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Etika Kesehatan pada Persalinan Melalui Sectio Caesarea Tanpa Indikasi Medis dumilah ayuningtyas; Ratih Oktarina; Misnaniarti Misnaniarti; Ni Nyoman Dwi Sutrisnawati
Media Kesehatan Masyarakat Indonesia Vol. 14 No. 1: MARET 2018
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.243 KB) | DOI: 10.30597/mkmi.v14i1.2110

Abstract

The rate sectio caesarea in Indonesia is quite high. World Health Organization states that the number sectiocaesarea maximum of about 10 to 15%. Therefore, it is necessary to study the decision-making action sectiocaesarea based on the principles of bioethics. This study used a qualitative approach with descriptive and analyticanalysis, conducted in 2014 in hospitals and maternity clinics in Jakarta. Data collection through interviews oninterviewees such as functional medical workers, midwives and hospital managers. Results showed the trend ofsectio caesarea very high reaching 70%. Sectio caesarea is almost entirely due to medical indications. Trend sectiocaesarea very high does not necessarily indicate that there are things that are contrary to the ethics of health care.Many factors beyond medical indications, both in the mother and baby, which causes sectio caesarea been, amongothers: the maternal psychological, medical equipment that is not ready for normal delivery, the right of patients tochoose medical treatment to do, weak regulation in controlling hospital offers a package sectio caesarea, as wellas regulation is deemed damaging medical services system is already working well so as to encourage moral hazardof the doctors to let their demand for childbirth through sectio caesarea without adequate medical indications.
Indonesia’s readiness to implement the HPV vaccine mandatory for school age Dumilah Ayuningtyas; Ni Nyoman Dwi Sutrisnawati
Health Science Journal of Indonesia Vol 9 No 2 (2018)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v9i2.910

