different levels of cognitive impairment and depression in the frail group compared to pre-frail and robust groups resulted in p = 0,000, whereas the level of cognitive impairment and depression in the pre-frail group compared to robust group yielding p values of 0.735 and 0.944 respectively.Conclusion: There is a relation between cognitive impairment and depression on frailty. There was a significant difference in the levels of cognitive impairment and depression in the frail group compared to the pre-frail and robust groups, whereas in the pre-frail group compared to robust group the levels of cognitive impairment and depression did not have a significant difference.
OVERCOMING THE LENGTH OF WAITING TIME OF INPATIENT DRUG SERVICE IN PHARMACEUTICAL INSTALLATION IN HOSPITAL X Sabatina, Sindy; Hariyanti, Tita; Lelonowati, Dewi; Sujiono, Sujiono
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 1 (2020): APRIL
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.91116

Abstract

Inpatient drug service in the pharmaceutical installation in Hospital X has not met the (MSS) Minimal Service Standard. There is delay in delivering the drug by 3%, while according to the standard, it should be 0%. Objective Case study was conducted by the researcher aiming to know the factors affecting the length of time of inpatient drug service in the pharmaceutical installation and its solution alternative. Method: The research was carried out qualitatively, in which the data was collected through unstructured interview, FGD (Focus Group Discussion) and observation. The participants involved in the research was 30 people. Result are The research data was analyzed using ?5 why? by grouping the 5M factors obtained consisting of man, method, machine, material and management into 3 main factors as the causes of the long waiting time. The main factors causing the long waiting time were the absence of time target for each service flow established by the management, incomplete SOP (Standard Operational Procedure), the absence of service flow in accordance with the implementation in the field as well as ineffective and inefficient inpatient pharmaceutical installation layout. Furthermore, in order to obtain the solution, NGT (Nominal Group Technique) was employed to do the assessment obtaining 3 solutions including completing the SOP and designing the inpatient drug service flow in pharmaceutical installation, establishing the target time for each service flow by the management, and designing more effective and efficient layout for the pharmaceutical installation. 
Re-Layout of Service Room to Overcome Waiting Time of Finished Drug Services in Outpatient Pharmacy of dr. Iskak General Hospital Tulungagung Yulianto, Wahyu; Sujianto, Sujianto; Hariyanti, Tita
Jurnal Kedokteran Brawijaya Article in Press
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRACT Background: The minimum standard waiting time for finished drug services in an outpatient pharmacy depot is less than 30 minutes. However, the implementation of standard waiting time for finished drug services at dr. Iskak General Hospital Tulungagung is still above the standard that is 69.83 minutes. This study aimed to analyze the factors causing the long waiting time for finished drug services in outpatient pharmacy and to find solutions to overcome the long waiting time.Methods:  This research used a qualitative method, and the data collection was carried out by observation, interviews, and focus group discussions (FGD).Results:  The observation results show that the actual time required to complete one prescription was 11 minutes and 50 seconds. The roots of the problem identified were the accumulation of prescriptions in the administration of the outpatient pharmacy depot, inefficient service layout, and low utilization of information technology. The results of the FGD illustrated the alternative solutions to the regulation of prescription arrival by setting the doctor schedule, the application of electronic prescriptions, and spatial arrangements for outpatient pharmacy depots.Conclution: This study concluded that ineffective service layout is a very influential factor in the waiting time for finished drug services in the pharmacy. Arrangement of the outpatient pharmacy service layout can reduce the waiting time for drug services into less than 30 minutes.Keywords: waiting time, focus group discussion, re-layout, pharmacy
What are the Appropriate Leadership Styles for Class C Hospital in National Health Insurance (JKN) Era? Kartikasari, Dhian; Manzilati, Asfi; Hariyanti, Tita
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 4 (2022)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v17i4.27111

Abstract

The form of leadership is able to determine the success of an organization including hospitals, so a leader needs to think about the right leadership style, especially in the JKN era. This study aims to explore the appropriate leadership style in X General Hospital so that it can get full accreditation and the hospital’s existence is still maintained until now. The study used a qualitative study design with a case study approach (case study) which was conducted at one of the Class C General Hospitals in Malang Regency which has collaborated with BPJS Kesehatan (Healthcare and Social Security Agency). The study involved employees who worked at General Hospital X and experienced hospital leadership during the JKN era during February-March 2020. Data collection techniques used three methods including interviews, observation, and document review. The results showed three major themes of leadership style including leadership style transformational, democratic leadership style, and moralist leadership style. The transformational leadership style is the core of the existence of General Hospital X in the JKN era, while the democratic and moral leadership style supports the existence of General Hospital X in the JKN era.
Expectation of administering the first aid for traumatic victims during the absence of pre-hospital service Fitri Anita; Tita Hariyanti; Tony Suharsono
International Journal of Public Health Science (IJPHS) Vol 10, No 1: March 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i1.20568

