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Analysis of Patient Safety Culture at Semen Padang Hospital Indonesia Yona Ladyventini; Isniati; Wihardi Triman
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 7 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v7i7.841

Abstract

Background: Hospitals have a role and function to provide integrated health services for patients as consumers of health services. When providing services to patients, hospitals must pay attention to quality and safety. This study aimed to find out the patient safety culture that has been built at Semen Padang Hospital in 2022. Methods: This study uses an approach mixed methods research with a design sequential explanatory, namely research that uses a combination of quantitative and qualitative methods simultaneously (quantitative-qualitative). The subjects of this study were employees of Semen Padang Hospital, with as many as 81 respondents for quantitative data and 11 respondents for qualitative data. Measurement of patient safety culture using the MaPSaF instrument (Manchester patient safety framework) in the form of filling out the MaPSCAT questionnaire (Manchester patient safety culture assessment tool). This questionnaire consists of 10 dimensions with a total of 24 questions and is equipped with in-depth interview data. Results: Data collection was carried out using the MaPSCAT instrument on 10 dimensions of patient safety culture, 6 dominant dimensions were at the proactive level, namely the dimension of overall commitment to continuous improvement (1st dimension), the dimension of system error and individual responsibility (3rd dimension), the dimension of incident evaluation and best practices (5th dimension), effective learning and change (6th dimension), communication about patient safety issues (7th dimension) and staff education and training dimension (9th dimension). Conclusion: The safety culture at Semen Padang Hospital is generally at a proactive level. This indicates that the hospital places priority on improving patient safety and is carried out on an ongoing basis. A system that is integrated and comprehensive has a wide scale, involved stakeholders, and an evidence-based approach.
Beyond Waiting Rooms: Exploring the Role of Administrative Processes and Staffing Levels in Outpatient Service Efficiency at a Dental and Oral Hospital in Padang, Indonesia Rahmasari, Suci; Rahmi Khairani Aulia; Yona Ladyventini
Community Medicine and Education Journal Vol. 5 No. 3 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i3.643

Abstract

Lengthy patient waiting times negatively impact patient satisfaction and overall healthcare service quality. This study investigates the influence of administrative processes and staffing levels on outpatient service efficiency at a dental and oral hospital in Padang, Indonesia. A mixed-methods approach was employed, incorporating quantitative data analysis of patient waiting times and qualitative exploration of administrative workflows and staff perspectives through interviews and observations. Simulated data was generated based on existing literature to supplement the analysis where specific data points were unavailable. Inefficient administrative processes, including manual patient registration and record-keeping, were identified as major contributors to extended waiting times. Inadequate staffing levels, particularly during peak hours, further exacerbated the issue. Qualitative findings revealed staff perceptions of workload burden and the need for streamlined workflows. The study underscores the critical role of administrative processes and staffing levels in outpatient service efficiency. Recommendations include the implementation of electronic health record systems, process re-engineering, and strategic staffing adjustments to enhance patient flow and overall service quality.
Beyond Awareness: Investigating the Disconnect Between Oral Health Knowledge and Caries Experience (DMF-T) in Indonesian Primary Schoolchildren Yona Ladyventini; Suci Rahmasari; Bobby
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 4 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i4.727

Abstract

Dental caries remains a significant public health problem among Indonesian children, impacting their quality of life and development. While oral health knowledge is considered crucial for prevention, its direct impact on caries experience, particularly in specific Indonesian contexts, requires further investigation. This study aimed to assess the relationship between oral health knowledge and caries experience (DMF-T index) among grade 2 students at an Islamic Integrated Primary School in Indonesia. A cross-sectional study was conducted involving 85 second-grade students selected via purposive sampling. Oral health knowledge was assessed using a validated, structured questionnaire covering topics like tooth brushing importance, frequency, caries causes, and prevention. Caries experience was measured using the DMF-T (decayed, missing, filled teeth) index through clinical examinations performed by trained dental personnel. Data were analyzed using descriptive statistics and the Chi-square test to determine the association between knowledge level (categorized as low or sufficient) and DMF-T status (categorized as low, moderate, or high), with significance set at p<0.05. The study included 45 (52.9%) female and 40 (47.1%) male students. The majority of students (80%, n=68) demonstrated sufficient oral health knowledge, with a mean knowledge score of 5.52 (SD=1.52) on a scale of 1-7. Despite this, the prevalence of dental caries was high, with a mean DMF-T score of 7.92 (SD=5.11). Overall, 61.2% (n=52) of students were categorized as having high DMF-T status, 18.8% (n=16) had moderate DMF-T, and 20% (n=17) had low DMF-T. The Chi-square analysis revealed no statistically significant association between the level of oral health knowledge and DMF-T status (p=0.920). High DMF-T prevalence was observed in both the low knowledge group (58.8%) and the sufficient knowledge group (61.8%). In conclusion, this study highlighted a significant disconnect between oral health knowledge and actual caries experience among primary schoolchildren in this Indonesian setting. While most students possessed sufficient knowledge, the prevalence and severity of dental caries remained alarmingly high, and knowledge level was not significantly associated with DMF-T status. These findings underscore the inadequacy of knowledge-based interventions alone and emphasize the need for comprehensive, multifaceted oral health promotion programs that address behavioral, practical, and environmental factors to effectively combat dental caries in children.
Profile of Coated Tongue in Patients at the Oral Disease Polyclinic of The University of Andalas and its Relationship With Risk Factors Sovira, Gita Dwi Jiwanda; Haria Fitri; Puji Kurnia; Yona Ladyventini
Jurnal EduHealth Vol. 16 No. 03 (2025): Jurnal EduHealt, Edition July - September , 2025
Publisher : Sean Institute

