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Risiko Gangguan Pernapasan Pada Bayi Dengan Riwayat Kelahiran Prematur Ratnaningrum, Kanti; Santosa, Erwin
Jurnal Kedokteran Muhammadiyah Vol 1, No 1 (2012): JURNAL KEDOKTERAN
Publisher : Jurnal Kedokteran Muhammadiyah

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Latar belakang: Kelahiran bayi prematur masih menjadi salah satu kasus yang sangat tinggi di Indonesia. Insidensi prematur BBLR (BeratBadan Lahir Rendah) di Indonesia menurut World Health Organization (WHO) tahun 1990 adalah 14%. Prematur menyebabkanketidakmatangan organ sedangkan ketidakmatangan paru dapat menimbulkan gangguan pernapasan. Oleh karena itu penulis inginmengetahui apakah prematuritas dapat mengakibatkan gangguan pernapasan.Tujuan penelitian: Mengetahui hubungan antara kelahiran prematur dengan risiko terjadinya gangguan pernapasan dan membandingkaninsidensi gangguan pernapasan antara bayi prematur sesuai masa kehamilan (SMK) dan prematur kecil masa kehamilan (KMK).Metode penelitian: Penelitian ini menggunakan metode crossectional menggunakan data sekunder rekam medis.Hasil penelitian: Dari 86 sampel penelitian, 80 sampel yang memenuhi kriteria inklusi, diperoleh hasil 44 sampel (55%) mengalamigangguan napas dan 36 sampel (45%) tidak mengalami gangguan napas. Dari hasil analisis Chi Square Test, p = 0,442. Ini menunjukkantidak ada peningkatan gangguan pernapasan yang bermakna secara statistik (p>0,05) pada bayi dengan riwayat kelahiran prematur. 80sampel penelitian dibagi menjadi dua kelompok yaitu KMK dan SMK. Dari 14 sampel KMK diperoleh hasil 64,3% mengalami gangguannapas dan 35,7% tidak mengalami gangguan napas. 66 sampel SMK diperoleh hasil 53% mengalami gangguan napas dan 47% tidakgangguan napas. dari perhitungan OR yang diperoleh hasil bahwa insidensi gangguan napas pada KMK meningkat 1,594x (nilai OR standarsebesar 2) dibanding SMK. Ini menunjukkan tidak terdapat peningkatan insidensi ganggauan napas yang bermakna antara bayi prematurKMK dibanding bayi prematur SMK.Kesimpulan: pada kasus serial di RSUD Wates ditemukan bahwa tidak ada peningkatan risiko gangguan pernapasan pada bayi denganriwayat kelahiran prematur dan tidak ada perbedaan insidensi gangguan pernapasan yang bermakna antara bayi prematur SMK dan KMK.Kata kunci: prematur, gangguan napas, SMK, KMK

Hubungan Antara Pemilik Dan Manajemen Rumah Sakit Santosa, Erwin
Jurnal Mutiara Medika Vol 2, No 1 (2002)
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Muhammadiyah Yogyakarta

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The most current concept of organization states that actually the disputes or conflicts are inherent with the establishment of an organization. The highly -potential change for the occurrence of a conflict is the conflict of interests, insights, visions, values, philosophy and different strategies. The causal factors for the occurrence of conflicts in the hospital organization and its problem solving should be thoroughly understood by both the owner and the management of the hospital, hence the management conflict could be performed. In perceiving the conflict, most frequently the persons who are in conflicts use tactics which are disanvantageous to the hospital management and can cause further conflicts. It is therefore, ways of how to solve conflicts should be well mastered. If the existing conflict could be well solved, it will be advantageous for both sides (win-win solution) and could be taken as lessons in the future.Konsep organisasi yang terbaru menyatakan bahwa sebenarnya perselisihan atau konflik adalah melekat (sudah menjadi sifatnya) dengan terbentuknya sebuah organisasi. Perubahan yang sangat potensial untuk terjadinya suatu konflik adalah benturan kepentingan {interest), perbedaan wawasan/visi, nilai, filosofi serta perbedaan strategi. Faktor-faktor penyebab terjadinya konflik dalam organisasi Rumah Sakit serta cara-cara penyelesaiannya, perlu dipahami secara rinci oleh pihak Pemilik maupun pihak Manajemen Rumah Sakit, sehingga manajemen konflik bisa terlaksana. Dalam mensikapi konflik, seringkali pihak yang berkonflik menggunakan taktik-taktik yang akan merugikan organisasi Rumah Sakit dan menyebabkan adanya konflik yang lebih dalam lagi. Sehingga perlu dipahami cara-cara penyelesaian konflik yang baik. Bila konflik yang terjadi dapat diselesaikan dengan baik maka dapat bermanfaat bagi kedua belah pihak (win-win solution) serta dapat diambil manfaatnya sebagai pelajaran.

