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Analisis Faktor Penyebab Kecelakaan Kerja Konstruksi Pada Proyek Highrise Building dengan Metode Fault Tree Analysis (FTA) Nurul Dwi Andriani; Ida Wayuni; Bina Kurniawan
Pro Health Jurnal Ilmiah Kesehatan Vol. 4 No. 2 (2022): Pro Health Jurnal Ilmiah Kesehatan, July 2022
Publisher : Universitas Ngudi Waluyo

During 4 years periode from 2011 to 2014 work-related accidents always increased. In 2014 there were 105,383 work-related accidents. The work accident data is dominated by the construction sector. The aim of this study was to analyze the factors associated with work related accidents in construction. This study was conducted by qualitative study design with a case study approach using Fault Tree Analysis (FTA). The population of this study were all construction workers as many as 140 people. The main informants in this study were determined by purposive sampling, workers who had experienced work accidents in May-June 2014. Data collection techniques used in-depth interviews, observation and document review. The results showed that the factors associated with work related accidents in construction were caused by human factors, environmental factors and occupational factors. Human factors that cause work accidents were working not according to procedures, perceptions of potential hazards and low safety, lack of concentration and fatigue. Environmental factors that cause work accidents are limited safety information, unsafe work environment, lack of safety signs and limited safety facilities. Occupational factors that cause work accidents include lack of supervision. Based on this research, it can be concluded that the causes of work accidents are very complex, so there needs to be coordination in project management to optimize supervision of work safety. ABSTRAK Selama kurun waktu 4 tahun dari tahun 2011 sampai tahun 2014 kasus kecelakaan akibat kerja selalu mengalami peningkatan. Pada tahun 2014 tercatat kasus kecelakaan kerja sebanyak 105.383 kasus kecelakaan akibat kerja. Data kecelakaan kerja tersebut didominasi sector konstruksi. Tujuan dari penelitian ini adalah untuk menganalisis faktor penyebab kecelakaan kerja konstruksi. Metode penelitian ini menggunakan desain studi kualitatif dengan pendekatan studi kasus. Metode analisis kecelakaan kerja yang digunakan adalah Fault Tree Analysis (FTA). Populasi dari penelitian ini adalah seluruh pekerja konstruksi sebanyak 140 orang. Informan utama dalam penelitianini ditentukan dengan cara Purposive Sampling yaitu pekerja yang pernah mengalami kecelakaan kerja pada bulan Mei-Juni 2014. Teknik pengumpulan data menggunakan indeph interview, observasi dan studi dokumen. Hasil penelitian menunjukkan faktor penyebab kecelakaan kerja kontruksi disebabkan faktor manusia, faktor lingkungan dan faktor pekerjaan. Faktor manusia penyebab Kecelakaan kerja antara lain bekerja tidak sesuai prosedur, persepsi potensi bahaya dan keamanan rendah, kurang konsentrasi dan kelelahan. Faktor Lingkungan penyebab kecelakaan kerja yaitu terbatasnya informasi keselamatan, lingkungan kerja tidak aman, kurang rambu keselamatan serta terbatasnya fasilitas keselamatan. Faktor Pekerjaan penyebab kecelakaan kerja antara lain kurangnya pengawasan. Berdasarkan penelitian ini dapat disimpulkan bahwa penyebab kecelakaan kerja sangat kompleks, sehingga perlu adanya koordinasi dalam manajemen proyek untuk mengoptimalkan pengawasan terhadap keselamatan kerja.

