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Edukasi PHBS (sikat gigi) pada siswa SDN Patran Retno Wati; Ayu Mahanani; Nana Andriana Juniati
BEMAS: Jurnal Bermasyarakat Vol 4 No 2 (2024): BEMAS: Jurnal Bermasyarakat
Publisher : LPPMPK-Sekolah Tinggi Teknologi Muhammadiyah Cileungsi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37373/bemas.v4i2.757

Perilaku Hidup Bersih dan Sehat (PHBS) merupakan perilaku yang dilakukan seseorang untuk selalu memperhatikan kebersihan, kesehatan, dan berperilaku sehat. Institusi pendidikan dipandang sebagai sebuah tempat yang strategis untuk mempromosikan kesehatan dimana usia sekolah merupakan masa keemasan untuk menanamkan nilai-nilai PHBS dan berpotensi sebagai agent of change untuk mempromosikan PHBS baik di lingkungan sekolah, keluarga, maupun masyarakat. Salah satu indikator yang dipakai sebagai ukuran untuk menilai PHBS di sekolah yaitu menggosok gigi karena delapan dari sepuluh anak Indonesia mengalami masalah gigi berlubang yang disebabkan oleh kebiasaan menyikat gigi yang salah. Oleh karena itu, penanaman nilai-nilai PHBS di sekolah merupakan kebutuhan mutlak dan dapat dilakukan salah satunya adalah cara menyikat gigi yang baik dan benar agar terhindar dari berbagai penyakit gigi. Tujuan dari pengabdian ini adalah untuk menanamkan bagaimana cara sikat gigi yang baik dan benar. Metode yang digunakan adalah penyampaian materi kepada siswa setelah itu praktek langsung bagaimana cara menyikat gigi yang baik dan benar. Hasil kegiatan penyuluhan tentang PHBS gosok gigi dilakukan satu hari dengan rangkaian kegiatan berupa pemberian materi, praktek langsung, tanya jawab dan pemberian doorprize. Terdapat peningkatan pemahaman bagaimana cara sikat gigi yang baik dan benar dengan dibuktikan melakui praktek secara langsung serta antusias peserta pada sesi tanya jawab, sehingga dapat disimpulkan program pengabdian kepada siswa kelas 1 SDN Patran berjalan dengan lancar

Peningkatan Daya Saing UMKM Slondok Win Melalui Peningkatan Kesehatan Pengrajin di Desa Kenalan Borobudur, Magelang Ike Ade Nur Liscyaningsih; Ayu Mahanani
Babakti: Journal of Community Engangement Vol 1 No 2 (2024): October
Publisher : Fakultas Teknik, Universitas Singaperbangsa Karawang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35706/babakti.v1i2.13099

Kawasan Borobudur dan sekitarnya terkenal dengan keindahan alam dan kekayaan budayanya. Jenis wisata ini tidak hanya memberikan dampak positif terhadap perekonomian masyarakat sekitar, namun juga masyarakat luas di kawasan Borobudur. Keberadaan Candi Borobudur berpotensi meningkatkan perekonomian masyarakat setempat dan menjadi daya tarik wisata dengan keunikan seni, kerajinan, dan kulinernya Beberapa makanan khas daerah Borobudur diantaranya adalah olahan singkong, berupa gethuk, slondok, dan kimpul yang terkenal di Magelang. Slondok merupakan makanan yang menjadi primadona bagi para wisatawan. Karena potensinya yang besar, pemerintah Kabupaten Magelang melalui Dinas Perindustrian dan Tenaga Kerja telah menyiapkan program untuk mengembangkan sentra industri slondok di beberapa Desa di Kecamatan Borobudur. Namun pengrajin yang memproduksi slondok mayoritas lansia sehingga memiliki berbagai masalah kesehatan dan penyakit degeneratif. Sehingga perlu diperhatikan agar para lansia dapat mencegah penyakit dan dapat meningkatkan derajat kesehatannya. Tujuan dari kegiatan pengabdian ini adalah evaluasi Kesehatan pengrajin Slondok Win dan memberikan pengetahuan tambahan mengenai pentingnya menjaga Kesehatan dalam meningkatkan daya saing UMKM. Hasil dari kegiatan ini didapatkan evaluasi kesehatan yaitu gula darah, kolesterol dan asam urat para pengrajin. Mayoritas pengrajin adalah wanita dengan usia di atas 40 tahun sehingga memiliki kesehatan yang rentan. Pada kegiatan ini pengrajin diberi wawasan mengenai menjaga kesehatan pada usia lanjut.

