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IMPLEMENTASI MANAJEMEN RISIKO KLINIS DAN FAKTOR-FAKTOR YANG MEMPENGRUHI PADA RUMAH SAKIT DI KOTA MAKASSAR Marsella Wahyuni Olii; Fridawaty Rivai; Sukri Palutturi
Jurnal Kesehatan Masyarakat Maritim Vol. 2 No. 2: Desember 2019
Publisher : Public Health Faculty, Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/jkmm.v2i1.10063

Abstract

Keselamatan pasien masih menjadi fokus perhatian utama dalam pelayanan kesehatan karena risiko yang terkait dengan pemberian pelayanan tersebut tidak akan dapat dihilangkan secara total dan insiden terkait pelayanan kesehatan masih sangat tinggi. Penelitian ini ingin melihat sejauh mana tingkat implementasi MRK pada rumah sakit di Kota Makassar dan faktor-faktor apa yang mempengaruhi implementasi tersebut. Metode yang digunakan dalam penelitian ini adalah metode penelitian kombinasi dengan desain sequential explanatory (urutan pembuktian). Data diperoleh melalui kuesioner dan wawancara mendalam. Pada tahap pertama dilakukan analisa dengan menggunakan metode kuantitatif deskriptif untuk menentukan tingkat kemapanan implementasi MRK di rumah sakit dan pada tahap kedua digunakan metode kualitatif untuk mengeksplorasi faktor-faktor yang mempengaruhi tingkat implementasi tersebut. Dari 9 rumah sakit sakit yang dilakukan penelitian, 7 diantaranya memiliki tingkat kemapanan implementasi MRK yang tinggi (77,78%). Beberapa karakteristik struktural organisasi menunjukkan kecenderungan positif terhadap implementasi MRK, yaitu kelas dan status kepemilikan rumah sakit, sedangkan jenis rumah sakit tidak menunjukkan kecenderungan adanya hubungan. Terdapat 5 faktor yang berhasil diidentifikasi dan memiliki kecenderungan positif terhadap implementasi MRK yaitu kepemimpinan, pengetahuan staf, kordinator dan kebijakan rumah sakit, dan akreditasi.
Relationship between information access, service quality, costs saving, cultural similarity and supporting service towards medical (dental) tourism patients’ satisfaction Fuad H. Akbar; Fridawaty Rivai; Andi Z. Abdullah; Abdul H. Awang
Journal of Dentomaxillofacial Science Vol. 6 No. 1 (2021): (Available online: 1 April 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v6i1.1106

Abstract

Objective: To determine the relationship between information access, service quality, cost savings, cultural similarities and supporting service systems towards dental tourism patient’s satisfaction at Hospital X.Material and Method: This study was an observational analytic study with a cross sectional approach. The analysis used in this study was performed using SPSS version 23 and correlation analysis.Results: Service quality had a risk of 3.36 times affecting the level of satisfaction and access to information had a risk of 3.64 times affecting the level of satisfaction, and showed a statistically significant relationship (p <0.05).Conclusion: Research shows a statistically significant relationship between service quality and access to information on the level of patient satisfaction.
Peningkatan Pengetahuan Karyawan Rumah Sakit Umum Daerah Labuang Baji Makassar Pasca Pelatihan Pelayanan Prima Fridawaty Rivai; Syahrir A. Passinringi; Noer Bahry Noor; Nur Arifah; Adelia U. Ady Mangilep
JURNAL TEPAT : Teknologi Terapan untuk Pengabdian Masyarakat Vol 2 No 1 (2019): Membangun Masyarakat yang Kuat dan Ulet
Publisher : Faculty of Engineering UNHAS

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (141.645 KB) | DOI: 10.25042/jurnal_tepat.v2i1.57

Abstract

The problem occured in Labuang Baji Makassar Hospital as a newly formed hospital with health workers, especially nurses mostly comes from fresh graduates so their experience and skills of serving patients are still low. From the data that we obtained, complaints against the services of Labuang Baji Makassar Hospital are staff friendliness only reached 24% and slow service with a total of 21%. Quality services are the expectation of all patients who received health service. Even so, not all the hospital able to offer a service that desired. This is because of good quality health services can only be administered by the professional workers who have good knowledge and skills, so the patient can feel comfortable. The excellent service training method was involved the trainee partners. So, this training can be expected to improve the trainee become trainers to train other Labuang Baji Hospital staff. This training will be conducted by applying discourse methods, question and answer, group discussions, games, simulations and group presentation. One group pre-test and post-test was conducted with 16 participants to see the impact from the training, The results show that there awas an increased knowledge of the excellent service participants before the training and after the training. Before the training the level of knowledge of 9 people (56.3%) who were in high level, and after training increased to 93.8% or as many as 15 people. Based on the results of the analysis on excellent service training there was an increased in participants' knowledge about the concept of hospital services, customer satisfaction and loyalty, attitude and appearance of excellent service, verbal and non-verbal communication in health services, intelligence development, transportation assistance, satisfaction assistance. With the existence of excellent service training, it is expected that the training participants can apply the knowledge they have obtained in order to provide satisfying services for patients.
Bimtek Penyusunan Rencana Strategis BLUD UPTD Dinas Kesehatan Kabupaten Maros Irwandy -; Noer Bahry Noor; Fridawaty Rivai; Adelia U. Ady Mangilep; Rini Anggraeni
JURNAL TEPAT : Teknologi Terapan untuk Pengabdian Masyarakat Vol 5 No 2 (2022): Mengembangkan Kehiodupan Masyarakat melalui Kesatuan dan Kekuatan
Publisher : Faculty of Engineering UNHAS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25042/jurnal_tepat.v5i2.333

