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DELAY OF ELECTIVE OPERATIONS IN AWAL BROS PANAM PEKANBARU HOSPITAL JANUARI-APRIL 2018 Suka, Muhammad Eriex Fornando; Wibowo, Adik
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (490.402 KB)

Abstract

Background: Competition between hospitals is increasing, for thathospital should maintain the quality of service and patient satisfaction. Hospitals should have innovation targets for cost effectiveness and productivity without compromising patient safety and quality of care. Operation delays are one barrier to optimal patient flow, increasing patient anxiety, affecting interprofessional teamwork across the medical discipline and ultimately putting patients at risk of safety. Methods: This research is descriptive research with a quantitative approach, data obtained from the surgery room register and interview which then grouped and analyzed. Results: There was an elective delay in surgery of 38%, with the highest cause being the staffing factor of 81%, the highest percentage of delays was plastic surgery 61% of total surgery performed, The highest number of delays occurred in Urology that is 213 cases. Conclusions: To reduce the delay required clear rules in the event of delays and rules of payment based on performance services, which is timeliness of attendance elective operation schedule is one of the assessment tools, and scheduling operations outside the time outpatient service. 
The Barriers in Implementing Electronic Prescribing in The Health Care: a Systematic Review Leawaty, Leawaty; Wibowo, Adik
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (383.344 KB) | DOI: 10.22236/arkesmas.v3i2.3010

Abstract

Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are  inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians' needs for the features in the e-prescription.
THE INFLUENCE OF MARKETING MIX TO PATIENT SATISFACTION IN HOSPITALS: NARRATIVE REVIEW Batubara, Nurul Qosimah; Wibowo, Adik
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Hospitals, as service providers, have a large role in meeting people's needs regarding their health. The increasing growth of hospitals adds to the menu of choices for people to utilize health services according to their needs. This competition has changed the mechanism by which customers are not only users of health services but as determinants of the future and the continuity of a hospital. Marketing activities can help hospitals improve and win the competition. Marketing managers must be able to combine the marketing mix variables appropriately so that all variables can increase consumer's decision and patient satisfaction.  Aims. The purpose of this study was to determine the effect of mix marketing on patient satisfaction at the hospital. Method: This study was conducted in a literature review by searching for articles and journals related to hospital mix marketing. Search journal articles are done through Google Scholar database with the search year 2010 until 2018. The keywords used are "marketing mix and "hospital." So that six articles will be reviewed.  Results: In the six studies reviewed there was one study that showed that all the mix marketing variables namely product, price, people, place, promotion, process, and the physical evidence had a significant influence on patient satisfaction and the hospital for medical treatment. The significant results are known from the results of statistical tests showing that p-value <0.05. In several other studies, it shows that there are significant variables and some that are not significant for consumer decision and patient satisfaction.   Conclusion: The Marketing mix has an important cost for the decision to choose a hospital. The mix marketing has varied significant influence on consumers? decision and satisfaction to choose the hospital for medical treatment. By knowing the mix marketing variable that affects customer satisfaction, hospital management, namely the marketing department, can optimize and develop marketing types that can increase public interest so that the target profit of the hospital is achieved.
FACTORS RELATED TO THE REDUCTION OF MEDICATION DISCREPANCIES AT TRANSITION OF CARE: A SYSTEMATIC REVIEW Maharjana, Ida Bagus Nyoman; Wibowo, Adik
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Adverse drug events (ADE) are a leading cause of injury and death within health care systems around the world. Up to 67% of patients? prescription medication histories recorded on admission to hospital have one or more errors and 30 ? 80% of patients have a discrepancy between the medicines ordered in hospital and those they were taking at home. This study aims to systematically evaluate the available literature on the medication history records as a quality improvement in reducing medication discrepancies during the transition of care. Methods: This study was used systematic review which performed according to the PRISMA method. The search included articles were obtained through databases: MEDLINE (1946), EMBASE (1966), CINAHL (1937) and PubMed (1946). Some of the key words or Medical Subject Heading (MeSH) terms used in the search were: ?transition of care,? ?medication discrepancies,? ?medication errors,? ?patient safety,? ?medication history,? ?patient admission,? ?patient discharge,? ?patient transfer,? and ?hospital?. Only studies published in English were included. Exploring literature was focused on the articles published from 2009 to 2019. Results: Initially, a total of 162 potentially relevant articles were obtained. After screening tittle and reviewing abstracts, 14 full text were assessed for eligibility. Of the 10 articles met all inclusion criteria, 5 studies were randomized controlled trials, 2 quasi-experimental studies, 1 cohort study, and 2 qualitative studies with quantitative approaches. All studies found that involving best possible medication history in identifying medication discrepancies and communicating this information affected medication discrepancies in the medical record. Conclusions: The available literature such as lack of well-designed studies precluded us from concluding that no effect exists. Medication reconciliation supported by information technology was an important tool for minimizing the percentage of medications with unintentional discrepancies
The use of salivary specimen for COVID-19 detection using RT-PCR assay: a systematic review Kevin Chrisanta Budiyatno; Adik Wibowo; Samuel Lay Riwu
International Journal of Public Health Science (IJPHS) Vol 11, No 2: June 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i2.21173