Abstract

Traffic incidents become typical cases of trauma outside of hospitals. The integrated-emergency nursing system outside of hospitals becomes an important component to minimize any worsening condition of the traumatic victims. However, this pre-hospitalized service system has not been formally established in several cities or municipalities. This research aims to explore various hopes of the trauma-victim aid process in a region that has not applied pre-hospitalized emergency service formally. This research was carried out by implementing a qualitative research method and a case study approach to identify the themes. The research was conducted in Konawe municipality, from February until March 2020. It was done by interviewing eight participants consisting of the citizens, traffic police officers, hospital party, and health agency. Four themes result from this research. Establishing the pre-hospitalized emergency service, socializing the first aid for the incident victims, training dealing with the first aid of taking care of trauma victims, and promoting socialization for all citizens about the emergency numbers of health service institutions which could be immediately contacted when an accident occurs. There is a need for an emergency service system establishment and development.
THE EFFECT OF SERVICE QUALITY ON OUTPATIENT SATISFACTION OF DR. SOEGIRI GENERAL HOSPITAL LAMONGAN Maya Dewi Hanggraningrum; Tita Hariyanti; Achmad Rudijanto
Jurnal Aplikasi Manajemen Vol 15, No 4 (2017)
Publisher : Jurusan Manajemen Fakultas Ekonomi dan Bisnis Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (79.063 KB) | DOI: 10.21776/ub.jam2017.015.04.11

Abstract

Recently, tight competition requires hospitals to provide the best service and quality. Quality services may cause satisfaction to the patient. This study aims to determine the effect of quality service on satisfaction of outpatients at Hospital Dr. Soegiri Lamongan simultaneously and partially. This study utilizes cross sectional approach which involves 235 respondents of simultaneous outpatients. The instrument uses a questionnaire by employing independent and the dependent variables of satisfaction on quality service. The sample was taken by applying proposed sampling method. The data were analyzed using multiple linear regressions. The results of this study indicate that the service quality influence outpatients’ satisfactions.
Optimizing the Flow of Inpatient Acceptance at the Internal Medicine Clinic of Stone Baptist Hospital Lidia Emilinda; Dolly Irbantoro; Tita Hariyanti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83108

Abstract

The waiting time for hospitalization in internal medicine clinics at Baptis Batu Hospital has not yet reached the minimum service standard indicator. Batu Baptis Hospital determines the standard inpatient waiting time 120 minutes starting from the patient being decided on hospitalization until the patient enters the care room and infusion installation by the nurse. Reducing the factors that affect the length of time waiting for hospitalization in internal medicine clinics. This study was qualitative with unstructured interviews, FGDs, and observations with 3 participants. Primary data were obtained from time motion study observations and secondary data were obtained from the minimum service standard report (SPM) of Baptis Hospital Batu. The main factor of the length of time waiting for inpatient in internal medicine clinics was the absence of special officers in the action room and the role of inter-unit officers did not communicate well to optimize inpatient waiting time. The flow process for inpatient admissions exceeds the standard causing a long waiting time for inpatients. Suggestion from this research is the addition of admission units in outpatient installations to reduce the waiting time.
Is buying behavior influenced by segmentation? Tita Hariyanti; Harun Al Rasyid; Anisa Ramadhani Kusumastiti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 1 (2019): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.8185

Abstract

Buying behavior in choosing health care is a long process. Segmentation is one of the things that underlies the decision of the patient. This study aims to determine the buying behavior of patients who do the first child labor and its relationship with buying behavior in RSIA Puri Bunda (PB) Malang. This research uses the cross-sectional method. The sampling technique used the total sampling method, ie all inpatients who gave birth to the first child at the time of this study were executed. The number of samples was 55 respondents in April-May 2017. Data were analyzed using multinomial logistic regression. The results showed that customer segmentation of RSIA PB was from Blimbing sub-district, 21-25 years old, last high school education, income Rp.1.500.000,00, housewife, Islam, class of 3rd class and payment method using BPJS . Buying behavior of respondents is included in complex type and dissonance reducing buying behavior. Geographic, demographic, psychographic and behavioral segmentation is not related to buying behavior. Segments that have been detected are expected to get attention from the hospital to determine the marketing efforts that will be done next. In its marketing efforts, RSIA PB should pay more attention to customers who have a high-involvement type in order to provide all the information expected by the customer.
Overcoming the Length of Waiting Time of Inpatient Drug Service in Pharmaceutical Installation in Hospital X Sindy Sabatina; Tita Hariyanti; Dewi Lelonowati; Sujiono Sujiono
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 1 (2020): APRIL
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.91116

