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IMPLEMENTASI SISTIM INFORMASI MANAJEMEN RUMAH SAKIT DI RAWAT INAP RS PEKANBARU MEDICAL CENTER TAHUN 2024 sri wahyuni; Hetty Ismainar; Adrian Mulya
Jurnal Keperawatan Abdurrab Vol. 9 No. 1 (2025): Volume 9 Nomor 1 Juli 2025
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jka.v9i1.5644

Abstract

There is a demand for regulations stating that every health service must organize a hospital management information system and be able to manage and develop SIMRS such as electronic medical records. In its implementation, there are problems in inputting SIMRS. The purpose of this Residency Activity is to find out the problems in the implementation of SIMRS at Pekanbaru Medical Center Hospital, then find the root of the problem and make a plan of action from the problem. The method of Residency activities is qualitative with observation and in-depth interviews. The results of the residency show that the priority problem in SIMRS implementation is the absence of evaluation activities in SIMRS implementation. The researcher provides a plan of action recommendation for evaluating SIMRS implementation, for example by using satisfaction surveys, conducting internal electronic medical record audits, forming a SIMRS Implementation Special Assessment Team, and developing SIMRS so that evaluating SIMRS implementation becomes easier. Keywords: Evaluation, Implementation, SIMRS
EVALUASI IMPLEMENTASI SIMRS MENGGUNAKAN METODE HUMAN ORGANIZATION TECHNOLOGY (HOT)-FIT DI RAWAT INAP RS PMC sri wahyuni; Hetty Ismainar; Rika Melyanti; Budi Hartono; Abdurrahman Hamid; Adrian Mulya
Jurnal Keperawatan Abdurrab Vol. 9 No. 2 (2026): Volume 9 Nomor 2 Januari 2026
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jka.v9i2.6814

Abstract

In the digital era, hospitals must use integrated information systems (SIMRS) to improve service efficiency and competitiveness. This study evaluates the inpatient SIMRS at RS PMC using the HOT-Fit framework, examining human, organizational, technology, and net benefit factors. A qualitative case study was conducted in June–July 2025 with 10 informants from hospital management, IT, and clinical staff. Results show high system usage and user satisfaction: staff reported easier workflows and faster information access. Management support was strong (financing, motivation). Technically, the SIMRS has good usability, accuracy, and responsiveness, but lacks modules (e.g. nursing, finance) limiting completeness. Net benefits include faster care processes, reduced manual work, and better decision-making. To sustain and develop SIMRS, strategic plans are needed: e.g. continuous user training programs and coaching (human factor); forming a cross-disciplinary SIMRS team and scheduled evaluations (organizational); creating an IT-governance roadmap to complete missing modules and enhance cybersecurity. These measures aim to align human, organizational, and technological elements for lasting system success.
FAKTOR-FAKTOR YANG MEMPENGARUHI PELAYANAN PRIMA TERHADAP KEPUASAAN PASIEN RAWAT JALAN DI UNIT HEMODIALISIS RS X PEKANBARU TAHUN 2025 Anggy Vidian; Hetty Ismainar; Budi Hartono; Reno Renaldi; Doni Jepisah; Awaliyah Ulfah
Jurnal Keperawatan Abdurrab Vol. 9 No. 2 (2026): Volume 9 Nomor 2 Januari 2026
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jka.v9i2.6826

Abstract

The concept of excellent service consists of six standards: Attitude, Attention, Action, Ability, Appearance, and Accountability. This study aims to analyze the factors influencing excellent service on outpatient satisfaction in the Hemodialysis Unit of X Hospital Pekanbaru in 2025 using a quantitative method and a cross-sectional approach. The sample included 138 respondents selected through total sampling. Multivariate analysis was conducted using a modified multiple logistic regression model for prediction and risk factors. The study found that the majority of respondents were satisfied (56.5%), and most rated staff attitude as positive (53.6%), attention (55.8%), good action (52.9%), good ability (60.1%), good appearance (62.3%), accountability (58.7%), and had been undergoing hemodialysis for ≤12 months (56.5%). The most dominant variable affecting patient satisfaction was attitude (P value = 0.001) without controlling for duration of HD, where negative attitude increased the risk of dissatisfaction by 4.073 times (CI 95%: POR = 1.745–9.506). After controlling for HD duration, attention (P = 0.006), action (P = 0.002), and ability (P = 0.002) were also significantly associated, with dissatisfaction risks of 3.003 (CI 95%: 1.364–6.606), 3.502 (CI 95%: 1.561–7.857), and 3.802 (CI 95%: 1.654–8.740), respectively. The Nagelkerke R Square value of 0.317 indicates that 31.7% of patient satisfaction is explained by these variables, while the remaining 68,3% is attributed to other unexamined factors. X Hospital needs to improve its services by taking a personal approach to employees who have negative attitudes, increasing collaboration, open communication among health workers, increasing periodic evaluations and direct supervision by superiors, implementing an internal patient triage system, increasing socialization of SOPs and pastient service flow, improving officer skills by training and conducting officer performance assessments.
PEMANFAATAN PELAYANAN KESEHATAN DI POSYANDU LANSIA WILAYAH KERJA PUSKESMAS TUALANG KABUPATEN SIAK Erna Widyawati; Jasrida Yunita; Novita Rany; Hetty Ismainar; Ahmad Hanafi
JOMIS (Journal of Midwifery Science) Vol. 8 No. 2 (2024): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v8i2.4733

