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Analisis Budaya Keselamatan Pasien terhadap Kepatuhan Penerapan SPO di Ruang Rawat Inap Dalimunthe, Candra Rukmana; Girsang, Ermi; Ramadhani, Sri Lestari
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.11940

Abstract

This study analyzes patient safety and compliance with implementing SOPs in inpatient rooms. The research method used in this study is qualitative research with a phenomenological approach. The results of this study are that the manager's expectations and patient safety promotion actions have been implemented, organizational learning and improvements are evaluated in the form of online questionnaires, feedback, and communication about errors, and not all staff understand the procedures for reporting patient safety incidents, the openness of communication with superiors has been carried out well, and superiors provide positive reciprocal responses, there is no blaming response when reporting patient safety incidents from superiors or related parties, and the implementation of SOPs in the ward has not been carried out optimally and not all staff understand and implement them well. In conclusion, the implementation of SOPs on patient safety has been carried out well by all aspects of health workers in the hospital. Keywords: Patient Safety Culture, SOPs, Hospitals
Analysis of Medicine Procurement Planning using FIFO and FEFO Methods at West Pasaman Regional Hospital Daulay, Ayu Sasmita; Girsang, Ermi; Ramadhani Nasution, Sri Lestari
Buletin Farmatera Vol 9, No 2 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v9i2.20849

Abstract

Abstract: Planning in medicine procurement is carried out because inefficiency can harm the smooth procurement of drugs for pharmaceutical service activities in the provision of overall health services, both medical, social and economic. Therefore, careful planning and medicine procurement management is needed. Stock-outs and stagnation that occur can also be influenced by drug storage methods that do not apply the First Expired First Out (FEFO) and First In First Out (FIFO) principles. This research aims to analyze medicine procurement planning using the FIFO and FEFO methods at the West Pasaman Regional Hospital using a descriptive research design through a qualitative approach. The results of this research conclude that the human resources, budget, facilities and infrastructure as well as procedures included in the input picture for drug procurement planning using the FIFO and FEFO methods at the West Pasaman District Hospital are under need, as are the human resources that have been met, the available budget and the facilities and infrastructure that has been fulfilled. However, several things must be evaluated regarding facilities and infrastructure, namely in the warehouse section, where the West Pasaman Regional Hospital still has a warehouse that is not conducive to procuring medicines.
Liver Protection Effect of Red Rose Petal Methanol Extract in Copper-Induced Liver Injury in Male Wistar Rats Hutagalung, Caroline Febrina; Girsang, Ermi; Mutia, Maya Sari; Suhartina, Suhartina; Natali, Oliviti
Biology, Medicine, & Natural Product Chemistry Vol 12, No 2 (2023)
Publisher : Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/biomedich.2023.122.507-513

Abstract

The human body requires low amounts of copper to maintain homeostasis, but high copper intake can cause various health problems. Many previous studies have been performed to look for natural products that can neutralize the excessive copper effect; one such natural product is a rose petal. Therefore, this study aims to investigate the liver protection effect of rose petals in copper-induced liver injury in male Wistar rats. This experimental study used thirty male Wistar rats that were grouped into five groups, including control, standard (quercetin), Rose Petal Methanol Extract-1 (400 mg/kg BW), 2 (800 mg/kg BW), and 3 (1,200 mg/kg BW). All groups were treated for 14 days, and all rats were given copper (II) sulfate suspension for the last three days. On the fifteenth day, all rats were sacrificed to obtain blood and liver tissue SGOT, SGPT, and liver histology study. The results showed that rose petal methanol extract significantly decreased SGOT and SGPT levels compared to the control group (P-value <0.05). The reduced area of ballooning degeneration and necrosis were in line with the increased dose of rose petal extract supported the liver protection effect of rose petal extract. Therefore, it can be concluded that rose petal methanol extract protects the liver against copper impacts.
EFEKTIFITAS BEKAM DAN TERAPI ANTI-VEGF TERHADAP PENYAKIT RETINOPATI DIABETIC : LITERATUR REVIEW Hilal, Zaimah; Girsang, Ermi; Nasution, Ali Napiah; Nasution, Subang Aini
Jurnal Doppler Vol. 7 No. 1 (2023): Jurnal Doppler
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jd.v7i1.9615