Determinasi Faktor Individu terhadap Kelengkapan Pengisian Rekam Medis oleh Tenaga Kesehatan Syahputri, Rezyana Budi; Haryanti, Rheni; Andriani, Nurul Dwi; Hariyadi, Agustin Mahardika; Latifah, Dwi Nur
Indonesian of Health Information Management Journal (INOHIM) Vol 13, No 2 (2025): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v13i2.744

Abstract Completeness of medical record documentation was an essential component of healthcare quality that supported patient safety, continuity of care, and hospital legal accountability. Individual factors such as knowledge, attitude, and work experience were assumed to influence healthcare workers’ compliance with medical documentation standards. This study aimed to analyze the effect of individual factors on the completeness of medical record documentation among healthcare workers at Hospital X. A cross-sectional design was applied, involving 82 healthcare workers selected through stratified random sampling. Data were collected using a structured questionnaire and observation sheet that had been tested for validity and reliability. Data were analyzed using Chi-square and multiple logistic regression with a significance level of 0.05. The results showed that most respondents had high knowledge (85.4%) and positive attitudes (75.6%). Bivariate analysis revealed significant relationships between knowledge and attitude with the completeness of medical record documentation (p=0.000). Multivariate analysis revealed that only knowledge had a significant effect on medical record completeness (OR=0.068; p=0.001), while attitude was not statistically significant. This study concludes that knowledge is the main determinant of complete medical record documentation. Strengthening knowledge through continuous training, medical record audits, and structured feedback is necessary to improve the quality of medical documentation in healthcare facilities. Keyword: medical record, knowledge, attitude, healthcare workers, documentation completeness Abstrak Kelengkapan pengisian rekam medis merupakan bagian penting dari mutu pelayanan kesehatan yang mendukung keselamatan pasien, kesinambungan asuhan, dan akuntabilitas hukum rumah sakit. Faktor individu seperti pengetahuan, sikap, dan pengalaman kerja diduga memengaruhi tingkat kepatuhan tenaga kesehatan terhadap standar dokumentasi medis. Penelitian ini bertujuan untuk menganalisis pengaruh faktor individu terhadap kelengkapan pengisian rekam medis oleh tenaga kesehatan di Rumah Sakit X. Penelitian ini menggunakan studi cross-sectional dengan jumlah responden sebanyak 82 tenaga kesehatan yang dipilih melalui stratified random sampling. Data dikumpulkan menggunakan kuesioner terstruktur dan lembar observasi yang telah diuji validitas dan reliabilitasnya. Analisis dilakukan menggunakan uji chi-square dan regresi logistik berganda dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki pengetahuan tinggi (85,4%) dan sikap positif (75,6%). Uji bivariat menunjukkan hubungan yang signifikan antara pengetahuan dan sikap dengan kelengkapan pengisian rekam medis (p=0,000). Hasil analisis multivariat menunjukkan bahwa hanya pengetahuan yang berpengaruh signifikan terhadap kelengkapan pengisian rekam medis (OR=0,068; p=0,001), sedangkan sikap tidak menunjukkan pengaruh yang signifikan. Penelitian ini menyimpulkan bahwa pengetahuan merupakan faktor determinan utama dalam kelengkapan pengisian rekam medis. Penguatan pengetahuan melalui pelatihan berkelanjutan, audit rekam medis, dan umpan balik terstruktur diperlukan untuk meningkatkan mutu dokumentasi medis di fasilitas pelayanan kesehatan. Kata Kunci: rekam medis, pengetahuan, sikap, tenaga kesehatan, kelengkapan dokumentasi

Reaktivasi Klaim BPJS sebagai Cerminan Kualitas Rekam Medis Elektronik: Studi di Rumah Sakit Tahun 2025 I Gusti Agung Ngurah Putra Pradnyantara; Harinto Nur Seha; Nurul Dwi Andriani
Jurnal Manajemen Informasi dan Administrasi Kesehatan (JMIAK) Vol. 9 No. 1 (2026): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v9i1.8104