Abstract

In Indonesia, visits to elderly posyandu (integrated health service posts) are generally below target, particularly in Siak Regency, Riau Province, where elderly health services have been declining annually, especially at Tualang Health Center. This study aims to understand elderly behavior in utilizing health services through knowledge, attitudes, actions, and health center efforts. This qualitative study employs a phenomenological design and was conducted in the working area of Tualang Health Center, Siak Regency, from March to May 2024. The total number of informants is 24, consisting of 9 main informants—3 active elderly (AE) who visit posyandu monthly, 3 inactive elderly (IE) who missed posyandu visits three times a year, and 3 non-attending elderly (NE) who never visit posyandu. Additionally, there are 15 supporting informants, including family members, the head of the health center, elderly program managers, midwives, and 3 cadres. Data processing utilized data triangulation and thematic analysis. The study found that AE and IE have better knowledge compared to NE due to their participation in posyandu activities. All elderly informants had a positive attitude towards the quality of health services at posyandu. AE tend to visit posyandu regularly due to easy access, transportation, and family support, while IE and NE are less active due to distant access, limited transportation, and lack of family support. It is recommended that the health center empower elderly families to increase elderly participation in utilizing health services.
Determinants of Health Workers' Performance in Tackling Rubella KLB in Kuantan Singingi District Citra Iskandar; Hetty Ismainar; Kiswanto; Endang Purnawati Rahayu; Yesica Devis; Musfardi Rustam
Viva Medika Vol 17 No 3 (2024)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i3.1614

Abstract

Health workers play a key role in handling outbreaks, with performance influenced by factors such as ability, discipline, experience, perception, motivation, leadership support, and appreciation. Despite efforts, basic immunization coverage in recent years has not met the national target of 95%, underscoring the need for optimal health worker performance to achieve coverage goals, control rubella outbreaks, and protect vulnerable groups. This study, conducted at Sentajo and Perhentian Luas Health Centers from January to May 2024, analyzed factors affecting health worker performance in managing rubella outbreaks using a sample of 85 respondents and multivariate regression analysis. The findings indicated that awards (r = 0.377, P = 0.000), motivation (r = 0.336, P = 0.002), ability (r = 0.345, P = 0.000), and work experience (r = 0.302, P = 0.005) significantly influenced performance, with awards having the strongest impact. Conversely, leadership support, discipline, and perception had no significant effect on performance. Based on these results, the Kuantan Singingi District Health Office is advised to implement effective reward policies, such as performance bonuses and certificates of achievement, to boost health worker motivation and performance in handling rubella outbreaks. Enhancing health worker skills and rewarding good performance at the health centers can also help improve immunization rates and community protection against rubella. This approach could serve as a model for other health institutions aiming to increase immunization coverage and disease prevention efforts.
Analisa Waste Waktu Tunggu Menggunakan Pendekatan Lean Pada Depo Farmasi Rawat Jalan Elfizon Amir; Budi Hartono; Emy Leonita; Hetty Ismainar; Abdurrahman Hamid; Adrian Mulya
Jurnal Ilmu Kedokteran dan Kesehatan Vol 13, No 4 (2026): Volume 13 Nomor 4
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v13i4.22777

