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All Journal Jurnal Kreativitas PKM International Journal of Nursing and Health Services (IJNHS) Jurnal Abdi Insani Journal SAGO Gizi dan Kesehatan Journal of Language and Health Jurnal Pengabdian Masyarakat Indonesia Maju (JPMIM) International Journal of Science and Society (IJSOC) Eduvest - Journal of Universal Studies Journal of Educational Innovation and Public Health JUKEJ: Jurnal Kesehatan Jompa Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Green Inflation: International Journal of Management And Strategic Business Leadership Epaper Bisnis: International Journal Entrepreneurship and Management International Journal Of Health And Social Behavior International Journal of Health and Medicine Global Management: International Journal of Management Science and Entrepreneurship
Duta Liana
Universitas Esa Unggul, Jakarta, Indonesia
Aerospace Engineering Agriculture, Biological Sciences & Forestry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Impact of Management Commitment and Safety Culture on Risk Management through Nurse Involvement Intervening Tati susilawati; Duta Liana; Rina Anindita
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.499

Abstract

The Emergency Department (ED) plays a pivotal role as the frontline of hospital services, requiring rapid and accurate response to ensure patient safety and optimal care outcomes. This study aims to analyze the influence of nurse competence and inter-team coordination on the effectiveness of patient transfers from ED to inpatient units, with nurse work motivation as a mediating variable. A quantitative approach was employed with hypothesis testing using path analysis (Structural Equation Modeling - SEM). The study was conducted at Graha Juanda Hospital, Bekasi, involving a sample of 55 nurses selected through total sampling from both the ED and inpatient departments.Primary data were collected through structured questionnaires, and data analysis was performed using SPSS 26 The results demonstrate that nurse competence and team coordination significantly affect service effectiveness, both directly and indirectly through work motivation. The findings also indicate that low work motivation—linked to factors such as limited professional development opportunities and unbalanced workloads—contributes to delays in transferring patients to inpatient care, with the average Length of Stay (LOS) exceeding six hours.The study concludes that improving nurse competence, strengthening inter-team coordination, and enhancing nurse motivation are critical strategies to improve the quality and timeliness of emergency services. This integrated internal performance approach is vital for reducing LOS in the ED and ensuring seamless, patient-centered care transitions.
Learning Organization and Feedback Culture in Patient Safety Incident Reporting: The Mediating Role of Non-Punitive Response William, Wilko; Liana, Duta; Jusat, Idrus
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1936

Abstract

This study originated from initial observations at RSIA Santo Yusuf North Jakarta, which highlighted the importance of evaluating the extent to which feedback culture and learning organization influence healthcare workers’ behavior in reporting patient safety incidents. The purpose of this research is to analyze the influence of feedback culture and learning organization on patient safety incident reporting, with non-punitive response as an intervening variable. The study employed a quantitative approach using a survey method and path analysis technique. The research sample consisted of 95 nurses and midwives at RSIA Santo Yusuf North Jakarta. Data analysis was conducted using Structural Equation Modeling (SEM) with the Partial Least Square (PLS) method. The results indicate that Feedback Culture (X1) and Learning Organization (X2) have a positive and significant effect on Non-Punitive Response (Z), with coefficients of 0.445 (p = 0.000) and 0.386 (p = 0.000), respectively. Non-Punitive Response (Z) also significantly influences Patient Safety Incident Reporting (Y) (β = 0.200; p = 0.004). In addition, Feedback Culture (X1) directly affects Incident Reporting (Y) (β = 0.218; p = 0.001), while Learning Organization (X2) shows the strongest direct effect (β = 0.387; p = 0.000). These findings emphasize the importance of strengthening feedback culture, fostering organizational learning, and ensuring non-punitive responses to improve the quality of patient safety incident reporting. Practically, this research contributes by providing hospital management with evidence-based insights to design interventions, policies, and training programs that encourage open communication and create a supportive culture for healthcare professionals in reporting incidents.
Influence of Trust and Perceived Value on Non-BPJS Patients’ Revisit Intentions Moderated by Hospital Image Maria Stephanie; Duta Liana; Idrus Jusat
ePaper Bisnis : International Journal of Entrepreneurship and Management Vol. 2 No. 3 (2025): ePaper Bisnis : International Journal of Entrepreneurship and Management
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/epaperbisnis.v2i3.562