Abstract

Latar Belakang: Menurut WHO, dua dari 10.000 wanita di Indonesia hidup dengan kanker serviks dandiperkirakan 26 wanita meninggal setiap hari akibat kanker serviks. Berdasarkan kondisi ini, pemerintahIndonesia berencana menambahkan vaksin HPV ke dalam program imunisasi nasional. Tujuan penelitianadalah untuk menilai kemungkinan kesiapan Indonesia untuk menerapkan vaksin HPV wajib untuk usiasekolah dan faktor-faktor yang dapat mempengaruhinya. Metode: Metode yang digunakan adalah systematic review. Melalui artikel terkait vaksin HPV yang terbitdi jurnal terakreditasi dan scopus-indeks selama 10 tahun terakhir dengan kata kunci “Implementasiuntuk Imunisasi HPV”, ditemukan sebanyak 17.000 hasil pencarian. Setelah itu, penilaian kritis padaartikel yang dipilih dilakukan dengan menggunakan metode PRISMA. Hasil: Ditemukan bahwa kesadaran masyarakat, terutama orang tua, tentang vaksin HPV masih kurang, namunpenerimaan mereka terhadap vaksin ini cukup positif. Ada beberapa faktor lain yang menjadi keberatan mereka terhadap vaksin, seperti harga tinggi, ketakutan akan efek samping, seksualitas, gender, dan sistem perawatan kesehatan. Saat ini di Indonesia vaksin HPV harus dibeli atas inisiatif mereka sendiri dan bukan merupakan program wajib dari pemerintah pusat dan juga tidak diberikan secara gratis melalui program JKN. Namun demikian, Kementerian Kesehatan telah memulai proyek percontohan untuk menyediakan vaksinasi HPV gratis di beberapa daerah dalam Program Bulan Imunisasi untuk Usia Sekolah menggunakan kombinasi sumber daya pusat dan daerah. Kesimpulan: Telah ada peraturan dan pedoman teknis untuk pelaksanaan proyek percontohan vaksinasiHPV gratis, namun masih perlu penyesuaian dan dukungan dari Pemerintah jika akan dilaksanakan secaranasional dan disesuaikan dengan kondisi di daerah dengan fasilitas dan akses terbatas. Dibutuhkan peranpemerintah dalam memberikan informasi yang baik tentang vaksin HPV bagi masyarakat.(Health Science Journal of Indonesia 2018;9(2):107-18) Keywords: Vaksin HPV, Kesiapan Implementasi, Program Imunisasi Nasional Abstract Background: According to WHO, two out of 10,000 women in Indonesia live with cervical cancer and anestimated 26 women die each day from cervical cancer. Indonesian government is planning to add the HPVvaccine into the national immunization program. The objective is to assess the possibility of Indonesia’sreadiness to implement the HPV vaccine mandatory for school age and factors that may affect it. Methods: The method was a systematic review through articles related to HPV vaccine which have beenpublished in accredited and scopus-indexed journals for the last 10 years. With keywords “Implementationfor HPV Immunization”, founded 17,000 search results. Afterwards, a critical appraisal on the selectedarticles is conducted using PRISMA method. Results: It is found that the awareness of community, especially parents, about HPV vaccine is stilllacking, but their acceptance of this vaccine is quite positive. There are other factors into their objection tovaccines, such as the high price, fear of the side effects, sexuality, gender, and healthcare systems. Currentlyin Indonesia HPV vaccine must be purchased on their own initiative and is not a mandatory program ofthe central government. Neither has it been given free of charge through JKN program. Nevertheless,The Ministry of Health has begun a pilot project to provide free HPV vaccination in some areas withinImmunization Month for School Age program using a combination of central and regional resources. Conclusion: Although there have been regulations and technical guidelines for the implementation of thepilot project of free HPV vaccination, it still needs adjustment and support from the Government if it willbe implemented nationally and adapted to conditions in areas with limited facilities and access. The roleof the government is needed in providing good knowledge about the HPV vaccine for the community.(Health Science Journal of Indonesia 2018;9(2):107-18) Keywords: HPV Vaccine, Implementation Readiness, National Immunization Program
Standar Pelayanan Keperawatan Pada Penilaian Akreditasi Rumah Sakit Versi 2012 Di Rumah Sakit “X” Tahun 2016 Ni Nyoman Dwi Sutrisnawati; Dumilah Ayuningtyas
BULLET : Jurnal Multidisiplin Ilmu Vol. 2 No. 5 (2023): BULLET : Jurnal Multidisiplin Ilmu
Publisher : CV. Multi Kreasi Media

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Abstract

Hospitals are required to carry out accreditation periodically, at least once every three years. The development of hospital accreditation standards in Indonesia has undergone adjustments in 2016 referring to the 2012 version of accreditation standards which focus on patients. Hospital "X" has been accredited with five basic services in the 2007 version of the accreditation assessment. The aim of this research is to analyze the gap between the existing service standards applied at Hospital "X" and the assessment elements included in the three standards in 2012 version of National Hospital Accreditation related to nursing services. This research uses a case study method with a descriptive analytical design. Data collection was carried out by interviews, observation and document review. This research was conducted in February - April 2016. The research found that the service standards for Patient and Family Rights and Patient and Family Education were still not optimal, there were policies and documents that did not officially exist. Infection Prevention and Control (PPI) service are not yet optimal due to the unsustainable function of the committee and lack of facilities and infrastructure, while the Accreditation team organization has gone quite well, even though with limited members. The fulfillment at Hospital "X" still needs to be improved. It is recommended that the documents and policies be coordinated and socialized immediately, so that they can be implemented. Regular assistance and evaluation by management is still needed to achieve the target.
The Needs Fulfillment of Medical and Specialist Doctors in West Nusa Tenggara, Indonesia Dumilah Ayuningtyas; Anwar Fachry; Sandra Barinda; Sri Windiarti; Nurul Saptorini Rahmadhani; Muhammad Sapoan Hadi; M Misnaniarti; Ni Nyoman Dwi Sutrisnawati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (655.449 KB) | DOI: 10.30604/jika.v6i3.508

