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Sundoro, Totok
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Evaluasi Strategi Peningkatan Mutu Dan Keselamatan Pasien Di Rumah Sakit X Yogyakarta sundoro, totok
Jurnal Ilmu Kesehatan Masyarakat Berkala (JIKeMB) Vol 5 No 2 (2023): NOVEMBER 2023
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jikemb.v5i2.3940

Abstract

Mutu pelayanan kesehatan merupakan jaminan bagi masyarakat untuk memperoleh derajat kesehatan yang optimal. Masih terdapat kejadian di Rumah Sakit pada Semester I Tahun 2020 yaitu 4 (empat) kasus kejadian tidak terduga, 2 (dua) kasus hampir cidera, 12 (dua belas) kasus tidak cidera dan 12 (dua belas) kasus Potensi Cedera . Dalam rangka meningkatkan mutu pelayanan pasien dan menjamin keselamatan pasien, rumah sakit perlu memiliki strategi peningkatan mutu dan keselamatan pasien yang menjangkau seluruh unit kerja di rumah sakit. Penelitian ini bertujuan untuk mengevaluasi strategi peningkatan mutu & keselamatan pasien di Rumah Sakit X.               Teknik pengumpulan data menggunakan pedoman wawancara dan lembar observasi sebagai instrumen. Wawancara dilakukan dengan Pimpinan atau Manajemen, Komite Mutu dan Keselamatan Pasien, Komite PPI dan staf. Wawancara dilakukan untuk mengetahui regulasi dan upaya peningkatan mutu dan keselamatan pasien serta menemukan kendala yang dihadapi rumah sakit dalam pelaksanaannya. Kegiatan observasi dan dokumentasi terkait penerapan strategi yang dilakukan dalam upaya peningkatan mutu keselamatan pasien di rumah sakit. Validitas data dianalisis dengan teknik triangulasi. Implementasi strategi peningkatan mutu keselamatan pasien di Rumah Sakit X Yogyakarta mengacu pada Standar Nasional Akreditasi Rumah Sakit Edisi 1.               Implementasi sudah baik namun masih terdapat kendala dan kekurangan dalam mendukung strategi yang telah diterapkan rumah sakit. Perlu dilakukan revisi kebijakan direktur terkait waktu pelaporan, memberikan pendidikan pelatihan pegawai baru tentang sistem manajemen data dan lima pelatihan wajib yang mendukung program kualitas, dukungan teknologi informasi dalam mengelola data berkualitas, serta gaya kepemimpinan yang berorientasi pada prestasi untuk membangun komitmen dan strategi pemantauan yang dapat digunakan sebagai metode pemantauan dalam pelaksanaan upaya keselamatan pasien.               Rumah Sakit X Yogyakarta memiliki strategi peningkatan mutu keselamatan pasien melalui revisi kebijakan direktur tentang pelaporan data mutu, pendidikan staf dalam pelaksanaan program mutu, pemberian dukungan teknologi informasi dalam pengelolaan data mutu dan penerapan fungsi manajemen dalam manajemen mutu keselamatan pasien.   Kata kunci: Mutu dan Keselamatan Pasien; Evaluasi Strategi Peningkatan.
EVALUASI STRATEGI PENINGKATAN MUTU DAN KESELAMATAN PASIEN DI RUMAH SAKIT X YOGYAKARTA Sundoro, Totok; Sari, Desi Wulan; Alvionita, Indah; Nuhuyanan, Wirda Rahim; Bafadhal, Annisah
ALBAMA: JURNAL BISNIS ADMINISTRASI DAN MANAJEMEN Vol. 16 No. 2 (2023): ALBAMA : Jurnal Bisnis Administrasi dan Manajemen
Publisher : LPPM Akademi Manajemen Administrasi Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56606/albama.v16i2.128