Abstract

In the healthcare sector, patient revisit intention serves as an important measure of hospital success, influencing financial stability, operational effectiveness, and long-term patient retention. With increasing competition, hospitals must strengthen trust, improve service quality, and maintain a positive institutional image to retain patients. This study focuses on the declining number of non-BPJS (non-insured) patients at Cinta Kasih Tzu Chi Hospital, Cengkareng, which impacts revenue sustainability. The research aims to assess how trust and customer perceived value affect revisit intention, and whether hospital image moderates these relationships. A quantitative approach was applied using a structured questionnaire distributed to 95 non-BPJS outpatients who had previously sought treatment more than once. Data were analyzed through Structural Equation Modeling (SEM) using the Partial Least Squares (PLS) method via SmartPLS software. The findings reveal that both trust and perceived value significantly and positively influence revisit intention, implying that patients with strong trust and satisfaction tend to return. Although hospital image directly influences revisit intention, it does not significantly moderate the link between perceived value and revisit intention. Therefore, hospitals are advised to enhance patient trust and perceived value while sustaining a credible institutional image to strengthen loyalty among non-BPJS patients
The Influence of Clinical Leadership and Reporting Intensity on Patient Safety Culture: The Mediating Role of Blaming Culture in Hospitals Ratna Puri; Natsir Nugroho; Duta Liana
International Journal of Health and Medicine Vol. 2 No. 4 (2025): October : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i4.534

Abstract

Background: Patient safety culture forms the cornerstone of safe and high-quality healthcare delivery. However, its implementation often encounters barriers, particularly the persistence of a blaming culture that discourages staff from reporting patient safety incidents. Clinical leadership and the intensity of incident reporting are believed to play a pivotal role in shaping and sustaining a positive patient safety culture.Objective: This study aims to examine the influence of clinical leadership and patient safety incident reporting intensity on patient safety culture, with blaming culture serving as an intervening variable at Sentra Medika Cikarang Hospital.Methods: A quantitative research approach with an explanatory design was applied. The study involved 147 nurses selected through stratified random sampling. Data were collected using structured questionnaires and analyzed using Structural Equation Modeling (SEM) with the Partial Least Squares (PLS) method to test the direct and indirect relationships among variables. Results: The findings revealed that both clinical leadership and incident reporting intensity significantly influence patient safety culture, both directly and indirectly, through the mediation of blaming culture. Strong clinical leadership and a high level of incident reporting were associated with a more positive patient safety culture, while a high blaming culture weakened this relationship. Conclusion: The study underscores the importance of fostering supportive clinical leadership and cultivating a non-punitive reporting environment to strengthen patient safety culture. Hospital management should focus on leadership development and the creation of open, blame-free communication systems to enhance safety outcomes.
Analisis dimensi iklim keselamatan terhadap keselamatan pasien di rumah sakit Liana, Duta; Dwijayanti, Fifi; Fauziah, Nuraini
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2767

Abstract

Background: Patient safety is a crucial aspect of healthcare systems, reflecting the quality and effectiveness of services. Despite technological advancements, patient safety incidents continue to be a significant global challenge. A total of 5,710 patient safety incidents were recorded in Indonesia in 2023.Objectives: This study aims to analyze the dominant factors that are significantly related to patient safety and provide evidence-based strategies for healthcare facilities to improve safety protocols. Methods: A cross-sectional study design was employed using secondary data from the Hospital Accreditation Committee (KARS). A sample of 178 hospitals was purposively selected in the Greater Jakarta area, operating continuously, and registered in the KARS database for the period 2018–2020. Independent variables included hospital characteristics and safety climate dimensions. Bivariate analysis used chi-square, and multivariate analysis used multiple logistic regression.Results: Multivariate analysis shows that the dominant factors associated with patient safety are reporting and organizational learning. Hospitals with poor reporting had 3,3 times higher odds of experiencing poor/adverse patient safety outcomes. Hospitals with poor organizational learning had 2,3 times higher odds of experiencing poor/adverse patient safety outcomes.Conclusion: Strengthening reporting mechanisms and fostering an organizational learning climate are important strategies for improving patient safety. Hospitals need to prioritize these factors while continuing to pay attention to teamwork and communication through the development of non-punitive reporting systems, training staff in reflective learning, and integrating reporting into KARS to create a safer healthcare environment.
Effectiveness Analysis of Crystalloids and Crystalloid-Colloid Combinations in Hospitalized Dengue Fever Patients Without Shock at RSUD Tangerang City Helmawati Helmawati; Arrozi Arrozi; Duta Liana
Journal of Educational Innovation and Public Health Vol. 4 No. 1 (2026): Januari: Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i1.8435

