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All Journal Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Medica Arteriana (Med-Art) Jurnal Material Kedokteran Gigi Jurnal Aisyah : Jurnal Ilmu Kesehatan JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Indonesian Journal of Dentistry JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Abdimas Kesehatan
Retno Kusniati
Dental And Oral Health Department, Faculty Of Dentistry, Universitas Muhammadiyah Semarang
Humanities Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Gambaran Manajemen Keselamatan Pasien di RSGM Unimus Berdasarkan Agency For Health Research And Quality Care (AHRQ) Dwi Windu Kinanti; Retno Kusniati
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 4, No 2 (2020): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (428.925 KB) | DOI: 10.52643/marsi.v4i2.949

Abstract

ABSTRACTBackground: RSGM Unimus is a dental and oral hospital that has been operating since 2019. Building a culture of patient safety in the hospital is the responsibility of all staff in the hospital to patients. Patient safety is a system by which the hospital makes patient care safer. Efforts to minimize the occurrence of patient safety incidents, hospital management needs to build a patient safety culture to improve the quality and service of patients in the hospital. Hospital patient safety can be measured using the Hospital Survey on Patient Safety Culture issued by AHRQ (Agency for Health Research and Quality Care). In this case, patient safety culture is measured from the perspective of medical personnel and staff in the hospital. Objective: Describe patient safety at RSGM Unimus based on AHRQ according to dentists, young dentists and medical staff. Method: This type of descriptive quantitative research with a cross sectional research design, determining the sample using the Proportionate Startified Random Sampling technique using the Slovin formula obtained 65 respondents. Result: 6 Dimensions of patient safety according to AHRQ get a positive response including: Dimension 1 Internal cooperation (88.2%), Dimension 2 Manager / supervisor (90.76%), Dimension 3 communication (90%), Dimension 4 reports of errors in action (82.56%), Dimension 5 patient safety rate (92.30%), Dimension 6 overall hospital management (87.41%). The majority of positive responses (> 75%) in human resources at RSGM Unimus support patient safety culture. Conclusion: The culture of patient safety at RSGM Unimus can be said to be very good, meaning that RSGM Unimus supports the culture of patient safety and has carried out patient safety very well.Keywords: Patient Safety, AHRQ (Agency for Health Research and Quality Care)
Gambaran Status Kesehatan Gigi dan Mulut pada Pasien Prolanis di Puskesmas Kedungmundu Zazkia Zita Zhafira Soni; Retno Kusniati; Ayu Kristin Rakhmawati
Medica Arteriana (Med-Art) Vol 2, No 1 (2020): Juni 2020
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/medart.2.1.2020.43-52

