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A Literatur Review “Strategi Manajemen Risiko Untuk Meningkatkan Keselamatan Pasien di Rumah Sakit” Sri Utami, Rahmawati; Erma Santi, Dwi; Zakiyah, Ana
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 4 (2024): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i4.2496

Abstract

Patient safety incidents, one of which is the unexpected event of patient injury, should not occur in hospitals, so risk management programs are very important to implement, but in the implementation of the care process, patient safety incidents still occur. Implementing effective risk management is an important strategy to identify, analyze, and mitigate risks that may compromise patient safety. The purpose of this study was to review risk management strategies used in hospitals to improve patient safety. The method used in this literature review utilizes a comprehensive strategy, such as searching for articles in research journal databases, searching through the internet, reviewing articles. The database search used includes database searches used including Science Direct getting 29,162 articles, Pubmed getting 527 articles, Google Scholar getting 9370 articles, and Scopus getting 10 articles. The keywords used in the article search were risk management and patient safety. After going through the identification, screening and eligibility stages, 10 articles were obtained that were suitable through analysis of objectives, suitability of topics, research methods used, sample size, research ethics, results of each article, and limitations that occurred. The results showed that implementing an incident reporting system, regular staff training, improving standard operating procedures (SOP) and implementing health information technology are important steps to reduce patient safety incidents. Integrated and sustainable risk management has been shown to improve the quality of care and provide better protection to patients. This study recommends that hospitals continue to strengthen their safety practices and increase collaboration in risk management.
Nursing Diagnosis in Perioperative Cataract and Comorbidity Zakiyah, Ana; Pratiwi, Chaterina Janes; Styowati, Tiwuk
Journal of Ners and Midwifery Vol 10 No 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i1.ART.p113-120

Abstract

Nurses are essential in providing nursing care to patients for pre, intra, and postoperative cataracts. An appropriate nursing diagnosis can help clients achieve optimal health. The purpose of the study was to identify nursing diagnoses in pre,intra, and postoperative cataracts. The design of the study used qualitative descriptive research design. The population of all patients undergoing surgery was 30, and data was collected through interviews and observations. The results of the study: preoperative nursing diagnosis consisted of sensory perception and anxiety disorders 30 (100%), impaired physical mobility, activity intolerance, and risk of falling 3 (10%), knowledge deficit 2(6,7%), body image disorders 1 (3,3%). Intraoperative nursing diagnosis: impaired tissue integrity 30 (100%), acute pain 7(23,3%), hypothermia 4 (13%), hypothermia risk 3 (10%). Postoperative nursing diagnosis, all participants experienced sensory perception disorders 30 (100%), acute pain 7(23.3%), infection risk 5(16,7%), impaired physical mobility, activity intolerance and fall risk 3 (10%), knowledge deficit 2(6.7%). Comorbidity affects the enforcement of nursing diagnoses. The correct nursing diagnosis is a reference for nurses in providing continuous intervention so that quality nursing services are obtained
Ethnic Group and Religion Along with Other Factors Affect The Spiritual Needs of The Elderly with Chronic Diseases in Indonesia Andriyanto, Arief; Rahmawati, Ima; Windartik, Emyk; Zakiyah, Ana; Yuniarti, Enny Virda
JURNAL INFO KESEHATAN Vol 23 No 2 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss2.1899

Abstract

Spirituality helps the elderly adapt to changes in themselves. The process of healing chronic diseases in the elderly requires good spirituality. However, in reality, many elderly people still have low spirituality. This study considers the factors of spiritual needs of elderly people with chronic illnesses in Indonesia. Descriptive correlation research design with a cross-sectional approach. The sample was 210 elderly people taken by purposive sampling. The independent variables studied include age, gender, religion, ethnic group, education, work, history of illness, ADL, and cognitive function. The dependent variable is spiritual needs. The research instrument in the form of the Spiritual Needs Questionnaire (SpNQ). A linear regression test to simultaneously correlate several dependent variables with independent variables by following several modeling assumptions. There is a significant relationship between religious factors (0.01), ethnicity (0.003), cognitive function (0.04), and the spiritual needs of elderly people with chronic diseases (<0.05). The equation obtained from modeling can predict the value of the spirituality needs of elderly people with chronic illnesses. Respondents who have sufficient spiritual needs because they are good at connecting with other people, nature/the environment, and God.           
Improving Cognitive Skills In School-Age Children about Prevention of Diabetes Mellitus through Diabetamon Games Andriyanto, Arief; Zainuri, Imam; Yuniarti, Enny Virda; Zakiyah, Ana
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1575

