Tito Yustiawan
DEPARTMENT OF HEALTH POLICY AND ADMINISTRATION FACULTY OF PUBLIC HEALTH AIRLANGGA UNIVERSITY

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Perhitungan Konsumsi Obat Untuk Logistik Medik di Rumah Sakit Islam Jemursari Surabaya Nur Azizah Fairuz; Tito Yustiawan
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 5 No. 2 (2017)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (99.887 KB) | DOI: 10.20473/jaki.v5i2.2017.155-161

Abstract

Inaccurate drugs planning may cause excessive budget, stagnant, and stockout. This research aims to analyze drugs planning in medical logistics of Rumah Sakit Islam Jemursari Surabaya. This research is a descriptive study using cross sectional design. Primary data were obtained through observations and interviews. Secondary data were obtained through drugs planning and drugs consumption data from November to December 2016. Afterward, data were processed and found that 40% drugs item on November 2016 have greater amount of consumption than their planning and 65% drugs item on December 2016 have greater amount of consumption than their planning. The method of drugs planning that used in medical logistics of Rumah Sakit Islam Jemursari Surabaya was consumption method, but it was not calculate the average of drugs consumption. After the calculation based on Keputusan Menteri Kesehatan Nomor 1121 Tahun 2008, there is only 20% drugs item on November 2016 which have greater amount of consumption than their planning and 20% drugs item on December 2016 which have greater amount of consumption than their planning. This research showed that the calculation of drugs consumption for medical logistics in Rumah Sakit Islam Jemursari Surabaya need repairement.Keywords: consumption method, drugs planning, hospital
Literasi Informasi Kesehatan Nifas Ibu Hamil Berstatus Sosial Menengah ke Bawah Tito Yustiawan; Nurhasmadiar Nandini
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.543 KB) | DOI: 10.20473/jaki.v6i2.2018.122-128

Abstract

Background: Post-partum health information is hardly accessible to pregnant women. In fact, post-partum health literacy for pregnant mothers in relation to socio-economic factors allows the decline of post-partum morbidities.Aim: This research aimed to analyse the post-partum health information literacy of pregnant women with middlelow social status.Method: This was a quantitative study by using a direct survey technique to assess respondents’ information literacy about post-partum health. There were 79 pregnant women to take part in this study. They only completed their high school degree as their highest educational level, and their family income was less than Rp 2,000,000($180) per month. This indicated that these participants are coming from middle-low social status. A selfdeveloped questionnaire was used in this study to be filled by respondents.Results: Results showed that nearly half of respondents (44.1%) found post-partum health information for their self-hygiene well-being after baby delivery process finished. Information accessed by pregnant women were elaborated from other people (66.1%) like as parents, relatives, colleagues, or health officers. Most of the participants agreed to trust captured information (78%), but there were only little use the information (11.9%).Conclusion: To summarize, the health information literacy of pregnant mothers with middle-low status was tenuously elaborated from other people, and most of them believed it. It is possible that information obtained from other people is incorrect, so pregnant mothers might use wrong information.Keywords: health, information literacy, post-partum, pregnant women
ROOT CAUSE ANALYSIS ON HOSPITAL STANDARDS AND JOINT COMMISSION INTERNATIONAL STANDARDS: A COMPARATIVE STUDY Bella Putri Lanida; Tito Yustiawan; Sylvy Medtasya Dzykryanka
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (466.598 KB) | DOI: 10.20473/jaki.v7i1.2019.18-24