Abstract

The quality of health services is a guarantee for the community to obtain an optimal degree of health. There are still incidents in the hospital in Semester I of 2020, namely 4 (four) cases of unexpected incidents, 2 (two) cases of almost injury, 12 (twelve) cases of non-injury and 12 (twelve) cases of Potential Injury. In order to improve the quality of patient care and ensure patient safety, the hospital needs to have a strategy for improving the quality and patient safety that reaches all work units in the hospital. Objective: To evaluate strategies for improving the quality & patient safety at Hospital X. Data collection techniques used interview guidelines and observation sheets as instruments. Interviews were conducted with the Leader or Management, the Quality and Patient Safety Committee, the PPI Committee and staff. Interviews were conducted to find out regulations and efforts to improve quality and patient safety as well as to find obstacles faced by hospitals in their implementation. Observation and documentation activities related to the implementation of strategies carried out in an effort to improve the quality of patient safety in hospitals. The validity of the data was analyzed by triangulation technique. The implementation of the strategy to improve the quality of patient safety at Hospital X Yogyakarta refers to the National Standard for Hospital Accreditation 1stEdition. The implementation is good but there are still obstacles and shortcomings in supporting the strategy that has been implemented by the hospital. It is necessary to revise the director's policy regarding reporting time, provide new employee training education on data management systems and five mandatory trainings that support quality programs, information technology support in managing quality data, as well as achievement-oriented leadership styles to build commitment and monitoring strategies that can be used as methods monitoring in the implementation of patient safety efforts. Hospital X Yogyakarta has a strategy in improving the quality of patient safety through revision of the director's policy on quality data reporting, staff education in implementing quality programs, providing information technology support in quality data management and implementing management functions in patient safety quality management.
PEMAHAMAN MASYARAKAT DALAM SOSIALISASI PENCEGAHAN STUNTING PADA BALITA Sundoro, Totok; Firmansyah, Ramadhani; Puspitasari, Eri
HIKMAYO: JURNAL PENGABDIAN MASYARAKAT AMAYO Vol. 3 No. 1 (2024): HIKMAYO : JURNAL PENGABDIAN MASYARAKAT
Publisher : LPPM Akademi Manajemen Administrasi Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56606/hikmayo.v3i1.152

Abstract

The term stunting is defined as a condition of failure to grow so that a child's height is shorter than the height of his age, which is caused by a long-term lack of nutritional intake during the first 1000 days of life. This condition has the impact that adults are vulnerable to attacks from non-communicable diseases such as heart disease, stroke, diabetes or kidney failure. Most people do not understand about stunting and still think that stunting or dwarfism, as it is commonly used in society, occurs due to hereditary factors. This community service is carried out for knowledge, changing behavior, positive attitudes regarding efforts to prevent stunting in toddlers in RT 009 Dusun Bintaran, Jambidan Village, Banguntapan District, Bantul. The methods used include screening for toddlers and health promotion as well as assessing the level of community understanding before and after being given health promotion regarding prevention and control for toddlers. The results of the toddler nutrition screening, of 13 toddlers, there were 12 (92%) toddlers with good nutrition, while the results of the pre-test and post-test which were attended by 18 respondents can be stated that the pre-test results regarding the level of knowledge of respondents regarding the stunting prevention program were 12 respondents (67 %) understand about stunting prevention programs while based on the post test results there are 18 respondents (100%) who understand about stunting prevention programs. Health promotion activities through outreach about preventing and treating stunting in toddlers need to be carried out continuously so that the public better understands how to prevent, change behavior, positive attitudes and eliminate the incidence of stunting in toddlers.
PELAKSANAAN MANAJEMEN RISIKO DALAM MENGURANGI RISIKO CIDERA AKIBAT PASIEN JATUH DI RS X YOGYAKARTA sundoro, totok; Firmansyah, Ramadhani
ALBAMA: JURNAL BISNIS ADMINISTRASI DAN MANAJEMEN Vol. 17 No. 2 (2024): ALBAMA : Jurnal Bisnis Administrasi dan Manajemen
Publisher : LPPM Akademi Manajemen Administrasi Yogyakarta

