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Faktor-faktor yang Mempengaruhi Niat Melapor Insiden Keselamatan Pasien Iskandar, Heru; Wardhani, Viera; Rudijanto, Achmad
Jurnal Aplikasi Manajemen Vol. 14 No. 3 (2016)
Publisher : Universitas Brawijaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.807 KB) | DOI: 10.18202/jam23026332.14.3.10

Abstract

Data indicate low patient safety incident report (PSI) at the X hospital (0.22%) when compared to theoretical prediction which is 10% of hospital admission. The PSI report is one of quality control method to prevent the incident recurrence. This study identify that the intention to report PSI  is influenced by individual factors i.e. age, gender, working period, position, education level, employment status as well as organizational factors i.e. knowledge, patient safety culture, reporting system and response of the report. This study aimed to identify the role of individual and organizational factors on the intention to report PSI in all cases severity level (mild, moderate or severe). A structured questionnaire developed form previous research were distributed to  283 respondents (184 medical staff and 99 non-medical staff). A logistic regression analysis was performed to test the hypothesis. The level of respondents'perceptions of organizational factors are moderate, including knowledge of PSI report, patient safety culture, reporting system and response of the report. About 39.92% of the respondents did not know how to report the PSI. The majority of respondents tend to report all PSI, either mild, moderate or severe cases. Individual and organizational factors simultaneously did not predict the intention to report PSI. Partially only organizational  factors i.e. knowledge, patient safety culture and manager response to the report significantly predict the intention to report moderate case PSI (α <0.05). Organizational factors play a role in building a reporting culture, therefore the hospital need to put more effort in improving the staff knowledge, safety culture and provide adequate response to PSI report. 
THE INFLUENCE OF JOB SATISFACTION ON SPECIALIST PHYSICIANS’ PERFORMANCE MEDIATED BY PUNCTUALITY IN OUTPATIENT SERVICES(AN EMPIRICAL STUDY AT DR. SAIFUL ANWAR REGIONAL GENERAL HOSPITAL, EAST JAVA PROVINCE) Budianto, Mochamad Bachtiar; Rudijanto, Achmad; Wardhani, Viera
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Job satisfaction plays a vital role in enhancing productivity, particularly in hospitals that function as integral components of the healthcare system and provide various services, with outpatient care often serving as the primary access point to referral hospitals. Optimal human resources and service quality can only be attained when employees experience job satisfaction, which in turn promotes greater productivity, creativity, discipline, enthusiasm, and commitment. High job satisfaction encourages a positive attitude toward work, whereas dissatisfaction tends to lead to a negative impact on performance. This study aims to examine the effect of job satisfaction on the performance of specialist physicians, with punctuality as a mediating variable in the outpatient department of Dr. Saiful Anwar Regional General Hospital, East Java Province. This research employed an analytical observational design with data collected cross-sectionally. The study population comprised 100 specialist physicians working in the outpatient installation, selected using purposive sampling. Data were gathered through questionnaires and electronic attendance records, and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results indicate that punctuality mediates the relationship between job satisfaction and performance (t = 3.812; p = 0.001 < 0.05). Strategies such as remuneration improvements, reward and punishment systems, standard operating procedures (SOPs), and enhancement of facilities and infrastructure are expected to improve both satisfaction and performance among specialist physicians in outpatient services.
Characterization of TPO Enzyme and its Immunogenecity in New Zealand White Rabbits (Oryctolagus cuniculus) Ramadani, Devi; Wijaya, Andreas Budi; Srihardyastutie, Arie; Wuragil, Dyah Kinasih; Rosandi, Rulli; Rudijanto, Achmad; Aulanni'am, Aulanni'am
Jurnal Penelitian Pendidikan IPA Vol 10 No 12 (2024): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10i12.9539

Abstract

Hypothyroidism is characterized by inadequate production of thyroid hormones, chiefly thyroxine (T4) and triiodothyronine (T3). Thyroid peroxidase (TPO), is an enzyme and crucial for producing thyroid hormones, and also serves as a primary autoantigen in autoimmune thyroid conditions, such as Hashimoto's thyroiditis and Graves' disease. The existence of anti-thyroid peroxidase antibodies (anti-TPO) indicates an autoimmune response in which the immune system TPO which is normally recognized as part of the body (self), begins to be identified by the immune system as a something foreign (non-self). This study aimed to characterize, measure TPO activity, and evaluate the immunogenicity of TPO protein derived from patient serum and its ability to induce TPO antibody production in New Zealand White Rabbits. TPO protein isolation was achieved through SDS-PAGE and confirmed by western blot technique have molecular weight of 52 kDa. In samples from normal patients, the average TPO enzyme activity was 31.34 U/mL, while in hypothyroid patients, the average activity increased to 49.46 U/mL. TPO polyclonal antibody production in rabbits indicated its immunogenicity, peaking in week eight post-immunization, with an ELISA absorbance of 0.555. Dot blot analysis further confirmed anti-TPO sensitivity at various dilutions, anti-TPO has a high sensitivity at 1:80 dilution still detects TPO in sera patient.