Abstract

The high cost of colloid fluids and the large number of patients are concerns in determining which treatment standard should be chosen from several treatment alternative, where the total cost for 43 cases with a combination of crystalloid colloid fluids is IDR 209.370.993 while the total cost for 45 cases of crystalloid fluids is only UDR 146.492.268 which causes hospital losses. This study aims to determine the difference in the cost-effectiveness between crystalloid fluids and crystalloid-colloid combinations in hospitalized dengue fever patients without shock at Tangerang City Hospital. The research design used was cross-sectional with a comparative quantitative analysis method, where cost effectiveness was analyzed using the Average Cost Effectiveness Ratios (ACER) method. There were two groups of study samples: the first group, 25 patients who received crystalloid fluids, and the second group, 23 patients who received crystalloid-colloid combination fluids. This study showed a difference in the average hospitalization costs for dengue patients between crystalloid fluid therapy and crystalloid-colloid combination therapy. Hospitalization costs for dengue patients were lower in the crystalloid fluid group, with a significant difference (p=0.000). It was also found that crystalloid fluids were more cost-effective than the crystalloid-colloid combination. The implications of the study results consist of theoretical implications and practical implications. Based on the results of the analysis carried out, the crystalloid solutions are more cost-effective than crystalloid-colloid combinations. This finding can be used as a consideration in making decisions and policies that are in accordance with quality control and cost control for patients covered by the National Health Insurance (BPJS Health insurance).
Medical Screening Through Community-Based Social Service Programs for Sustainable Public Health Improvement Strategy in Cikeas Udik, Bogor Regency Liana, Duta; Mulyani, Erry Yudhya; Maratis, Jerry; Fauziah, Nuraini; Susilawati, Tati; Ulli, Meilanda Metawati; Anggraeni, Dwi Puspitasari Anggita; Triyani, Endang; Puri, Ratna; Noviana, Ulfa; Saputro, Eko Wahyu Irvan; Dewi, Defi Chintya; Frisma, Istiqo; Stephanie, Maria; Husnan, Faidh; Susanto, Prandika; Julyta, Dwi Meutia; Astika, Fannysa; Puspitaningrum, Ratri
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.24627

Abstract

ABSTRACT Epidemiological transition in Indonesia has been marked by rising prevalence of non-communicable diseases (NCDs), including hypertension, diabetes mellitus, and metabolic disorders, which often remain undetected at early stages. Limited access to healthcare services and inadequate early detection at community level exacerbate risk of complications and increase public health burden. This activity to improve community health status through social service–based health screening and treatment as an effort for early detection and initial management of health problems in Cikeas Udik, Bogor. This activity employed an integrated approach comprising health education, screening, basic medical, and referral. Program was conducted on September 13, 2025, involving 105 adult and elderly participants. Health assessments included medical history taking, blood pressure measurement, random blood glucose testing, cholesterol and uric acid examinations, followed by medication provision according to clinical indications and referral when necessary. Most participants were female (75.2%) and adult age group (70.5%). Hypertension was the most frequently identified diagnosis (37.1%), followed by acute respiratory infections and dyspepsia. Proportion of participants demonstrated elevated levels of blood glucose, cholesterol, and uric acid. Five main categories of medications were analgesics, antihypertensive agents, oral antidiabetic, antacids, and multivitamins. Community-based health social service activities are effective in improving access to healthcare services, facilitating early detection of NCDs, and providing medical treatment and health education. This approach has the potential to contribute to sustainable improvements in community health through integrated, community-oriented healthcare services. Keywords: Social Service, Health Screening, Non-Communicable Diseases, Community Health Services, Public Health.
Safety Leadership and Work Environment Management in Building Patient Safety Culture through Work Motivation Dwi Meutia Julyta; Duta Liana; Nofierni Nofierni
Green Inflation: International Journal of Management and Strategic Business Leadership Vol. 3 No. 1 (2026): February : Green Inflation: International Journal of Management and Strategic B
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/greeninflation.v3i1.678