ANALISIS PENGULANGAN (REPEAT) RADIOGRAFI PADA MODALITAS DIGITAL RADIOGRAFI (DR) DI INSTALASI RADIOLOGI RSU PKU MUHAMMADIYAH BANTUL M. Efendi; Ayu Mahanani; Asih Puji Utami
Journal of Innovation Research and Knowledge Vol. 5 No. 8 (2026): Januari 2026
Publisher : Bajang Institute

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Background: Digital Radiography (DR) is a digital imaging system that replaces conventional film with digital detectors to produce faster and more efficient diagnostic images. Although this technology has the ability to correct contrast and density errors, repeat examinations still occur due to patient positioning errors, artifacts, and other technical factors. Based on preliminary data from the Radiology Installation of PKU Muhammadiyah Bantul Hospital, image repeats have never been thoroughly analyzed, even though repeats affect radiation dose increases and radiographers' work efficiency. Objective: This study aims to determine the percentage level of repeat radiography and identify the factors causing repeat examinations using the Digital Radiography (DR) modality at the Radiology Installation of PKU Muhammadiyah Bantul Hospital. Method: The study used a qualitative approach with a case study design. Data were collected through direct observation, interviews with three radiographers, and documentation of examination data during April–June 2025. Interview data analysis included interview transcripts, data reduction, coding, categories, and themes, followed by conclusions. The repeat results were analyzed descriptively by calculating the percentage of repeats and grouping the causes of repeats based on technical and human error categories. The results were used to assess the implementation of Quality Assurance (QA) and Quality Control (QC) programs in the radiology installation. Results: Of the total 4,835 radiographic examinations, 35 cases of repeat cases (0.73%) were found, which is below the maximum limit of ≤2% as stipulated in KMK No. 129/Menkes/SK/II/2008. The main factors causing repeat cases were cut objects (0.44%) and artifacts (0.38%), followed by minor cases due to cassettes not being ready (0.12%). Although most radiographers understand the theory and working principles of DR, there is still a mismatch between theory and practice in patient positioning and pre-exposure examination. Conclusion: The results of the study showed that the repeat rate of radiography at PKU Muhammadiyah Bantul General Hospital was classified as very good (0.73%), indicating the implementation of effective and efficient radiology quality management. These results confirm that radiographers have implemented the principles of QA, QC, and ALARA (As Low As Reasonably Achievable) well, thus reducing repeats below national standards. The main error factors come from human error aspects such as patient positioning and metal artifacts, not equipment damage. Regular evaluation, technical training, and increased accuracy in patient positioning are needed to maintain image quality and patient safety continuously.

PROSEDUR PEMERIKSAAN COLON IN LOOP PEDIATRIK KLINIS DISTENDED RSUD DR SOEDONO MADIUN Salsabilla S Hi Rakib; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 5 No. 12 (2026): Mei 2026
Publisher : Bajang Institute

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Abstract: Prosedur pemeriksaan colon in loop pediatrik dengan klinis distended abdomen di Instalasi Radiologi RSUD dr. Soedono Madiun menggunakan media kontras barium sulfat (BaSO₄) dan iodine, serta proyeksi plain AP, LLD, AP post-contrast, dan lateral (dengan dan tanpa balon). Penelitian ini bertujuan menganalisis prosedur serta alasan penggunaan kombinasi media kontras tersebut. Metode penelitian: ini adalah kualitatif studi kasus dengan subjek tiga radiographer dan satu dokter spesialis radiologi. Data dikumpulkan pada September 2025–April 2026 melalui observasi, wawancara, dan dokumentasi, kemudian dianalisis melalui reduksi data, penyajian data, dan penarikan kesimpulan dengan triangulasi sumber. Hasil: Penelitian menunjukkan pemeriksaan pada pasien usia 17 hari dilakukan tanpa persiapan khusus. Proyeksi AP, lateral, dan LLD digunakan untuk memperoleh gambaran optimal, tanpa dilakukan post-evakuasi karena kondisi klinis pasien. Kombinasi kontras BaSO₄ dan iodine digunakan untuk meningkatkan kualitas visualisasi, dimana BaSO₄ memberikan pelapisan mukosa yang baik, sedangkan iodine membantu homogenitas pengisian lumen dan ekskresi. Kesimpulan: penelitian ini adalah prosedur colon in loop pediatrik dilakukan secara fleksibel sesuai kondisi klinis pasien. Penggunaan kombinasi media kontras serta pemilihan proyeksi yang tepat dapat meningkatkan kualitas citra diagnostik dan mendukung aspek keselamatan pasien.