Abstract

Waktu tunggu layanan farmasi merupakan salah satu indikator mutu layanan di rumah sakit.  Kemenkes menetapkan standar waktu pelayanan resep  untuk obat jadi di Depo Farmasi tidak lebih dari 30 menit dan obat racik tidak lebih dari 60 menit.  Hasil rekapan waktu tunggu depo farmasi rawat jalan RS Az Zahra Ujung Batu selama tahun 2024 menunjukkan masih di atas standar pelayanan minimal yang ditetapkan Kemenkes. Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis jenis-jenis waste serta memahami pendekatan Lean Hospital sebagai solusi perbaikan. Penelitian menggunakan metode kualitatif dengan pendekatan studi kasus melalui observasi dan wawancara mendalam.   Hasil penelitian mendapatkan bahwa waste waktu kritis utama adalah waste sumber daya manusia (SDM) dan waktu tunggu (waste waiting).  Penyebabnya adalah distribusi tenaga yang tidak merata, prosedur administrasi yang tidak efisien, sistem informasi yang tidak optimal dan kurangnya peralatan penunjang.  Menggunakan Lean Hospital melalui pemetaan Value Stream Mapping (VSM) dapat diidentifikasi aktivitas yang tidak memberikan nilai tambah dan dapat disusun strategi pengurangan waste.  Kesimpulan, Waste terjadi pada aspek sumber daya manusia dan waktu tunggu (waste waiting) akibat sistem pelayanan yang belum optimal serta keterbatasan fasilitas.   
Peran Dinas Kesehatan Provinsi Riau Dalam Manajemen Risiko K3 Saat Penanggulangan Kejadian Luar Biasa (KLB) Di Provinsi Riau Didik Budi Hariyanto; Hetty Ismainar
Jurnal Sains Farmasi Dan Kesehatan Vol. 3 No. 2 (2025): September - Desember
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jfkes.v3i2.3496

Abstract

The year 2022 was a critical period for Riau Province in managing public health emergencies. According to data from the Riau Provincial Health Office (2022), several outbreaks occurred during this period, including an increase in Dengue Hemorrhagic Fever (DHF) cases in eight districts/cities, a surge in leptospirosis cases in flood-prone areas, and zoonotic rabies incidents in border regions. This study aims to analyze the role of the Riau Provincial Health Office in occupational health and safety (OHS) risk management during outbreak response. Data analysis was conducted using the Fishbone method to identify root causes and the Urgency, Seriousness, and Growth (USG) method to determine problem priorities. Based on the USG assessment, the main priority issue requiring immediate intervention was the unequal availability and distribution of personal protective equipment (PPE) for healthcare workers across affected areas. Interventions for outbreak management in Riau Province in 2022 focused on five components—man, method, money, material, and machine—which were developed based on field analysis. Several factors influencing the implementation of OHS in outbreak management include the availability of PPE, compliance of health workers in using PPE, the implementation of OHS training, and the effectiveness of supervision in applying outbreak response standard operating procedures (SOPs).
EDUKASI KESEHATAN REPRODUKSI REMAJA BERBASIS NILAI ISLAM MELALUI PEMBENTUKAN KADER SANTRI SEHAT DI PONDOK PESANTREN NURUDDIN Ani Triana; Nelly Karlinah; Hetty Ismainar; Pandu
Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Vol. 4 No. 4 (2026): Agustus
Publisher : CV. Alina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59407/jpki2.v4i4.4238

Abstract

Kesehatan reproduksi remaja merupakan aspek penting dalam pembentukan perilaku hidup sehat, namun edukasi kesehatan reproduksi di lingkungan pondok pesantren masih terbatas akibat minimnya akses informasi, anggapan bahwa topik tersebut bersifat tabu, serta belum tersedianya program edukasi yang terstruktur. Kondisi tersebut juga ditemukan di Pondok Pesantren Nuruddin, Desa Sungai Sarik, Kecamatan Kampar Kiri, Kabupaten Kampar. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan santri tentang kesehatan reproduksi remaja melalui edukasi berbasis nilai Islam, membentuk kader santri sehat sebagai peer educator, serta menghasilkan media edukasi yang dapat dimanfaatkan secara berkelanjutan. Metode yang digunakan meliputi observasi awal, koordinasi dengan pihak pesantren, penyuluhan menggunakan ceramah interaktif, diskusi, tanya jawab, pemutaran video edukasi, serta evaluasi melalui pre-test dan post-test. Kegiatan juga mencakup pelatihan dan pembentukan kader santri sehat. Hasil menunjukkan bahwa rata-rata skor pengetahuan santri meningkat dari 51,3 pada pre-test menjadi 81,3 pada post-test, dengan peningkatan sebesar 30 poin. Selain itu, terbentuk 10 kader santri sehat yang dipersiapkan sebagai pendidik sebaya, serta dihasilkan modul, leaflet, poster, dan video edukasi berbasis nilai Islam sebagai media pembelajaran. Kegiatan ini menunjukkan bahwa edukasi kesehatan reproduksi yang mengintegrasikan pendekatan partisipatif, peer education, dan nilai-nilai Islam efektif meningkatkan pengetahuan santri sekaligus mendukung keberlanjutan promosi kesehatan reproduksi di lingkungan pondok pesantren
Analisis Manajemen Pengelolaan Linen di Instalasi Laundry RSUD Rokan Hulu Tahun 2025 Hendra Deswita; Syafrani Syafrani; Hetty Ismainar
ANTHOR: Education and Learning Journal Vol 5 No 3 (2026): Anthor 2026
Publisher : Institut Teknologi Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/anthor.v5i3.638

