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PELAKSANAAN PROGRAM MANAJEMEN PASIEN DENGAN RISIKO JATUH DI RUMAH SAKIT Budiono, Sugeng; Sarwiyata, Tri Wahyu; Alamsyah, Arief
Jurnal Kedokteran Brawijaya Vol 28, No 1 (2014)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2014.028.01.28

Manajemen pasien dengan risiko jatuh merupakan salah satu tujuan keselamatan pasien, dan pada Rumah Sakit Islam Unisma Malang, masih menempati urutan ke empat dari seluruh kejadian yang tidak di inginkan (KTD). Sejak dimulainya program patient safety bulan Januari 2013 belum ada suatu kebijakan atau program manajemen pasien risiko jatuh termasuk Standar Prosedur Operasional (SPO). Penelitian ini merupakan bentuk kaji tindak manajemen risiko pasien jatuh di Rumah Sakit Islam Unisma Malang. Kajian diawali dengan analisis akar masalah, penetapan solusi terpilih dan uji program. Uji program dilakukan terhadap penerapan screening pasien dengan risiko jatuh. Instrumen menggunakan observasi dan form screening pasien jatuh. Hasil menunjukkan sebagian besar petugas atau perawat telah melaksanakan dengan baik program manajemen pasien jatuh yang meliputi: screening, pemasangan gelang identitas risiko jatuh, edukasi pasien dan keluarga tentang menggunakan leaflet edukasi, pengelolaan pasien risiko jatuh, penanganan pasien jatuh dan pelaporan insiden. Penetapan kebijakan dan impementasi prosedur yang diikuti supervisi dan monitoring lebih menjamin keterlaksanaan program.Kata Kunci: Kejadian tidak diinginkan (KTD), manajemen risiko pasien jatuh, patient safety

Pengukuran Kinerja Unit Pemasaran RSI Unisma Malang Menggunakan Balanced Scorecard Rahmayanti, Fida; David, David; Sarwiyata, Tri Wahyu
Jurnal Kedokteran Brawijaya Vol 29, No 3 (2016)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2016.029.03.13

Berdasarkan analisis akar masalah didapatkan bahwa rendahnya pilihan pasien terhadap RSI Unisma Malang salah satunya disebabkan karena kinerja unit pemasaran dinilai kurang efektif. Oleh karena itu perlu dilakukan pengukuran kinerja unit pemasaran di RSI Unisma Malang. Salah satu metode yang dapat digunakan untuk mengukur kinerja unit yaitu dengan balanced scorecard. Tujuan dari penelitian ini adalah untuk mengetahui skor atau penilaian kinerja unit pemasaran menggunakan balanced scorecard. Metode penelitian yang digunakan adalah pendekatan deskriptif. Hasil penelitian ini menunjukkan bahwa kinerja unit pemasaran RSI Unisma Malang adalah cukup. Hasil pengukuran pada perspektif keuangan mencapai skor 1 yang artinya kinerja unit pemasaran pada perspektif keuangan telah mencapai prestasi diatas standar. Standar yang dimaksudkan adalah capaian yang diharapkan pada masing-masing indikator yang ditetapkan. Pada perspektif pelanggan mendapatkan skor -1 yang artinya kinerja unit pemasaran berdasarkan perspektif pelanggan belum sesuai standar. Pada perspektif proses bisnis internal, tahap inovasi sudah memenuhi target pencapaian bahkan melebihi target sehinga mendapatkan skor 1. Pada tahap operasi sebagian besar mendapat skor 0, namun terdapat satu indikator yang hanya mendapat skor -1. Hal ini menunjukkan bahwa kinerja unit pemasaran pada perspektif ini sebagian belum sesuai standar. Pada perspektif pembelajaran dan pertumbuhan mendapatkan nilai puas pada indikator kepuasan karyawan sehingga mendapat skor 1, sedangkan pada retensi karyawan mendapatkan mendapat skor 0 yang berarti sesuai dengan standar, dan untuk pelatihan karyawan mendapatkan skor -1 yang berarti dibawah standar.Kata Kunci: Balanced scorecard, pengukuran kinerja, unit pemasaranÂ

The Effect of Service Quality on the Number of Peristi Patients at Unisma Islamic Hospital Malang Sari, Dwi Ratna; Widyaningrum, Kurnia; Sarwiyata, Tri Wahyu; Rahmawati, Triwahyuning
Jurnal Kedokteran Brawijaya Article in Press
Publisher : Fakultas Kedokteran Universitas Brawijaya

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

ABSTRACTHospitals, as the spearhead of health services, are required to provide quality services that meet the expectations of the community. Decreasing number of Obstetrics and Gynecology (Peristi) patients at Unisma Islamic Hospital Malang into 119 patients in June 2019 and low BOR value of 15.1%-46.8% that is below the standard (60-85%) indicated that the number of patient visits to the Peristi unit is low. Low patient visits are associated with the satisfaction of quality services. This study aimed to determine the effect of service quality on the increasing number of patients. This study was carried out by using a survey with a cross-sectional study approach among patients in the obstetric unit and inpatients installation for three months. The sample in this study were 139 respondents from the obstetric unit and 18 respondents from Peristi obtained using the accidental sampling method. Data were collected using questionnaires based on the dimensions of service quality and semi-structured interviews. The results showed a number of respondent statements related to the quality of hospital services including dissatisfaction of outpatient flow which was not as promised, long patient waiting time, less responsive officers in responding to complaints or providing information to patients, and waiting room facilities that are not representative and lack complete equipment to support its services. The hospital is expected to provide high-quality services and excellent service to increase patient satisfaction so that it has an impact on increasing the number of patient visits to the Peristi Unit.