Abstract

One of the challenges in improving health services in Indonesia is the uneven number and distribution of health workers in some areas, especially doctors and specialist doctors. Therefore, the aim of this study was to review the conduciveness and support of the policy environment towards meeting the needs of specialist doctors in West Nusa Tenggara (NTB) Province, Indonesia. This study was the narrative review method. Keywords used are environmental policy, specialist doctor, and remote area. Critical appraisal was performed by utilizing the PRISMA method. This study showed that there is political support from the Central and Regional Governments. However, several aspects are still recognized negatively, aspects of national policies related to incentives and facilities. Regional Government Policies are considered not sufficiently significant to improve the availability of doctors and specialist doctors, especially in terms of the advocacy mechanisms. This matter impacts the lack of doctors and specialist doctors’ interest to be placed in remote areas. The policy environment towards meeting the needs of a specialist doctors in West Nusantara Tenggara (NTB) was enough conducive and supportive. It still needs improving coordination mechanisms among institutions and providing advocacy channels, which are crucial to support the effectiveness of meeting the needs of specialist doctors’ policies.Abstrak: Salah satu tantangan dalam meningkatkan pelayanan kesehatan di Indonesia adalah belum meratanya jumlah dan distribusi tenaga kesehatan di beberapa daerah, terutama dokter dan dokter spesialis. Oleh karena itu, penelitian ini bertujuan untuk mengkaji kondusifitas dan dukungan lingkungan kebijakan terhadap pemenuhan kebutuhan dokter spesialis di Provinsi Nusa Tenggara Barat (NTB), Indonesia. Penelitian ini menggunakan metode review naratif. Kata kunci yang digunakan adalah kebijakan lingkungan, dokter spesialis, dan daerah terpencil. Critical appraisal dilakukan dengan menggunakan metode PRISMA. Studi ini menunjukkan adanya dukungan politik dari Pemerintah Pusat dan Daerah. Namun demikian, beberapa aspek masih diakui secara negatif, aspek kebijakan nasional terkait insentif dan fasilitas. Kebijakan Pemerintah Daerah dinilai belum cukup signifikan untuk meningkatkan ketersediaan dokter dan dokter spesialis, terutama dari sisi mekanisme advokasi. Hal ini berdampak pada minimnya minat dokter dan dokter spesialis untuk ditempatkan di daerah terpencil. Lingkungan kebijakan untuk memenuhi kebutuhan dokter spesialis di Nusantara Tenggara Barat (NTB) cukup kondusif dan mendukung. Masih perlu perbaikan mekanisme koordinasi antarlembaga dan penyediaan jalur advokasi yang sangat penting untuk mendukung efektivitas pemenuhan kebutuhan kebijakan dokter spesialis.
Local Initiatives In Preventing Coronavirus Based On Health Policy Perceptive Ayuningtyas, Dumilah; Misnaniarti, Misnaniarti; Parinduri, Siti Khodijah; Susanti, Fitria Aryani; Sutrisnawati,, Ni Nyoman Dwi
Journal of Indonesian Health Policy and Administration Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

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Peningkatan Gaya Hidup Bersih dan Sehat Melalui Bakti Sosial dan Sosialisasi di Panti Asuhan Dharma Jati Klungkung Yukiandani, Ni Putu Eviana; Laksmi, Putu Cahya Putri Sri; Suasnawa, I Gede; Sutrisnawati, Ni Nyoman Dwi; Suandari, Putu Vierda Lya; Nugraha, I Nyoman Adikarya
Jurnal Abdimas Jatibara Vol 3, No 2 (2025): Jatibara Vol.3 No.2 Februari 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jaj.v3i2.2014