ANALISIS KINERJA DAN BUDAYA MUTU DI IGD RS PKU MUHAMMADIYAH YOGYAKARTA II Santosa, Erwin; Pransisca, Yunita
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 2, No 2 (2013): July
Publisher : Magister Manajemen Rumah Sakit

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Concern to quality service in nowadays becoming global issue that triggered by consciousness to give best service for patient or by request from eksternal side of hospital. Goverment push hospital to give good quality of service by giving evaluation of hospital standarization. PKU Muhammadiyah Hospital Jogjakarta unit II which new one of health service unit right now striving to improve quality of service. Result of the beginning observation findout evaluation of activity are often neglected, particularly on unit emergency. The objective of this observation is to find out performance and quality culture in management unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II, This observation using qualitative method with case study as observation plan that using interview as observation instrument involving board of management and officer of unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II. The Self Assesment accreditation in 2008 and first edition of accreditation standard in 2012 result show that quality service standard that using by unit emergency of PKU Muhammadiyah Jogjakarta unit II for develop their quality of service its guided line for survey of hospital accreditation in 2008 instructed by Indonesia health ministry that poured into activity guidance of unit emergency, but because lack availability of unit emergency officer make unit emergency canât support implementation of unit emergency activity guidance. Working culture in unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II its only doing fast emergency response but not yet support quality service development because not yet develop service evaluation process. Service process evaluation hard to do because of limitation number of human resource. The result of unit emergency performance show by AKPPGD, DOA and result of accreditation in 2008 already achieve the standard, but not yet fulfill quality standard evaluation of health service management base on first edition of accreditation in 2012. Keyword: Performance, Quality, Accreditation, IGD

EVALUASI FAKTOR ORGANISASI DALAM UPAYA PENINGKATAN PERFORMA SISTEM INFORMASI KESEHATAN : STUDI KASUS MUTU KELENGKAPAN PENGISIAN REKAM MEDIS PASIEN APPENDISITIS AKUT DI RS PKU MUHAMMADIYAH YOGYAKARTA Erryandari, Chandra Mukti; Santosa, Erwin
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Latar belakang:. Sistem informasi yang baik akan berguna dalam memajukan sistem kesehatan lokal. Rekam medis merupakan bagian dalam sistem informasi rumah sakit. Menjadi sangat penting dalam dunia kesehatan karena sistem informasi rumah sakit akan memberikan data untuk menentukan keputusan guna meningkatkan kualitas pelayanan. Mutu kelengkapan rekam medis sebagai salah satu sistem informasi kesehatan masih banyak mengalami kekurangan karena berbagai macam kendala. Untuk itu, peneliti tertarik untuk mengevaluasi faktor organisasi dalam unit rekam medis dalam upaya peningkatan performa sistem informasi kesehatan.Metode Penelitian : Penelitian ini merupakan jenis penelitian deskriptif analitik. Metode deskriptif analitik dilakukan dengan pendekatan mix method. Tujuannya adalah untuk mengetahui tentang faktor organisasi dalam unit sebagai bagian dari sistem informasi kesehatan.Hasil : Konsep peningkatan mutu kelengkapan rekam medis di RS ini sudah cukup baik. Namun, dari segi pelaksanaannya masih terdapat banyak kendala, seperti SDM kurang, proses sosialisasi tidak efisien, belum bekerjanya panitia sesuai tupoksi dan belum rutinnya proses pelaporan indikator mutu kepada direksi, serta belum adanya tindak lanjut dari direksi kepada dokter yang belum bisa lengkap dalam pengisian rekam medis.Kesimpulan : Konsep peningkatan mutu sebenarnya sudah tertanam dalam proses rumah sakit ini, tetapi dalam pelaksanaannya konsep ini masih menemui banyak permasalahan. Perlu kerja yang lebih keras lagi dariÂ stafÂ rekam medis, panitia rekam medis, panitia penjamin mutu, dan direksi dalam bersama-sama meningkatkan mutu kelengkapan rekam medis supaya lebih terintegrasi.Â Kata Kunci : sistem informasi kesehatan, faktor organisasi, rekam medis

INTISARI ANALISIS PERSIAPAN PELAKSANAAN PATIENT SAFETY DI RUANG RAWAT INAP (STUDY KASUS DI RSUD KABUPATEN BIMA) Santosa, Erwin; Wibowo, Arif Budi
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 2, No 1 (2013): January
Publisher : Magister Manajemen Rumah Sakit