Abstract

Penyakit Retinopati Diabetic adalah salah satu komplikasi mikrovaskular yang terkait dengan paparan kronis terhadap hiperglikemia dan merupakan penyebab utama kebutaan di seluruh dunia. Ditemukan intervensi untuk retinopati diabetic yaitu terapi bekam dan anti-VEGF. Keefektifan bekam dapat mengurangi komplikasi retinopati diabetic. Sedangkan anti-VEGF merupakan pengobatan yang efektif dan aman untuk retinopati diabetic. Review ini melaporkan hasil penelitian yang berfokus pada Efektifitas bekam dan terapi anti-VEGF terhadap penyakit retinopati diabetic. Metode pencarian artikel menggunakan data base Google Scholar, DOAJ, Research Gate, Scincedirect dan NCBI menggunakan kata kunci.Terapi Bekam,Terapi Anti-VEGF,Retinopati Diabetik. Dari review literature ditemukan 50  jurnal yang ada kaitannya dengan terapi Renopati Diabetik. Terapi bekam dapat meredakan sakit kepala,nyeri dada,hiperlipidemia,diabetes dan tekanan darah tinggi. Sedangkan terapi anti-VEGF dapat membantu menahan pertumbuhan pembuluh darah abnormal serta mengatasi pembengkakan retina. Hasil review literature mulai tahun 2012-2021. Seluruhan jurnal dalam Bahasa Inggris. Terapi bekam dapat mengurangi komplikasi Retinopati diabetic. Kemudian agen anti-VEGF merupakan tindakan medis untuk retinopati diabetic. Bekam secara signifikan menurunkan kolesterol,trigliserida,low-density lipoprotein,gula darah puasa,feritin,urea,dan kreatinin,menurunkan tekanan darah tetapi tidak secara signifikan. Untuk mengkonfirmasi temuan ini, kepada penelitian selanjutnya diharapkan memberikan informasi akurat terapi bekam dan anti-VEGF.
Efektivitas Ekstrak Etanol Daun Kenitu (Chrysophyllum cainito L.) sebagai Antidiabetes Tikus Putih Jantan (Rattus norvegicus L.) yang Diinduksi Aloksan : Natalia Desvalentina Lase; Girsang, Ermi; Fachrial, Edy
Jurnal Mahasiswa Ilmu Kesehatan Vol. 2 No. 3 (2024): Juli: Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v2i3.1411

Abstract

Meningkatnya jumlah kesakitan dan kematian akibat diabetes merupakan masalah kesehatan global. Secara klinis, penggunaan bahan kimia (obat hiperglikemik oral) secara berkelanjutan dapat memberikan efek yang buruk pada tubuh. Pernyataan ini membuat peneliti untuk melakukan penelitian mengenai obat antidiabetes yang terbuat dari bahan alami seperti tanaman kenitu (Chrysophyllum canito L.). Tujuannya adalah untuk melihat efektivitas pada ekstrak etanol daun kenitu (Chrysophyllum canito L.) sebagai antidiabetes serta kandungan kimia pada ekstrak etanol daun kenitu (Chrysophyllum canito L.) dan dosis efektif dari ekstrak etanol daun kenitu (Chrysophyllum canito L.) dalam mengurangi glukosa darah. Metode penelitian yang digunakan eksperimental laboratorium dengan 5 kelompok uji diantaranya K-, K+, dan kelompok dosis dengan konsentrasi 25, 50, dan 75 mg/kgBB. Hasil penelitian ditemukan ketidaksamaan yang bermakna antara kelompok K- dan kelompok K+ serta kelompok K- dan kelompok dosis, tetapi tidak ditemukan ketidaksamaan yang bermakna pada kelompok kontrol positif dan kelompok dosis. Kesimpulannya adalah  pemberian ekstrak etanol daun kenitu melalui dosis 25, 50, dan 75 mg/kgBB dapat mengurangi glukosa darah tinggi dikarenakan senyawa yang ada pada ekstrak etanol daun kenitu, yaitu tanin, flavonoid, saponin, alkaloid dan steroid. Dosis ekstrak yang efektif dalam mengurangi glukosa darah adalah 75 mg/kgBB.
Analysis of Factors Affecting Human Resource Performance at Martha Friska Multatuli General Hospital Medan Nasution, Sri Lestari Ramadhani; Akbarinda, Zsizsi; Girsang, Ermi
Journal La Medihealtico Vol. 5 No. 1 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i1.1084

