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Analysis of the Implementation of the e-Primary Health Center Application in Improving Primary Health Center Performance in Merangin District Lestari, Fajar; Asparian, Asparian; Herwansyah, Herwansyah
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 6 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i6.603

Abstract

Introduction: Digital health information systems are a key strategy for improving the quality and efficiency of primary health care services. Objective: This study aimed to analyze the implementation of the e-Puskesmas application in improving Primary Health Center performance in Merangin District. Methods: A qualitative study with an exploratory design was conducted through in-depth interviews, observations, and document reviews involving informants from the district health office and selected primary health centers. Data were analyzed using an interactive model consisting of data reduction, data display, and conclusion drawing, supported by triangulation techniques. Results and Discussion: The implementation of e-Puskesmas was supported by human resources, infrastructure, financial allocation, and policy support from the district health office. The application contributed to improving efficiency in data recording, timeliness of reporting, and management of health service information. However, several challenges remained, including inconsistent communication, limited resources, workload due to dual systems, unstable internet connectivity, and variations in digital literacy among health workers. Conclusions: The e-Puskesmas application has contributed to improving primary health center performance; however, optimization requires strengthening human resources, infrastructure, and data governance, as well as enhancing technical support to ensure sustainable implementation
The Relationship of Individual Characteristics, Work Stress and Work Fatigue with Patient Safety Culture at X Hospital, East Tanjung Jabung Regency in 2025 Agusnawati, Agusnawati; Guspianto, Guspianto; Asparian, Asparian; Amir, Andy; Kalsum, Ummi; Eka Rini, Willia Novita; Muldiasman, Muldiasman
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 6 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i6.604

Abstract

Introduction: Patient safety is a fundamental component of hospital service quality and is strongly influenced by patient safety culture. Various individual factors, including demographic characteristics, job stress, and work-related fatigue, are considered to play an important role in shaping patient safety culture in hospitals. Objective: The study population consisted of all hospital staff, both clinical and non-clinical, with a total sample of 197 respondents selected using proportional random sampling. Method: This study employed an observational analytic design with a cross-sectional approach. Result and Discussion: showed that patient safety culture at RSUD X, Tanjung Jabung Timur Regency, was predominantly in the low category. Bivariate analysis indicated a significant relationship between gender and patient safety culture, while age, education level, employment status, length of work, job stress, and work fatigue were not significantly associated with patient safety culture. Multivariate analysis revealed that gender was the most dominant factor associated with patient safety culture. Conclusions: patient safety culture at RSUD X still requires improvement, and gender is the most influential individual factor related to patient safety culture
Individual Characteristics and Organizational Factors Related to Patient Safety Culture at Regional General Hospital X, East Tanjung Jabung Regency in 2025 Sartika, Yuli Maya; Guspianto, Guspianto; Muldiasman, Muldiasman; Amir, Andy; Kalsum, Ummi; Eka Rini, Willia Novita; Asparian, Asparian
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 6 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Patient safety culture is an important indicator of service quality and safety in hospitals. A low level of patient safety culture implementation may increase the risk of patient safety incidents. This study aimed to analyze individual and organizational factors associated with the implementation of patient safety culture at RSUD X, Tanjung Jabung Timur Regency. Objective: . The study population consisted of 340 individuals, with a sample of 198 respondents selected using proportionate stratified random sampling. Method: This study employed a quantitative cross-sectional design. Result and Discussion: The results showed that patient safety culture at RSUD X remained at a low level, with a mean score of 67.65. Bivariate analysis indicated significant associations between gender, employment status, and educational level with patient safety culture, as well as between leadership and management systems with patient safety culture. Multivariate analysis revealed that gender, employment status, education, leadership, training, management systems, and safety climate were associated with the implementation of patient safety culture, with education identified as the dominant factor after controlling for other variables., Conclusions: : Strengthening human resource capacity and continuously improving organizational factors are necessary to enhance patient safety culture in hospitals
The Relationship Between Individual Characteristics and Work Unit Factors With Patient Safety Culture at Regional Hospital X, Tanjung Jabung Timur Regency Yansyah, Noveri; Guspianto, Guspianto; Noerjoedianto, Dwi; Amir, Andy; Asparian, Asparian; Kalsum, Ummi; Eka Rini, Willia Novita
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 6 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i6.606

