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All Journal Journal of Applied Health Management and Technology Madani : Indonesian Journal of Civil Society JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Bagus Dwi Handoko, Bagus Dwi
Technic of Radiodiagnostic and Radiotherapy Department, Polytechnic Health Ministry of Semarang
Humanities Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health

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Transforming CT-Scan Scheduling System in Hospital Through Web-Based Technology Hayati, Nur; Sudiyono, Sudiyono; Handoko, Bagus Dwi; Budiati, Tri Asih; Kartikasari, Yeti; Wibowo, Gatot Murti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.463

Abstract

The schedule for outpatient CT-Scan examinations at Bhayangkara Level I Hospital is encountered with problems, including recording errors due to poor patient manual scheduling and service delays. These challenges have been a great disadvantage to health workers and administrative systems, impacting the quality of health service. A web-based application, “SIJARO-CT,” in integration with the Hospital Health Management Information System (SIMRS), was designed and assessed to solve this problem. The method used for this study was R&D), which also placed emphasis on the ISO 9126 standard for system quality evaluation and its efficiency with regard to resources, time, cost, and quality of functional services. The results show that the system validation was rated 100% in the excellent range, which substantially improved resource use and quality of services (p=0.003). The study points out that even though the system potentially improves operational performance, its weaknesses include the single site implementation and limited scale as it shows quite room for further exploration. This research adds value to the healthcare sector through operationalizing, optimizing hospital management, and integrating these systems across levels to increase efficiency, service delivery, and satisfaction in healthcare sector institutions operating in a variety of contexts.
DESIGN AND CONSTRUCTION OF ORBITA PROTECTION EQUIPMENT FOR PANORAMIC EXAMINATION Indah Puspita, Mega; S.Si, M.Pd, Bagus Abimanyu; Handoko, Bagus Dwi; Wibowo, Ardi Soesilo; Darmawan, Erwin; isnoviasih, Susi tri; Fitriana, Ella
Journal of Applied Health Management and Technology Vol 6, No 2 (2024): October 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v6i2.11607

Abstract

Panoramic dental radiography uses X-rays to produce radiographs of the jaw and facial structures, from the teeth to the TMJ and the entire dental arch. Exposure to X-rays during an examination can be problematic because sensitive areas such as the thyroid gland and eyes adjacent to tooth structure also receive radiation exposure. Patients in panoramic examinations do not use eye radiation protection equipment for the orbit, namely Pb glasses, while the eyes are close to the dental arch which can receive radiation exposure, so eye radiation protection equipment is needed in panoramic examinations for patient safety. The aim of the research is to determine the function test and performance test of the Eye Radiation Protection Device.This type of research is quantitative research with an experimental approach. The research sample was 3 patients with variations of 3 kV: 70, 76, and 86 kV with a setting of 10 mA. The radiation dose to the eye was measured using a phantom and pocket dosimeter before and after using the radiation protection design tool, then looking for the average, difference and percentage and carrying out the Kruskal-Wallis spss test.The results of the three radiographs showed no artifacts, the exposure factor before using the device was 70 kV = 0.08 mSv, 76 kV = 0.17, 86 kV = 0.27 mSv while the radiation dose received after using the device with an exposure factor of 70 kV = 0 mSv, 76 kV = 0.86 kV = 0.003 mSv, while from the Kruskall-walls statistical test pre-test and post test kV 70 shows a significant value of 0.034 0.05, kV 76 does not show a significant value of 0.121 0.05, kV 86 shows a significant value of 0.043 0.05. The design of this eye radiation protection device has succeeded in reducing or reducing the radiation dose around the eyes by up to 100%. Meanwhile, the level of feasibility of the tool has a respondent score of 80%. Suggestions for using a thermoluminescence radiation measuring instrument (TLD) with smaller units, namely µSv.
Pelatihan Penggunaan Cairan Klorin Untuk Menurunkan Angka Mikroorganisme Pada Kaset Radiografi Kurniawati, Ary; Handoko, Bagus Dwi; Kurniawan, Andrey Nino
Madani : Indonesian Journal of Civil Society Vol. 6 No. 1 (2024): Madani : Februari 2024
Publisher : Politeknik Negeri Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35970/madani.v6i1.1845

