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EVALUASI PELAKSANAAN SASARAN KESELAMATAN PASIEN SESUAI AKREDITASI RUMAH SAKIT VERSI 2012 DI RUMAH SAKIT KHUSUS IBU DAN ANAK PKU MUHAMMADIYAH KOTAGEDE YOGYAKARTA Sundoro, Totok; Rosa, Elsye Maria; Risdiana, Irma
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

The purpose of this study was to knowing description (policy, implementation, barriers, recommendation) on compliance efforts in patient safety goals RSKIA PKU Muhammadiyah Yogyakarta Kota Gede. Qualitative research with case study design (case study). Subjects were hospital management, the staff of the hospital and the patient. The study object is the implementation of Patient Safety Goals Hospital Accreditation Hospital In Version 2012. Policy and implementation for the implementation of 6 targets have not been fully made patient safety and well-executed yet because there are still adhere to standards that do not, do not know the rules, socialization and motivation are lacking and there is no management support. Recommendation needs to be done is the hospital management and the need to formulate a policy direction that comes with phasing as a guide to target patient safety in hospitals.
ANALISA ASSESMEN STANDAR PELAYANAN KESEHATAN DI INSTALASI GAWAT DARURAT RS PKU MUHAMMADIYAH SRUWENG TAHUN 2012 Sandy, Noffi Julia; Wijaya, Aris Suparman; Risdiana, Irma
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 1, No 2 (2012): July
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

Government regulations governing the technical requirements contained in the emergency room in RI KEPMENKES NO. 856/Menkes/SK/IX/2009 Standards governing the ER (emergency room) .This study aims to find out analysis of assessment results PKU Muhammadiyah Hospital emergency room services Sruweng and compliance with the standards according to KEPMENKES RI NUMBER 856/Menkes/SK/IX/2009 Standards governing the ER  Hospital. The study is qualitative research case study design. Research subjects were all medical and paramedical personnel who served in the emergency room, facilities and existing facilities and services in the IGD. Method of data collection is done by using the instruments of observation checklist with a list of statements of service standards according to IGD Kepmenkes No. 856/Menkes/SK/IX/2009, further in-depth interviews. The results the assessment conducted in PKU Muhammadiyah Hospital ER Sruweng through field observations and interviews were IGD service has exceeded the standard level of I is by achieving 103.50% and the achievement of outcomes assessment for level II emergency room services is quite high is 88.81%. Conclusion  is more than the standard level I. However, to reach  higher level  is level II, IGD PKU Muhammadiyah Hospital Sruweng still require improvement and development to meet the service standards.  Keywords: Assessment, Standards of IGD
Pengaruh Pemberian Kombinasi Probiotik dan Seng terhadap Frekuensi dan Durasi Diare pada Pasien Anak di Rumah Sakit PKU Muhammadiyah Yogyakarta Huda, Nurul; Perwitasari, Dyah A.; Risdiana, Irma
Indonesian Journal of Clinical Pharmacy Vol 6, No 1 (2017)
Publisher : Indonesian Journal of Clinical Pharmacy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (530.68 KB) | DOI: 10.15416/ijcp.2017.6.1.11