Prosedur Pemeriksaan Lopografi Proksimal Dan Distal Pra Operasi Duhamel Pull Through Di Instalasi Radiologi RSUD Banyumas Elza Afrita Sari; Arnefia Mei Yusnida; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 6 No. 3 (2026): Agustus 2026
Publisher : Bajang Institute

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Background: Loopography is typically performed using AP plain, AP post-contrast, lateral post-contrast, RPO, LPO, and AP post-evacuation projections. The primary contrast medium is barium sulfate. However, if perforation or obstruction is suspected, a water-soluble contrast medium is considered safer. At the Radiology Department of RSUD (Regional General Hospital) Banyumas, proximal and distal loopography is performed using AP plain, AP post-contrast, and lateral post-contrast projections with barium sulfate as the contrast medium. This study aimed to describe the examination procedure, the rationale for using a limited number of projections, and the rationale for selecting barium sulfate as the contrast medium for preoperative proximal and distal loopography before Duhamel pull-through surgery at RSUD Banyumas. Methods: This study employed a qualitative method with a case study approach conducted from September 2025 to April 2026 at the Radiology Department of RSUD Banyumas. Data were collected through observation, interviews, and documentation involving one radiologist and three radiographers. Results: The examination procedure began with patient preparation, followed by an AP plain abdominal radiograph, administration of the contrast medium through the distal and proximal stomas, and evaluation of the post-contrast radiographs using AP and lateral projections. Barium sulfate, diluted at a ratio of 1:4, was used because it provided clearer visualization of the colonic lumen and anatomy than water-soluble iodinated contrast media. The AP and lateral projections were considered sufficient for evaluating the colonic lumen and distal colonic anatomy before surgery. The ALARA principle was implemented through the use of high-kV techniques, appropriate collimation, and proper patient positioning to minimize radiation exposure. Conclusion: Preoperative proximal and distal loopography before Duhamel pull-through surgery at RSUD Banyumas is performed using AP and lateral projections with barium sulfate as the contrast medium because it provides clear visualization of the colon, is more cost-effective, and supports the implementation of the ALARA principle to minimize radiation exposure.

Teknik Pemeriksaan Kegawatdaruratan Os Nasal Dengan Klinis Suspek Fraktur Di Instalasi Radiologi Rsi Siti Aisyah Madiun Dea Desta Juni Lestari; Ike Ade Nur Liscyaningsih; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 6 No. 3 (2026): Agustus 2026
Publisher : Bajang Institute

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Background: Nasal bone fractures are among the most common facial injuries, commonly caused by traffic accidents, sports injuries, or direct trauma. Radiographic examination is essential for confirming the diagnosis, particularly in non-cooperative patients, where examination techniques must be adapted to ensure patient safety and obtain optimal diagnostic images. Objective: This study aimed to describe the radiographic examination procedure of the nasal bone and explain the rationale for using the semiprone true lateral position in non-cooperative patients with suspected nasal bone fractures at the Radiology Department of RSI Siti Aisyah Madiun. Method: A qualitative case study approach was conducted from December 2025 to January 2026 involving three radiographers and one radiologist. Data were collected through observation, interviews, documentation, and literature review, then analyzed descriptively. Results: The examination required no special patient preparation except removing metallic objects from the head region. Radiography was performed using a lateral projection in the semiprone true lateral position with exposure factors of 65 kV, 200 mA, and a focus-to-film distance of 100 cm. This positioning was selected because the patient was weak and unable to follow instructions, providing greater safety and comfort during the examination. The lateral projection clearly demonstrated the nasal bone anatomy and fracture line without requiring additional projections. Conclusion: The semiprone true lateral position is an effective radiographic technique for evaluating suspected nasal bone fractures in non-cooperative patients, providing adequate diagnostic information while improving patient safety and examination efficiency