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

Abstract

Patients as users of health services have the right to obtain security and safety while undergoing treatment in hospital. Efforts to improve the quality of hospital services must be carried out through accreditation. Incidents of patient falls in hospitals will still occur in 2023. The research aims to determine regulations, implementation, obstacles and recommendations for implementing patient safety goals in reducing the risk of injury due to patient falls based on Hospital Accreditation Standards. Qualitative research with a case study research plan. The results are presented descriptively. The sampling technique used purposive sampling with 8 informants including 4 professional care providers and 4 patients. Data analysis uses the Miles and Hubermen analysis model by reducing data, presenting data and drawing conclusions. The results of the research show that policies and procedures have been established to reduce the risk of injury due to patient falls, all fall risk assessments are recorded in the patient's medical record and supporting facilities are available to reduce the risk of falls such as patient bells, hand rills, snaps on identity bracelets. patient. Several obstacles that need to be considered for improvement efforts are implementation that is not yet optimal and consistent as well as providing supporting facilities such as stickers and fall risk snaps which are often not available. So there is a need for regular monitoring and evaluation and management of logistics procurement for the need for supporting facilities in managing the risk of patient injury due to falls.
PENINGKATAN PEMAHAMAN SISWA MELALUI SOSIALISASI PENULARAN PENYAKIT TUBERCULOSIS sundoro, totok; Ramadhani Firmansyah
HIKMAYO: JURNAL PENGABDIAN MASYARAKAT AMAYO Vol. 3 No. 2 (2024): HIKMAYO : JURNAL PENGABDIAN MASYARAKAT
Publisher : LPPM Akademi Manajemen Administrasi Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56606/hikmayo.v3i2.228

Abstract

Tuberkulosis (TBC) sampai saat ini masih merupakan masalah kesehatan, terutama di negara-negara berkembang termasuk Indonesia. Tuberkulosis merupakan penyakit yang disebabkan oleh mycobacterium tuberculosis. Kasus TBC di Daerah Istimewa Yogyakarta masih tinggi dan bertambah. Berbagai upaya yang dilakukan untuk menurunkan Angka kejadian tinggi oleh pemerintah. Mulai dari imunisasi program POS hingga program pengawasan minum obat untuk penderita yang telah didiagnosis tuberkulosis. Salah satu yang merupakan elemen masyarakat produktif yang mampu memiliki peran dalam membantu Pemerintah dalam upaya untuk pengawasan tuberculosis adalah remaja. Remaja memerlukan kegiatan yang selalu memberikan inovasi, yang tidak hanya terbatas pada pengobatan saja tetapi yang diperlukan lebih dari itu yaitu kegiatan yang sifatnya pencegahan dan promosi kesehatan seperti penyuluhan, pendidikan kesehatan, dan sosialisasi. Tujuan dari kegiatan pengadian ini adalah untuk memberikan pemahaman pada generasi muda khususnya pada siswa siswi di sekolah dalam memberikan pemahanan cara mencegah kejadian dan penyebaran tuberculosis. Kegiatan ini dilakukan di SMK Cipta Bhakti Husada Yogyakarta dan diikuti oleh 25 siswa. Kegiatan pengabdian dilakukan dalam bentuk sosialisasi dan pemasangan banner dilingkungan sekolah tentang penyakit TBC agar dapat pemberian pehamanan terhadap 25 orang siswa.
Persepsi Masyarakat Tentang Jaminan Kesehatan Nasional Terhadap Keikutsertaan Menjadi Peserta BPJS Kesehatan Totok Sundoro
Jurnal Ilmiah Kesehatan Sandi Husada Vol 12 No 1 (2023): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v12i1.852