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The era of globalization impact very rapidly, in the development of advanced medical technology. These conditions have an impact on medical services is very complex and it is potentially causing the error, so that the necessary improvement of health care quality. Patient safety is one important component in the quality of health care. Improved patient safety is a necessary step to prevent and minimize unwanted incident (KTD). Nurses are one of the health workers who are at the forefront of health care and have a very important role in improving patient safety. To determine attitudes on the analysis of patient safety in the inpatient unit nurse Bima district hospital and in particular to identify the components of patient safety attitudes include climate of team work, working conditions, employment decisions, and some factors that support and hinder patient safety attitudes.The research is descriptive qualitative. Subjects were 3 nurses and 3 patients with interview techniques. Data collection techniques in this study used the analysis of qualitative data. A qualitative data analysis technique is using descriptive analysis techniques to describe the data in the field which were analyzed and concluded.Components of the patient safety attitudes is climate of teamwork that showed lower patient safety attitudes, job satisfaction showed high patient safety attitudes, working conditions showed lower patient safety attitudes, for logistical support in the form of medical equipment are laboratory equipments that still lacking.Components of the patient safety attitudes were high Â that Â consist Â job satisfaction, and the low patient safety attitudes components were the teamwork climate and conditions of employment, because they needed additional medical equipment such as laboratory equipments.Keywords: Patient safety attitudes, nurses, patient safety component.

KELENGKAPAN PENGISIAN BERKAS REKAM MEDIS PELAYANAN MEDIK RAWAT JALAN DAN PATIENT SAFETY DI RSGMP UMY Santosa, Erwin; Rosa, Elsye Maria; Nadya, Famella Tiara
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 3, No 1 (2014): January
Publisher : Magister Manajemen Rumah Sakit

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Background: health care givers are required to make the medical record and give priority to patient safety. The problems that often arise in medical record is charging charging medical record completeness and implementation of patient safety. The purpose of this research is to know the implementation and problems in charging medical record and patient safety that is run by koass at RSGMP UMY.Method: qualitative descriptive method. The subjects of the research koass in RSGMP UMY. Medical record file the research object 2013 as much as 367 medical record. Qualitative Data using descriptive statistics and coding interviews.Results: completeness of patient identity aspects 367 (100%) name, medical record number 338 (92,1%), place/date of birth and gender of 366 (99,7%). Increase of effective communication has not been fully carried out effectively. Improving drug safety needs to be policed for the right drug, right dose, right patient, right document 66 (68.7%) and timely and precise ways of administering 64 (66,7%). Exact location of certainty, right procedure, the right of patients to the operating date and time actions 320 (99.3%), anamnesa 322 results (100%), charging odontogram 169 (91,8%), 318 (98.7%) diagnostic, treatment action plan of 321 (99,7%), supporting and physical examination (94.5 per cent) of 120 and informed consent 71 (65,1%). Reduction of risk of infection related to medical services is already quite good but not completely orderly run.Summary: the completeness of charging medical record and implementation of patient safety in RSGMP UMY due to time limitations, the knowledge operator, not a supervisor and physician supervision.Key words: completeness, medical record, patient safety.

ANALISIS KAPASITAS FUNGSIONAL RSU PKU MUHAMMADIYAH BANTUL DALAM PENANGGULANGAN BENCANA Santosa, Erwin; Rianita, Tentrem
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 1, No 1 (2012): January
Publisher : Magister Manajemen Rumah Sakit

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PKU Muhammadiyah Bantul Hospital has been developing a disaster management hospital concept since 2008. A training through HOPE (Hospital Preparedness for Emergency and Disaster) has been conducted successfully. This research was aimed to measure the functional capacity of the PKU Muhammadiyah Bantul hospital in responding disaster and awareness of the staff as in Contingency Plan. The Hospital Safety Index criteria were used as the measurement instrument, which was consisted of five group indices. A descriptive survey technique was applied by means purposive sampling method. The samples were the staff in the Hospital Disaster Management Boards. A number of 61 questions were required by interview, observation and documents identification method. The hospitalâs functional capacity index was calculated as 0.66. The scores varied for each group indices from 0.25 to 0.87. The highest score of 0.87 was obtained for group index of the operational plan, preventive maintenance and critical service restoration, whilst, the disaster emergency plan was assigned to the lowest score as 0.25. The mean score of all staffs about their job descriptions in contingency plan was 75.45 out of 100. Knowledge mean score of formulator staffs was 100 (high), while non formulator staffs was 69.7 (average). The core staff positioned in disaster management gained highest score (80.2), while the supporting staff was 74.7 (average). Hospital functional capacity index was 0.66 assessed in A class, indicating deemed to keep functioned during disaster situation. Awareness of the staffs, who designed Contingency Plan, were higher than the others. Deviation in awareness was also found among the staff involved in Contingency Plan. The manager level had a higher understanding in disaster preparedness if compared to the supporting staff.Keywords: hospital functional capacity, disaster management, hospital safety index.