Prosedur Pemeriksaan Radiografi Cervical Dinamik pada Klinis Herniated Nucleus Pulposus (HNP) di Instalasi Radiologi RSUD Brebes Putri Apriani; Ari Anggraeni; Ayu Mahanani
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8355

Background: Herniated Nucleus Pulposus (HNP) in the cervical region is a condition in which the intervertebral disc protrudes and may compress the nerve roots, causing pain and movement disorders. At the Radiology Department of RSUD Brebes, there are differences in cervical examination techniques compared to standard theory, namely the use of hyperflexion and hyperextension projections. Objective: This study aims to further examine the radiographic techniques used in cervical examinations with clinical indications of Herniated Nucleus Pulposus (HNP), particularly the use of additional lateral hyperflexion and hyperextension projections. Method: This research employed a qualitative method with a case study approach. Data collection was conducted through observation, interviews, documentation, and literature review at the Radiology Department of RSUD Brebes. Informants included five people: three radiographers, one radiology specialist, and one referring physician. Data were analyzed using reduction, presentation, and conclusion drawing techniques. Results: Dynamic cervical radiographic examination for clinical HNP at RSUD Brebes utilized additional hyperflexion and hyperextension projections with the patient standing sideways at the bucky stand, the Central Point (CP) located at cervical 4, and the Central Ray (CR) perpendicular horizontally. Focus Film Distance (FFD) was 100 cm, with exposure factors of 77 kV and 10 mAs. Patient preparation required no special measures, only removing metal objects around the cervical region such as earrings and necklaces. The rationale for using hyperflexion and hyperextension projections in dynamic cervical examinations for HNP cases at RSUD Brebes was to determine whether there was compression or displacement at the intervertebral disc. Conclusion: Dynamic cervical radiographic techniques for HNP cases at RSUD Brebes were conducted using hyperflexion and hyperextension projections. This examination was also used to evaluate degenerative conditions commonly occurring with aging and to assess cervical movement, since this region is more dynamic compared to thoracic and lumbar vertebrae, thus helping identify movement limitations in patients to support diagnosis.

TEKNIK PEMERIKSAAN RADIOGRAFI WRIST JOINT DENGAN PROYEKSI PENCIL GRIP VIEW PADA KASUS CHRONIC WRIST PAIN DI RUMAH SAKIT ORTOPEDI SURAKARTA Azhar Naufal Abror; Ayu Mahanani; Ildsa Maulidya Mar'atus Nasokha
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 4 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i4.14775