BPJS claim reactivation is a process of resubmitting rejected claims due to discrepancies in medical record data and administrative requirements. In claim-based healthcare financing systems, the quality of Electronic Medical Records (EMR) plays a crucial role in determining the success of claim verification and reimbursement. A high reactivation rate may indicate underlying issues in the quality of clinical and administrative data recorded in EMR systems. This study aims to analyze BPJS claim reactivation as a reflection of EMR quality in a hospital in 2025. This study employed a quantitative approach with a descriptive-analytic design. The sample was determined using total sampling, consisting of 3,843 reactivation cases out of 11,299 submitted claims. Data were obtained from BPJS claim reports and the EMR system and analyzed descriptively. The results showed that the reactivation rate reached 34% of total claims. The distribution of reactivation was fluctuating, with the highest number in February due to backlog accumulation and in October indicating actual issues in claim management. The high reactivation rate suggests that EMR quality is not yet optimal, particularly in terms of completeness, accuracy, and timeliness of data entry. In conclusion, BPJS claim reactivation can be used as an indirect indicator to assess EMR quality. Therefore, efforts are needed to improve EMR quality through better documentation standards, enhanced staff competency, and optimization of health information systems. Keywords: claim reactivation, BPJS, electronic medical records, data quality, healthcare quality

Strategi Kebijakan Internal dalam Peningkatan Mutu Pelayanan Kesehatan di Rumah Sakit: Systematic Literatur Review Nurul Dwi Andriani; Rezyana Budi Syahputri; Nisa Nur Kusuma; I Gusti Agung Ngurah Putra Pradnyantara
Pro Health Jurnal Ilmiah Kesehatan Vol. 8 No. 1 (2026): Vol. 8 No. 1 (2026): Pro Health Jurnal Ilmiah Kesehatan, January 2026
Publisher : Universitas Ngudi Waluyo

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ABSTRAK Pelaksanaan pelayanan yang bermutu menjadi indikator keberhasilan rumah sakit dalam menjamin bahwa pelayanan kesehatan berjalan dengan adil, efektif, efisien serta berorientasi kepada kepuasan pasien. Pentingya penyelenggaraan pelayanan kesehatan yang berbasis mutu menjadi tuntutan bagi pelayanan kesehatan. Untuk mencapai mutu pelayanan kesehatan yang baik, pentingnya untuk menyusun strategi kebijakan internal rumah sakit guna mencapai sasaran mutu pelayanan pasien. Penelitian ini disusun dan difokuskan dalam Upaya mendapatkan strategi kebijakan internal yang memiliki pengaruh penting dalam pelaksanaan mutu pelayanan kesehatan. Metode penelitian ini menggunakan pendekatan Systematic Literature Review (SLR). Tahapan dalam penelitian ini yaitu merumuskan masalah penelitian, menelusuri literatur, menilai kualitas penelitian, menggabungkan hasil dan meletakkan temuan dalam konteks. Penelitian ini menggunakan kerangka PICO (Population, Intervention, Comparison, Outcome). Artikel yang dipilih dalam rentang waktu tahun 2021 hingga tahun 2025. Proses pencarian data dilakukan melalui beberapa basis data terindeks, yaitu Google Scholar, PubMed dan Science Direct. Seluruh proses ini kemudian sajikan menggunakan alur Diagram PRISMA Flow. Hasil penelitian didapatkan 16 Artikel yang dilakukan analisis. Hasil analisis menunjukkan bahwa pelaksanaan patient safety yang sesuai standart, pelaksanaan akreditasi pada pelayanan Kesehatan dan penerapan Rekam Medis Elektronik berpengaruh terhadap mutu pelayanan kesehatan di RS. Kesimpulan dari penelitian ini adalah strategi Kebijakan Internal yang dapat diimplementasikan dalam Upaya peningkatan mutu pelayanan kesehatan dibagi menjadi tiga aspek ( patient safety, akreditasi dan Rekam Medik Elektronik). Ketiga aspek hasil penelitian ini relevan sebagai dasar perumusan kebijakan internal rumah sakit dalam peningkatan mutu pelayanan melalui penguatan patient safety, pemenuhan standar akreditasi, dan optimalisasi penerapan rekam medis elektronik. Kata kunci: Mutu, Pelayanan Kesehatan, Rumah Sakit ABSTRACT The implementation of quality services is an indicator of a hospital's success in ensuring that healthcare services are delivered fairly, effectively, efficiently, and with a focus on patient satisfaction. The importance of providing quality-based healthcare services has become a demand for health services. To achieve good quality in healthcare services, it is crucial to develop internal policy strategies within the hospital aimed at meeting the quality objectives for patient care. This research is organized and focused on efforts to obtain internal policy strategies that significantly influence the implementation of quality healthcare services. The research method employs a Systematic Literature Review (SLR) approach. The stages of this research include formulating, searching the literature, assessing the quality of research, combining results, and placing findings in context. This study uses PICO framework (Population, Intervention, Comparison, Outcome). The selected articles span the years 2021 to 2025. The data search process is conducted through several indexed databases, namely Google Scholar, PubMed, and Science Direct. The entire process is then presented using a PRISMA Flow Diagram. The research identified 16 articles for analysis. The results of the analysis indicate that the implementation of patient safety that meets standards, the implementation of accreditation in health services, and the application of Electronic Medical Records influence the quality of healthcare services in hospitals. The conclusion of this research is that internal policy strategies that can be implemented to improve the quality of healthcare services are divided into three aspects ( patient safety, accreditation, and Electronic Medical Records). The findings provide empirical support for hospital management in formulating internal policies aimed at enhancing service quality through strengthening patient safety practices, meeting accreditation standards, and optimizing the use of electronic medical records. Keywords: Quality, Healthcare, Hospital