Abstract

Pengelolaan linen merupakan bagian penting dalam sistem pelayanan penunjang rumah sakit yang berkontribusi terhadap mutu pelayanan, keselamatan pasien, serta upaya Pencegahan dan Pengendalian Infeksi (PPI). Pengelolaan linen yang tidak sesuai standar berpotensi menyebabkan Healthcare Associated Infections (HAIs), menurunkan kualitas pelayanan, serta meningkatkan risiko kontaminasi silang di lingkungan rumah sakit. Hasil survei awal di Instalasi Laundry RSUD Rokan Hulu menunjukkan masih ditemukannya linen berbau, bernoda, belum dilakukan penyetrikaan secara optimal, serta adanya ketidaksesuaian pada proses pemilahan dan pencucian linen. Penelitian ini bertujuan menganalisis manajemen pengelolaan linen di Instalasi Laundry RSUD Rokan Hulu Tahun 2025 berdasarkan komponen input, proses, dan output. Penelitian menggunakan pendekatan kualitatif dengan desain studi kasus. Informan berjumlah delapan orang yang terdiri dari Kepala Instalasi Laundry, petugas laundry, Kepala Seksi Penunjang Non Medik, serta perawat. Pengumpulan data dilakukan melalui wawancara mendalam, observasi, dan telaah dokumen. Analisis data menggunakan teknik reduksi data, penyajian data, dan penarikan kesimpulan dengan triangulasi sumber, metode, dan data. Hasil penelitian menunjukkan bahwa aspek input belum optimal ditinjau dari keterbatasan jumlah dan kompetensi sumber daya manusia, belum tersedianya anggaran khusus laundry, keterbatasan sarana dan prasarana, serta implementasi SOP yang belum konsisten. Pada aspek proses ditemukan bahwa fungsi perencanaan, pengorganisasian, pelaksanaan, dan pengawasan telah berjalan namun belum memenuhi standar pengelolaan linen rumah sakit. Pada aspek output masih ditemukan linen berbau, bernoda, dan kusut akibat belum optimalnya proses pencucian dan penyetrikaan. Manajemen pengelolaan linen di Instalasi Laundry RSUD Rokan Hulu belum berjalan optimal pada aspek input, proses, dan output. Diperlukan penguatan sumber daya manusia, penganggaran khusus, perbaikan sarana dan prasarana, peningkatan kepatuhan terhadap SOP, serta penguatan sistem monitoring dan evaluasi untuk meningkatkan mutu pelayanan laundry rumah sakit.
Analisis Pencapaian Program Tuberkulosis Paru Pada Kelompok Usia Dewasa Dan Lansia Di Wilayah Kerja Puskesmas Bagansiapiapi Kabupaten Rokan Hilir Dwi Septi Andria; Hetty Ismainar; Romy Cahyadi
Science and Education Journal (SICEDU) Vol 5 No 2 (2026): Science and Education Journal 2026
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/sicedu.v5i2.1085