Abstract

Introduction: The Government of the State of Indonesia requires all its citizens to participate as BPJS Health participants so that all Indonesians receive health insurance to meet the basic needs of a decent life and increase the degree of dignity in their lives. A person's perception is a stimulus that influences a person to act or respond (acceptance) directly from something, or it also means the process of someone knowing some things through his five senses. Purpose: This study was conducted to determine whether there is a relationship between public perception of the National Health Insurance (JKN) and participation in BPJS Kesehatan in Wonolelo Pleret Village, Bantul. Method: This research is quantitative with a cross-sectional study design. The sample in this study was 100 samples which were BPJS Health participants. The results showed that there was a relationship between public knowledge (p = 0.000), community needs (p = 0.000), community expectations (p = 0.004) and the environment (p = 0.001) with their participation as BPJS Health participants. Meanwhile, there is no relationship between product appearance (p=0.161) and involvement in BPJS Health. Conclusion: This study concludes that there is a relationship between community knowledge, community needs, community expectations and the community environment with their participation in BPJS Health.
Increasing Knowledge Of The Elderly Community About Diabetes Mellitus Through Counseling And Blood Sugar Examination In Nalen Village Sorosutan sundoro, totok; Eva Nauli; Sri Suryaningsih
HIKMAYO: JURNAL PENGABDIAN MASYARAKAT AMAYO Vol. 4 No. 1 (2025): HIKMAYO : Jurnal Pengabdian Masyarakat
Publisher : LPPM Akademi Manajemen Administrasi Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56606/hikmayo.v4i1.266

Abstract

Diabetes Melitus (DM) merpenyakit kronis yang disebabkan karena pankreas tidak dapat memproduksi insulin yang cukup atau tidak efektifnya insulin yang dihasilkan dalam tubuh tubuh. Setiap tahun jumlah penderita Diabetes Mellitus secara global terjadi peningkatan, penyebabnya faktor gaya hidup seperti kurang melakukan aktivitas fisik, stres, dan konsumsi makanan tinggi gula dan faktor genetik dan obesitas yang tidak ditangani dengan baik, cukup berpengaruh dalam peningkatan risiko diabetes tipe 2. Tindakan pencegahan yang dapat dilakukan diantaranya dengan edukasi dan pemeriksaan kesehatan secara rutin. Dalam rangka meningkatkan pengetahuan dan pemahaman lansia tentang penyakit diabetes, salah satu upaya yang dilakukan adalah dengan memberikan edukasi kesehatan tentang penyakit diabetes melitus, serta pemeriksaan (skrining) kadar gula pada lansia di RT 36 Dusun Nalen Sorosutan Umbulharjo. Pada kegiatan ini didapatkan hasil pemeriksaan gula darah terdapat sejumah 5 (lima) dari 50 (lima puluh) orang lansia dengan hasil pemeriksaan gula darah tidak normal. Namun demikian dengan dilaksanaan kegiatan edukasi kesehatan terjadi peningkatan pengetahuan tentang diabetes melitus pada lansia yang merupakan penambahan informasi dan wawasan tentang kesehatan serta memberikan gambaran yang jelas bagi lansia untuk pencegahan dan penatalaksanaan penyakit diabetes melalui penyuluhan dan media edukasi berupa leaflet.
PENERAPAN LIMA LANGKAH OPERASI YANG AMAN DI RS X YOGYAKARTA Sundoro, Totok; Saputra, Yogatama Sidiq
Jurnal Administrasi Rumah Sakit Indonesia Vol 3 No 1 (2024): Jurnal Administrasi Rumah Sakit Indonesia
Publisher : STIKES RS Baptis Kediri