Abstract

Based on the regulation of the Minister of Home Affairs number 79 of 2018 requires that all Regional Public Service Agencies (BLUD) including Puskesmas must develop a strategic plan as an administrative requirement for the establishment of BLUD. Several strategic changes have taken place since the creation of the Puskesmas strategic plan in Maros Regency including the Covid-19 pandemic until the publication of the Maros Regency Health Office Strategic Plan for the 2021-2026 period which must be a new reference for all UPTD health offices including puskesmas to develop a new strategic plan. Therefore, training was carried out targeting the improvement of knowledge and skills of health workers at the puskesmas in preparing strategic plans BLUD Puskesmas in accordance with the characteristics of the population, health problems faced, as well as policies and targets set by the Maros Regency government and the Health Office. The implementation was carried out within a period of 2 days in August 2022 with the Training of Trainer (ToT) method. Based on the results of the training evaluation, the presentation of the materials presented was able to be clearly understood by the trainees. This can be seen from the average level of knowledge of the participants (42 participants) before the training was only 39.7% and increased to 47.7% after the training related to the preparation of strategic plans BLUD Puskesmas, so it is expected to improve the quality of Service and performance BLUD Puskesmas.
Job and personal resources: boosting work engagement and job satisfaction in hospitals Kalsum, Ummu; Rivai, Fridawaty; Maidin, Alimin; AS, Andi Indahwaty; Zulkifli, Andi; Thamrin, Yahya
International Journal of Public Health Science (IJPHS) Vol 13, No 1: March 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i1.23551

Abstract

The low level of job satisfaction (JS) among hospital staff is associated with the low level of work engagement (WE). To examine WE, the Job demand-resources theory is often applied. This study aims to see the effect of job resources (JR) and personal resources (PR) on WE and their impact on JS. This is a quantitative study that takes a cross-sectional method. The sample consisted of 244 employees of the Haji Hospital Makassar in South Sulawesi Province who were selected by random quota sampling and then analyzed using the Path Analysis test on SPSS AMOS 26. The results showed that JR (p-value 0.002<0.005, E=0.131) and PR (p-value 0.001<0.005, E=0.170) had a significant effect on WE. JR has a direct influence on JS (p-value 0.022<0.005, E=0.375). Although the indirect effect of JR on JS work engagement (WE) through is not significant (p-value 0.065<0.005), meanwhile, PR has a significant direct (p-value 0.001<0.005, E=0.248) and indirect (p-value 0.035<0.005, E=0.047) effect on JS. This study concludes that the direct influence path of PR is the best path for enhancing employee JS in hospitals.
Determinan Infeksi Luka Operasi Pascabedah Sesar Rivai, Fridawaty; Koentjoro, Tjahjono; Utarini, Adi
Kesmas Vol. 8, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Infeksi luka operasi (ILO) adalah bagian dari infeksi nosokomial dan merupakan masalah dalam pelayanan kesehatan, terjadi pada 2 - 5% dari 27 juta pasien yang dioperasi setiap tahun dan 25% dari jumlah infeksi terjadi di fasilitas pelayanan. Penelitian bertujuan mengetahui hubungan usia, status gizi, jenis operasi, lama rawat prabedah, kadar Hb, transfusi darah, waktu pemberian antibiotik profilaksis, jenis anestesi, lama pembedahan serta lama rawat pascabedah dengan kejadian ILO pada pasien pascabedah sesar di RSUP Dr. Sardjito Yogyakarta. Rancangan desain penelitian studi observasional prospektif dilakukan dengan sampel 154 orang. Data diperoleh melalui observasi menggunakan daftar tilik sejak pasien masuk rumah sakit sampai 30 hari pascabedah. Analisis data meliputi analisis univariat, analisis bivariat dengan menggunakan uji kai kuadrat serta analisis multivariat dengan uji regresi logistik berganda. Hasil penelitian menunjukkan ada hubungan antara waktu pemberian antibiotik profilaksis (OR = 1,16; 95% CI = 1,09 - 1,37), lama rawat prabedah (OR = 1,12; 95% CI = 1,02 - 1,24) dan lama rawat pascabedah (OR = 1,21; 95% CI = 1,04 - 1,39) dengan kejadian ILO. Faktor lainnya tidak mempunyai hubungan yang signifikan terhadap kejadian ILO. Hasil uji regresi logistik ganda menemukan lama rawat pascabedah merupakan faktor yang paling dominan terhadap kejadian ILO. Identifikasi faktor risiko ILO dapat bermanfaat untuk merencanakan upaya meminimalkan kejadian ILO pada pasien pascabedah sesar. Surgical site infection (SSI) is part of health care associated infection and remains a problem in hospital care. SSI occurs in 2 to 5% of the 27 million patients having surgery each year and 25% of infections occur in care facilities. This study aimed to relation various such as age, nutritional status, type of surgery, pre-operative length of stay, hemoglobin level, bloodtransfusions, timing of antibiotics prophylaxis, type of anesthesia, duration of operation and post-operative length of stay on the incidence of SSI post caesarean section at Dr. Sardjito Hospital Yogyakarta. Prospective observation study was conducted in 154 sample. Data were obtained through observations using checklist since hospital admission up to 30 days post surgery. Data analysis included univariate, chi-square test and multiple logistic regression. The result showed that time of prophylactic antibiotics (OR = 1.16; 95% CI = 1.09 - 1.37), pre-operative length of stay (OR = 1.12; 95% CI = 1.02 - 1.24) and post-operative length of stay (OR = 1.21; 95% CI = 1.04 - 1.39) were risk factors for SSI. Other factors did not show significant associations with incidence of the SSI. The findings from multiple logistic regression showed post-operative length of stay in hospital as the most dominant factor for incidence of SSI. Identifying SSI risk factors can be used to plan efforts to minimize the occurrence of SSI in post-caesarean section patients.