Penyuluhan Kesehatan sebagai Strategi Efektif Pencegahan Tuberkulosis pada Remaja Sekolah Menengah Nurul Dwi Andriani
WASATHON Jurnal Pengabdian Masyarakat Vol 4 No 1 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/wasathon.v4i1.2106

Tuberkulosis (TBC) di Indonesia masih menjadi masalah kesehatan masyarakat dengan peningkatan kasus nasional, termasuk pada kelompok remaja. Penyuluhan kesehatan ini bertujuan untuk membentuk perilaku pencegahan yang tepat. Intervensi diberikan kepada 89 siswa di SMP Muhammadiyah Plus Klaten Utara melalui ceramah interaktif yang didukung oleh leaflet, PowerPoint, dan video edukasi. Penilaian pre-test dan post-test dilakukan, dan uji Wilcoxon Signed-Rank menunjukkan peningkatan signifikan pada skor pengetahuan (rata-rata: 65,4 menjadi 78,4; p < 0,05). Hasil ini menunjukkan bahwa edukasi kesehatan berbasis sekolah secara efektif meningkatkan kesadaran remaja mengenai pencegahan TBC, serta menunjukkan bahwa intervensi sederhana dapat memberikan dampak nyata pada perilaku pencegahan penyakit.

Meta-Analysis: Risk Factors Associated with Multidrugs-Resistant Tuberculosis (MDR-TB) in Tuberculosis Patients Nurul Dwi Andriani; Resta Dwi Yuliani
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.409 KB)

