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Akas Yekti Pulih Asih
Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia
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Journal : Medical Technology and Public Health Journal

 1 
PEMANFAATAN LIMBAH PADAT DAN CAIR TAPIOKA SEBAGAI BAHAN BAKU PLASTIK MUDAH TERURAI (BIODEGRADABLE) Edza Aria Wikurendra; Akas Yekti Pulih Asih
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 4 No 1 (2020): Medical Technology and Public Health Journal March 2020
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v4i1.1164

Abstract

Penelitian ini memanfaatkan limbah padat tapioka yang didapatkan dari sisa produksi UD. HH yang berada di wilayah Kecamatan Pesantren Kota Kediri untuk dijadikan plastik yang mudah terurai (Biodegradable) atau bioplastik. Proses pembuatan bioplastik dilakukan dengan dilanjutkan mencampurkan natrium asetat (PA) ke dalam larutan asam asetat (PA). Pemanasan bahan (limbah tapioka yaitu ampas, cair dan pati tapioka sebagai kontrol) dengan pelarut kemudian dikeringkan. dengan persentase 100% , 50% : 50%, 100% ,50% : 50%. Atau sama sebanding dengan 7,5gr : 0gr, 3,25gr : 3,25gr, 0gr : 7,5gr, 3,25gr : 3,25gr. Bioplastik yang dihasilkan diuji dengan uji mekanik berupa uji tarik dan uji elongasi, Uji gugus Fungsi dengan FTIR dan Uji Biodegradibilitas. Dari hasil pengujian dilihat treatment mana yang paling baik hasilnya maka sampel tersebut dapat digunakan sebagai bahan penelitian pembuatan bioplastik. Plastik yang dihasilkan dari limbah tapioka (cair dan padat) maupun yang divariasi dengan tapioka didapatkan hasil dengan kuat tarik 2,78-4,41 Mpa dan elongasi 8,27-14,27%. Hasil pengujian FTIR pada semua sampel menunjukkan adanya sebagai gugus fungsi O- H,C-H,C=O,C-O,=C-H sebagai gugus penanda telah terbentuk bioplastik.. Limbah padat tapioka dengan campuran tapioka lebih cepat mengalami degradasi dengan persentase degradibilitas sebesar 29,99% dibandingkan dengan plastik dari bahan lain masing-masing sebesar 0,26 % (sampel 3), 21,19% (sampel 2) dan 14,61% (sampel 1).
ANALYSIS OF INTERNAL SERVICE QUALITY AND OUTPATIENT PATIENT SATISFACTION WITH A RATER APPROACH (RELIABILITY, ASURANCE, TANGIBLE, EMPATHY AND RESPONSIVNESS) IN INSTALLATIONS IN ISLAMIC HOSPITAL SURABAYA Akas Yekti Pulih Asih; Budhi Setianto
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 5 No 2 (2021): Medical Technology and Public Health Journal September 2021
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v5i2.3073

Abstract

Patient satisfaction is a subjective value to the quality of services provided. Although subjective, there is still an objective basis, especially the patient's assessment which is based on past experience, education, psychological situation at that time, and the existing reality. The type and design of this research is a descriptive observational research that analyzes the patient's assessment of the service quality of the Outpatient Installation of the Islamic Hospital in Surabaya. Judging from the time of the study, this study included a cross sectional study. The population in this study were all patients at the Islamic Hospital Surabaya Outpatient Installation from an average of January, February and March 2020. The total population in this study was 14,000 patients based on the number of visits per month. during the first Quarter, starting from January to March 2020 with the slofin formula, 113 respondents were found. The five dimensions are: (1) Responsiveness, (2) Assurance, (3) Tangible, (4) Empathy and (5) Reliable is good and exceeds the standard than expected. The average satisfaction of all respondents is 8.56 / 85.6% this is close to the standard set by SPM customer satisfaction, which is 90%. Based on the demographics and characteristics of the following respondents, respondents who have satisfaction with service quality are as follows (1) Age 36-45 (2) Gender is Female (3) who has a residence distance of > 10 Km (4) with an insurance guarantor/ Institutions (5) with master's education served in the old building using the relationship test obtained sig < 0.005 so that it can be concluded that there is a relationship between perceived service quality and patient satisfaction, the higher the service quality felt by the patient, the higher the satisfaction felt by the patient.
An Analysis of the Effect of Team Situation Awareness on Patient Safety Incidents using Teamwork as the Intervening Variable Paramita, Ristiya Galih; Wijaya , Terivenna; Chalidyanto, Djazuly; Asih, Akas Yekti Pulih
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 8 No 1 (2024): Medical Technology and Public Health Journal March 2024
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v8i1.5635