Abstract

This study investigates the effects of safety leadership and work environment on patient safety culture, with work motivation as an intervening variable among nurses at Hospital X in Jakarta. A quantitative approach using a cross-sectional design was employed, with data collected from 111 nurses through structured questionnaires. The data were analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results show that safety leadership and work environment have significant positive impacts on nurses’ work motivation. Additionally, work motivation directly influences patient safety culture. The study also finds that work motivation partially mediates the relationship between safety leadership and patient safety culture, as well as between work environment and patient safety culture. These findings suggest that both leadership practices and environmental conditions affect patient safety culture directly and indirectly by enhancing nurses’ motivation. The study highlights the importance of safety leadership and supportive work environments in promoting a sustainable patient safety culture through improved nurse motivation. From a practical perspective, hospital management should focus on fostering effective safety leadership practices and creating conducive work environments to enhance patient safety culture. This research contributes to the literature on patient safety and management by providing empirical evidence on the role of work motivation in strengthening safety culture in hospitals.
Effect of Performance-Based Remuneration and Organizational Support on Clinical Pathway Compliance Eko Wahyu Irvan Saputro; Duta Liana; Yanuar Ramadhan
Global Management: International Journal of Management Science and Entrepreneurship Vol. 3 No. 1 (2026): February: Global Management: International Journal of Management Science and En
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/globalmanagement.v3i1.522

Abstract

Compliance with clinical pathways is a critical component in ensuring quality of care, patient safety, and cost efficiency in hospitals. However, its implementation continues to face challenges related to management systems and the work behavior of Healthcare Providers (HCPs). This study aimed to analyze the effect of performance-based remuneration systems and organizational support on clinical pathway compliance, with work discipline serving as an intervening variable among HCPs at Cabangbungin Regional General Hospital.This research employed a quantitative approach with an explanatory research design. Data were collected using structured questionnaires and analyzed through Structural Equation Modeling (SEM) with a Partial Least Squares (PLS) approach, supported by the three-box method analysis. The findings indicate that performance-based remuneration systems and work discipline have a significant positive effect on clinical pathway compliance. Furthermore, work discipline was found to strengthen the relationship between performance-based remuneration and compliance, confirming its mediating role. In contrast, organizational support did not show a significant direct or indirect effect on clinical pathway compliance.The study concludes that compliance with clinical pathways is more strongly influenced by performance control mechanisms and clinical work discipline than by general organizational support. These findings provide evidence-based insights for hospital management in designing sustainable strategies and policies to enhance clinical pathway adherence and improve service quality.
Co-Authors Adyllon, Devand Ananda, Nadaa Septya Dwi Anggraeni, Dwi Puspitasari Anggita Anggrani, Santi Arrozi Arrozi Astika, Fannysa Dewi Lestari Dewi, Defi Chintya Dwi Meutia Julyta Eko Wahyu Irvan Saputro Endang Triyani, Endang Erry Yudhya Mulyani Fifi Dwijayanti Frisma, Istiqo Harlinda Syofyan Hartanti, Renny Hasyim Hasyim hasyim, hasyim Helmawati Helmawati Hendrawan, Suwanda Hosizah Hosizah Husnan, Faidh Julita D. L. Nainggolan Julyta, Dwi Meutia Jusat, Idrus Khaerina, Mutia Fauzi Maratis, Jerry MARIA STEPHANIE Maria Stephanie Muhammad Fachruddin Arrozi Mustikawati, Intan Silviana Natsir Nugroho Nofierni, Nofierni Noviana, Ulfa Nugroho, Natsir Nuraini Fauziah Nuriza, Heni Puri, Ratna Puspitaningrum, Ratri Putri, Yunita Eka Ratih Ariyanti Pratika Ratna Puri Rian Adi Pamungkas Rina Anindita Riya Widayanti Saputro, Eko Wahyu Irvan Susanto, Prandika Tati susilawati Tati Susilawati, Tati Ulli, Meilanda Metawati Ulli, Meilandna Umi Syarah Utomo, Haryo Setyo William, Wilko Yanuar Ramadhan Yuliati -