Background: Today, the world not only has to face a higher number of deaths from TB every year, but other challenges arise in the form of drug-resistant TB with risk factors that can affect the incidence of MDR TB, namely treatment-related factors (direct) and other factors (not direct). direct) such as biological, social, economic, and health system factors. The aim of this study was to estimate the risk of HIV infection, smoking and previous medication history on the incidence of MDR TB, with a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This study was conducted using a systematic review and meta-analysis study design using PICO, population: Tuberculosis Patients. Intervention: Risk Factors for HIV Infection, Smoking, and History of Medication. Comparison: no HIV infection, no smoking and no history of medication, Outcome: MDR-TB incidence. The articles used in this study came from 4 databases, namely Pubmed, ScienceDirect, ProQuest and Google scholar. The article keywords are ("Risk factor" or "associated") AND ("Multidrug resistant Tuberculosis" or "MDR TB") AND “Case Control” AND (HIV or Smoke or treatment). The articles included in this study are full paper articles, case-control study designs, 2011-2021 and the size of the relationship between Adj Odds Ratio. Article selection is done using PRISMA. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 20 case-control studies with 18,790 TB patients with details of 4,220 cases and 14,570 controls from 3 America, Africa, and Asia. HIV infection had a risk of 2.05 times in TB patients becoming MDR-TB (aOR = 2.05; 95% CI = 1.03 to 4.07; p= 0.040). Smoking had a 2.2 times risk in TB patients for MDR-TB (aOR= 2.20; 95% CI= 1.87 to 2.59; p<0.001). History of TB treatment had a 9.08 times risk in TB patients to become MDR-TB (aOR=9.08; 95% CI= 5.49 to 15.03; p<0.001).Conclusion: Risk factors for HIV infection, smoking and history of TB treatment increase the incidence of TB to MDR-TB.Keywords: Multidrugs Resistant Tuberculosis, HIV, smoking, TB treatment historyCorrespondence:Nurul Dwi Andriani. Public Health Science, Faculty of Public Health, Universitas Diponegoro, Central Java, Indonesia. Jl. Prof. Sudarto No.13, Tembalang, Semarang, Central Java. Email: nurul.d.andriani@gmail.com. Mobile: +6282137279586Journal of Health Promotion and Behavior (2021), 06(03): 233-249DOI: https://doi.org/10.26911/thejhpb.2021.06.03.07

Hubungan Budaya Organisasi Terhadap Kinerja Pegawai Di Rumah Sakit : Systematic Literature Review Agustin Mahardika Hariyadi; Rela Hastuti; Nurul Dwi Andriani; Sri Handayani; Rezyana Budi Syahputri
Pro Health Jurnal Ilmiah Kesehatan Vol. 8 No. 2 (2026): Vol. 8 No. 2 (2026): Pro Health Jurnal Ilmiah Kesehatan, July 2026
Publisher : Universitas Ngudi Waluyo

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ABSTRAK Budaya organisasi merupakan faktor penting yang memengaruhi kinerja pegawai dalam memberikan pelayanan kesehatan di rumah sakit. Berbagai penelitian telah melaporkan hubungan antara budaya organisasi dan kinerja pegawai, namun hasilnya masih beragam sehingga diperlukan sintesis bukti ilmiah. Tujuan penelitian ini adalah untuk menganalisis dan mensintesis bukti ilmiah mengenai pengaruh budaya organisasi terhadap kinerja pegawai di rumah sakit melalui Systematic Literature Review (SLR). Penelitian ini menggunakan metode Systematic Literature Review mengacu pada pedoman PRISMA 2020. Populasi penelitian adalah pegawai atau tenaga kesehatan di rumah sakit. Pencarian artikel dilakukan pada Google Scholar, PubMed, Scopus, dan ScienceDirect menggunakan kata kunci budaya organisasi, kinerja pegawai dan rumah sakit pada publikasi tahun 2010–2025. Artikel diseleksi berdasarkan kriteria inklusi dan eksklusi, kemudian dilakukan penilaian kualitas menggunakan Joanna Briggs Institute (JBI) Critical Appraisal Checklist sebelum dilakukan sintesis naratif. Sebanyak 15 artikel memenuhi kriteria inklusi dan dinyatakan memiliki kualitas metodologis yang baik berdasarkan hasi quality apprasial. Hasil sintesis menunjukkan bahwa budaya organisasi berhubungan positif terhadap kinerja pegawai melalui peningkatan motivasi kerja, komitmen organisasi, komunikasi, kerja sama tim, dan kualitas pelayanan. Budaya organisasi merupakan faktor strategis dalam meningkatkan kinerja pegawai rumah sakit sehingga perlu diperkuat melalui kebijakan manajemen sumber daya manusia untuk mendukung peningkatan mutu pelayanan kesehatan. Kata kunci: budaya organisasi; kinerja pegawai; rumah sakit ABSTRACT Organizational culture is an important factor influencing employee performance in delivering healthcare services in hospitals. Numerous studies have reported an association between organizational culture and employee performance; however, the findings remain inconsistent, highlighting the need for a synthesis of the available scientific evidence. To analyze and synthesize scientific evidence regarding the influence of organizational culture on employee performance in hospitals through a Systematic Literature Review (SLR). This study employed a Systematic Literature Review following the PRISMA 2020 guidelines. The study population comprised hospital employees and healthcare workers. Articles published between 2010 and 2025 were retrieved from Google Scholar, PubMed, Scopus, and ScienceDirect using the keywords organizational culture, employee performance, and hospital. Studies were screened based on predefined inclusion and exclusion criteria. The methodological quality of the selected studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist before narrative synthesis was conducted. A total of 15 studies met the inclusion criteria and were found to have good methodological quality based on the quality appraisal. The findings indicated that organizational culture was positively associated with employee performance by improving work motivation, organizational commitment, communication, teamwork, and service quality. Organizational culture is a strategic factor in improving hospital employee performance. Strengthening organizational culture through human resource management policies may enhance employee performance and support the delivery of high-quality healthcare services. Keywords: organizational culture; employee performance; hospital