Abstract

Latar Belakang: Kesehatan gigi dan mulut masih menjadi permasalahan di masyarakat yang perlu diperhatikan. Prevalensi penduduk yang mempunyai masalah gigi dan mulut di Indonesia menurut Riskesdas 2018 sebesar 57,6%. PROLANIS (Program Pengelolaan Penyakit Kronis) merupakan suatu program dengan dua fokus penyakit yaitu Diabetes Melitus dan Hipertensi. Kasus Diabetes Melitus tertinggi di Kota Semarang tahun 2018 ada di Puskesmas Kedungmundu sebanyak 3.165 kasus dan Hipertensi sebanyak 4.417 kasus. Penderita Diabetes Melitus mempunyai beberapa manifestasi oral seperti karies, mulut kering, dan periodontitis. Sedangkan Hipertensi mempunyai manifestasi oral seperti hyperplasia gingival dan xerostomia. Tujuan penelitian ini adalah mendeskripsikan status kesehatan gigi dan mulut pada pasien Prolanis di Puskesmas Kedungmundu.Metode: Jenis penelitian deskriptif dengan pendekatan cross sectional, menggunakan teknik purposive sampling  diperoleh 55 responden.Hasil: Keadaan mahkota gigi karies sebesar 38,6%, akar gigi karies sebesar 34,8%, gingival bleeding atau perdarahan gingiva sebesar 47,8%, poket periodontal 4-5 mm sebesar 75,1%, kehilangan perlekatan yaitu 0-3 mm, tidak ada tanda erosi sebesar 54%, tidak ada lesi mukosa oral sebesar 50,9%, kebutuhan perawatan segera sebesar 72,7%, dan hanya satu pasien yang menggunakan gigi tiruan.Kesimpulan: Pasien Prolanis di Puskesmas Kedungmundu mempunyai status kesehatan gigi dan mulut mahkota dan akar gigi yang karies, terdapat gingival bleeding atau perdarahan gingiva, terdapat poket periodontal dan kehilangan perlekatan, tidak ada tanda erosi gigi dan lesi mukosa oral, kebutuhan perawatan perlu tetapi tidak segera, dan hanya satu pasien yang menggunakan gigi tiruan.
Efektivitas Berkumur Seduhan Teh Putih (Camellia Sinensis L.) Terhadap Indeks Plak Gigi Hinggadita Adjeng Noorfadhila; Retno Kusniati; Nur Khamilatusy Sholehah
Jurnal Material Kedokteran Gigi Vol 8 No 2 (2019): JMKG Vol 8 No 2 September 2019
Publisher : Ikatan Peminat Ilmu Material dan Alat Kedokteran Gigi (IPAMAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jmkg.v8i2.409

Abstract

Tea is the most popular beverage product that is consumed by many people in Indonesia and the world community because tea has a distinctive taste and aroma. Tea contains a rich source of polyphenols (catechins) which are part of flavonoids that can inhibit the growth of Streptococcus mutans, Streptococcus sobrinus and Lactobacillus which are bacteria that cause dental plaque formation. Purpose, to analyze the effectiveness of white tea (camellia sinensis L.) gargling on the dental plaque index. Method, quasi experiment with pre and posttest control group design. This research was conducted at the Faculty of Dentistry, University of Muhammadiyah Semarang with a total of 36 samples taken by random sampling technique. The treatment group (white tea) and the control group (0.2% chlorhexidine) were calculated using the PHP-M plaque index. The value of plaque index before gargling in white tea steeping had an average value of 1.77 ± 0.60 and the value of the plaque index after gargling in steeping white tea had an average value of 1.18 ± 0.48. The results of the statistical analysis dependent test t test showed p = 0,000 (p<0.005) so that there were significant differences between the plaque indices in the white tea group before and after treatment. The results of the independent statistical t test showed that the chlorhexidiene control group was 0.2% p = 0.024 (p<0.005) and white tea p = 0.003 (p<0.005). It was concluded that white tea was more effective than chlorhexidine 0.2%. Conclusion, Gargling of white tea steeping is effective in decreasing dental plaque index.
Pelatihan Dokter Kecil Untuk Peningkatan Status Kesehatan Umum Dan Kesehatan Gigi Mulut Di Wilayah Kerja Puskesmas Pegandan Kota Semarang Hayyu Failasufa; Fuad Fatkhurrohman; Retno Kusniati; Erdianto Wardhana
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 2 No 2 (2023): April
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jipmi.v2i2.105