Abstract

Background: Healthcare Associated Infections (HAIs) are infections that patients caught during medical treatment and health care. Prevention and control of infection will lead to patient safety, which ultimately has an impact on efficiency, management of health care facilities, and improvement of service quality. Infection can be controlled by identifying the causes. One method to achieve this goal is the Root Cause Analysis (RCA).Aim: This study aims to analyze the implementation of Root Couse Analysis (RCA) conducted by the Infection Prevention and Control Committee at the Mother and Child Hospital of Kendangsari MERR Surabaya.Method: This is a quantitative observational research that utilizes descriptive data analysis. This study is a cross sectional study and its results are presented narratively.Results: Results show that the Joint Commission International Standard 2015 version of RCA was not fully implemented at the Mother and Child Hospital of Kendangsari MERR Surabaya. Some methods, such as the fishbone and Plan-Do-Study-Action (PDSA), were not implemented. Limited resources became the contributing factor.Conclusion:  Infection Prevention and Control Committee at the Mother and Child Hospital of Kendangsari Merr Surabaya has implemented 9 out of 21 RCA steps of the Joint Commission International Standard 2015. The hospital needs to use other methods as an addition to the 5 Why’s in implementing RCA, such as fishbone diagrams and Plan-Do-Study-Action (PDSA), for problem solving planning. Keywords: Root Cause Analysis (RCA), HAIs, Infection prevention and control.
Analysis of the Diffrence of Completeness of Reporting and Documentation of Laboratory Critical Values Pre and Post-Intervention in Bona Ward Dr. Soetomo Hospital Surabaya Zubir Zubir; Hartono Kahar; M. Robiul Fuadi; Elly Sulistyani; Tito Yustiawan
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 26, No 1 (2019)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i1.1342

Abstract

Completeness of laboratory critical values reporting and documentation in medical records is important for patient safety, hospital accreditation, and legality. Preliminary study in Dr. Soetomo Hospital’s ward showed the laboratory critical value report and documentation was 0% complete, 4% incomplete, and 96% undocumented. This was a quasi experimental study with one group pretest and posttest design. Technical guidance of laboratory critical values reporting and documentation in medical records and supervision were given to 26 doctors. The results evaluated were doctor knowledge and attitude towards critical value reporting, completeness of documentation in medical records, and turn around time (TAT). Reporting critical values samples number was 72 before and after the intervention. The critical values samples taken by purposive sampling. The data was analyzed using Mann-Whitney test. There were significant differences in the level of knowledge, doctor’s attitudes, and completeness of critical values documentation before and after the intervention. Doctors with good knowledge increased from 3.85% to 92.31%. The attitude to complete critical values documentation improved from 0% to 76%. Completeness of critical values documentation in medical records improved from 100% undocumented to 19.44% undocumented, 11.11% incomplete, and 69.45% complete. There were no significant differences of TAT before and after the intervention, all of TAT were less than 30 minutes and meeting the TAT category. The intervention succeeded in increasing doctor knowledge, attitude, and completeness of the laboratory critical values reporting and documentation in the patient's medical record. Keywords: Laboratory critical value, medical record, turn around time.
MANAGEMENT OF HEALTH EQUIPMENT CLINIC MEDICAL CENTER PUBLIC UNIVERSITIES IN EAST JAVA Ika Santi Widyasari; Tito Yustiawan
Journal of Public Health Research and Community Health Development Vol. 3 No. 2 (2020): Maret
Publisher : Sekolah Ilmu Kesehatan Dan Ilmu Alam (SIKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v3i2.13425

