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All Journal Jurnal Medika Malahayati International Journal of Patient Safety and Quality
Michael, Abraham
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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HIPERKALSEMIA MEMBONGKAR POLA SCINTIGRAFI TULANG YANG KOMPLEKS: WAWASAN TENTANG HIPERPARATIROIDISME DAN MULTIPLE MYELOMA: LAPORAN KASUS Michael, Abraham; Perdani, Kharisma; Husein Kartamihardja, Achmad
Jurnal Medika Malahayati Vol 8, No 2 (2024): Volume 8 Nomor 2
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v8i2.15070

Abstract

Hiperparatiroidisme primer (PHPT) dan multiple myeloma (MM) secara independen menyebabkan hiperkalsemia. Pengembangan osteoporosis dan patah tulang sering terkait dengan hiperparatiroidisme primer (PHPT) yang merupakan penyebab prevalen dari hiperkalsemia non-neoplastik. Di sisi lain, keberadaan hiperkalsemia adalah fitur utama pada individu yang menderita multiple myeloma (MM) aktif dengan patologi tulang yang signifikan. Hiperparatiroidisme yang bersamaan dengan multiple myeloma menyajikan sebuah skenario klinis yang kompleks yang memerlukan evaluasi diagnostik yang komprehensif dan pendekatan manajemen yang disesuaikan. Kehadiran hiperkalsemia bersamaan dengan hiperparatiroidisme dan multiple myeloma mewakili sebuah skenario yang jarang namun klinis signifikan. Pengenalan dini dan intervensi yang tepat sangat penting untuk mengoptimalkan hasil pasien dalam kasus-kasus kompleks seperti ini. Penelitian lebih lanjut diperlukan untuk lebih memahami mekanisme patofisiologis yang mendasari asosiasi langka ini dan mengoptimalkan intervensi terapeutik untuk hasil pasien yang lebih baik. Dalam makalah ini, kami menyajikan temuan scintigrafi tulang dari pasien dengan hiperkalsemia akibat kadar PTH yang tinggi dan MM aktif. Kasus ini menyoroti interaksi yang rumit antara hiperparatiroidisme dan multiple myeloma yang menyebabkan hiperkalsemia
ANALYSIS OF PATIENT SAFETY CULTURE FOR QUALITY IMPROVEMENT: A REPEATED CROSS-SECTIONAL STUDY Ineza, Marina; Michael, Abraham; Sagala, Melinda
International Journal of Patient Safety and Quality Vol. 3 No. 1 (2026): International Journal of Patient Safety and Quality, April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v3i1.89495

Abstract

Background: Patient safety culture is a key determinant of healthcare quality, reflecting shared values and practices that support safe care delivery. This study aimed to evaluate changes in patient safety culture and identify priority areas for improvement using repeated survey measurements. Methods:A quantitative descriptive cross-sectional design with repeated measurement was applied. The study included 207 healthcare and non-healthcare staff with at least one year of work experience, selected using a total sampling approach. Data were collected between June and August 2025 using a standardized 42-item instrument covering 10 dimensions of patient safety culture. Responses were measured using a five-point Likert scale. Descriptive analysis was conducted by calculating the percentage of positive responses and comparing results across two measurement periods. Results: The overall positive response rate increased from 55.2% to 64.8%, indicating improvement across most dimensions. The largest increases were observed in communication about errors, incident reporting, and teamwork, reflecting stronger openness and collaboration. Organizational learning also remained high. However, staffing and workload showed minimal improvement and remained the lowest scoring dimension. Nonpunitive response to errors and management support also showed comparatively lower scores. Conclusions: The findings demonstrate measurable improvement in patient safety culture over time, particularly in communication and teamwork domains. However, structural challenges such as staffing and organizational support persist. Strengthening leadership engagement, promoting a nonpunitive environment, and improving workforce management are essential to sustain long-term improvements in patient safety and healthcare quality.
Co-Authors Husein Kartamihardja, Achmad Ineza, Marina Perdani, Kharisma Sagala, Melinda