Abstract

Inpatient drug service in the pharmaceutical installation in Hospital X has not met the (MSS) Minimal Service Standard. There is delay in delivering the drug by 3%, while according to the standard, it should be 0%. Objective Case study was conducted by the researcher aiming to know the factors affecting the length of time of inpatient drug service in the pharmaceutical installation and its solution alternative. Method: The research was carried out qualitatively, in which the data was collected through unstructured interview, FGD (Focus Group Discussion) and observation. The participants involved in the research was 30 people. Result are The research data was analyzed using “5 why” by grouping the 5M factors obtained consisting of man, method, machine, material and management into 3 main factors as the causes of the long waiting time. The main factors causing the long waiting time were the absence of time target for each service flow established by the management, incomplete SOP (Standard Operational Procedure), the absence of service flow in accordance with the implementation in the field as well as ineffective and inefficient inpatient pharmaceutical installation layout. Furthermore, in order to obtain the solution, NGT (Nominal Group Technique) was employed to do the assessment obtaining 3 solutions including completing the SOP and designing the inpatient drug service flow in pharmaceutical installation, establishing the target time for each service flow by the management, and designing more effective and efficient layout for the pharmaceutical installation. 
Co-Authors . Djumahir Achmad Rudijanto Achmad Yunus Adiwignyo, Dandy Drestanto Agnes Widayu Estiningsih Agni Hadi P, Agni Hadi Ahsan Alberto, Alberto Andriana, Kiki Rizki Fista Anisa Ramadhani Kusumastiti ANISYAH ACHMAD Aryo Dewanto Asfi Manzilati Asiana Oktavia Purwaningsih Athallandi, Kemal Bramantya Surya Pratama, Bramantya Surya Catharina Louise Rhynanti Chriswantara, Riz’q Threevisca David David Dewi Kartikawati Ningsih Dewi Kartikawati Ningsih, Dewi Kartikawati Dewi Lelonowati Dewi Lelonowati Dewi, Sagung Manik Dwi Purnama Dolly Irbantoro Dwi Indriani Lestari Dwi Saputro Edy Supriyanto Endiki Surya Wira Pratama Erich Hudisusanto Erika Widayanti Lestari Eriko Prawestiningtyas Fajar Juli Nursanti Fantri Pamungkas, Fantri Fatchur Rohman Fatchurohmani . Fitri Anita Fitri Anita Frista, Ardaleni Gladys Kurniawan Hamdani, Romi Harien Lestari Harjayanti, Nofita Dwi Harsono Harsono Harsono Mardiwiyoto Harun Al Rasyid Harun Al Rasyid Hasan, Haliza Heni Dwi Windarwati Hinting, Lia Natalia I Gede Sastrawan Iriene Kusuma Wardhani Irsan, Istan Irmansyah Juwitasari Juwitasari Kartikasari, Dhian Komang Ayu Krisna Dewi Kristianingsih, Rey Kuncoro, Wahyudi Kurnia Widyaningrum Kusuma Wardhana, Eka Chandra Kusumastiti, Anisa Ramadhani Laily Yuliatun Lelonowati, Dewi Lidia Emilinda Lilik Zuhriyah Lilis Widianah Lucia Pujiastuti, Lucia Lukman Hakim Mahardika, Yesika Yuristi Mardiana Kusumawati, Anita Markes, Anabela Masrochanah, Siti Maulana, Ragil Maya Dewi Hanggraningrum Menis Rahmawati Muhammad Barlian Nugroho Mulyatim Koeswo Nanik Setijowati Nasar Radfan Ni Luh Putu Ninik Pujaning Dyah Nofita Dwi Harjayanti Novia , Kristia Nur 'Aini Nursanti, Fajar Juli Nurul Laili Nuthea, Merry Palastri, Aisha Rifda Pradina, Fifin Prahadiani, Saesar Revita Prayoga, I Wayan Eka Putra Purwati, Ajeng Budi Puspitasari, Vicky Qomariyah, Durrotul R. Henggar Sulistiarto Rahmani Ratri, Devita Rahmani, Nuraida Fara Ratri, Devita Rahmani retnaningtyas, sri Retno Lestari Rezkiah, Fahmy riskiyah, Riskiyah - Sabatina, Sindy Sabrina Aulia Rahma Sadewo, Ageng Bagus Salizar Binti Mohamed Ludin Satria Pandu Persada Isma Septiana, Celsy Citra Septiansyah, Dhimas Anggi Setijowatie, Eva Diah Siahaan, Sahat Manampin Silvy Rahmah Yanthy Sindy Sabatina Siti Juhariah Siti Umi Ernawati, Siti Umi Soegeng Hery Priyanto Sri Andarini Sri Soenarti Sri Sunarti Sri Winarsih Sugeng Susilo, Sugeng Sujianto Sujianto Sujiono Sujiono Sujiono Sujiono Sujiono, Sujiono Suminar Pertiwi, Dian Tae, Vidria Handayani Thomas Erwin Christian Junus Huwae Tina Handayani Nasution Titin Andri Wihastuti Tjatur Budi Winarko Tontowi Jauhari Tony Suharsono Tri Wahyu Sarwiyata Unix Cahya Husada Vistiandini, Seravina Ayu Wahyu Febrianto Wahyu Purnomo Wardhani, Iriene Kusuma Wati, Linda Ratna Wening Prastowo Widodo Mardi Santoso, Widodo Mardi Wijaya, Yunus Adi Windarwati, Heni Dwi Wiwin Indriani Wulandari, Meidina Yayi S Prabandari Yayi Suryo Prabandari Youandi, Abdi Agus Yulianto, Wahyu Yuni Kartika S, Yuni Kartika Zhafira Anisah Kesuma