Abstract

Social service and outreach activities carried out by the Hospital Administration Student Association (HIMARS) of Bali International University are one part of the work program. In this activity, HIMARS distributed packages of necessities to children in orphanages as a form of concern for the welfare of others. To ensure continuity, HIMARS has designated this activity as a routine part of the work program carried out every year. Social service and outreach activities at the Dharma Jati Klungkung Orphanage are carried out with the aim of increasing the knowledge and understanding of orphanage children regarding PHBS and increasing caring attitudes towards fellow citizens, as well as a routine program from HIMARS. The social service and outreach method used is by coming directly to the orphanage to hand over packages of needs and providing outreach material about PHBS, hand washing practices and cough and sneeze etiquette. Based on the results of surveys and evaluations using pretest and posttest methods, there was a significant increase in children's knowledge about PHBS, from an average score of 70 in the pretest to 90 in the posttest. This shows that health education programs carried out intensively and participatively can bring positive changes in the healthy living habits of children in orphanages.
PENGARUH SOSIODEMOGRAFI RESPONDEN KOTA DENPASAR TERHADAP PERILAKU PENGGUNAAN OBAT SAAT MENJALANI ISOLASI MANDIRI COVID-19 Ni Putu Sinthya Devi Widyarini; Ni Putu Aryati Suryaningsih; Ni Nyoman Dwi Sutrisnawati
Bali International Scientific Forum Vol. 2 No. 2 (2021): Bali International Scientific Forum
Publisher : Bali International University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/bisf.v2i2.286

Abstract

Abstract Background: COVID-19 is global pandemic with a very fast rate of spread. As of June 2021, Bali Province experienced 110% increase in the number of weekly cases. The sharp increase caused referrals to self-isolation also increase. The increase in COVID-19 self-isolation referrals has also increased trend of diverse drug use behaviors by the community. Differences in sociodemographic between communities are considered to affect the behavior of drug use formed while undergoing COVID-19 self-isolation, so that a study of the correlation is needed. Purpose: This study aims to determine the sociodemographic influence respondents of Denpasar City on drug use behavior formed while undergoing COVID-19 self-isolation. Methods: The research design used is descriptive quantitative with a cross sectional design. The number of samples used is as many as 96 respondents by purposive sampling. Measurements were carried out using questionnaires with Data Analysis Techniques of Binner Logistics Regression Multivariate and Univariate. Results: The sociodemographic of Denpasar City community involved in being respondents has mostly been married 57.29%, aged between 26-45 years 51.04%, female 55.21%, private employees 37.50%, education of high school 55.21% and high income 55.21%. Denpasar City respondents mostly found have positive drug use behavior (52.08%). Respondents' last education level (OR= 4,685), income (OR= 5,112), age (OR= 2,794) and occupation (OR= 1,763) had a significant influence (p=0.001-0.029). Conclusion: People in Denpasar City who have undergone COVID-19 self-isolation are classified having positive drug use behavior. Respondents' age, education level, income and occupation had significant influence on drug use behavior while undergoing COVID-19 self-isolation. Keyword: COVID-19, Drug Use Behavior, Self-Isolation, Sociodemographic
Edukasi Kesehatan Anak Panti Asuhan: Penerapan PHBS dan Etika Batuk Rismita, Ni Putu Mia; Dewi, Ni Komang Ayu Valintina Setia; Suyastuti, Ni Made Mita Aprilian Adi; Suandari, Putu Vierda Lya; Suasnawa, I Gede; Sutrisnawati, Ni Nyoman Dwi; Nugraha, I Nyoman Adikarya; Wardhana, Zainal Firdaus; Saraswati, Anak Ayu Sri; Rudiartha, I Gusti Lanang
UNBI Mengabdi Vol. 4 No. 2 (2023): UNBI Mengabdi Juli
Publisher : Universitas Bali Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/um.v4i2.391