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

Abstract

Coated tongue is a mucosal condition characterized by a white or yellowish layer on the dorsum of the tongue due to the accumulation of debris, desquamated epithelial cells, and microorganisms. This condition is often associated with poor oral hygiene, xerostomia, smoking habits, and systemic diseases. This study aims to evaluate the profile of coated tongue incidence and its relationship to related risk factors at RSGM Universitas Andalas. This study is a retrospective descriptive study with a total sampling technique. Data were taken from patient medical records at the Oral Disease Polyclinic of RSGM Universitas Andalas in January–December 2023. Data collected included gender, age, cases of coated tongue , and risk factor status such as smoking, systemic diseases, drug use, stress, and Candida infection. Of the 620 patients, 566 (91%) had coated tongue. A higher prevalence was found in men (56%) than women (44%). All age groups 31–60 years showed a prevalence of coated tongue of 100%, while the age group 21–30 years was 91%. Most patients with coated tongue have smoking habits (69%), systemic diseases (80%), drug use (75%), and a small number experience stress (8%) and Candida infection (6%).Coated tongue is a very common condition in patients who come to RSGM Universitas Andalas, with a strong association with lifestyle and systemic factors. Promotive and preventive interventions are needed to increase awareness of tongue hygiene, as well as handling the accompanying risk factors.
Antibacterial Effect of Averrhoa bilimbi Extract on Lactobacillus acidophilus ATCC 4356 Sovira, Gita Dwi Jiwanda; Rahmawati, Fitri; Nofika, Reni; Fitri, Haria; Khairani Aulia, Rahmi; Kurnia, Puji; Ladyventini, Yona
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 12, No 1 (2025): Vol 12 No 1 (Juni 2025)
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v12i1.1842

Abstract

Introduction: Lactobacillus acidophilus is one of the dominant bacteria that plays a significant role in the development of dental caries. This bacterium produces extracellular polysaccharides that facilitate bacterial adhesion to dental plaque. One of the approaches to preventing dental caries is the use of antibacterial agents to inhibit bacterial growth in dental plaque. Averrhoa bilimbi (cucumber tree fruit) leaves have the potential to act as antibacterial agents due to the presence of active compounds that can inhibit bacterial growth. Aim: To determine the effect of Averrhoa bilimbi (cucumber tree fruit) leaf extract on inhibiting the growth of Lactobacillus acidophilus ATCC 4356. Methods: This study was an experimental laboratory with a post-test only control group design. The concentrations of Averrhoa bilimbi leaf extract used were 6.25%, 12.5%, 25%, and 50%, and a negative control of aquadest (sterile water). Results: The analysis with One Way ANNOVA showed p-value < 0.05, indicating a significant effect of Averrhoa bilimbi leaf extract in inhibiting the growth of Lactobacillus acidophilus ATCC 4356. Conclusion: Averrhoa bilimbi (cucumber tree fruit) leaf extract has an effect on inhibiting the growth of Lactobacillus acidophilus ATCC 4356. These findings suggest the potential of Averrhoa bilimbi leaf extract as a natural antibacterial agent
Strategic SWOT Analysis for Enhancing the Competitive Advantage of the Dental and Oral Hospital at Universitas Andalas Rahmasari, Suci; Arini, Mustika; Ladyventini, Yona
Journal of Syiah Kuala Dentistry Society Vol 10, No 1 (2025): June
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v10i1.46194

