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Non-compliance of Hospital X Employee in Implementing Standard Operational Procedures of Instrument Decontamination and Chest X-Ray Services Prahadiani, Saesar Revita; Kuncoro, Wahyudi; Hariyanti, Tita; Zuhriyah, Lilik; Sarwiyata, Tri Wahyu; Pradina, Fifin
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.6s

Abstract

Good hospital management is important to maintain the safety of patients, staff and hospital visitors. Each hospital employee responsible for patient safety by carrying out work according Standard Operating Procedure (SOP) guidelines agreed by organization. This study aims to identify the casues factors and the solution for hospital employees to not comply with the SOP. This study uses a qualitative descriptive approach. Methods of data collection by conducting direct observation and interviews. Subjects in the study were determined based on purposive sampling, as many as 8 respondents consisting of the inpatient room's head, nurses and radiology officers. It is important to apply a system approach in the management of an organization. The elements included in the systems approach are planning, organizing, actuating and controlling. From those elements, there are things that not properly carried in the hospital. The existing procedures were not followed by the employees, for example, procedures regarding instrument decontamination in the inpatient room and photo reading at the radiology service. Non-compliance with this procedure is influenced by several factors, namely the staff lack of discipline and responsibility, inappropriate procedures, facilities that are not available, and there is no socialization of the procedure to hospital employees. The non-compliance of employees at X hospital was caused by procedural factors, decontamination and radiology officer's performance factors and hospital's facilities. For this reason, it is necessary to conduct periodic outreach, monitoring and evaluation of the SOP and hospital employees to improve the quality of hospital services and customer satisfaction.
Pengembangan Sistem Pendaftaran Pasien Rumah Sakit Umum X Malang Tahun 2017 Fajar Juli Nursanti; Tita Hariyanti; Nofita Dwi Harjayanti
Journal of Ners and Midwifery Vol 5 No 2 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i2.ART.p154-158

Abstract

Waktu tunggu merupakan komponen penting dalam pelayanan si rumah sakit dan merupakan pintu gerbang pertama yang berperan penting dalam memberikan kesan pertama yang baik bagi pasien. Antrian di loket pendaftaran yang panjang dan lama menyebabkan tidak efektifnya pelayanan pasien secara keseluruhan dan membuat pasien tidak nyaman, pada akhirnya kepuasan pasien akan rendah. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang menyebabkan lamanya waktu tunggu pelayanan pendaftaran di RSU X Malang. Penelitian dilakukan mulai September 2017 sampai dengan Oktober 2017.Data dikumpulkan dengan study literature, pengamatan dengan lembar observasi dan wawancara dengan bagian pendaftaran, perawat poli, perawat IGD dan bagian humas. Data menunjukkan bahwa waktu tunggu pelayanan pendaftaran Rumah Sakit Umum X tergolong lama. Untuk mempersingkat waktu tunggu pelayanan perlu dilakukan pengembangan sistem pendaftaran pasien di Rumah Sakit Umum X Malang dengan membuat alur dan informasi yang jelas bagi pasien, menambah tenaga di bagian informasi dan menyediakan Standar Prosedur Operasional (SPO) pendaftaran pasien.
Discovery and Analysis of Documentation Systems and Medical Record Service Procedures at Hospital Nacional Guido Valadares Anabela Markes; Alberto Alberto; Tita Hariyanti
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.6207

Abstract

Prepare information to facilitate the service process to patients and facilitate managerial decision making by clinical and administrative service providers in hospitals. This study aims to identify problems, root causes, carry out identification of alternative solutions, develop programs as selected solutions, and intervention plans to improve the causes of documentation systems and procedures for medical record services at Hospital Nacional Guido Valadares. This research is qualitative research. The subjects of the study were representatives of section heads and unit heads, representatives of medical record officers. Data collection is observation, interviews, documentation, recorder, Focus Group Discussion (FGD), Urgency Serousness Growth (USG) and brainstorming. Results of root cause identification using fishbone diagram and 5 why's analysis, alternative solutions using FMEA, risk priority number (RPN). The result of this study is that the officer provides medical record documents belonging to patients taken home, new patients do not bring referral letters from doctors, do not bring Electoral cards or other identity cards. Old patients forget to bring their identity cards for treatment, come back not according to the doctor's appointment. Suggestions for socialization efforts continue to be carried out to educate, remind patients and officers about the documentation and procedures that have been established and periodic evaluations.
DEVELOPMENT SCORING SYSTEM TO PREDICT IN-HOSPITAL MORTALITY IN STROKE PATIENTS IN INDONESIA Rahmalia Izzati, Fatma; Arisetijono, Eko; Rahmawati, Dessika; Hariyanti, Tita
MNJ (Malang Neurology Journal) Vol. 12 No. 2 (2026): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2026.012.02.04