Abstract

In an effort to improve the degree of public health, human resources are needed who have the capacity, competence and professionalism in their fields so that they are able to apply the knowledge and knowledge they have in health services to the community. Without competence supported by reliable human resources, a hospital will have difficulty competing with other hospitals. To improve HR performance, it is necessary to pay attention to satisfaction factors at work. To know and analyze the influence of leadership style, work motivation, work quality, quantity of work, punctuality, work effectiveness, independence and work commitment on HR performance. is a descriptive research with a quantitative analytical approach. The population in this study was all human resources at RSU Martha Friska Multatuli Medan totaling 231 people, the sample of this study was 231 using total sampling techniques. of the study using the chi square statistical test obtained results: leadership style (p = 0.000), work motivation (p = 0.027), work quality (p = 0.000), work quantity (p = 0.000), punctuality (p = 0.00), work effectiveness (p = 0.000), independence (p = 0.000), work commitment (p = 0.000). Which shows the influence of HR performance of RSU Martha Friska Medan, and by using multiple logistic regression, the most dominant variable is work commitment, this can be seen from the Exp (B) value of 6,067 (which means that work commitment has 6 times more influence on the performance of human resources at RSU Martha Friska Multatuli Medan.
Analysis Of The Effect Of The Process Of Issuing Health Personnel Licenses Using The Sipandu Medan Application On Health Worker Satisfaction In Dpmptsp Medan City Nurunnisa, Syarifah; Girsang, Ermi; Lestari Ramadhani Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 4 (2023): November 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i4.209

Abstract

In the era of global reform and information, public services by government officials today still have many weaknesses so that they have not been able to meet the quality expected by the community. This is indicated by the existence of various public complaints submitted through the mass media and social networks as well as the results of a community satisfaction survey which stated that the permit issuance process took a long time, the information conveyed was not clear and not transparent. The purpose of this study was to analyze the effect of the process of issuing health worker permits using the Medan Sipandu Application on Community Satisfaction in Dpmptsp Medan City This type of research is Quantitative Analytical research, namely the method in the form of numeric data using a cross sectional approach, with a sample of 200 people. The results of this study are that the variable that has the most influence on the satisfaction of health workers regarding the use of the Sipandu Medan Application is complaint handling. statistical test resultsearned valuep significance is 0.000 <0.05. So it can be concluded that there is an effect of handling complaints on the satisfaction of health workers regarding the use of the Sipandu Medan Application.SIPANDU is here to make it easier for the public to submit related complaints.
Analysis Of The Influence Of Leader Behavior And Public Health Center Management Processes On Immunization Program Performance At Kuala Bali Public Health Center, Serdang Bedagai Rachmi Yuana, Syafrina; Girsang, Ermi; Ginting, Liani
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 4 (2023): November 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i4.211