The Effect of Service Quality on the Number of Peristi Patients at Unisma Islamic Hospital Malang Sari, Dwi Ratna; Widyaningrum, Kurnia; Sarwiyata, Tri Wahyu; Rahmawati, Triwahyuning
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

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

ABSTRACTHospitals, as the spearhead of health services, are required to provide quality services that meet the expectations of the community. Decreasing number of Obstetrics and Gynecology (Peristi) patients at Unisma Islamic Hospital Malang into 119 patients in June 2019 and low BOR value of 15.1%-46.8% that is below the standard (60-85%) indicated that the number of patient visits to the Peristi unit is low. Low patient visits are associated with the satisfaction of quality services. This study aimed to determine the effect of service quality on the increasing number of patients. This study was carried out by using a survey with a cross-sectional study approach among patients in the obstetric unit and inpatients installation for three months. The sample in this study were 139 respondents from the obstetric unit and 18 respondents from Peristi obtained using the accidental sampling method. Data were collected using questionnaires based on the dimensions of service quality and semi-structured interviews. The results showed a number of respondent statements related to the quality of hospital services including dissatisfaction of outpatient flow which was not as promised, long patient waiting time, less responsive officers in responding to complaints or providing information to patients, and waiting room facilities that are not representative and lack complete equipment to support its services. The hospital is expected to provide high-quality services and excellent service to increase patient satisfaction so that it has an impact on increasing the number of patient visits to the Peristi Unit.

Non-compliance of Hospital X Employee in Implementing Standard Operational Procedures of Instrument Decontamination and Chest X-Ray Services Prahadiani, Saesar Revita; Kuncoro, Wahyudi; Hariyanti, Tita; Zuhriyah, Lilik; Sarwiyata, Tri Wahyu; Pradina, Fifin
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.6s

Good hospital management is important to maintain the safety of patients, staff and hospital visitors. Each hospital employee responsible for patient safety by carrying out work according Standard Operating Procedure (SOP) guidelines agreed by organization. This study aims to identify the casues factors and the solution for hospital employees to not comply with the SOP. This study uses a qualitative descriptive approach. Methods of data collection by conducting direct observation and interviews. Subjects in the study were determined based on purposive sampling, as many as 8 respondents consisting of the inpatient room's head, nurses and radiology officers. It is important to apply a system approach in the management of an organization. The elements included in the systems approach are planning, organizing, actuating and controlling. From those elements, there are things that not properly carried in the hospital. The existing procedures were not followed by the employees, for example, procedures regarding instrument decontamination in the inpatient room and photo reading at the radiology service. Non-compliance with this procedure is influenced by several factors, namely the staff lack of discipline and responsibility, inappropriate procedures, facilities that are not available, and there is no socialization of the procedure to hospital employees. The non-compliance of employees at X hospital was caused by procedural factors, decontamination and radiology officer's performance factors and hospital's facilities. For this reason, it is necessary to conduct periodic outreach, monitoring and evaluation of the SOP and hospital employees to improve the quality of hospital services and customer satisfaction.

THE DIFFERENCE OF KNOWLEDGE LEVEL OF MARKETING STAFF AND EMPLOYEES OF RSI UNISMA MALANG BETWEEN BEFORE AND AFTER BASIC MARKETING PRINCIPLE TRAINING Damayanti, Yulia; Koeswo, Mulyatim; Sarwiyata, Tri Wahyu
Jurnal Aplikasi Manajemen Vol. 16 No. 1 (2018)
Publisher : Universitas Brawijaya, Indonesia

This study is aimed to discover the result of training towards the difference of basic marketing principles knowledge between pre and post training in marketing staff and employees of RSI Unisma Malang. The method used was experimental or pre-post designed study, i.e. investigators performed an intervention; a training about basic marketing principles for marketing staff and employees of RSI Unisma Malang (32 people), hereafter compared the results between pre and post training. Results compared were scores obtained from pre-test before the participants got the training modules, and scores obtained after training. Data analysis used was the descriptive comparative approach, continued with paired t-test statistical analysis. Results obtained from pre-test, the average score was 7.63, lowest score was 5 and highest was 10, meanwhile from post-test, the average score was 9.22, lowest score was 8 and highest was 10, margin of error ï‚£ 2 from 20 people (62.5%) in pre-test and improved into 32 people (100%) in post-test. Result for paired sample t-test showed p value = 0.000, or <0.05 (ï¡). According to the elucidation above, we conclude that thereâ€™s a significant difference between before and after training, in other words, thereâ€™s a significant improvement in knowledge of basic marketing principles after training.

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