Abstract

Latar belakang: Penyebab permasalahan tingginya kejadian karies (penyakit gigi dan mulut) di wilayah kerja Puskesmas Pegandan yaitu kurangnya edukasi dan kesadaran diri pada anak-anak usia sekolah dasar terkait kesehatan gigi serta kurangnya perilaku dalam menjaga kebersihan gigi & mulut. Tujuan: Melakukan penyuluhan dan pelatihan dokter kecil sebagai kader kesehatan gigi dan mulut siswa-siswi sekolah dasar di Wilayah Kerja Puskesmas Pegandan Kota Semarang. Metode: Metode edukasi yang digunakan dalam pengabdian masyarakat ini meliputi penyuluhan secara interaktif, pemberian materi video kesehatan gigi, pemberian buku saku kesehatan gigi dan diskusi. Hasil: Kegiatan pengabdian kepada masyarakat kaderisasi dokter gigi kecil diikuti oleh 20 peserta kader. Seluruh kader bisa mempraktekan penyuluhan kesehatn gigi dengan baik. Kesimpulan: Kegiatan pengabdian kepada masyarakat kaderisasi dokter gigi kecil sangat bermanfaat bagi siswa-siswi sekolah dasar serta bisa meningkatkan derajat Kesehatan gigi secara mandiri. Kata kunci: dokter kecil, kesehatan gigi mulut, penyuluhan, puskesmas pegandan ________________________________________________________________________________________________ Abstract Background: The cause of the problem of the high incidence of caries (dental and oral disease) in the work area of the Pegandan Health Center is the lack of education and self-awareness in elementary school-age children related to dental health and lack of behavior in maintaining dental & oral hygiene. Objective: To conduct counseling and training small doctors as dental and oral health cadres of elementary school students in the Pegandan Puskesmas Working Area, Semarang City. Method: The educational methods used in this community service include interactive counseling, providing dental health video materials, and giving dental health pocketbooks and discussions. Result: Community service activities for the cadreization of small dentists were attended by 20 cadre participants. All cadres can practice dental health counseling well. Conclusion: Community service activities for the regeneration of small dentists benefit elementary school students and can improve dental health independently.
Analysis of Patient Safety Culture in Dental and Oral Health Services at RSGM Unimus Dwi Windu Kinanti Arti; Eka Yunila Fatmasari; Retno Kusniati; Juni Arum Sari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (618.499 KB) | DOI: 10.30604/jika.v7i2.883

Abstract

The Dental and Oral Hospital (RSGM) as a part of health care facilities, especially teeth and mouth, do not rule out unexpected events / near-injury events that have an impact on patient safety. The safety incidents at RSGM are only reported when an incident occurs. Solving this problem requires changing the culture of health care from one in which errors are viewed as the result of individual failure to one in which errors are viewed as opportunities to improve from one in which errors are viewed as the system. This study aims to determine the culture of patient safety in dental and oral health services at RSGM Unimus. This type of research is descriptive research with mixed methods research approaches, namely quantitative and qualitative. The study involved a sample of 65 respondents, where the study was conducted from March to April 2020. Quantitative data collection techniques used AHRQ (Agency for Healthcare Research and Quality instrument questionnaire) and qualitative through interviews. The results of the study show that in all dimensions of the AHRQ questionnaire, the highest positive response results are in the very good/strong category, which means that the level of patient safety at RSGM Unimus is already supportive. This study shows that the dissemination of patient safety has not been routinely carried out, errors in communication often occur, reporting only when unexpected incidents occur, and it is necessary to increase feedback between medical personnel and evaluation of intentional or accidental errors that is related to patient safety still needs to be improved. Abstrak: Rumah Sakit Gigi dan Mulut (RSGM) sebagai bagian dari sarana pelayanan kesehatan khususnya gigi dan mulut tidak menutup kemungkinan terjadinya kejadian yang tidak diharapkan/near injury event yang berdampak pada keselamatan pasien. Pelaporan terkait insiden keselamatan hanya di RSGM hanya dilakukan saat terjadi insiden. Masalah ini dapat dipecahkan dengan perubahan budaya keselamatan pasien dimana kesalahan seorang individu dipandang sebagai sebagai peluang untuk memperbaiki sistem. Penelitian ini bertujuan untuk mengetahui budaya keselamatan pasien dalam pelayanan kesehatan gigi dan mulut di RSGM Unimus. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan penelitian metode campuran, yaitu kuantitatif dan kualitatif. Penelitian ini melibatkan sampel sebanyak 65 responden, dimana penelitian dilakukan pada bulan Maret – April 2020. Teknik pengumpulan data kuantitatif menggunakan instrumen AHRQ (Agency for Healthcare Research and Quality instrument kuesioner) dan kualitatif melalui wawancara. Hasil penelitian menunjukkan bahwa pada semua dimensi kuesioner AHRQ, hasil respon positif tertinggi berada pada kategori sangat baik/kuat yang artinya tingkat keselamatan pasien di RSGM Unimus sudah mendukung. Beberapa indikator yang masih perlu ditingkatkan adalah sosialisasi keselamatan pasien yang belum rutin dilakukan, kesalahan komunikasi yang sering terjadi, pelaporan hanya bila terjadi insiden yang tidak diharapkan, perlu peningkatan umpan balik antar tenaga medis dan evaluasi kesengajaan atau kesalahan kecelakaan yang berkaitan dengan keselamatan pasien masih perlu ditingkatkan.
Pengelolaan Limbah Medis Rumah Sakit Gigi Mulut Dwi Windu Kinanti; Retno Kusniati; Hilda Dwi Handayani
Indonesian Journal of Dentistry Vol 1, No 1 (2021): February 2021
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.792 KB) | DOI: 10.26714/ijd.v1i1.6768