Abstract

There are still deficiencies in the achievement of UCI (Universal Child Immunization) in villages/wards. This is due, among other things, to the lack of attention and support from various parties towards the immunization program. This study aims to analyze the influence of leader behavior and management of the health center on the performance of the immunization program at the Kuala Bali Health Center Serdang Bedagai. This type of research is a quantitative researchwith a cross sectional design. The location of this research was conductedinKuala Bali Health Center, Serdang Bedagai. The research population is all121 midwives in 17 sub-districts of the Kuala Bali Serdang Bedagai Health Center, and 1 person in charge of immunization services so that it consists of 122 people.The sample in the study amounted to 122 patients. Survey data were analyzed using the chi-square test and logistic regression. The results showed that there was an effect of decision making on performance, there was an effect of leadership style on performance, there was an effect of delegation of tasks on performance, there was an influence on how to communicate on performance, there was an influence on planning on performance, there was an effect on organizing on the performance of the immunization program, there was an influence on implementation on the performance of the immunization program, there is an influence of supervision on the performance of the immunization program at the Kuala Bali Serdang Bedagai Health Center. The variable that has the most influence on the performance of the immunization program at the Kuala Bali Serdang Bedagai Health Center is the organizing variable.The results of this study suggest thatThe results of this research are used as input for evaluating the implementation of the immunization program, in order to provide guidance to the leaders of the Public Health Center to improve their abilities in leader behavior and management processes, especially in organizing so that the performance of the midwives becomes even better.
Analysis Of The Process Of Evaluation, Work Supervision, Policy, Supervision And Monitoring Of Puskesmas Heads Of Logistic Provision At UPTD Puskesmas Lahusa Hati Harefa, Lurusan; Wienaldi, Wienaldi; Girsang, Ermi
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 4 (2023): November 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i4.250

Abstract

Logistics management is the science and/or art of planning and determining needs, procurement, storage, distribution, maintenance, disposal and control of medical devices. Provision of logistics at the Puskesmas is a matter that needs to be considered for its provision through a good and orderly management system. This management system can be carried out in several ways, namely through supervision, supervision, monitoring and evaluation related to the implementation of logistics provision. The purpose of this study was to analyze the evaluation process, supervision work, policies, supervision in health and health monitoring of the Head of the Puskesmas regarding the provision of logistics at the UPTD Puskesmas Lahusa. This type of research is descriptive analytic, quantitative approach with a cross sectional design. The sample in this study were all staff involved in implementing logistics provision at the Lahusa Health Center. The sampling technique is the total population, that is, the entire population is used as a research sample totaling 112 people. The results showed that all variables had a significant effect between evaluation, supervision work, policy, supervision in health and health monitoring of the Head of the Puskesmas on the provision of logistics at the UPTD Puskesmas Lahusa. The results of this study are expected to be input for the puskesmas management services to pay more attention to the implementation of logistics provision.
Analysis Of Nurse Performance Using The Balance Scorecard Method At South Nias Hospital Telaumbanua, O'ozisokhi; Haicha Pratama, Irza; Girsang, Ermi
International Journal of Health and Pharmaceutical (IJHP) Vol. 4 No. 1 (2024): February 2024
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v4i1.258