PERSEPSI DAN EKSPEKTASI DOKTER TERHADAP JASA MEDISDI RS PKU MUHAMMADIYAHNANGGULAN Yuliyanto, Heru; Santosa, Erwin
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 1 (2015): January
Publisher : Universitas Muhammadiyah Yogyakarta

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Background: General practitioners / specialist considerations a hospital which are most suitable to be used as a practice. There are several considerations in determining a doctors office, one of which is the most powerful pull factor is the amount of medical services to be received from the PKU Muhammadiyah Hospital Nanggulan.Objectives: in this study is to describe the perceptions and expectations of general practitioners and specialists for medical services in PKU Muhammadiyah Hospital Nanggulan.Method: This study used a qualitative research approach. The study was conducted in PKU Muhammadiyah Hospital Nanggulan, KulonProgo, Yogyakarta during the month of July 2011 - February 2015. The subjects in this study were four general practitioners and four specialists in PKU Muhammadiyah Hospital Nanggulan who has had a license to practice. Data analyze used descriptive qualitatively.Result: Perception of general practitioners / specialists in PKU Muhammadiyah Hospital Nanggulan vary according to the characteristics of informants that includes needs, age, status, workplace, social conditions, and hope the doctor. General practitioners revealed that remuneration has been timely received, but not yet in accordance with the load of work done. Specialist physicians perceive that the medical services received are in accordance with the assumption that the meaning of work for informants as worship and religious symbols. General practitioners hope that hospitals provide child support and medical benefits. Specialist doctors have hope in order to meet current needs and hope that PKU Muhammadiyah Hospital Nanggulan can improve the quality and infrastructure for specialists, provide health insurance for specialists, and in order to improve reply to specialist medical services in accordance with the development of the hospital.Â Â Â Â Â Â Â Â Â Conclusion: Remuneration received by general practitioners has on time, but not in accordance with the load of work done. Medical services received by specialists are in accordance with the assumption that the meaning of work for informants as worship and religious symbols.Keyword: Doctor Perceptions, Doctor Expectations, Medical Services

GOOD CORPORATE GOVERNANCE DI RUMAH SAKIT A DAN B Pribadi, Firman; Santosa, Erwin; Rusep, Bobet Evih Hedi Ihnuna
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 1, No 2 (2012): July
Publisher : Universitas Muhammadiyah Yogyakarta

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This exploratif qualitative research is a longitudinal case study to see hospital A and hospital B good corporate governance (GCG) with Center for Good Corporate Governance (CGCG) Gajah Mada University (GMU) version of GCG questionnaires then completed by interview. Good corporate governance be observed by transparency, accountability & responsibility, responsiveness, and fairness principle intended for board of commissioners (board of supervisors), board of directors, executive office (manager), auditor, and stakeholders of the hospital. Result show that both of hospitals are at bad level of good corporate governance application, different scoring result both of their good corporate governance principles can be caused by local wisdom, organization behaviour, and organization culture factors.Keywords: Good corporate governance, hospital, Hospital good corporate governance questionnaires.

EVALUASI MUTU REKAM MEDIS DI RS PKU 1 MUHAMMADIYAH YOGYAKARTA: STUDI KASUS PADA PASIEN SECTIO CAESARIA Hutama, Hafid; Santosa, Erwin
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta

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Background:Healthcarein patients whocome for treatmentcan not be handledby one personalone. Because it isa means of communicationas a source ofpatient informationstoredsystematically. Medical recordsis one sourceinforrmasiwell as a meansof communicationneeded formedical servicesandadministrativeactivitiesatthe hospital. However, the management ofmedical recordshave so farhamperedthe low quality ofmedical records. Some studiesrevealincompletenessdocumentmedical records, doctorswritingdifficult to readandmanagementthat seemedsober. LikewiseinPKU Muhammadiyah Hospital inYogyakartawheremanagement ofmedical recordsthere areconstraints such asincompletefillingof doctors inthe medical records.Research Methods:This research is a qualitative descriptive research with case study design. Subjects were doctors, medical record quality control manager, and supervisor of data processing in medical records. Data collected by observation, document check medical records, interview the research subjects.Research Results:Completeness of medical records at PKU Muhammadiyah Hospital in Yogyakarta It is> 75% of the completeness of the medical record documents. Data were recorded accurately, Returns medical record file on time, already the SOP charging medical records, medical records format complexity, less a maximum of organizing medical records, existing storage procedures, extermination and confidentiality in medical records, and the less the maximum guidance and supervision of the management of PKU Muhammadiyah Hospital in Yogyakarta.Â Conclusion:Quality of Medical Records at PKU Muhammadiyah Hospital in Yogyakarta has been good only there are some advantages that already SOP is used as a standard in filling out medical records, has maximum storage efforts, extermination and confidentiality of medical records, but there are some obstacles include limitations charging time medical record, less maximum effort organizing, and less the maximum guidance and supervision of the management.Keywords:Quality of medical records, management of medical records, completness of medical records.

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