ABSTRACT Radiographic examination of the wrist joint in cases of chronic wrist pain generally begins with standard posteroanterior (PA) and lateral projections; however, certain abnormalities involving the scapholunate region and scaphoid may not always be optimally identified using standard projections alone. This study focused on the examination procedure and the role of the Pencil Grip View in evaluating the wrist joint in patients with chronic wrist pain at the Radiology Department of Prof. Dr. R. Soeharso Orthopedic Hospital, Surakarta. This qualitative study employed a case study approach, with data collected through observation, interviews with one referring physician, three radiographers, and one radiologist, as well as documentation and literature review conducted from September 2025 to March 2026. The data were analyzed descriptively by examining the examination procedures, projection techniques, radiographic findings, and information obtained from the informants. The findings showed that the examination was performed using standard PA and lateral projections, followed by an additional bilateral Pencil Grip View according to clinical indications. No special patient preparation was required other than removing metallic objects from the examination area, while during the Pencil Grip View, the patient was instructed to grip a pencil to apply stress to the carpal structures. The main finding of this study showed that the use of the bilateral Pencil Grip View provided clearer additional radiographic information for evaluating the scapholunate region and scaphoid and, in the case examined, successfully demonstrated a right scaphoid fracture that was not identified on the standard PA and lateral projections. Therefore, the Pencil Grip View may serve as a relevant supplementary projection for chronic wrist pain with suspected dynamic abnormalities of the wrist joint, as it provides additional radiographic information beyond routine projections. ABSTRAK Pemeriksaan radiografi wrist joint pada kasus chronic wrist pain umumnya diawali dengan proyeksi posteroanterior (PA) dan lateral, tetapi kelainan tertentu pada daerah scapholunate dan scaphoid tidak selalu dapat teridentifikasi secara optimal melalui proyeksi standar. Penelitian ini berfokus pada prosedur pemeriksaan serta peranan proyeksi Pencil Grip View dalam evaluasi wrist joint pada kasus chronic wrist pain di Instalasi Radiologi RS Ortopedi Prof. Dr. R. Soeharso Surakarta. Penelitian menggunakan metode kualitatif dengan pendekatan studi kasus yang dilaksanakan melalui observasi pemeriksaan, wawancara dengan satu dokter pengirim, tiga radiografer, dan satu dokter spesialis radiologi, serta dokumentasi dan studi kepustakaan selama periode September 2025 hingga Maret 2026. Data dianalisis secara deskriptif dengan menelaah tahapan pemeriksaan, penggunaan proyeksi, hasil radiograf, dan informasi yang diperoleh dari informan. Hasil penelitian menunjukkan bahwa pemeriksaan dilakukan menggunakan proyeksi standar PA dan lateral, kemudian ditambahkan proyeksi bilateral Pencil Grip View sesuai indikasi klinis. Pasien tidak memerlukan persiapan khusus selain melepaskan benda logam di sekitar area pemeriksaan, sedangkan pada proyeksi Pencil Grip View pasien diminta menggenggam pensil untuk memberikan pembebanan pada struktur carpal. Temuan utama penelitian menunjukkan bahwa penggunaan proyeksi bilateral Pencil Grip View memberikan informasi radiografis tambahan yang lebih jelas dalam mengevaluasi daerah scapholunate dan scaphoid, serta pada kasus yang diteliti berhasil memperlihatkan fracture os scaphoid dextra yang tidak teridentifikasi pada proyeksi standar PA dan lateral. Dengan demikian, Pencil Grip View dapat menjadi proyeksi tambahan yang relevan pada chronic wrist pain dengan kecurigaan kelainan dinamis pada wrist joint karena memberikan informasi radiografis tambahan setelah evaluasi proyeksi rutin.

PERANAN PENAMBAHAN PROYEKSI LATERAL PADA PEMERIKSAAN BNO-IVP DENGAN PASIEN VESICOCELE DI INSTALASI RADIOLOGI RSUD BANYUMAS Wa Upik La Parman; Ike Ade Nur Liscyaningsih; Ayu Mahanani
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 4 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i4.15179