Abstract

Background: Stroke is the third leading cause of death globally, and early prediction of in-hospital mortality risk is essential for improving clinical outcomes and optimizing resource allocation. However, no in-hospital mortality system applicable to both ischemic and hemorrhagic stroke currently exists in Indonesia. This study aims to identify significant predictors of in-hospital mortality among stroke patients, to develop an in-hospital mortality prediction score system, and to assess the performance of the score. Methods: This retrospective cohort study included stroke patients hospitalized at Dr. Saiful Anwar Hospital, Malang, Indonesia in January-December 2024, with data obtained from electronic medical records. Multivariate logistic regression with backward stepwise elimination was performed to identify predictors significantly associated with in-hospital mortality. Scoring weights were derived from regression coefficients. Model performance was assessed using accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and the area under the curve (AUC). Results: Eight significant predictors were identified: age ≥60 years, male sex, National Institute of Health Stroke Scale (NIHSS) ≥16, leukocytosis, hyperglycemia, hemorrhagic stroke type, pneumonia, and sepsis. These predictors were incorporated into an in-hospital mortality scoring system. The scoring system demonstrated an accuracy of 72.92%, sensitivity 80%, specificity 71.77%, PPV 31.37%, NPV 95.7%, and an AUC of 0.784. Conclusions: Eight out of thirteen proposed predictors were significantly associated with in-hospital mortality among stroke patients. Based on these predictors, a prognostic scoring system for in-hospital mortality was developed, demonstrating fair discriminative performance.
Pengaruh Bauran Pemasaran Terhadap Loyalitas Pasien di Poliklinik Paru Rumah Sakit Paru Batu Radfan, Nasar; Djumahir; Hariyanti, Tita
Jurnal Aplikasi Manajemen Vol. 13 No. 2 (2015)
Publisher : Universitas Brawijaya, Indonesia

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

Abstract

Background: Researchers want to know the effect of the mix marketing towards the patients’ loyalty who seeks treatment at Pulmonary Hospital Batu. This research conductedwith cross-sectional approach in 100 patients in the Hospital Pulmonary Batu. Samplingwas non random sampling. Independent variables are product, price, place, promotion, people, processes, and physical evidence while the dependent variable is the patients’ loyaltywho is seeking treatment at the Hospital Pulmonary Batu, as measured by the questionnaireinstrument. Validity test of the instrument uses the product moment correlation and testreliability uses Cronbach alpha method. Data were analyzed using multiple linear regressionanalysis test. The results show that not all elements influence the mix marketing of patients’ loyalty which is seeking treatment in the Hospital Pulmonary Batu. All elements ofthe mix marketing of physical evidence (66.1%) and price (18.1%) have a dominant influenceamong the other elements of the mix marketing, product and place loyalty have nopositive effect on patients’ loyalty in pulmonary clinic Batu, the effect of sequentially isphysical evidence (66.1%), price (18.1%), promotion (13.5%), process (11%), people (0.7%), place (0.117%), product (0.11%). All elements of the mix marketing (product, price, place, promotion, personnel, processes, and physical evidence) not all elements influence patients’ loyalty. Variable products and place has no effect on the patients’ loyalty, while the othervariables such as price, promotion, personnel, processes and physical evidence have aninfluence on the patients’ loyalty which is seeking treatment at the Polyclinic PulmonaryBatu. Elements of price and physical evidence have the most dominant effect on patients’ loyalty among the other elements in the mix marketing.
Co-Authors . Djumahir Achmad Rudijanto Achmad Yunus Adiwignyo, Dandy Drestanto Agnes Widayu Estiningsih Agni Hadi P, Agni Hadi Ahsan Alberto Alberto Anabela Markes 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 Dhimas Anggi Septiansyah Djumahir Dolly Irbantoro Dwi Indriani Lestari Dwi Saputro Edy Supriyanto Eko Arisetijono 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 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 Radfan, Nasar Rahmalia Izzati, Fatma Rahmani Ratri, Devita Rahmani, Nuraida Fara Rahmawati, Dessika 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 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