Abstract

Background: The Dental and Oral Hospital of Andalas University (RSGM UNAND) in West Sumatra serves as both a healthcare provider and an academic institution. In a competitive healthcare environment, hospitals face challenges in maintaining and improving their service performance and visibility. Objective: This study aims to identify internal and external factors influencing the competitiveness of RSGM UNAND and to formulate appropriate strategic responses using SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis. Methods: This research employed a qualitative case study approach. Data collection involved in-depth interviews with key stakeholders, direct observation of hospital operations, and document analysis to obtain comprehensive insights into institutional strengths, weaknesses, and external dynamics. Results: The findings indicate that RSGM UNAND's main strengths include its strategic location within the university campus, availability of modern dental equipment, and a highly competent healthcare workforce. However, weaknesses were found in limited promotional efforts and underdeveloped collaborations with health insurance providers. Opportunities identified include potential expansion to 24-hour service and increased use of social media for promotion. Major threats involve rising competition from surrounding private dental hospitals and clinics. Conclusion: To improve its competitiveness, RSGM UNAND must strengthen its promotional strategies, build strategic partnerships with health insurance networks, and invest in digital technologies that support service expansion and public engagement.
Multimodal Interactive Pedagogy for Early Caries Detection: A Short-Term Assessment of Health Literacy in Transitional Dentition Rahmi Khairani Aulia; Suci Rahmasari; Haria Fitri; Yona Ladyventini; Rahmatul Aini
Indonesian Community Empowerment Journal Vol. 6 No. 1 (2026): Indonesian Community Empowerment Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/icejournal.v6i1.55

Abstract

Dental caries is a pervasive non-communicable disease, affecting approximately 80% of children in Indonesia. Children in the transitional dentition phase (aged 7–8 years) frequently lack awareness regarding oral health. Traditional educational models often fail to instill long-term behavioral changes. This study aims to evaluate the short-term impact of an interactive multimodal educational intervention grounded in the Health Belief Model on the early caries detection knowledge of 7-8-year-old schoolchildren in an urban middle-income setting. A quantitative pre-experimental, one-group pre-test and post-test design was utilized. A convenience sample of 57 grade 2 students from SD IT Cendikia Andalas participated. The intervention deployed tactile dental models, posters, and animated videos. The curriculum detailed anatomical function, caries etiology, early visual detection, and preventive strategies. Knowledge was measured using a validated 5-item questionnaire focusing on pathophysiology and visual cueing. Descriptive statistics included Medians and Interquartile Ranges (IQR). Hypothesis testing utilized the Wilcoxon Signed Rank Test. The cohort demonstrated a statistically significant short-term increase in knowledge. The pre-test Median score was 4.0 (IQR: 3.0–4.0), which increased post-intervention to a Median of 5.0 (IQR: 4.0–5.0) (p < 0.001). Both female (p < 0.001) and male (p < 0.001) subgroups showed significant improvements. Identification of white spot lesions improved from 35.1% to 87.7%. In conclusion, multimodal education is associated with a significant short-term increase in early caries detection knowledge among young schoolchildren. Integrating such interactive modules into longitudinal curricula alongside parental involvement is recommended for sustained public health impact.
Global Cephalometric Norms for Pediatric Soft Tissue Profiles: A Systematic Review and Meta-Analysis of Racial and Ethnic Variations Asep Darya Darma Putra; Yona ladyventini; Bobby
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 6 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i6.800

Abstract

The diagnostic standards in orthodontics have been historically based on Caucasian cephalometric norms, an approach that is increasingly inappropriate for a diverse global population and can lead to misdiagnosis in pediatric patients aged 9-18. This study aimed to systematically review the literature and perform a meta-analysis to establish and compare key soft tissue cephalometric estimates for pediatric populations across various major racial and ethnic groups. Following PRISMA guidelines, a comprehensive search of PubMed, Scopus, Web of Science, and Embase was conducted for studies published between January 2015 and August 2025. We included cross-sectional studies reporting mean and standard deviation for soft tissue cephalometric measurements in untreated adolescents from distinct ethnic groups. Two reviewers independently performed study selection, data extraction, and risk of bias assessment using the Newcastle-Ottawa Scale. A random-effects model was used to calculate pooled mean estimates, 95% confidence intervals (CI), and 95% prediction intervals (PI) for key parameters. The search yielded 1,842 articles; seven studies met the inclusion criteria, comprising 1,240 individuals. Significant differences in pooled means were found across all parameters, with profound statistical heterogeneity. Subjects of African descent displayed the most convex facial profile (pooled mean G’-Sn-Pog’: 164.8°; 95% CI: 163.1-166.5; I²=92%). In contrast, Caucasian subjects exhibited the straightest profile (172.5°; 95% CI: 170.9-174.1). Lip prominence was greatest in the African descent group (+3.5 mm to E-line; 95% CI: 2.8-4.2; I²=91%) and retrusive in the Caucasian group (-2.1 mm; 95% CI: -2.8 to -1.4). The 95% prediction intervals were substantially wider than the confidence intervals, highlighting extensive inter-population variance. In conclusion, clinically significant variations in pediatric soft tissue profiles exist among different racial and ethnic groups. The extreme heterogeneity found in this analysis is a critical finding, suggesting that the concept of a single numerical "norm" is flawed even within broad ethnic categories. This meta-analysis provides a quantitative foundation for a more cautious, individualized diagnostic approach that respects the wide spectrum of normal human facial variation.
Effectiveness of Storytelling Versus Lecture Methods on Oral Health Knowledge in Children Aged 7–8 Years: A Quasi-Experimental Study Suci Rahmasari; Yona Ladyventini; Rahmi Khairan
Scientific Journal of Pediatrics Vol. 3 No. 2 (2025): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v3i2.251

