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All Journal Jurnal Kedokteran Brawijaya JAM : Jurnal Aplikasi Manajemen
Arma Roosalina, Arma
RSUD Bangil
Decision Sciences, Operations Research & Management Medicine & Pharmacology

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Faktor-faktor yang Mempengaruhi Tingginya Angka Kematian di IGD Rumah Sakit Limantara, Rudy; Herjunianto, Herjunianto; Roosalina, Arma
Jurnal Kedokteran Brawijaya Vol 28, No 2 (2015)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.013 KB) | DOI: 10.21776/ub.jkb.2015.028.02.15

Abstract

Angka kematian pada Instalasi Gawat Darurat merupakan indikator penting kinerja rumah sakit. Data angka kematian pada tahun 2013 sangat tinggi, baik GDR, NDR maupun kematian di IGD ≤ 24jam. Kajian dilakukan untuk mengevaluasi penyebab masalah tingginya angka kematian ≤ 24jam di IGD. Untuk mencari akar penyebab masalah digunakan analisis tulang ikan (fishbone) dengan data dari observasi, wawancara yang dibahas melalui FGD. Dalam memilih alternatif solusi digunakan teori tapisan Mc Namara. Gambaran pola kematian menunjukkan kematian terbesar pada 6-12 jam pertama yang juga dipengaruhi jenis morbiditas dan usia pasien. Analisis akar masalah mengidentifikasi faktor pre-hospital, sumberdaya manusia, dan kinerja monitoring komite mutu sebagai determinan keterlambatan penanganan yang dapat meningkatkan risiko kematian. Faktor kontributor utama adalah belum optimalnya standar prosedur operasional pengelolaan emergency meskipun response time sudah cukup optimal sehingga perlu dilakukan emergency drill secara berkala.Kata Kunci: Angka kematian, emergency drill, Instansi Gawat Darurat (IGD), Standar Prosedur Operasional (SPO)
Analysis of Factors for Incomplete Informed Consent at Medical Record Installation of Bangil Regional General Hospital in 2021 Mahbubah, Mahbubah; Roosalina, Arma; Holipah, Holipah
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.7s

Abstract

All medical procedures on patients must be initiated by completing the informed consent. According to the hospital's minimum service standard, the completeness of informed consent filling is 100%, but the achievement of informed consent completeness at Bangil Regional General Hospital is still 37%. This study analyzed the causative factors of incomplete informed consent at Bangil General Hospital. The data analysis method used was descriptive. Data collection techniques were document studies and focus group discussions (FGD). Document studies were conducted on 100 informed consent documents, and FGD was done with 17 people consisting of 7 physicians-in-charge and 10 installation heads. The results of the FGD were analyzed using a fishbone diagram and revealed a list of problems that caused incomplete informed consent at Bangil General Hospital; then, scoring was carried out to determine the three main factors driving the problem of incomplete informed consent at the hospital. The three main factors for incomplete informed consent were the absence of a flow or policy guide for filling out, the unavailability of informed consent documents in outpatient installations, and the absence of a person in charge of the room for filling out informed consent.
CAUSES OF EMPTINESS DRUGS AND MEDICAL DEVICES CONSUMABLES AT THE REGIONAL PUBLIC HOSPITAL PHARMACEUTICAL WAREHOUSE Burhan, M.; Harijanto, Tatong; Roosalina, Arma
Jurnal Aplikasi Manajemen Vol. 16 No. 3 (2018)
Publisher : Universitas Brawijaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.302 KB) | DOI: 10.21776/ub.jam.2018.016.03.20

Abstract

One of the main indicators of quality of hospitals Bangil is the incidence of emptiness drugs and medical devices consumables in the pharmaceutical warehouse. In January to August 2016, the incidence rate is still high vacancy. The high incidence of these gaps affects the quality of hospital services. This study aims to determine the factors that cause a high incidence of emptiness drugs and medical devices consumables in the pharmaceutical warehouseRegional public hospital at bangil. Factors that cause the problems can be found using the fishbone analysis method. The research is qualitative research with the informant as follows: head of the pharmacy, head of the outpatient pharmacy, head of the inpatient pharmacy, pharmaceutical warehouse chief, commitment maker official, technical implementation official. The data obtained from depth interviews with the informant. Identification of alternative solutions was conducted using Focus Group Discussion (FGD). Factors that were discovered and became a priority issue is no calculation of the minimum stock and maximum stock at the pharmacy module hospital information system (SIMRS). Alternative solutions isto create a policy on the calculation of minimum stock and maximum stock of drugs and medical devices consumable in hospital pharmacy.
Analysis of Factors for Incomplete Informed Consent at Medical Record Installation of Bangil Regional General Hospital in 2021 Mahbubah, Mahbubah; Roosalina, Arma; Holipah, Holipah
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.7s

Abstract

All medical procedures on patients must be initiated by completing the informed consent. According to the hospital's minimum service standard, the completeness of informed consent filling is 100%, but the achievement of informed consent completeness at Bangil Regional General Hospital is still 37%. This study analyzed the causative factors of incomplete informed consent at Bangil General Hospital. The data analysis method used was descriptive. Data collection techniques were document studies and focus group discussions (FGD). Document studies were conducted on 100 informed consent documents, and FGD was done with 17 people consisting of 7 physicians-in-charge and 10 installation heads. The results of the FGD were analyzed using a fishbone diagram and revealed a list of problems that caused incomplete informed consent at Bangil General Hospital; then, scoring was carried out to determine the three main factors driving the problem of incomplete informed consent at the hospital. The three main factors for incomplete informed consent were the absence of a flow or policy guide for filling out, the unavailability of informed consent documents in outpatient installations, and the absence of a person in charge of the room for filling out informed consent.
Co-Authors Burhan, M. Herjunianto Herjunianto Holipah, Holipah Mahbubah, Mahbubah Rudy Limantara, Rudy Tatong Harijanto, Tatong