Abstract

As coronavirus disease 2019 (COVID-19) cases arose globally, active case finding by performing throat swab test proposed high risk for the healthcare workers. Saliva had recently been reported to show positive detection means for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and proposed advantages of self-collection, less requirement of transport media, and reduced nosocomial transmission risk. However, support evidence regarding its diagnostic value was still lacking and varied widely in specimen collection method. This systematic review aimed to assess the diagnostic value of salivary specimens (SS) for COVID-19 detection using reverse transcription polymerase chain reaction (RT-PCR) assay compared with throat swab specimens (TSS), while putting into consideration confounders such as patients’ initial condition, specimen collection method, and transport media used. Six databases were used for identifying relevant studies. Final search yielded 19 eligible studies which was reviewed based on the major outcome: diagnostic agreement, sensitivity & specificity, and viral load comparison. The use of SS as an alternative to TSS showed to be promising although specimen collection method needed to be standardized. SS was comparable to TSS in detecting COVID-19 using RT-PCR assay, especially in symptomatic or confirmed cases. More Randomized controlled trials (RCTs) were still needed to clearly demonstrate the ability of SS to capture asymptomatic cases in the setting of mass surveillance, where patients would self-collect the specimen at ease.
BARRIERS TO REPORTING PATIENT SAFETY INCIDENT IN HEALTHCARE WORKERS: INTEGRATIVE LITERATURE REVIEW Deasy Amelia Nurdin; Adik Wibowo
Indonesian Journal of Health Administration Vol. 9 No. 2 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i2.2021.210-217

Abstract

Background: The patient safety incident reporting systems is designed to improve the health care by learning from mistakes to minimize the recurrence mistakes, however the reporting rate is low.Aims: Integrative literature review was chosen to identify and analyze the barriers of reporting patient safety incidents by Health Care Workers (HCWs) in hospital.Methods: Searching for articles in electronic database consisting of Medline, CINAHL and Scopus resulted in 11 relevant articles originating from 9 countries.Results: There are differences but similar in barriers to reporting patient safety incident among HCWs. The barriers that occur are the existence of shaming and blaming culture, lack of time to report, lack of knowledge of the reporting system, and lack of support from the management.Conclusion: Each hospital has different barriers in reporting incident and the interventions carried out must be in accordance with the existing barriers.Keywords: barrier of reporting, incident reporting, patient safety incident
Teledentistry pada Pelayanan Gigi dan Mulut dimasa Pandemi COVID-19 Tahun 2020-2021 : A Systematic Review Amelia Fauzia Rachim; Adik Wibowo; Yundri Martiraz
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 5 No. 2 (2021): Oktober 2021
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v5i2.2330

