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Appendicitis Clinical Pathway Implementations Compliance Evaluation in Hospital Wijaya, Adi Indra; Dewi, Arlina; Listiowati, Ekorini
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.858 KB) | DOI: 10.12928/kesmas.v11i2.6871

Abstract

Background: Clinical pathway (CP) is a collaborative guidance for patients treatments that focused on diagnosis, clinical problems, and stages of care. CP implementation becomes a guideline on hospital quality and safety improvement for the patient services. Method: The research used a descriptive-qualitative mixed methods. Primary data collected through medical record and secondary data is done by interview and observation by using CP format. Results: From medical records total, 23 cases were found that met the inclusion criteria. The acute appendicitis case in adults is more than children in number (3,6:1). Acute appendicitis CP compliance is 86%. There are three problems in CP compliance of acute appendicitis i.e doctor's visit adherence (physician in charge of patient 87%, 0% anesthesia), 65% adherence therapy compliance, and 52% inpatient admission. The root of the problem is the lack of socialization, monitoring, and evaluation of established standards. Some activity variations may occur during each process from time to time that will produce a variety of the outcomes as well. How to reduce process variation is to standardize. The process of standardization includes the preparation, socialization, monitoring, control, evaluation and revision of thew standards. CP profit is that it could reduce variation, is a professional requirement, and the basis for quality measurement. Implementation of good standards will ensure the safety of patients and the healthcare providers. Conclusion: Almost all employees have conducted medical record (MR) in accordance with clinical pathway criteria as well, but the CP sheet is not included in the MR
Implementation Standards Access to Hospitals and Continuity Of Service Amri, Dwi Yuliannisa; Hidayah, Nur; Listiowati, Ekorini
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 1 (2019): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.8188

Abstract

Access to a hospital and continuity of services are very important for the continuity of the hospital so that people who need health services are interested in visiting the hospital and utilizing the health services. The aims of the research are to find out the implementation of access to the hospital and continuity of service at X Hospital. The design of the research was descriptive qualitative research with observation and interview to collect the data. In observation, the subjects are 180 patients registered. In the interview, step is human resources who concerned on hospital access and continuity of service. Data analysis used interviews coding and calculated the observation result. Results and discussion are Observations on the implementation of a standard operating procedure for hospital access and continuity of services have been carried out in excess of 80%, but there are obstacles in the implementation, one of which is not all clinical staffs know the step in standard operational procedure. The conclusion is Clinical staff has implemented the standard operational procedure of Hospital access and service continuity exceeds 80%. 
Hubungan Tingkat Pendidikan dan Ekonomi Orang Tua dengan Status Gizi Balita di Puskesmas Kraton, Yogyakarta Alqustar, Adam; Listiowati, Ekorini
Syifa'Medika Vol 4, No 2 (2014): Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan
Publisher : Faculty of Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/sm.v4i2.1403

Abstract

Status gizi merupakan gambaran kesehatan secara umum seorang balita. Banyak faktor yangdapat mempengaruhi perubahan gizi seorang balita. Tingkat pendidikan orang tua diduga dapatmempengaruhi perkembangan status gizi seorang balita. Begitu juga dengan tingkat ekonomiorang tua, diduga dapat mempengaruhi secara langsung maupun tidak langsung tingkat statusgizi balita. Penelitian bertujuan untuk mengetahui hubungan antara tingkat pendidikan danekonomi orang tua dengan status gizi balita. Penelitian menggunakan metode observationalanalytic-cross sectional. Populasi yang digunakan adalah balita yang ada di puskesmas Kraton,Yogyakarta. Sampel yang diambil berjumlah 53 orang dengan perhitungan rumus untuk ujikorelasi.Hasil penelitian pada uji korelasi hubungan tingkat pendidikan orang tua dengan statusgizi balita p=0,044 yang berarti bahwa hubungan antara status gizi dan pendidikan orang tuabermakna (p<0,05). Sedangkan pada uji korelasi hubungan tingkat ekonomi orang tua denganstatus gizi balita didapatkan p=530 yang berarti tidak terdapat hubungan bermakna antara statusgizi balita dengan pendapatan orang tua (p>0,05).Berdasarkan hasil penelitian, dapatdisimpulkan bahwa terdapat hubungan antara tingkat pendidikan orang tua dengan status gizibalita, dan tidak terdapat hubungan antara tingkat ekonomi orang tua dengan status gizi balita.
Hubungan Pengetahuan Ibu dan Tingkat Ekonomi Keluarga terhadap Perkembangan Motorik Balita Pratama, Prandy Novi Prima; Listiowati, Ekorini
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 13, No 2 (2013)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v13i2.1057