Abstract

Diabetes is not solely an adult health issue—it has also become a growing concern among school-age children. The rise in childhood obesity has contributed to an increasing incidence of type 2 diabetes in children and adolescents, which now parallels and sometimes surpasses that of type 1 diabetes. Parents need to take proactive steps to prevent this disease by providing accurate information to their children. Children can also gain knowledge through educational approaches aimed at enhancing their cognitive abilities, including through games. This study aims to analyze the effectiveness of the Diabetamon game in improving cognitive skills related to diabetes mellitus prevention among school-age children. This research used a quasi-experimental design with a control group. A total sample of 99 school-age children was divided into an intervention group (47 students) and a control group (52 students), selected using proportional random sampling. The study was conducted over a one-month period, with the intervention delivered twice a week for 60 minutes over three weeks. Data collection instruments included a questionnaire and an observation checklist to assess children’s snack habits. Statistical analysis was performed using paired t-tests to examine within-group changes and independent samples t-tests to compare between-group differences, with a significance level of p<0.05. The results showed that the cognitive abilities of the intervention group improved significantly compared to the control group. The Diabetamon game was proven effective in enhancing school-aged children's knowledge about the importance of consuming fruits and vegetables, in line with the pillars of balanced nutrition and physical activity.
Literature Review Penerapan Management Resiko pada Pelayanan Kesehatan Rumah Sakit Budiani, Ni Putu Sri; wahyuningsih, Deni; Zakiyah, Ana
Jurnal Keperawatan Vol 23 No 1 (2025): Jurnal Keperawatan Maret 2025
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v23i1.1410

Abstract

Proses manajemen risiko mencakup penilaian, identifikasi, dan pengaturan prioritas risiko yang dilakukan secara proaktif, bertujuan untuk meminimalkan kemungkinan terjadinya Kejadian Tidak Diinginkan (KTD) dan risiko lain yang dapat mengancam keselamatan pasien dan tenaga kerja. Tujuan: Studi literatur ini bertujuan mengidentifikasi penerapan manajemen risiko pada pelayanan kesehatan rumah sakit . Metode: Pencarian artikel jurnal dilakukan pada 2 database jurnal, yaitu Google Scholar, PubMed. Terdapat 236 artikel yang didapatkan dalam proses pencarian jurnal dan 6 artikel yang memenuhi kriteria inklusi untuk dilakukan review lebih lanjut. Hasil: hasil review artikel menunjukan bahwa Manajemen risiko harus diterapkan dengan baik agar dapat meminimalkan potensi insiden yang berisiko terhadap keselamatan pasien. Elemen penting dalam implementasi manajemen risiko di rumah sakit meliputi pemahaman staf, kepemimpinan yang efektif, kebijakan strategis yang diterapkan oleh rumah sakit, serta keberadaan posisi yang bertanggung jawab atas program untuk menjamin kelancaran pelaksanaan manajemen risiko. Kesimpulan: Peningkatan efektivitas program manajemen risiko dapat dicapai melalui pengembangan kebijakan strategis dalam pelayanan kesehatan dan penunjukan individu yang bertanggung jawab atas program, sehingga program dapat dilaksanakan dengan efektif.
Literature Review : Dampak Penggunaan Dokumentasi Keperawatan Elektronik Terhadap Keselamatan Pasien Argentina, Ita Bagus; Ariyanto, Achmad; Zakiyah, Ana
Jurnal Keperawatan Vol 23 No 1 (2025): Jurnal Keperawatan Maret 2025
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v15i1.1422

Abstract

Rekam medis elektronik merupakan suatu sistem yang memungkinkan penyimpanan data pasien secara digital, menggantikan metode tradisional berbasis kertas. Pelaksanaan dokumentasi keperawatan yang tidak sesuai standar menurunkan komunikasi antar tim dan berdampak negatif pada kualitas asuhan keperawatan. penggunaan EMR dengan dukungan faktor sistem informasi, sarana dan prasarana, serta kompetensi pengguna dalam melaksanakan dokumentasi elektronik sehingga menjadi strategi dalam mengurangi dampak merugikan dari penggunaan catatan keperawatan terhadap keselamatan pasien. Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan rekam medis elektronik terhadap keselamatan pasien di rumah sakit menjadi sangat relevan dan penting. Penelitian ini menggunakan metode literature review. Pencarian literatur menggunakan panduan alur dari diagram prisma. Database online yang digunakan ada 2, yaitu PubMed dan Google Scholar. Kajian artikel dan jurnal penelitian yang dicari melalui penelusuran database online yang terbit tahun 2019-2024. Kriteria inklusi yang ditetapkan pada penelitian ini antara lain: 1) literature berbentuk jurnal ilmiah 2) sumber jurnal ilmiah pubMed dan google scholar, 3) jurnal ilmiah memiliki akses terbuka, 4) tahun publikasi jurnal ilmiah tahun 2019-2024, 5) pembahasan dalam jurnal meliputi rekam medis elektronik dalam meningkatkan keselamatan perawatan pasien. Sementara kriteria ekslusi pada penelitian ini yaitu semua hal yang tidak termasuk kriteria inklusi. Hasil penelitian menunjukkan bahwa sebanyak 5 artikel digunakan dalam penelitian ini. Hasil penelitian menunjukan studi kasus ini bahwa pendokumentasian berbasis elektronik berimplikasi terhadap peningkatan keselamatan pasien. Kajian ini menemukan wawasan baru yang komprehensif terkait dampak penggunaan dokumentasi keperawatan elektronik baik yang menguntungkan maupun merugikan dalam upaya menjaga keselamatan pasien.