Abstract

Background: Hospital environmental management is a series of cycles and management strategies to develop environmental management capacity. The hospital is one of the biggest waste producers that has the potential to cause pollution to the surrounding environment, both the community and the hospital itself. Hospitals produce waste that increases every day, especially solid waste which can be divided into medical and non-medical waste. Management of hospital medical and non-medical solid waste is needed for the comfort and cleanliness of the hospital environment, because it can prevent health problems. Method: This type of research is qualitative with a research design a Focus Group Discussion (FGD), with a sample of 5 respondents. The types of data used are primary and secondary data. Result: Based on results of the research, it was found that the Unimus Dental Hospital has a permit and also corporation with third parties related to medical management, where in this case, of course, the Unimus Dental Hospital already has a storage room for medical and non-medical waste according to applicable standards. Conclusion: Management of medical waste at RSGM Unimus is already good, it needs regular mentoring and evaluation so that performance in medical waste management is well monitored. 
Overview of The Infection Control Risk Assessment (ICRA) Implementation in Dental Practice at RSGM Unimus Dwi Windu Kinanti Arti; Aulia Rizqi Niami; Retno Kusniati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.49

Abstract

Infections present while undergoing treatment or obtained from health services are called Healthcare-Associated Infections (HAIs). The impact of this incident is the length of treatment and costs provided, increased morbidity, and can result in death. One of the many occupations in the world with the highest risk of infection transmission is health workers working in dentistry since most of human microbial pathogens originate from oral secretions. In contrast, these health workers require their proximity to the patient’s oropharynx. The increase in HAIs occurs due to the lack of application of infection control, so we need to assess this implementation. The Centers for Disease Control and Prevention (CDC), in 2016, issued standardized Infection Control Risk Assessment (ICRA) guidelines to assess the risk of infection in dental and oral health services. This research aims to describe ICRA in the dentist practice at RSGM Unimus. The type of research used was observational, with quantitative analysis methods and a descriptive research design. The results showed that overall, infection control at RSGM Unimus had a percentage of 82%, which was included in the low infection risk category. RSGM Unimus was good at implementing infection control programs.
ACTIVITY BASED COSTING METHOD AS THE BASIS FOR DETERMINING SERVICE RATES IN RADIOLOGY UNIT IN RSGM Dwi Windu Kinanti; Retno Kusniati; Muhammad Hoesin Dwi Saputra
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 1 (2022): April 2022
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v11i1.12652