Abstract

The definition of Patient Safety Incidents (PSIs) refers to specific occurrences that unintentionally happen and result in, or potentially lead to, injuries in patients if not prevented. PSIs require special attention, especially in healthcare settings. According to the report collected by the Hospital Patient Safety Committee of the Surabaya Orthopedic and Traumatology Hospital from 2018 to 2021, there were 177 patient safety incidents recorded. This study aims to analyze the effect of Team Situation Awareness (TSA) on Patient Safety Incidents through Teamwork at Surabaya Orthopedic and Traumatology Hospital. The variables identified for analysis are Team Situation Awareness (TSA) and Teamwork. Because this study was conducted over a specific time period, it follows a cross-sectional design and is an analytical observational study. Path analysis was employed to analyze the data. The measurement revealed that TSA resulted in 64.3% of work units being categorized at level 2 (comprehension), and for Teamwork, 64.3% of the works units were categorized as “Good”. The results of the Path Analysis using SmartPLS 4.0 showed the effect of TSA was significant with a p-value of <0.05, and TSA’s effect on Teamwork was also significant with a p-value of <0.05. Based on the path analysis (SEM-PLS), it was found that TSA indirectly affected PSIs through Teamwork, with a significant indirect effect having a p-value <0.05. Team Situation Awareness indirectly influenced PSIs through Teamwork.  One approach to reducing the frequency of PSIs is to improve Team Situation Awareness (TSA) within each work unit at Surabaya Orthopedic and Traumatologic Hospital.   Keywords: Patient Safety Incidents, PSIs, team situation awareness, TSA, teamwork
Patient Safety Culture at Rumah Sakit Mata Undaan in 2023: An HSOPSC Survey Kartika Sari, Dyan; Nurharianti, Pradita Rani; Asih, Akas Yekti Pulih
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 9 No 1 (2025): Medical Technology and Public Health Journal March 2025
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v9i1.6290

Abstract

The cornerstone of patient safety is a culture of safety, which can significantly reduce adverse events. According to the 2022 Hospital Accreditation Standards, hospitals are required to measure and evaluate patient safety culture annually. This research aims to assess the level of patient safety culture at Rumah Sakit Mata Undaan so it can serve as a reference for developing policies to enhance patient safety culture. This study employs a cross-sectional design and a quantitative methodology to conduct a descriptive investigation. This study includes the entire population, with a total sample size of 189 respondents, consisting of non-health workers, medical staff, and other healthcare workers. Measurement was conducted using the ten safety culture variables from the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire developed by AHRQ. The result indicate that  69.4% of respondents, on average,  agreed with the patient safety culture dimensions. Among them, "Teamwork" received the highest percentage of favorable responses (86%), while "Communication Openness" had the lowest percentage  (55%). Overall, the patient safety culture at Rumah Sakit Mata Undaan in Surabaya falls into the "Moderate" category. Improvements are needed to strengthen safety dimensions that are currently in the  moderate category, aiming to elevate them to the strong category. Keywords: hospital, patient safety culture, HSOPSC, AHRQ
Cost Analysis and Waste Elimination in Efforts to Prepare Inpatient Room Rates as an Efficiency and Effectiveness Strategy in Managing a Hospital Business Budhi Setianto; Aan Adriansyah, Agus; Asih, Akas Yekti Pulih
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 9 No 1 (2025): Medical Technology and Public Health Journal March 2025
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v9i1.5213