ABSTRACT Vesicocele, or urinary bladder diverticulum, is a structural abnormality of the bladder wall characterized by protrusion of the mucosa and submucosa through a defect in the detrusor muscle layer. BNO-IVP examination generally uses AP supine, oblique (RPO/LPO), and post-void AP erect or PA prone projections. However, at the Radiology Department of RSUD Banyumas, modifications were identified, including the addition of lateral and oblique projections at 60 minutes and the use of AP supine projection during the post-void phase. This study aimed to describe the BNO-IVP procedure in patients with vesicocele, explain the role of the additional projections, and determine the rationale for using AP supine projection during the post-void phase. This qualitative study employed a case study approach and was conducted at the Radiology Department of RSUD Banyumas from October 2025 to May 2026. Data were obtained through direct observation, documentation, and in-depth interviews with one radiographer and one radiologist, followed by data reduction, presentation, and conclusion drawing. The BNO-IVP examination included a plain abdominal radiograph, intravenous contrast administration using bolus injection, post-contrast images at 5, 15, 30, and 60 minutes using AP supine projection, followed by lateral and oblique projections at 60 minutes, and a post-void AP supine image. The main findings showed that the lateral and oblique projections helped overcome anatomical superimposition and improved visualization of diverticular morphology, while AP supine post-void imaging provided adequate information regarding bladder emptying and residual urine within the diverticulum. These modifications supported the visualization of vesicocele and diagnostic assessment. ABSTRAK Vesicocele atau divertikel vesika urinaria merupakan kelainan struktural dinding kandung kemih yang ditandai dengan penonjolan mukosa dan submukosa melalui defek lapisan otot detrusor. Kondisi ini diperiksa menggunakan BNO-IVP dengan proyeksi standar meliputi AP supine, oblique (RPO/LPO), serta post void proyeksi AP erect atau PA prone. Namun, di Instalasi Radiologi RSUD Banyumas ditemukan penambahan proyeksi lateral pada menit ke-60 dan penggunaan proyeksi AP supine pada fase post void, dua variasi yang seharusnya tidak ada dalam protokol standar dan belum terdokumentasi dalam penelitian terdahulu. Tujuan penelitian ini bertujuan untuk mendeskripsikan prosedur pemeriksaan BNO-IVP pada pasien Vesicocele di Instalasi Radiologi RSUD Banyumas, mengetahui peranan penambahan proyeksi lateral, serta mengetahui alasan penggunaan proyeksi AP supine pada fase post void. Penelitian ini merupakan kualitatif dengan pendekatan studi kasus yang dilaksanakan di Instalasi Radiologi RSUD Banyumas dari Oktober 2025 hingga Mei 2026. Data dikumpulkan melalui observasi langsung, dokumentasi, dan wawancara mendalam dengan satu radiografer dan satu dokter spesialis radiologi. Analisis data meliputi tahap pengumpulan data, reduksi, penyajian, dan penarikan kesimpulan. Prosedur BNO-IVP dilakukan dengan foto polos abdomen, injeksi media kontras intravena metode bolus injection, foto post-kontras menit ke-5, 15, 30, dan 60 proyeksi AP supine, dilanjutkan proyeksi lateral dan oblique pada menit ke-60, serta foto post void proyeksi AP supine. Penambahan proyeksi lateral dan oblique terbukti mengatasi superposisi anatomi dan memungkinkan visualisasi morfologi divertikel dari berbagai sudut pandang. Penggunaan AP supine pada fase post void memberikan informasi diagnostik yang memadai mengenai kemampuan pengosongan vesika urinaria dan sisa urin dalam kantong divertikel. Modifikasi teknik BNO-IVP yang diterapkan di RSUD Banyumas terbukti efektif dalam mengidentifikasi Vesicocele dan mendukung penegakan diagnosis yang akurat untuk menentukan derajat keparahan serta kebutuhan intervensi lebih lanjut.

ANALISIS REJECT RATE DI INSTALASI RADIOLOGI RUMAH SAKIT DR. GUNAWAN MANGUNKUSUMO AMBARAWA Alya Nabilliani; Ayu Mahanani; Ike Ade Nur Liscyaningsih
JHN: Journal of Health and Nursing Vol. 4 No. 1 (2026): JHN: Journal of Health and Nursing, May 2026
Publisher : ASIAN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58738/jhn.v4i1.1907

Radiology services require quality control to ensure the quality of diagnostic images. One of the indicators used is the reject rate. However, analyses of reject rates in Computed Radiography (CR) systems based on actual data and causative factors at healthcare facilities remain under-reported; consequently, information regarding patterns of reject incidents—which serves as a basis for service quality improvement—is limited. This gap indicates that radiographic quality control, particularly regarding Computed Radiography (CR) systems, requires contextual evaluation across various facilities. This study aims to analyze reject rates, causative factors, and efforts to reduce reject incidents at the Radiology Unit of RSGM Ambarawa. This is a descriptive study employing a quantitative approach supplemented by qualitative data. Primary data consisted of secondary data obtained from radiography reject logs, monthly film usage reports, and a summary of reject incidents at the RSGM Ambarawa Radiology Unit for the period of January–March 2026. Observations and interviews with three informants (the unit head and two radiographers) were conducted to enrich and verify the context, causative factors, and reject control measures. Analysis was performed by calculating reject rates using standard formulas and categorizing the causes of rejection. The results showed reject rates of 0.71% in January 2026 (18 CR rejects out of 2,530 films), 0.73% in February 2026 (17 CR rejects out of 2,338 films), and 1.01% in March 2026 (19 CR rejects out of 1,890 films). All values fell below the threshold of ≤2%. Factors contributing to image rejects included underexposure (20.75%), processing issues (20.75%), positioning errors (18.52%), motion artifacts (14.81%), overexposure (12.96%), and equipment-related issues (12.96%). Measures already implemented include briefings on exposure factor selection, improved patient communication, routine equipment maintenance, dual identity verification in accordance with Standard Operating Procedures (SOPs), and supervision of student interns. Future recommendations include developing an SOP for window settings, procuring Uninterruptible Power Supply (UPS) units, and integrating the PACS system.

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