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Abstract

Tindakan pembedahan merupakan bagian yang tak terpisahkan dari pelayanan kesehatan dan merupakan salah satu tindakan medis yang penting. Bentuk manajemen kamar bedah yang efektif adalah penggunaan surgical safety checklist WHO. Diperlukan persepsi yang sama, komunikasi dan kerjasama antar Tim bedah yang baik. Surgical safety checklist WHO ini merupakan alat yang digunakan oleh Tim Bedah untuk meningkatkan keselamatan, menurunkan jumlah kematian dan kecacatan akibat pembedahan. Penelitian ini bertujuan untuk memberikan gambaran tentang kepatuhan pengisian checklist safety surgery di RS X Yogyakarta. Jenis penelitian eksperimen semu (quasi eksperimen) bentuk desain adalah one-group pretest-posttest design, artinya diadakannya pretest sebelum diberi treatment selanjutnya diukur dengan posttest setelah di treatment kepada petugas kamar operasi. Hasil pelaksanaan briefing efektif dilakukan dengan nilai Sig. (p) sebesar 0,000, pelaksanaan sign in efektif dilakukan dengan nilai Sig. (p) sebesar 0,041, pelaksanaan time out tidak efektif dilakukan dengan nilai Sig. (p) nya sebesar 0,333, pelaksanaan sign out tidak efektif dilakukan dengan nilai Sig. (p) nya sebesar 0,333, pelaksanaan debriefing tidak efektif dilakukan dengan nilai Sig. (p) nya sebesar 0,180. Disimpulkan bahwa pelaksanaan Safety Surgery Checklist pada saat operasi secara keseluruhan tidak efektif dilakukan dengan nilai Sig. (p) nya sebesar 0,174. Diperlukan adanya perhatian pihak manajemen dalam memfasilitasi peningkatan mutu pelayanan dengan menggunakan surgical safety checklist WHO dalam prosedur pembedahan di rumah sakit, melakukan pelatihan (in house training) tentang penggunaan surgical safety checklist WHO dalam prosedur pembedahan kepada Tim kamar operasi (dokter bedah, dokter anestesi, perawat bedah, dan penata anestesi), menunjuk perawat sebagai operator dalam menjalankan surgical safety checklist WHO, melakukan evaluasi rutin untuk penerapan surgical safety checklist.
PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN DI PUSKESMAS sundoro, totok; Syagita Alfa Thea
Jurnal Bisnis Administrasi dan Manajemen Vol. 18 No. 1 (2025): ALBAMA : Jurnal Bisnis Administrasi dan Manajemen
Publisher : LPPM Akademi Manajemen Administrasi Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56606/albama.v18i1.260

Abstract

Patient satisfaction is related to the quality of hospital services, by knowing the level of patient satisfaction, hospital management can improve the quality of services. Patient satisfaction can be created through good service by medical personnel in health institutions. The problems obtained from the interview results are poor service to patients because the service time is not fast enough so that there are still long queues, narrow waiting rooms and parking lots that are not spacious enough. Based on the results of interviews that have been conducted on patients at the Pleret Health Center, the results are that out of 8 patients, 2 patients said they were dissatisfied with the services at the Pleret Health Center. This study aims to determine the effect of service quality on patient satisfaction at the Pleret Health Center. This research method is quantitative with a cross-sectional approach. A sample of 99 Pleret Health Center patients using nonprobability sampling. Data were analyzed using Multiple Linear Regression. The results of the T test that there is an influence of the Reliability variable with a sig value= 0.574, Assurance with a sig value = 0.927, Tangible with a sig value = 0.373 on patient satisfaction. And the variables that do not affect Responsiveness with a sig value = 0.270 and the Empathy variable with a sig value = 0.034 on patient satisfaction. From the results of the F test, a significance level of 0.000 was obtained which is smaller than 0.05 (p <0.05). This it can be interpreted that reliability, responsiveness, assurance, empathy and tangible have a significant effect together on patient satisfaction at the Pleret Bantul Yogyakarta Health Center. From the results of the R test, it can be seen that the Adjusted R square test can produce a result of 0.421, which means that the level of relationship between the service quality variables (reliability, responsiveness, assurance, empathy, tangible) and the patient satisfaction variable is strong at 42.1% while the rest (100% - 42.1%) = 57.9% is influenced by other factors outside the variables studied.
The Effect of Service Quality on Duafa Patient Satisfaction at Grha Sehat Baitul Maal Muamalat Rufaida Yogyakarta Putra, Hodiri Adi; Sundoro, Totok; Purnomo, Parmadi Sigit; Setyowati, Rustiana; Suharyanta, Dwi; Ispandiyah, Woro
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 2 No. 01 (2024): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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