Abstract

Perkembangan motorik pada balita terdiri atas perkembangan motorik kasar dan motorik halus. Banyak faktor yang mempengaruhi perkembangan motorik balita. Pengetahuan ibu terhadap perkembangan motorik balita dan tingkat ekonomi keluarga diduga dapat mempengaruhi perkembangan motorik balita. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan ibu dan tingkat ekonomi keluarga terhadap perkembangan motorik balita. Penelitian ini menggunakan metode observational dengan disain cross sectional. Populasi yang digunakan adalah balita yang ada di Puskesmas Kraton, Yogyakarta pada periode waktu Mei – Juni 2012. Sampel yang diambil berjumlah 54 orang dengan perhitungan rumus untuk Uji Korelasi Spearman. Penelitian menunjukkan pengetahuan ibu tentang perkembangan motorik balita baik (53,7%) dan tingkat ekonomi sedang 44,4%, tinggi 9,3%. Hasil analisis hubungan tingkat pengetahuan ibu terhadap perkembangan motorik balita bermakna dengan p=0,03. Hubungan tingkat ekonomi keluarga dengan perkembangan motorik balita bermakna dengan p=0,038. Disimpulkan bahwa terdapat hubungan antara pengetahuan ibu dan tingkat ekonomi keluarga terhadap perkembangan motorik balita. Motor development in infants consists of the development of gross motor and fine motor skills. Many factors influence infant motor development. Knowledge of mother to infant motor development might and level of economic family impact on infant motor development. This study aimed to determine the relationship between mother’s knowledge and level of economic family  on motor development toddlers. This study uses cross-sectional observational method design. The population is under five years old in the clinic Kraton, Yogyakarta on May – June 2012. Sampels taken around 54 people with the calculation formula for the Spearman correlation test. This reaseach show a relationship between mother’s knowledge and toddler motor development is significan with p=0,03. And the relationship between level of economic family income to the toddler motor fdevelopment is significan with p=0,038. The conclusion is there is relationship between mother’s knowledge and level of economic family income to the toddler motor fdevelopment
Hubungan Frekuensi Pemberian Makanan Pendamping Air Susu Ibu (MP-ASI) dengan Berat Badan Anak Usia di Bawah Dua Tahun Agustina, Siti Wulandari; Listiowati, Ekorini
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 12, No 2 (2012)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v12i2.1011

Abstract

Pemberian Makanan Pendamping Air Susu Ibu (MP-ASI) yang tidak sesuai dengan kebutuhan anak dan pola asuh, akan menyebabkan gangguan tumbuh kembang anak pada usia 12-24 bulan. Berat badan anak dapat digunakan untuk menggambarkan status gizi seseorang maka berat badan akan bertambah mengikuti pertambahan umur. Tujuan penelitian ini adalah untuk menganalisis hubungan frekuensi pemberian makanan pendamping Air Susu Ibu (MP-ASI) dengan berat badan anak usia di bawah dua tahun di wilayah kerja Puskesmas Kraton Yogyakarta. Jenis penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Populasi adalah ibu yang mempunyai anak berusia di bawah dua tahun di Puskesmas Kraton Yogyakarta. Sampel 36 orang. Data dianalisis menggunakan uji Chisquare dan hasil perhitungan diperoleh 2hitung = 14,592 2tabel = 12,592, sehingga terdapat hubungan frekuensi pemberian MP-ASI dengan peningkatan berat badan anak usia di bawah dua tahun dengan didapatkan nilai signifikansi p=0,024 (p 0,05). Disimpulkan bahwa semakin tinggi frekuensi pemberian MP-ASI, maka berat badan anak semakin meningkat. Giving complementary feeding  which doesn’t suitable for children’s need and parenting pattern will cause growth deficiency in children at age 12-24 months. Children’s body weight can be used to describe the nutrition status and the body weight will be increase with increased of the age. This study aims to analyze the relationship between the frequency of co-feeding mother’s milk (the MP-ASI) with a weight of children under two years of age in Yogyakarta Kraton the Puskesmas. This study was an analytic observational with cross sectional approach. The population is mother has children under two years old in Puskesmas Kraton Yogyakarta. Samples taken 36 people with the calculation formula for the correlation test. The data analyzed using Chi-square test and the result was 2count = 14,592 2table = 12,592, which means that the relationship giving complementary feeding frequence with children weight under two years old significantly p value = 0,024 (p 0,05). It can conclude that the more frequent in giving complementary feeding so children weight will be more increase.
Hubungan Frekuensi Pemberian Makanan Pendamping Air Susu Ibu (MP-ASI) dengan Berat Badan Anak Usia di Bawah Dua Tahun Agustina, Siti Wulandari; Listiowati, Ekorini
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 12, No 2 (2012)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v12i2.1011