Abstract

In the construction of a Dental and Oral Teaching Hospital, the presence of the Faculty of Dentistry also played a role. In an effort to improve the quality of dentists and services to the wider community, each Faculty of Dentistry must have a Dental and Oral Hospital (RSGM). Operation-based costing is an accounting information system that describes the various activities carried out within an entity and collects costs associated with goods based on activities undertaken to produce, operate and distribute or assist the product concerned. To determine and realize dental and oral-service costs using the ABC method at the radiology unit of dental and oral hospital Unimus. This research is a qualitative descriptive case study design with an open-ended method in the form of Focus Group Discussion (FGD) with the chairman and management of dental hospital Unimus. Based on the results of the calculation of dental and oral-service costs at the radiology unit in Unimus Oral and Dental Hospital using the ABC method was Rp. 193.037 for Cephalometric Radiograph, Rp. 162.624 for Orthopantomographic (OPG), Rp. 138.181 for bitewing radiograph and Rp. 162.624 for temporomandibular joint radiograph (TMJ).
Perceived Utilization of Dental and Oral Health Services at RSGM UNIMUS Based on the Level of Education Retno Kusniati; Emilia Nurul Sholekah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 1 (2021): April 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i1.10329

Abstract

Utilization of dental and oral health services characterized by interaction between patients who need health services and health care workers. The level of utilization of health services is very important since it could be an indicator of the occurrence of a type of health service the level of public awareness of dental and oral health. The level of utilization of dental and oral health services can be measured by the patient's perception of the services provided. An objective of this study was to investigate the relationship between levels of education and the perceived utilization of dental and oral health services at RSGM Unimus Semarang, Central Java. The project used an accidental sampling method with 76 subjects were recruited from RSGM Unimus Semarang. This research was conducted using a questionnaire designed to measure the factors of utilization of dental and oral health services. The results of the research using chisquare analysis showed that there was no significant relationship between the level of education (p = 0.089) and utilization of dental and oral health services at RSGM Unimus. Interestingly, respondents with a higher level of education had higher frequencies to utilize facilities at RSGM Unimus compared to respondents with lower level education.
Tindakan Topikal Aplikasi Flour (TAF) di SD Tandang 01 Semarang Retno Kusniati; Dwi Windu Kinanti; Nur Khamilatusy Solekhah; Hayyu Failasufa; Ayu Kristin Rakhmawati
Jurnal Abdimas Kesehatan (JAK) Vol 5, No 3 (2023): November
Publisher : Sekolah Tinggi Ilmu Kesehatan Baiturrahim Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v5i3.634

Abstract

Background: Dental caries is an infectious disease characterized by tooth decay or tooth decay. The main cause of dental caries is the bacterium Streptococcus mutans. Elementary school children aged 6-12 years are a group that is prone to caries due to deep pits and fissures on their permanent teeth. One of the most effective caries prevention efforts is the topical application of fluoride. Topical fluoridation is highly recommended for newly erupted children's teeth to strengthen the enamel layer and inhibit the demineralization process. Methods: Solving problems using methods including; counseling, tooth brushing together, and topical application of flour. Results: Students who participated in this activity consisted of 49% of students and 51% of elementary school students. The activity started with counseling about carien, brushing teeth together and finally giving Flour Topical Application. Conclusion: All students who met the dental health requirements were successfully given the Topical Flour Application
Co-Authors Aulia Rizqi Niami Ayu Kristin Rakhmawati Ayu Kristin Rakhmawati Dwi Windu Kinanti Dwi Windu Kinanti Dwi Windu Kinanti Dwi Windu Kinanti Dwi Windu Kinanti Arti Dwi Windu Kinanti Arti Eka Yunila Fatmasari Emilia Nurul Sholekah Erdianto Setya Wardhana Failasufa, Hayyu Fuad Fatkhurrohman Hilda Dwi Handayani Hinggadita Adjeng Noorfadhila Juni Arum Sari Muhammad Hoesin Dwi Saputra Nur Khamilatusy Sholehah Nur Khamilatusy Solekhah Zazkia Zita Zhafira Soni