Abstract

Pelayanan kesehatan gigi dimasa pandemi menjadi hal yang diperhatikan karena rentannya tenaga medis maupun pasien yang tertular pada saat perawatan yang menghasilkan aerosol, oleh karena itu peran telemedicine menjadi alternatif yang di sarankan ditengah pandemi yang sedang terjadi saat ini, pasien dapat berkonsultasi tanpa harus bertatap muka dengan dokter gigi dan perencanaan perawatan lanjutan dapat lakukan dengan perjanjian lanjutan. Penelitian ini bertujuan untuk mengetahui apakah penggunaan teledentistry efektif dan menjadi alternatif terbaik dalam konsultasi masalah kesehatan gigi dan mulut. Metode penelitian dilakukan dengan Sistematik Review dengan pencarian data base melalui scopus, sciencedirect, proquest, dan pubmed yang dibatasi dari tahun 2020-2021 yang berkaitan dengan teledentistry dimasa pandemi.Setalah dilakukan penyaringan dan dilakukan kritial appraisal di dapat 7 artikel yang di telaah. Hasil didapatkan bahwa penggunaan teledentistry memberikan keefektifitasan dalam mendapatkan diagnosa, kemudahan dalam pengaplikasian, penghematan biaya, serta disisi dokter gigi didapatkan bahwa teledentistry sangat membantu di tengah pandemi pada proses konsultasi dan penjadwalan waktu yang tepat untuk dilakukan perawatan
NEONATE OUTCOME AND RESPONSE TIME FOR EMERGENCY CESAREAN SECTION : A SCOPING REVIEW Diah Melly Marlyana; Atik Nurwahyuni; Adik Wibowo
JURNAL KEDOKTERAN DAN KESEHATAN Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V10I1.19714

Abstract

Emergency CS response time guidelines by National Institute for Health Care Excellence (NICE) were difficult to implement in many countries and these constraints have led to poor neonate outcome in several previous study. This research aim to determine the affordability of emergency CS response time based on  NICE recommendation and its correlation to neonate outcome in lower-middle income countries and factors related to the response time. This scoping review data was extracted from several electronic data bases, which was accessed in February – March 2022, applying the PRISMA-ScR approach. Six eligible studies that meet inclusion criteria from 4,992 articles were obtained and analyzed. the average DDI achievement percentage was still lower than 20% in 5 studies, unless study from Gupta with DDI‘s achievement 42.4%. The response times recommended by NICE can‘t be met in many lower-middle-income countries with limited resources, factors related to delayed response times need to be corrected.
A well-understood surgical informed consent : a scoping review Rieke Cahya; Diah Melly Maryana; Adik Wibowo
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (815.464 KB) | DOI: 10.36418/syntax-literate.v7i12.10905

Abstract

The implementation of surgical consent has shifted from simply getting a signature to a focus on doctor-patient communication. Providing adequate information is very important for patients in making decisions so that patients do not feel forced to agree. Good understanding is required before a patient gives consent, but many patients have difficulty understanding and doctors fail to provide correct information. The aim of this scoping review is to investigate and evaluate patient comprehension of surgical informed consent provided by standard procedure or other methods and factors affecting patient comprehension. Three electronic database searches (ProQuest, ScienceDirect, and Scopus) were performed from 2017 until 2022. A total of 391 articles were identified and 25 articles were selected according to the PRISMA guidelines and the PCC framework. 9 of 11 articles stated that patient understanding level was low. Factors that influence it include education level, age and language limitations. 12 studies (85%) showed that patient understanding improved with the use of additional information media. Overall patient comprehension of surgical informed consent is low. This depending on the communication between the doctor and the patient. An interesting interventions can be used to improve patient understanding of surgical informed consent.
ANALISIS RESUME MEDIS RAWAT INAP TIDAK LENGKAP DENGAN MENGGUNAKAN KONSEP MASAAKI: SORT, STRAIGHTEN, SCRUB, SYSTEMATIZE, SUSTAIN (5S) DI RSU PARAMA SIDHI SINGARAJA BALI Pratiwi, IDN Yunita; Wibowo, Adik
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

The quality of the hospital’s medical resume is one of hospital’s services quality indicator, which Parama Sidhi General Hospital still have figure of 17,1% for the incompleteness of medical record data (KLPCM). The goal of this research is to improve the attending physician medical resume’s completion through Sort, Straighten, Scrub, Systematize, and Sustain concept (5S) by acknowledged connection between 5S concept and medical resume completeness efforts based on continues improvement. This research is a mixed method analysis, by using primary and secondary data. The secondary data showed 26,80% among 1362 medical resume files were not completed. Univariate analysis of the medical resumes displayed 1,8% incompletion administrative data, whereas 19,2% final diagnosis and 26% working diagnosis uncomplete as the minor and one of major issues from the clinical data perspective. Univariate analysis of primary data used 5S implementation questionnaire instrument showed that Scrub (S3) 81% and Systematize (S4) 19% as the most common and the least implemented component of 5S, called improvements at re-evaluation of the Standard Operating Procedures (SOP) implementation and its socialization, forms formatting and its filing mechanism, and hospital’s service policy to overcome the physician’s time shortage.