Abstract

Program bakti sosial dan sosialisasi yang dilakukan oleh HIMARS Universitas Bali Internasional bertujuan untuk meningkatkan gaya hidup bersih dan sehat (PHBS) di kalangan anak-anak di Panti Asuhan Taman Permata Hati Bali. Kegiatan ini melibatkan sosialisasi mengenai PHBS, etika batuk bersin, serta praktik mencuci tangan dengan benar. Setelah dilakukan evaluasi menggunakan pre-test dan post-test, ditemukan adanya peningkatan signifikan dalam pengetahuan anak-anak mengenai PHBS, dengan skor rata-rata post-test meningkat 47 poin. Program ini juga berhasil menumbuhkan rasa solidaritas di antara anggota HIMARS dan anak-anak panti. Meskipun demikian, tantangan terkait keberlanjutan penerapan materi yang diajarkan dalam kehidupan sehari-hari tetap menjadi perhatian. Kegiatan ini diharapkan dapat menjadi model dalam pengembangan program pengabdian berbasis kesehatan di panti asuhan lain.   The social service and socialization program conducted by HIMARS Universitas Bali Internasional aims to improve Clean and Healthy Living Behavior (CHLB) among children at Taman Permata Hati Bali Orphanage. This activity involved socialization on CHLB, cough and sneeze etiquette, and proper hand washing practices. After an evaluation using a pre-test and post-test, it was found that there was a significant improvement in the children's knowledge of CHLB, with the average post-test score increasing by 47 points. The program also succeeded in fostering a sense of solidarity among HIMARS members and the orphanage children. Nonetheless, challenges related to the sustainability of the application of the materials taught in daily life remain a concern. This activity is expected to be a model in the development of health-based service programs in other orphanages.
Peningkatan Pengetahuan PKK Banjar Abasan Denpasar Terkait Dagusibu Melalui Pemanfaatan Buku Saku Dagusibu (Embook) Suryaningsih, Ni Putu Aryati; Putri, Dhiancinantyan Windydaca Brata; Sutrisnawati, Ni Nyoman Dwi
Parta: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 1 (2025)
Publisher : Universitas Pendidikan Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38043/parta.v6i1.6767

Abstract

Abstract: Background: Self-medication is people's efforts to maintain their own health. However, what needs to be realized is that each drug has a different way of managing it. Miss management of medicines can cause errors in use, changes in the properties of the drug or damage to the drug. DaGuSiBu (Get, Use, Save, Throw Away) is an educational program about health, especially drug management. Objective: to determine the increase in PKK Br Abasan's knowledge regarding DaGuSiBu through the use of the DaGuSiBu Pocket Book (EMBOOK). Method: Activities were carried out through socialization and training related to DaGuSiBu as well as providing EMBOOKs to PKK mothers who were given pretest and posttest. Results: Mrs. PKK Br Abasan experienced an increase in knowledge from the previous pre-test average of 64.64, then increased to 74.43 in the post-test average after being given socialization and giving EMBOOK. Mrs. PKK was also able to practice how to dispose of medicines properly and correctly. Conclusion: There has been an increase in PKK Br Abasan's knowledge regarding DaGuSiBu, it is hoped that PKK’s can become a disseminator of information in the family so that there will be positive behavioral changes in managing medicines in the family in order to improve the health status of individuals and the community. Abstrak: Latar Belakang: Swamedikasi merupakan usaha masyarakat untuk menjaga kesehatannya sendiri. Namun yang perlu disadari bahwa setiap obat memiliki cara pengelolaan yang berbeda-beda. Kesalahan pengelolaan obat dapat menyebabkan kesalahan penggunaan, perubahan sifat obat atau kerusakan obat. DaGuSiBu (Dapatkan, Gunakan, Simpan, Buang) merupakan program edukasi tentang kesehatan khususnya pengelolaan obat. Tujuan: untuk mengetahui peningkatan pengetahuan ibu-ibu PKK Br Abasan mengenai DaGuSiBu melalui pemanfaatan Buku Saku DaGuSiBu (EMBOOK). Metode: Kegiatan dilakukan melalui sosialisasi dan pelatihan terkait DaGuSiBu serta pemberian EMBOOK kepada ibu-ibu PKK yang diberikan pretest dan posttest. Hasil: Ibu PKK Br Abasan mengalami peningkatan pengetahuan dari sebelumnya rata-rata pretest 64,64, kemudian meningkat menjadi 74,43 pada rata-rata posttest setelah diberikan sosialisasi dan pemberian EMBOOK. Ibu PKK juga mampu mempraktekkan cara membuang obat dengan baik dan benar. Kesimpulan: Telah terjadi peningkatan pengetahuan ibu-ibu PKK Br Abasan mengenai DaGuSiBu, diharapkan ibu-ibu PKK dapat menjadi penyebar informasi di keluarga sehingga terjadi perubahan perilaku positif dalam pengelolaan obat di keluarga sehingga dapat meningkatkan derajat kesehatan individu dan masyarakat.
Rancang Bangun Infusion Pump Dengan Pemantauan Riwayat Pemberian Cairan Infus Pada Pasien Dilengkapi Website Pratama, I Gusti Agung Ngurah Devasya Putra; Suhartono, Suhartono; Sutrisnawati, Ni Nyoman Dwi; Mahardiananta, I Made Agus
TELKA - Telekomunikasi Elektronika Komputasi dan Kontrol Vol 11, No 1 (2025): TELKA
Publisher : Jurusan Teknik Elektro UIN Sunan Gunung Djati Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15575/telka.v11n1.52-63