Abstract

Radiography has an important role in diagnosing a patient's disease, but the equipment used has a considerable risk as a place for the development of nosocomial bacteria which can endanger the patient and radiographer. Cassettes, one of the tools in radiography, have the potential to become a medium for disease transmission and based on previous research it has been proven that there are microorganisms and fungi on the cassettes, so the cassettes need to be cleaned regularly. One of the duties of a radiographer in the field of radiology services is the management of radiology equipment facilities and infrastructure. Cleaning the cassette with 70% alcohol can reduce the number of microorganisms on its surface. The methods in this activity are lectures, simulations, and practice cleaning cassettes with chlorine. The activities were carried out at the Laboratory of the Department of Radiodiagnosis and Radiotherapy Technique at the Semarang Health Polytechnic Ministry with radiographers from hospitals and clinical laboratories in the city of Semarang. The activity begins with the registration, opening, delivering material to the participants, and the simulation of resource persons. Evaluation is done by filling in the pretest and posttest. The evaluation results showed an increase in participants' knowledge of 63% about how to clean cassettes using liquid chlorine to reduce the number of microorganisms on radiographic cassettes. With this training, radiographers are expected to be able to apply cleaning radiographic cassettes with liquid chlorine 0,5% in their respective institutions.
DESIGN AND CONSTRUCTION OF ORBITA PROTECTION EQUIPMENT FOR PANORAMIC EXAMINATION Indah Puspita, Mega; S.Si, M.Pd, Bagus Abimanyu; Handoko, Bagus Dwi; Wibowo, Ardi Soesilo; Darmawan, Erwin; isnoviasih, Susi tri; Fitriana, Ella
Journal of Applied Health Management and Technology Vol. 6 No. 2 (2024): October 2024
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v6i2.11607

Abstract

Panoramic dental radiography uses X-rays to produce radiographs of the jaw and facial structures, from the teeth to the TMJ and the entire dental arch. Exposure to X-rays during an examination can be problematic because sensitive areas such as the thyroid gland and eyes adjacent to tooth structure also receive radiation exposure. Patients in panoramic examinations do not use eye radiation protection equipment for the orbit, namely Pb glasses, while the eyes are close to the dental arch which can receive radiation exposure, so eye radiation protection equipment is needed in panoramic examinations for patient safety. The aim of the research is to determine the function test and performance test of the Eye Radiation Protection Device.This type of research is quantitative research with an experimental approach. The research sample was 3 patients with variations of 3 kV: 70, 76, and 86 kV with a setting of 10 mA. The radiation dose to the eye was measured using a phantom and pocket dosimeter before and after using the radiation protection design tool, then looking for the average, difference and percentage and carrying out the Kruskal-Wallis spss test.The results of the three radiographs showed no artifacts, the exposure factor before using the device was 70 kV = 0.08 mSv, 76 kV = 0.17, 86 kV = 0.27 mSv while the radiation dose received after using the device with an exposure factor of 70 kV = 0 mSv, 76 kV = 0.86 kV = 0.003 mSv, while from the Kruskall-walls statistical test pre-test and post test kV 70 shows a significant value of 0.034 <0.05, kV 76 does not show a significant value of 0.121 > 0.05, kV 86 shows a significant value of 0.043 <0.05. The design of this eye radiation protection device has succeeded in reducing or reducing the radiation dose around the eyes by up to 100%. Meanwhile, the level of feasibility of the tool has a respondent score of 80%. Suggestions for using a thermoluminescence radiation measuring instrument (TLD) with smaller units, namely µSv.
Co-Authors Andrey Nino Kurniawan, Andrey Nino Ardi Soesilo Wibowo, Ardi Soesilo Budiati, Tri Asih Erwin Darmawan Fitriana, Ella Gatot Murti Wibowo, Gatot Murti Kurniawati, Ary Nur Hayati Puspita, Mega Indah S.Si, M.Pd, Bagus Abimanyu Sudiyono Sudiyono Susi Tri Isnoviasih Yeti Kartikasari, Yeti