Abstract

ABC Hospital is a class B hospital with an increase in capacity to 238 beds. The process of cost analysis and unit cost preparation is very necessary in determining the burden of each service unit. This calculation is used to prepare service rates, in this case the inpatient room rates. The aim of this research is to analyze BPJS inpatient costs, analyze financial costs during January – July 2023, compare costs with predetermined plans and calculate fixed costs, variable costs and semi-variable costs in calculating inpatient rates. This research is descriptive qualitative, by processing secondary data that has been provided. The data used is service visit data from medical records, financial data for January – July 2023, BPJS TXT data for January – July 2023. ABC Hospital has carried out controls related to quality control and costs, by prioritizing effectiveness and costs. The biggest income is from BPJS income while the biggest cost is labor costs. In calculating unit costs, several cost variables are used, including Fixed Cost, Semi-variable Cost and Variable Cost with the average unit cost being 362,020 rupiah. Keywords: Income, Expense costs, Unit Cost, Tariff
Co-Authors Abdillah, Muhammad Zahid Abdul Muhith Adelia Priadina Cahya Ningrum Adelia Priadina Cahya Ningrum Adiiba Dzakiyah Choirunnisa Afridah, Wiwik Agus Aan Adriansyah Ahla Tamaro Aizatun Nisa Akas Pinaringan Sujalu Alfaridzi, Aditya Rizky Aliya Zahro Fuadah Amanatul Istifaiyah Andi Roesbiantoro Andryade Kurniawan Aviana Gita Lara Aviana Gita Lara Bagus Wicaksono Bagus Wicaksono BAGUS WICAKSONO Binti Sholihah, Nindy Kurniati Budhi Setianto Budhi Setianto Difran Nobel Bistara Diva Ali Savitri Djazuly Chalidyanto Dwi Handayani Edza Aria Wikurendra Effendi Effendi Effendi Effendy Effendy Endang Sulistiyani Eppy Setiyoati Eppy Setiyowati Ervina Yanti Harahap Evy Afifah Syagran Evy Afiyah Syagran Fasya, Abdul Hakim Fasya, Abdul Hakim Zakiy Fasya, Abdul Hakim Zakkiy Fatmawati, Ulik Fuadah, Aliya Zahro Hadi, Bella Rose Indira Harahap, Ervina Yanti Iftitahurrohmah Iftitahurrohmah Imamate, ewi Sinta Nuriatul Iqbal Firdaus Iqbal Firdaus Iswahyudi Iswahyudi Jihan Ekanita Anwar Kartika Sari, Dyan Kombih, Muhammad Fifin Kuuni Ulfah Naila El Muna M. Herdin Fatwa Toga Putra Maki Zamzam Maya Purnia Sari Maya Purnia Sari Muhammad Zahid Abdillah Mutiaraningrum, Indah Nadatien, Ima Nailah Tri Iswira Nathalya Dwi Kartika Sari Nazilatul Khurin Nikmatus Sa’adah Ningtias, Dyah Ayu Ratna Novera Herdiani, Novera Nurharianti, Pradita Rani Paramita, Ristiya Galih Primasari, Niken Savitri Rahmawati, Ajeng Dwi Rizki Andikawati Fitriasari Rochmawati, Elva Apriliya Adella Rokhiya, Naily Aniqotur Rusdianingsih Rusdianingsih Salim, Hotimah Masdan Sari, Maya Purnia Satriya Wijaya Selviana Larasati Siti Nur Hasina Sofia Nur Islami Stefanus Supriyanto Susantri, Mery Syafiuddin, Achmad Tamya Amiratus Sholihah Ubaidillah Zuhdi Umi Hanik Venia Ilma Dwi Prastika Wijaya , Terivenna Wijayanti, Lono Yanti, Alfiyah Indah Yauwan Tobing Lukiyono Zahro, Novianti Fatimahtus