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All Journal Jurnal Ergonomi Indonesia (The Indonesian Journal of Ergonomic) International Journal Of Health And Social Behavior
I Putu Adi Susanta
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Engineering Health Professions Industrial & Manufacturing Engineering Nursing Public Health

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REDESAIN PEGANGAN TABUNG SINAR-X YANG ERGONOMIS DI RADIOLOGI RSUP SANGLAH MENURUNKAN KELUHAN MUSKULOSKELETAL, MENGURANGI KELELAHAN UMUM DAN MENINGKATKAN KECEPATAN PEMERIKSAAN I Putu Adi Susanta; Susy Purnawati; I Putu Gede Adiatmika
Jurnal Ergonomi Indonesia (The Indonesian Journal of Ergonomic) Vol 3 No 2 (2017): Volume 3 No 2 Desember 2017
Publisher : Program Studi Magister Ergonomi Fisiologi Kerja Pascasarjana Universitas Udayana Denpasar Bekerjasama dengan Perhimpunan Ergonomi Indonesia (PEI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JEI.2017.v03.i02.p05

Abstract

Radiology Installation is a unit of medical support services in a health facility that has a function as a means of patient diagnosis. In RSUP Sanglah there are 5 units of radiology sub-section such as Central Radiology, IRD, Wing Amerta, Central Surgery Room and Cath Lab Room which all have a goal of providing quality diagnostic value to patients and society. Problems occurring within the radiology unit are the incidence of work-related musculoskeletal complaints, increased general fatigue in workers, as well as decreased speed of examination by radiographers in service. This can be caused by a mismatch between the work tool and its users. Research has been conducted with intervention of redesign of X-ray tube handling through user anthropometry aims to know how big the effect of X-ray tube grip design improvement to musculoskeletal complaints, general fatigue and increased examination speed by radiographer. The subject anthropometry data is used as the basis for redesigning the X-ray tube handle. The design of the study using Treatment By Subject Designs with a large sample of 12 people who became the control group as well as the intervention group. Subjects were subjected to redesigned X-ray tube handles or grips that have been improved in shape and design more ergonomically adapted to the anthropometry of the subject body. Musculoskeletal complaints were assessed with Nordic Body Map questionnaires from NIOSH Japan, generalized fatigue disorder with 30 general fatigue items, and the examination speed by radiographers was obtained by measuring the time of the radiologic treatment on the number of checks performed. Shapiro - Wilk test was performed to determine the normality of data at significance level (? = 0,05). Differential comparative test between pre-repair and post-design improvement of musculoskeletal complaints, general fatigue and speed of examination using paired t-test at significance level ? = 0.05 It was found that in the intervention group the use of redesigned X-ray tubes could significantly decrease musculoskeletal complaints (p <0.05) by 10.42%, significantly reducing general fatigue by 22.38% (p <0.05 ) and increased the examination rate by 12.50% (p <0.05). Thus it can be concluded that the improved X-ray tube handle design can decrease musculoskeletal complaints, reduce general fatigue and increase the speed of inspection by radiographers at Sanglah Hospital Denpasar.
Implementation of Pacs System on The Effectiveness of Radiology Services at RSUD Dr. Soedirman Kebumen Metria Riza Sativa; Edy Susanto; I Putu Adi Susanta; Gatot Murti Wibowo
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.501

Abstract

Dr. Soedirman Kebumen Regional General Hospital has implemented PACS to replace traditional film, but limitations in IT infrastructure, RME integration, and human resource readiness require an integrated implementation model that combines cloud-hybrid, DICOM/HL7 with SSO, continuous training, and managerial support. To evaluate the implementation of the PACS system in the Radiology Department of Dr. Soedirman General Hospital in Kebumen and to analyze the factors that support and hinder the effectiveness of the PACS system in improving the quality of radiology services. The research used a qualitative approach with an interactive model. Data collection was conducted through in-depth interviews, Focus Group Discussions (FGD), direct observation, and documentation. The data obtained were analyzed using ATLAS.ti software to explain the PACS implementation and its impact on the effectiveness of radiology services. The PACS implementation improved the quality of radiology services by accelerating access to medical images and enhancing workflow efficiency. Some challenges, such as system downtime, integration with other systems, and technical limitations, need to be addressed. Integration of artificial intelligence (AI) and telemedicine technologies needs to be enhanced to achieve optimal radiology services. Factors supporting successful implementation include the adoption of advanced technologies (cloud computing and AI), adequate infrastructure, technical support from the IT team, and strong managerial commitment.  Barriers to success include imperfect system integration, power outages, downtime, storage capacity limitations, and a shortage of trained human resources. Proposed implementation models include improving PACS system infrastructure, developing ongoing training for staff, improving PACS system integration with other hospital systems, and improving interdepartmental communication to streamline workflows and reduce obstacles in the diagnostic process.
Co-Authors Edy Susanto Gatot Murti Wibowo I Putu Gede Adiatmika Metria Riza Sativa Susy Purnawati