Abstract

Infusion pump merupakan peralatan medis yang digunakan untuk memantau proses pemberian cairan ke dalam tubuh melalui intravena. Infusion pump mengatur cairan yang keluar dan memberikan indikator alarm ketika terjadi permasalahan pada proses terapi infus. Permasalahan yang sering terjadi adalah pemantauan infusion pump yang tidak dapat dilakukan secara jarak jauh sehingga perawat memiliki mobilitas yang tinggi untuk infusion pump. Pada penelitian ini dihasilkan rancang bangun alat nfusion pump yang dapat memantau kondisi terapi infus secara nirkabel. Menggunakan Optocoupler XD-51 sebagai sensor tetesan dan sensor gelembung udara, Photodioda FC-51 sebagai sensor darah naik pada selang, motor peristaltik sebagai pengatur flow rate, Node MCU ESP32 sebagai mikrokontroler, Firebase sebagai database pasien, website sebagai sistem wireless monitoring kondisi terapi infus. Back end website monitoring rancang bangun alat menggunakan Firebase Realtime dan front end website menggunakan Visual Studio Code. Dari hasil penelitian diperoleh persentase nilai rata-rata pengujian keakurasian flow rate 500 mL / 6 jam sebesar 97.6%, flow rate 500 mL / 8 jam sebesar 97.5%, dan waktu respon sistem alarm darah naik sebesar 5 detik, sistem alarm gelembung udara sebesar 5.2 detik, sistem alarm infus macet sebesar 7.3 detik serta pengujian terhadap sistem penyimpanan riwayat data dengan tinggat keakurasian sebesar 100%. Berdasarkan acuan nilai tolerasi error yang diijinkan pada infusion pump adalah sebesar 5% dengan waktu respon alarm sebesar 10 detik, maka dapat disimpulkan bahwa alat rancang bangun dapat bekerja sebagaimana mestinya dengan nilai persentase error yang masih dalam batas toleransi yang diperboleh sesuai dengan alat acuan. The infusion pump is a critical medical device for the controlled delivery of fluids through intravenous routes. It ensures precise regulation of fluid administration and includes an alarm system to signal issues during the infusion therapy process. However, the limitation lies in the inability to remotely monitor these pumps, leading to mobility challenges for nurses. To address this, a remote monitoring infusion pump was developed. It incorporates various components such as the Optocoupler XD-51 for detecting droplets and air bubbles, the FC-51 Photodioda to sense blood rising within the hose, a peristaltic motor for flow rate control, an ESP32 MCU Node as the central controller, Firebase for patient data storage, and a dedicated website for wireless monitoring. The backend of the website utilizes Firebase Realtime, while the frontend is developed using Visual Studio Code. Research findings indicate high accuracy in flow rate measurements, with 97.6% accuracy for 500 mL over 6 hours and 97.5% accuracy for 500 mL over 8 hours. Alarm response times, though slightly delayed, are within acceptable limits: the blood alarm system responds in 5 seconds, the air bubble alarm system in 5.2 seconds, and the infusion alarm system in 7.3 seconds. Furthermore, the data history storage system demonstrated 100% accuracy. Given that the reference values allow for a 5% error tolerance and require a 10-second alarm response time, it can be concluded that this designed tool effectively meets the necessary standards and functions within the allowable tolerance limits.