Abstract

Pemberian Makanan Pendamping Air Susu Ibu (MP-ASI) yang tidak sesuai dengan kebutuhan anak dan pola asuh, akan menyebabkan gangguan tumbuh kembang anak pada usia 12-24 bulan. Berat badan anak dapat digunakan untuk menggambarkan status gizi seseorang maka berat badan akan bertambah mengikuti pertambahan umur. Tujuan penelitian ini adalah untuk menganalisis hubungan frekuensi pemberian makanan pendamping Air Susu Ibu (MP-ASI) dengan berat badan anak usia di bawah dua tahun di wilayah kerja Puskesmas Kraton Yogyakarta. Jenis penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Populasi adalah ibu yang mempunyai anak berusia di bawah dua tahun di Puskesmas Kraton Yogyakarta. Sampel 36 orang. Data dianalisis menggunakan uji Chisquare dan hasil perhitungan diperoleh 2hitung = 14,592 2tabel = 12,592, sehingga terdapat hubungan frekuensi pemberian MP-ASI dengan peningkatan berat badan anak usia di bawah dua tahun dengan didapatkan nilai signifikansi p=0,024 (p 0,05). Disimpulkan bahwa semakin tinggi frekuensi pemberian MP-ASI, maka berat badan anak semakin meningkat. Giving complementary feeding  which doesn’t suitable for children’s need and parenting pattern will cause growth deficiency in children at age 12-24 months. Children’s body weight can be used to describe the nutrition status and the body weight will be increase with increased of the age. This study aims to analyze the relationship between the frequency of co-feeding mother’s milk (the MP-ASI) with a weight of children under two years of age in Yogyakarta Kraton the Puskesmas. This study was an analytic observational with cross sectional approach. The population is mother has children under two years old in Puskesmas Kraton Yogyakarta. Samples taken 36 people with the calculation formula for the correlation test. The data analyzed using Chi-square test and the result was 2count = 14,592 2table = 12,592, which means that the relationship giving complementary feeding frequence with children weight under two years old significantly p value = 0,024 (p 0,05). It can conclude that the more frequent in giving complementary feeding so children weight will be more increase.
Analysis of Hygiene and Sanitation Practice Within Hospital Foodservice Employees. a Case Study in a Private Hospital in Yogyakarta Hapsari, Oldriana Prawiro; Permana, Iman; Listiowati, Ekorini
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7380

Abstract

Hospitals are expected to provide service according to the accreditation committee standard. One of the accreditation criteria is Infection and Prevention Control, in which the hospital must minimalize infection risk from the provided facilities such as hospital food service. Analyzing food handlers hygiene and sanitian practice in PKU Muhammadiyah Gamping Hospital’s Food Service Unit. The research method is a qualitative method, and the design is a case study. Subjects of the research are 13 food handlers, one food service unit supervisor, one sanitation unit supervisor, one infection and prevention control unit, supervisor. Here we conducted a questionnaire to measure knowledge, an observation checklist to observe food handlers compliance and an in-depth interview for their perspective on hygiene and sanitation practice. Food handlers perspective in hygiene and sanitation practice, on knowledge wise 10 (76,92%) food handlers have good knowledge on hygiene and sanitation. 13 (100%) food handlers have a good practice and compliance on practicing food safety and hygiene and sanitation practice. The Conclusion and Advice there are some adversities such as neglection to wear personal protective types of equipment and some facilities need to be upgraded.
PENGUKURAN KINERJA ASRI MEDICAL CENTER DALAM PERSPEKTIF BALANCED SCORECARD Listiowati, Ekorini
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 1, No 2 (2012): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v1i2.1761