Penyuluhan Kesehatan Pencegahan Anemia Pada Remaja Putri di SMPII Al Abidin Klaten Agustin Mahardika Hariyadi; Rezyana Budi Syahputri; Nurul Dwi Andriani
WASATHON Jurnal Pengabdian Masyarakat Vol 4 No 2 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/wasathon.v4i2.2561

Anemia remains a major health problem among adolescent girls because it can reduce learning concentration, productivity, and adversely affect future reproductive health. Limited knowledge regarding its causes, risk factors, and prevention prompted this community service program. The activity aimed to improve adolescent girls’ knowledge of anemia prevention through health education at SMPII Al Abidin Klaten. Conducted on Juny 2026, the program involved 31 female students from class VII C. The intervention consisted of a pre-test, health education using PowerPoint presentations, educational videos, discussions, the Kartu Milenial Sehat (KMS) Board Game, and a post-test. The mean knowledge score increased from 68.39 to 94.19, with an N-Gain score of 0.69 (moderate category). The Wilcoxon Signed Rank Test showed a significant difference between pre-test and post-test scores (p < 0.001). These findings indicate that interactive health education effectively improves adolescent girls’ knowledge of anemia prevention and can support sustainable school-based health promotion. Keyword: anemia, adolescent girls, health education, health promotion, anemia prevention.

Tingkat Kepuasan Tenaga Kesehatan terhadap Penggunaan Aplikasi Rekam Medis Elektronik Berbasis Web di Fasilitas Pelayanan Kesehatan Nisa Nur Kusuma; I Gusti Agung Ngurah Pradyantara Putra; Nurul Dwi Andriani
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 2 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i2.2298

Digital transformation in the healthcare sector has encouraged the implementation of web-based Electronic Medical Records (EMRs) to improve the efficiency and quality of healthcare services. The successful implementation of EMRs depends not only on technological aspects but also on user satisfaction, which serves as a key indicator of system acceptance. This study aimed to analyze healthcare workers' satisfaction with the use of a web-based EMR application in a healthcare facility. A quantitative approach with a descriptive cross-sectional design was employed. The study involved 27 healthcare workers selected using a total sampling technique. Data were collected through a Likert-scale questionnaire and analyzed descriptively using mean scores. The results showed that the overall level of user satisfaction was categorized as satisfied. The highest mean scores were obtained for the indicators of ease of learning the application (mean = 4.33), faster documentation process (mean = 4.33), and ease of patient data retrieval (mean = 4.26). In contrast, the indicator related to technical issues, such as system errors or slow performance, received the lowest mean score (mean = 2.78), indicating the need for improvements in technological infrastructure. In conclusion, the web-based EMR application improves work efficiency, facilitates access to patient information, and supports the quality of healthcare services. Continuous optimization of servers, network infrastructure, and user training is essential to enhance user satisfaction and ensure the successful implementation of the system.

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