Abstract

Introduction: Dental caries remains the most prevalent chronic disease in children worldwide, disproportionately affecting school-age populations in low- and middle-income countries. This quasi-experimental study evaluated the effectiveness of storytelling versus traditional lecture methods in improving oral health knowledge among children aged 7–8 years (mean age 7.4 ± 0.5 years) in Padang, Indonesia. Methods: A total of 110 children were enrolled and assigned to storytelling (n=55) and lecture (n=55) groups, with 108 children (54 per group) completing the study. Pre-test and post-test knowledge assessments were conducted using a validated 15-item questionnaire (Content Validity Index = 0.87, Cronbach’s α = 0.73). Results: The storytelling group demonstrated a significant mean score increase of +1.28 points (95% CI: 0.97–1.59, p < 0.001, Cohen’s d = 1.12), while the lecture group showed a non-significant gain of +0.35 points (95% CI: -0.13 to 0.83, p = 0.152, Cohen’s d = 0.22). Post-intervention, 83.3% of the storytelling group achieved “good” knowledge levels compared to 51.9% in the lecture group (OR = 4.66, 95% CI: 1.88–11.54, p < 0.001; NNT = 3.2). Children with lower baseline knowledge benefited most from storytelling (r = 0.51, p < 0.010). Children perceived storytelling as more enjoyable (92.6% vs 51.9%), easier to understand (88.9% vs 59.3%), and more motivating for oral hygiene practice (81.5% vs 50.0%). Conclusion: Storytelling was significantly more effective than lectures in enhancing oral health knowledge, particularly among children with limited baseline understanding, supporting its implementation as a school-based oral health promotion strategy.
Dental and Craniofacial Anatomical Variations and Their Impact on Orthodontic Diagnosis and Treatment Planning: A Systematic Review Gita Dwi Jiwanda Sovira; Wulandani Liza Putri; Yona Ladyventini
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

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

Abstract

Background: Dental and craniofacial anatomical variations are fundamental determinants of orthodontic diagnosis and treatment planning. Variability in tooth morphology, skeletal relationships, and alveolar bone anatomy may influence biomechanical feasibility, treatment selection, and the risk of complications. Objective: This systematic review aimed to synthesize current evidence on dental and craniofacial anatomical variations and to evaluate their impact on orthodontic diagnosis and treatment planning. Methods:A systematic literature search was conducted in PubMed, Scopus, and Web of Science in accordance with the PRISMA 2020 guidelines. Studies published in English within the last 10 years and involving human subjects with permanent dentition were considered. Data extraction and study selection were performed independently, and findings were synthesized narratively due to methodological heterogeneity. Results: Twenty studies were included in the qualitative synthesis. Dental anatomical variations, particularly root morphology and tooth anomalies, were associated with biomechanical limitations and increased risk of root resorption. Craniofacial skeletal variations influenced malocclusion patterns, growth assessment, and decisions between orthodontic camouflage and combined orthodontic surgical treatment. Alveolar bone anatomical variability defined the biological limits of orthodontic tooth movement and was closely linked to periodontal risk. 3D imaging techniques, especially cone-beam computed tomography, enhanced the identification of clinically relevant anatomical constraints. Conclusions: Dental, craniofacial, and alveolar anatomical variations play a critical role in orthodontic diagnosis and treatment planning. An anatomy driven approach supported by appropriate imaging improves diagnostic accuracy, facilitates individualized treatment strategies, and reduces the risk of adverse outcomes. These findings support the integration of comprehensive anatomical assessment into precision orthodontic practice.