Abstract

Performance measurement is needed to assess the accountability of an organization in producing better and right on target services and performance. The Balanced Score Card was created to overcome a problem in the organization regarding weaknesses in an executive performance measurement system. The purpose of this study was to analyze the performance of nurses using the balanced scorecard method at South Nias Hospital. This type of research is descriptive analytic with a quantitative approach with a cross-sectional design. The sampling technique in this study was Arikunto's formula, based on this formula, the number of samples in this study became 31 people. The results of the study explain that there is a relationship between financial, consumer, innovative and perspective with the performance of nurses in South Nias Hospital. This research can be used as basic information and data for improving the quality of services at South Nias Hospital.
Co-Authors ., Saprilliani AA Sudharmawan, AA Achmad Noerkhaerin Putra Adelia Adelia, Adelia Adrian Adrian Adrisya Lubis, Putri Anggie Agatha, Callista Della Agung Abadi Kiswandono Ahmad Nasir Pulungan Akbarinda, Zsizsi Amanda, Silvia Rizki Arianti, Rahmi Armansyah, Adek Aulia, Dinda Rahmah Azzahra, Siti Khumairah Binarwan Halim Boas, Richie Ray Barry Br Pintubatu, Christina Delina BT Hasan, Riyani Susan Bu'ulolo, Christian Siuwandy Butar-Butar, Erika Fatrecia Marsaulina Cahya, Septian Dwi Candra Rukmana Dalimunthe Carles, Carles Chiuman, Linda Damanik, Marco Frans Hernandes Daulay, Ayu Sasmita Dedek Sucahyo Dwi Siswanta Edlin, Edlin Edy Fachrial Elis Anggeria Elisabeth, Mariska Elizabeth, Riana Elvira, Cut Erda, Roza Farrasizdihar, Diaz Fieterson, Kriahan Joel Fitrianto, Rahmad Geeta, Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Gabby Gabriela Ginting, Liani Ginting, Rafael Ginting, Rapael Ginting, Rapael Ginting, Sopianita Healthy Gusnawati, Gusnawati Hadiprasetyo, Dhanar Septyawan Hafizah, Nandani Zakia Haicha Pratama, Irza Hamdi, Sintiya HAMSI, QURATUL AINI Handayani, Rr. Anisa Siwianti Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Harjanti, Mathelda Weni Hartantio, Agnes Haryanti, Mathelda Weni Hasibuan, Muhammad Anugerah Ramadhan Hati Harefa, Lurusan Hermansyah Aziz Hilal, Zaimah Hutagalung, Caroline Febrina Idariani, Idariani Irwan, Mulia Johannes Bastira Ginting Juanda, Lidya Sari Juniva Laila Sihombing, Juniva Laila Kaban, Lyta Imanti Kalimah, Kalimah Kesuma, Farah Shyfa Khoironissa, Analita Kosasih, Putri Peggy Yanti Kusumaningrum, Tri Siwi Leli Khairani Lestari Nasution, Sri Lestari Ramadhani Nasution, Sri Liester, I Nyoman Ehrich Lister, I Nyoman Ehrich Lister, I Nyoman Ehrich Lister, Nyoman Ehrich Lubis, Maas Lubis, Nurul Sri Finna Maler, Tangge Mare A, Fauzan Marisca Evalina Gondokesumo, Marisca Evalina Mawarni, Evi Michael Michael Muhammad Maulidin Mukti, Ade Indra Mutia, Maya Sari Naibaho, Iren Theresia Melati Br Nasuition, Ali Napiah Nasution, Ali N. Nasution, Ali Napiah Nasution, Sri Lestari Nasution, Sri Lestari Ramadhani Natali, Oliviti Natalia Desvalentina Lase Nindya, Faradhina Salfa Noor, Asri Noviana, Amelia Nst, Sri Wahyuni Nurul Hidayat Aprilita Nurunnisa, Syarifah Oktaviani, Emma Parapat, Winny G I Patriana, Dhona Poernomo, Dwi Hery Pratama, Irza Haicha Putranto Manalu Putri, Dara Maulidya Putri, Nadya Nazimuddin Rachmi Yuana, Syafrina Rahmadana, Rizka RAHMAT, DENI Rahmiana Zein Raif, M. Rahmad Ramadhani, Sri Lestari Rehulina Br Purba, Farida Resmi Pangaribuan Rushe, Rhesiwenny Saharman Gea Salovetian, Marcelino Samosir, Frans Judea Sari Mutia, Maya Sari, Diah Sekar Saufa, Zahra Qisthi Sembiring , Intan Permata Sari br. Sembiring , Jessyca Sihombing, Ronel Polin Silaen, Mangatas Silalahi, Marlinang I. Simanjorang, Delpini Sitanggang, Rido Aliberto Sitepu, Enda Menaisa Sitohang, Widya Yanti Sri Juari Santosa Stephan, Weldy Subang Aini Nasution Subrata, Mariany Puspita Suci, Tri Suhartina Suhartina Suhartina, Suhartina Sumiati Sumiati Suyono, Tan Suyono, Tan Takasenserang, Oktaviana Takashi Hayashita Tambunan, Gempita Cahaya Aulia Tambunan, Ridhona Tarigan, Almina Rospitaria Tarigan, Gracia Hosanna Evelyn Telaumbanua, O'ozisokhi Teresa Liliana Wargasetia Triharsiwi, Dwi Nur Tua, Vridian Mangara Ummi Kalsum Vonikartika, Arie - WAHYU WIDOWATI Wibowo, Satrio Haryo Benowo Widodo, Wahyu Setia Widya Yanti Sihotang Wienaldi, Wienaldi Wijaya, Cindy Eka Wijaya, Joshua Andre Yulidar Yulidar Yusuf, Lydia Zahiroh, Fadhilah Haifa Zebua, Sawato Zulkarnain Chaidir