Abstract

Berdasarkan Survei Kesehatan Rumah Tangga dan Riset Kesehatan Dasar dari tahun ke tahun,diare merupakan penyebab utama kematian balita di Indonesia. Penggunaan probiotik untuk diareakut pada anak sudah digunakan secara luas meskipun belum direkomendasikan oleh World HealthOrganization (WHO). Penelitian yang membandingkan penambahan probiotik pada terapi standar diaremasih sangat terbatas, oleh karena itu penelitian ini dilakukan untuk mengetahui pengaruh pemberianprobiotik yang diberikan secara bersamaan dengan terapi standar diare terhadap frekuensi dan durasidiare akut pada anak. Penelitian ini menggunakan desain kohort dengan pengambilan data dilakukansecara prospektif pada pasien diare akut pada anak di Unit Rawat Inap Anak RS PKU MuhammadiyahYogyakarta periode September–Desember 2015. Subjek yang diamati adalah pasien yang mendapatkanterapi standar diare (cairan rehidrasi dan seng) sebagai kelompok I, dan yang mendapatkan terapistandar diare (cairan rehidrasi dan seng) yang dikombinasikan dengan probiotik sebagai kelompok II.Variabel pengamatan utama adalah frekuensi dan durasi diare. Perbedaan frekuensi diare dan durasidiare antar kelompok yang terdistribusi normal dianalisis dengan uji parametrik yaitu uji t-test tidakberpasangan, sedangkan yang tidak terdistribusi normal dianalisis dengan uji non-parametrik yaitu ujiMann-Whitney. Selama periode penelitian diperoleh 44 subjek yang memenuhi kriteria inklusi, yangterdiri dari 38 subjek yang mendapatkan terapi cairan rehidrasi, seng dan probiotik dan sebanyak6 subjek yang mendapatkan terapi cairan rehidrasi dan seng. Frekuensi diare lebih sedikit padakelompok I dengan nilai rata-rata 1 kali dibanding kelompok II yaitu 3 kali (p=0,024). Durasi diarelebih singkat pada kelompok I dengan nilai rata-rata 46 jam 30 menit dibanding kelompok II dengannilai rata-rata 53 jam 10 menit (p=0,515). Dari penelitian ini disimpulkan bahwa pemberian probiotikpada terapi standar diare tidak menunjukkan penurunan pada frekuensi dan durasi diare dibandingkandengan kelompok yang hanya diberikan terapi standar diare dalam tata laksana diare akut pada anak.
ANALISA ASSESMEN STANDAR PELAYANAN KESEHATAN DI INSTALASI GAWAT DARURAT RS PKU MUHAMMADIYAH SRUWENG TAHUN 2012 Sandy, Noffi Julia; Wijaya, Aris Suparman; Risdiana, Irma
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.v1i2.940

Abstract

Government regulations governing the technical requirements contained in the emergency room in RI KEPMENKES NO. 856/Menkes/SK/IX/2009 Standards governing the ER (emergency room) .This study aims to find out analysis of assessment results PKU Muhammadiyah Hospital emergency room services Sruweng and compliance with the standards according to KEPMENKES RI NUMBER 856/Menkes/SK/IX/2009 Standards governing the ER  Hospital. The study is qualitative research case study design. Research subjects were all medical and paramedical personnel who served in the emergency room, facilities and existing facilities and services in the IGD. Method of data collection is done by using the instruments of observation checklist with a list of statements of service standards according to IGD Kepmenkes No. 856/Menkes/SK/IX/2009, further in-depth interviews. The results the assessment conducted in PKU Muhammadiyah Hospital ER Sruweng through field observations and interviews were IGD service has exceeded the standard level of I is by achieving 103.50% and the achievement of outcomes assessment for level II emergency room services is quite high is 88.81%. Conclusion  is more than the standard level I. However, to reach  higher level  is level II, IGD PKU Muhammadiyah Hospital Sruweng still require improvement and development to meet the service standards.  Keywords: Assessment, Standards of IGD
REAL WORLD DATA : ANTIVIRUS SELECTION IN COVID-19 PATIENTS AT PKU MUHAMMADIYAH GAMPING HOSPITAL Damayanti, Hazena Misgi; Perwitasari, Dyah Aryani; Risdiana, Irma; Kuluq, Muhammad Husnul
Medical Sains : Jurnal Ilmiah Kefarmasian Vol 9 No 3 (2024)
Publisher : Sekolah Tinggi Farmasi Muhammadiyah Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37874/ms.v9i3.1125

Abstract

COVID-19 is a disease that requires antivirals, such as favipiravir and remdesivir, which have been recommended in Indonesia. Choosing the right antiviral agent can affect the length and total cost of hospitalization. The impact of COVID-19 can cause a decline in health and the economy, if not treated effectively. This study aimed to determine the average length of hospitalization and total cost of hospitalization for COVID-19 patients based on the selection of favipiravir and remdesivir antivirals at the PKU Muhammadiyah Gamping Hospital from August 2022-August to 2023 based on real world data. The research method was Observational research with a descriptive research design and retrospective data collection was used. During this period, 306 patients were diagnosed with COVID-19. A total of 171 patients met the inclusion criteria, including 130 patients using favipiravir antivirus and 41 patients using remdesivir antivirus. The results of this study are the average length of hospitalization of the patient group with antiviral favipiravir was 4.1 days and the patient group with antiviral remdesivir was 5 days and the average total cost of hospitalization of the patient group with antiviral favipiravir was IDR 12,377,415 and the average total cost of the patient group with antiviral remdesivir was IDR 14,428,132. The conclusion of this study is that the use of favipiravir antiviral therapy is more effective when viewed from the perspective of length of hospitalization and total cost of hospitalization; therefore, these results can be applied under the same conditions in the treatment of COVID-19.
REAL WORLD DATA; EFFECTIVENESS OF COVID-19 TREATMENT IN SEVERE SYMPTOMS PATIENTS AT RS PKU MUHAMMADIYAH GAMPING IN AUGUST 2022-2023 Simamora, Patimah; Risdiana, Irma; Khuluq, Muh. Husnul; Perwitasari, Dyah A
Medical Sains : Jurnal Ilmiah Kefarmasian Vol 9 No 4 (2024)
Publisher : Sekolah Tinggi Farmasi Muhammadiyah Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37874/ms.v9i4.1133