Abstract

Klinik Medical Center ITS adalah salah satu klinik pratama di Surabaya. Klinik pratama merupakan klinik yang menyelenggarakan pelayanan medik umum maupun khusus. KlinikMedical Center ITSmerupakan pusat pelayanan kesehatan yang disediakan untuk civitas akademika ITS beserta keluarga, masyarakat umum, dan peserta BPJS di wilayah Surabaya Timur. Sebagai pusat pelayanan kesehatan, klinik perlu mengelola penyelenggaraan fasilitas termasuk peralatan kesehatan sebaik mungkin untuk meningkatkan mutu pelayananan. Manajemen peralatan kesehatan merupakan siklus yang dimulai dari perencanaan pembelian, instalasi, pengoperasian, penonaktifan alat hingga penghapusan alat kesehatan (THET, 2015).Tujuan penelitian adalah mempelajari manajemen peralatan kesehatan di Klinik Medical Center ITS. Metode yang digunakan adalah wawancara, observasi, dan kajian literatur. Kajian literatur yang digunakan berupa panduan dari Managing The Lifecycle of Medical Equipment THET Partnerships for Global Health (2015), jurnal internasional, dan Peraturan Nasional. Hasil penelitian manajemen peralatan kesehatan di Klinik Medical Center ITS sebagaian besar telah sesuai dengan tahapan Managing The Lifecycle of Medical Equipment. Tahapan yang perlu disesuaikan adalah tahap budgeting and financing yang belum mempertimbangkan biaya kepemilikan alat. Tahap maintenance and repair belum terdapat SPO pemisahan alat bersih, alat kotor, alat yang perlu sterilisasi, alat yang membutuhkan perawatan lebih lanjut, alat yang membutuhkan persyaratan khusus untuk peletakannya; sterilisas;  kalibrasi; dan penggantian atau perbaikan alat rusak. Kesimpulan dari penelitian adalah pelaksanaan manajemen peralatan kesehatan di Klinik Medical Center ITS sebagian besar telah sesuai dengan hasil kajian namun perlu peningkatan pada beberapa tahap, mengadakan pemeliharaan alat yang bersifat preventif, menjadwal pelaksanaan dan monitoring pemeliharaan alat, pemeriksaan fungsi peralatan beserta tindak lanjut dari monitoring alat kesehatan.
Analysis of the Diffrence of Completeness of Reporting and Documentation of Laboratory Critical Values Pre and Post-Intervention in Bona Ward Dr. Soetomo Hospital Surabaya Zubir Zubir; Hartono Kahar; M. Robiul Fuadi; Elly Sulistyani; Tito Yustiawan
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 26 No. 1 (2019)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i1.1342

Abstract

Completeness of laboratory critical values reporting and documentation in medical records is important for patient safety, hospital accreditation, and legality. Preliminary study in Dr. Soetomo Hospital's ward showed the laboratory critical value report and documentation was 0% complete, 4% incomplete, and 96% undocumented. This was a quasi experimental study with one group pretest and posttest design. Technical guidance of laboratory critical values reporting and documentation in medical records and supervision were given to 26 doctors. The results evaluated were doctor knowledge and attitude towards critical value reporting, completeness of documentation in medical records, and turn around time (TAT). Reporting critical values samples number was 72 before and after the intervention. The critical values samples taken by purposive sampling. The data was analyzed using Mann-Whitney test. There were significant differences in the level of knowledge, doctor's attitudes, and completeness of critical values documentation before and after the intervention. Doctors with good knowledge increased from 3.85% to 92.31%. The attitude to complete critical values documentation improved from 0% to 76%. Completeness of critical values documentation in medical records improved from 100% undocumented to 19.44% undocumented, 11.11% incomplete, and 69.45% complete. There were no significant differences of TAT before and after the intervention, all of TAT were less than 30 minutes and meeting the TAT category. The intervention succeeded in increasing doctor knowledge, attitude, and completeness of the laboratory critical values reporting and documentation in the patient's medical record. Keywords: Laboratory critical value, medical record, turn around time.
Supervisi Kepala Ruangan dalam Menigkatkan Budaya Keselamatan Pasien Siti Fatonah; Tito Yustiawan
Jurnal Keperawatan Silampari Vol 4 No 1 (2020): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (435.091 KB) | DOI: 10.31539/jks.v4i1.1408

Abstract

This study aims to determine the correlation between the supervision of the head of the room with the culture of patient safety in the Nganjuk Hospital inpatient installation. This research method is a quantitative analytic study with a cross-sectional study design. The results showed that most respondents consisted of women (74.4%) aged between 26 - 35 years (52.6%) who had a D3 / equivalent education (71.8%). The results of the bivariate analysis showed that the p-value was 0.000 <0.05. In conclusion, there is a significant relationship between the supervision of the head of the room with the culture of patient safety in the Inpatient Installation of Nganjuk Hospital. Keywords: Patient Safety Culture, Hospital, Supervision