Abstract

 The company performance is a reflection of an activity results and condition of the company. The results of the activities of the company being analyzed, where the results will show the condition of the company's management during the period of performance analysis done. Asri Medical Center (AMC) is one of Muhammadiyah University of Yogyakarta units in health care, education and research belong to da’wa infrastructures. To realize its goal in providing quality health services for people, AMC has to make a performance appraisal regularly and continuously. The objective of this research is to measure the performance of AMC based on the Balanced Scorecard with reference to the performance standards in the AMC. This research is an eksploratoris case study that measured management performance with the Balanced Scorecard, which is assessing the performance not only from the financial aspect but also from non-financial aspects. The subjects of this research are AMC managers, and the data used is the data of 2010 and 2011. The data used are the primary data i.e field studies in the form of interview and observation and also secondary data in the form of general data and specific data on the AMC which includes financial and non financial data. AMC has been running the Balanced Scorecard stages, that is strategy formulation arranged as a result of the macro, industry environments analysis as well as SWOT analysis and has formulated a vision, mission, purpose, basic beliefs, basic values and strategy. The next phase, AMC has developed a strategic plan that includes strategic goal, target and strategic initiatives. The strategic targets have been formulated considering the financial perspective, customer perspective, business process perspective and learning and growth perspective. AMC has to define planning into work program with key performance indicators that can be measured and in accordance with performance standards for each medical center. Keywords: Performance appraisal, performance standard, balanced scorecard
EVALUASI PENERAPAN IDENTIFIKASI PASIEN DI BANGSAL RAWAT INAP RSI SITI AISYAH MADIUN Yudhawati, Donna Dwi; Listiowati, Ekorini
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 2 (2015): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.752

Abstract

Backgraund: This research is to reveal the evaluation of the application of identification patient at Siti Aisyah Madiun Islamic Hospital. The diversities and the routines of the services in hospital will make adverse event (KTD) if we don’t manage it properly. Errors due to misidentification patient happen almost in every aspect or diagnosis stages and treatment, so it needs the accuracy of patient’s identifications.Method: This research using qualitatif methods that produce descriptive data such as written words and verbal from people and observed attitude and study planning cases that exploits a problem with detail data retrictions, accompanied with detail data retrieval from many sources so can reflects patient identifications done by Siti Aisyah Islamic Hospital. Instruments used in this research is the search guidelines, in-depth interviews, FGD and RCA.Result and Discussion: This research result shows incident type of patient safety happens at Siti Aisyah Islamis Hospital. One of the causes is misidentifications patients. The nurses knowledge about the identification of patients had 100 % but the implementation of identification in hospital not optimal.Conclussion: The implementation of the identification of patients that should be done  by nurses not yet become a culture in Siti Aisyah Madiun Islamic Hospital and the implementation still far from the expectation. The suggestion from the researchers is management should do some evaluation and routine monitoring on the patient’s identifications in hospital to cultivate all nurses to identify patients become common culture nurse. Keyword : identification patient, patient safety incidents
The Effectiveness of Elderly Management Effort Activities towards Geriatric Depression Scale of Permanent Shelter Residents in Post Eruption of Merapi Ekorini Listiowati; Warih Andan Puspitosari; Kellyana Kellyana
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (74.926 KB) | DOI: 10.11591/ijphs.v4i4.4746

Abstract

Disasters can happen due to nature and human being which cause damages, loss, and deteriorating health as well as health care. Psychosocial and mental health problems arise whilst and post disaster since disaster will lead to trauma for those who undergo it. Depression has comorbidity with dementia which decreases the quality of life of the elderly, thus it needs an effective and sustainable treatment with the goal to recover coping mechanism toward physical and psycho-social problem, prevent physical and psycho-social disability, and optimize psycho-social function. The research aimed to analyze the effectiveness of Elderly Management Effort activities towards geriatric depression scale of permanent shelter residents in post Eruption of Merapi. This research is quasi-experimental research using pretest postest design. The subject of this research is 40 people which meet the inclusive criteria: elderly, living in shelter, having non-terminal illnesses, and willing to join the whole research. The exclusive criteria are having a medical record with severe psychological problem and DO which will be used for those who do not join all session completely. The samples were taken using consecutive sampling method. The instruments used in this research are the Geriatric Depression Scale and the Elderly Management Effort. The data were analyzed through t test and chi square. Decreasing of score was found for the Geriatric Depression Scale from 5.2 to 2.1 and back to the score 4.3 at the last intervention in the 10th month. The Elderly Management Effort through the activities in Posyandu including Dance Movement Therapy dan Reminiscence Therapy is proven effective to decrease the Geriatric Depression Scale in post disaster.