Abstract

Severe COVID-19 has created significant real-world clinical challenges, particularly in the management of critically ill patients in intensive care units. The disease is often accompanied by serious complications, such as acute respiratory distress syndrome (ARDS), multiple organ damage, and increased risk of mortality, particularly in individuals with risk factors such as advanced age and comorbidities. Real World data provide evidence related to effectiveness as patients are observed from admission to discharge. This study aimed to obtain an overview of the effectiveness of COVID-19 treatment with severe symptoms at RS PKU Muhammadiyah Gamping in August 2022-2023. This observational study used a descriptive research design. Data collection was retrospective and was obtained from medical records. Descriptive analyses were conducted including patient characteristics, drug usage, and therapy effectiveness. This study obtained data from 45 patients who met the inclusion criteria for severe COVID-19 ...
ASSOCIATION OF APPROPRIATNESS ANTIBIOTIC PRESCRIPTION WITH CLINICAL IMPROVEMENT IN CAP BASED ON Pharmaceutical Care Network Europe (PCNE) Kurniawati, Fatimah Sri; Perwitasari, Dyah Aryani; Risdiana, Irma
Media Farmasi: Jurnal Ilmu Farmasi Vol. 18 No. 1: Maret 2021
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/mf.v18i1.19561

Abstract

Terapi utama pada pneumonia adalah antibiotika. Tingginya peresepan antibiotika berpeluang menimbulkan ketidaktepatan pemakaian antibiotika yang dapat menimbulkan Drug Related Problems (DRPs) dan memberikan dampak negatif pada perbaikan klinis pasien. Tujuan penelitian ini untuk mengetahui hubungan ketepatan peresepan antibiotika dengan perbaikan klinis pada pasien pneumonia rawat inap di rumah sakit PKU Muhammadiyah Gamping. Rancangan penelitian observasional analitik dengan studi cohort retrospektif, dimana kriteria inklusi merupakan pasien dewasa pneumonia komunitas atau Community Acquired Pneumonia (CAP) rawat inap yang mendapatkan terapi antibiotika dan kriteria eksklusi pasien memiliki infeksi lain selain pneumonia, pasien dengan gangguan imunitas (immunocompromised), pasien dengan penyakit penyerta berupa keganasan pada paru atau saluran napas dan pasien meninggal <72 jam selama perawatan di rumah sakit. Data diambil dari rekam medik (RM) periode Januari-Desember 2019. Subyek penelitian diperoleh 72 sampel. Analisis penelitian menggunakan uji Chi Square untuk meneliti hubungan ketepatan peresepan antibiotika berdasarkan tools Pharmaceutical Care Network Europe(PCNE) dengan perbaikan klinis. Perbaikan klinis yang diamati meliputi frekuensi pernapasan, suhu, dan jumlah leukosit. Hasil penelitian terdapat 29,2% peresepan antibiotika tepat dan 70,8% tidak tepat. Sebanyak 54,2% mengalami perbaikan jumlah leukosit, 83,3% mengalami perbaikan RR, dan 65% mengalami perbaikan suhu. Nilai signifikansi pada jumlah leukosit p=0,000, pada perbaikan RR p=0,014, dan pada perbaikan suhu p=0,098. Ketepatan peresepan antibiotika berhubungan secara signifikan terhadap perbaikan klinis jumlah leukosit dan RR dengan nilai p ≤ 0,05. Ketepatan peresepan antibiotika dengan perbaikan klinis suhu tidak didapatkan hubungan yang bermakna.