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All Journal Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Audita, Fatira Ratri
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Efisiensi Dalam Instalasi Radiologi RS X: Studi Kasus dengan Data Envelopment Analysis Eureka, Agnes Nina; Soewondo, Prastuti; Purbasari, Utami; Hidayati, Ira Rahma; Audita, Fatira Ratri
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 10, No 1 (2024): JMK Yayasan RS.Dr.Soetomo, Pertama 2024
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v10i1.1904

Abstract

Sejak ditemukannya sinar-X pada tahun 1895, pelayanan radiologi terus berkembang dengan munculnya radiografi digital pada tahun 1979. Penelitian ini mengevaluasi efektivitas penggunaan radiologi digital dan PACS untuk meningkatkan aksesibilitas, mengurangi biaya, dan meningkatkan kualitas perawatan pasien di Rumah Sakit X. Penelitian ini menggunakan data envelope analysis (DEA) untuk mengukur efisiensi pelayanan radiologi berbasis film dan layanan radiologi berbasis digital yang dilakukan di suatu rumah sakit, serta mengevaluasi kondisi aktual fasilitas radiologi di RS X (radiologi berbasis film) dan hipotetikal (radiologi berbasis digital). Nilai efisiensi digunakan untuk menentukan efisiensi. Studi DEA terhadap layanan radiologi di Rumah Sakit X membandingkan efisiensi radiologi berbasis film (DMU 1) dan radiologi digital (DMU 2). Dengan asumsi output layanan sama, model berbasis digital mengasumsikan perubahan input. Analisis menggunakan model CCR-DEA menunjukkan bahwa radiologi berbasis digital memiliki efisiensi paling tinggi (skor 1,0), sedangkan radiologi berbasis film memiliki nilai efisiensi sebesar 10,1%. Meskipun DMU 1 memiliki peringkat efisiensi yang rendah, analisis menunjukkan adanya potensi perbaikan dan DMU 2 dinilai efisien secara optimal. Berdasarkan penelitian tersebut, DEA dapat digunakan untuk meningkatkan efisiensi pelayanan radiologi  dengan  teknologi tersebut
Kadar Gula Darah dan Keparahan COVID-19 pada Pasien Diabetes Melitus di Ruang Rawat Intensif: Serial Kasus Audita, Fatira Ratri; Hapsari, Arini Ika; Nadhira, Andi Marsa; Aini, Muhammad Hafiz
Majalah Kedokteran Indonesia Vol 71 No 5 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.5-2021-358

Abstract

Introduction: The severity of coronavirus disease 2019 (COVID-19) ranges from mild flu to respiratory distress and death. Diabetes mellitus (DM) is considered as one of the risk factors for infection susceptibility and disease severity. This case series reports the clinical features, ancillary test findings, and mortality in patients with severe COVID-19 and DM.Case Illustration: This study reports three female patients, aged 50-68 years old, with severe COVID-19 and DM whom were hospitalized in intensive care unit from April to July 2020. Two patients presented with hyperglycemia upon admission. During hospitalization, two patients tended to be hyperglycemic, while the other one had more episodes of hypoglycemia. Two patients suffered from hospital-associated pneumonia and acute kidney injury throughout hospital stay. One patient passed away.Discussion: All patients had fluctuating general condition and unstable blood glucose levels during hospitalization. One patient passed away due to respiratory distress, while the other two were discharged after their general condition improved. Hyperglycemic and hypoglycemic states in DM patients are proposed to play a role in the severity of COVID-19 infection.Conclusion: DM may aggravate COVID-19 infection. Initial normal blood glucose levels upon admission does not guarantee good prognosis; therefore, blood glucose control in COVID-19 patients remains extremely crucial.
Co-Authors Aini, Muhammad Hafiz Eureka, Agnes Nina Hapsari, Arini Ika Hidayati, Ira Rahma Nadhira, Andi Marsa Prastuti Soewondo Purbasari, Utami