Abstract

Introduction: Patient Safety Culture (PSC) remains critically low at Regional General Hospital X, Tanjung Jabung Timur Regency, necessitating a systematic investigation of its determinants. Objective: This study aims to analyze the relationship between demographic characteristics and work unit factors and patient safety culture at Regional General Hospital X, Tanjung Jabung Timur Regency, in 2025. Method: Proportional random sampling was employed, and data were collected using the standardized Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. Bivariate analysis identified significant associations between PSC and several variables, including gender, education, employment status, work area, and workload. Multivariate logistic regression confirmed that work unit factors constituted the most dominant predictor of PSC Results and discussion: These findings indicate that PSC improvement requires targeted organizational interventions — particularly in workload management, interprofessional communication, and teamwork — rather than approaches focused solely on individual characteristics Conclusion: This study found that demographic characteristics and work unit factors have a significant relationship with patient safety culture at Regional General Hospital X, East Tanjung Jabung Regency. Therefore, efforts are needed to improve patient safety culture by strengthening work unit management, improving communication, teamwork, and optimal workload management to support the quality and safety of healthcare services in the hospital
Co-Authors Adelina Fitri Adila Solida Agusnawati, Agusnawati Ahmad Thohir Hidayat Aldri Frinaldi Amanda, Tri Julia Andree Aulia Rahmat Andy Amir Anjani, Putri Surya Aprilianti, Dewi Ariyanto Ariyanto Ariyanto, Ariyanto Ariyanto Arnati Wulansari Arnild Augina Mekarisce Ashar Nuzulul Putra Azizah, Fitri Budi Aswin Butar Butar, Marta Butar, Marta Butar Danu Pendawa Darmawan, Tuhfah Fitria David Kusmawan Dena Tri Solehaini Dessy Pramudiani Dinda Oktafia Dwi Septiani Efni, Nel Eka Rini, Willia Novita Enda Setiana Evy Wisudariani Fajar Lestari Fajrina Hidayati Febby Oktariani Febby Oktariani Fitri Azizah Fitri, Ridhatul Guspianto Guspianto Helmi Suryani Nasution Hendra Dhermawan Sitanggang Herwansyah . Herwansyah, Herwansyah Hubaybah Hubaybah Hubaybah, Hubaybah Humayroh, Nasywa Hutahaean, Artika Ismi Nurwaqiah Ibnu Jesi Vania Anoska Sembiring Kartini Apriandini Kasyani Kasyani Kasyani Kasyani Kasyani, Kasyani La Ode Reskiaddin Leony Lorenza Lesmana S, Oka Lia Nurdini Lisna, Lisna M. Dody Izhar M. Ridwan M. Ridwan M. Ridwan M. Syukri M.Ridwan Marta Butar Butar Mastura, Mastura Melsa, Sosa Mizya Sabtheca Simanjuntak Muhammad Farhan Situmorang Muhammad Ridwan Muhammad Rifqi Azhary Muhammad Syukri Muldiasman, Muldiasman Munawarah, Ratu Atikah Nasution, Helmi Suryani Nelly Sulis Tilawati Nur Fauziah Putri Auliah Nurlinawati, Nurlinawati Nursafira Rianita Nurul Qalbi Nurul Qalbi, Nurul Oktafia, Dinda Pasaribu, Wiwin Astry Puspita Sari Puspita Sari Puspita Sari Putri, Chindy Ismira Rahmatila, Naura Arfa Rakhe Maihanda Ramadhani Eka Putri Rheyna Leony Rianita, Nursafira Rini, Willia Novita Eka Romaningsih Romaningsih Rumita Ena Sari Safitri Safitri Sartika, Yuli Maya Sela Indria Sari Seli Pitriyanti Septa Decelita Wahyuni Septania, Windi Silvia Mawarti Perdana Siregar, Sri Asturi Sisca Septiani Siska Septiani Siti Mashirotul Khoiriyah Siti Mashirotul Khoiriyah Sofira, Mawar Dia Solihin Sayuti Sri Asturi Siregar Sri Astuti Siregar Sri Astuti Siregar Sri Maharani Syahfira, Azzahra Tina Yuli Fatmawati Ulanda Nita Kurnia Ummi Kalsum Usi Lanita Vinna Rahayu Ningsih, Vinna Rahayu Yansyah, Noveri Yulmardi Yulmardi Yunanda, Fina Ayu Zulfanetti, Zulfanetti