Abstract

Service quality assessment can be measured using five dimensions, namely assurance, reliability, responsiveness, empathy, and tangible.Grha Sehat Baitul Maal Muamalat Rufaida Yogyakarta in 17 duafa patients with the interview method there were 9 duafa patients who were dissatisfied with the service, namely in terms of physical appearance of Grha Sehat, equipment and safety guarantees for duafa patients. To determine the effect of service quality (Assurance, Reliability, Responsiveness, Empathy, Tangible) with patient satisfaction at Grha Sehat Baitul Maal Muamalat Rufaida Yogyakarta. This type of research uses quantitative research with sampling techniques, namely axial sampling. With a population of 103 patients, sample calculations using the slovin formula obtained 51 patients. The analysis used are: univariate analysis, bivariate analysis using t test and multivariate analysis using F test. Based on the results of the research conducted, there is an influence between assurance and patient satisfaction characterized by T test results of 0.001 < 0.05. There is no influence between reliability and patient satisfaction marked by T test results of 0.0687 > 0.05. There is an influence between Responsiveness characterized by T test results of 0.026 < 0.05. There is an influence between Empathy characterized by T test results of 0.025 < 0.05. There is no effect between Tangible marked with test results T 0.055 > 0.05. There is an influence on service quality (reliability, responsiveness, assurance, empathy and tangible) marked by a significant value of F test results, namely 0.000 < 0.05. Simultaneous testing with F test can be concluded that there is an influence of Service Quality on Patient Satisfaction duafa at Grha Sehat Baitul Maal Muamalat Rufaida Yogyakarta.
Co-Authors Agus Taufik Mulyono Aisah Barkah Rahaded Alvionita, Indah Amirul Mustofa Annisa Bafadhal Annisah Bafadhal Auwalani, Fathma Bafadhal, Annisah Desi Wulan Sari Desi Wulan Sari Dwi Suharyanta Elsa Putri Handayani Elsye Maria Rosa Eva Nauli Faris Ulin Nuha Fathma Rachmawati Auwalani Firmansyah, M. Ramadhani Firmansyah, Ramadhani Gina Maratus solihah Ilfia Zitri Imam Muthohar Indah Alvionita Indah Alvionita Irma Risdiana Irma Risdiana, Irma Krisyanto Kusuma, Erna Marlina Agustina MUHAMMAD HABIB Nida Tsaqila Nuha, Faris Ulin Nuhuyanan, Wirda Rahim Nur Miliarti Karimah Nurjalil, Ade Parmadi Sigit Parmadi Sigit Purnomo Parmadi Sigit Purnomo Parmadi Sigit Purnomo Pramukti Dian S Pramukti Dian Setianingrum Purnomo, Parmadi Sigit Purnomo, Parmadi Sigit Puspitasari, Eri Putra, Hodiri Adi S, Pramukti Dian Saputra, Yogatama Sidiq Sari, Desi Wulan Setianingrum, Pramukti Dian Setyowati, Rustiana Sri Sularsih Endartiwi, Sri Sularsih Sri Suryaningsih Suryo Hapsoro Tri Utomo Suyatno Suyatno Syagita Alfa Thea Titi Sayekti Tsaqila, Nida Wahyudin M. Salam Wirda Rahim Nuhuyanan Wirda Rahim Nuhuyanan Woro Ispandiyah Zakiyatul Fatihah