Abstract

Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia, including in the working area of Bagansiapiapi Community Health Center (Puskesmas), Rokan Hilir Regency. In 2025, the Treatment Success Rate (TSR) reached 78.3%, which was still below the national target of 90%, particularly among adults and older adults. This study aimed to analyze the achievement of the pulmonary TB program, identify existing problems, determine priority issues, analyze their root causes, and develop intervention strategies to improve program performance. This study employed a qualitative approach using a case study design. Data were collected through field observations, in-depth interviews, and document reviews of the TB program. Data analysis was conducted using the Problem Solving Cycle, with priority problems determined through the Urgency, Seriousness, and Growth (USG) method and root cause analysis performed using the Fishbone Diagram. The findings revealed that the primary problem was the low Treatment Success Rate of pulmonary TB. Contributing factors included the high workload of health workers, suboptimal performance of Treatment Supporters (PMOs), inadequate patient monitoring and education, limited educational media and supporting facilities, information system constraints, insufficient funding, social stigma, and geographical barriers in coastal areas. The proposed interventions include strengthening the capacity of health workers and PMOs, improving patient adherence monitoring, optimizing health education, enhancing patient tracing, and reinforcing cross-sector collaboration. These interventions are expected to improve treatment success rates and support Indonesia's national tuberculosis elimination target.
Co-Authors Abdurrahman Hamid Abdurrahman Hamid Abdurrahman Hamid Abdurrahman Hamid Abidin, Aldiga Rienarti Adrian Mulya Adrian Mulya Adrian Mulya Agus Alamsyah Ahmad Ahmad Hanafi Ahmad Hanafi Ahmad Hanafi Ahmad Hanafi Ahmad Satria Efendi, Ahmad Satria akmal hamidy, akmal hamidy Aldiga Rienarti Abidin Andaru Dahesihdewi Andra, Fithriyah Anggraini, Lola Anggy Vidian Anggy Vidian Ani Triana Anusirman Anusirman Anusirwan Anusirwan Anwir, Harvandy Ardhini Kepriana Arnawilis Arnawilis Arnawilis, Arnawilis Awaliyah Ulfa Awaliyah Ulfah Awaliyah Ulfah Awaliyah Ulfah Ayudytha Ezdha Bambang Triono Beni Afriza Bubung Bunyamin, Bubung Budi Hartono Budi Hartono Budi Hartono Budi Hartono Cahyadi, Romy Christine Vita G.P Citra Iskandar Dahlia Eka Okta Damayanti, Elok Darus, Yena BT Dedi Afandi Dedy Saputra Dendi Zulheri Dendi Zulheri Devi Aswandi Devis, Yesica Dewi Liesnoor Setyowati Dewi Suryani Diah Elvira Syafruddin Didik Budi Hariyanto Djuhaeni, Henny Doni Jepisah Dwi Septi Andria Efrianti Efrianti Efrianti Efrianti Efrianti, Efrianti Elfizon Amir Elly Satriani Harahap Ennimay Ennimay, Ennimay Erna Widyawati Ester Napitupulu, Ervinna Fauziah, Kharisma Yuhana Ferda Melenina Fetty Try Rahmadani Firman Edigan Hamid, Abdurrahman Hasmaini, Hasmaini Hayana Hayana Hayana Hayana Hayana, Hayana Hendra Deswita Herryana, Wan Hidayati Hidayati Intan Sari Intan Sari Irana Oktavia Irfa, Vausani Iskandar, Citra Iswanto, Al Syukri Iwan Dwiprahasto Jeanny Susana Magretta Jepisah, Doni juli selvi yanti Jumrah Jumrah Kalrosa, Nurva Kamali Zaman Khaeratunnisa Fiyanmi Khair Anthony, Eko Kiswanto Kiswanto Kiswanto Kiswanto Kiswanto Kiswanto Kiswanto Leonita, Emy Linda, Nuraliza May Lita Lita Lita Lita, Lita M Dedi Widodo Magretta, Jeanny Susana Mahmudah Mahmudah Mahmudah Marlina, Hastusi Marlina, Hastuti Medy Surtiawaty Megasari, Miratu Mishbahuddin Mishbahuddin Mishbahuddin Mishbahuddin mitra mitra Mitra Mitra Mitra Mitra Muhamadiah Muhamadiah Mulyani, Indah Sri Nadya Hasnafi Inra Nelly Karlinah Nelly Karlinah Novianty, Rica Regina Novita Rany nur helmi Nur Laili Farhiyah Nurhaliza Yuriski Nurhapipah, Nurhapipah Nurlisis Nurlisis, Nurlisis Nuromaito Siregar Nurul Anisha Hakim Nurvi Susanti Oktavia Dewi Oktavia Dewi Oktavia Dewi, Oktavia Pandu Predy Predy Priwahyuni, Yuyun Priwahyuni Putri Delima Romania Silaban Putri, Retno Putri, Syifa Suciana Rahayu, Endang Purnawati Rahmalisa, Uci Rasyid, Zulmelia Ratna Sari Lina Reka Familia Renaldi, Reno Reno Renaldi Reva Khairani* Ria Agusnita Rika Melyanti Rini Eka Putri Riri Maharani Romy Cahyadi Roni Gunawan Rosmita Rosmita Roziah Roziah RR. Ella Evrita Hestiandari Rustam, Musfardi Sandi Iljanto Sandi Iljanto Sandi Iljanto santi tri utami Sari, Desi Kartika Sari, Mutia Mayang Sari, Nila Puspita Sari, Siska Mayang Sarni Sarni Sekani Niriyah Shanti Veroniga Handayani Simanjuntak, Christina Siti Aisyah Siti Anugerah Siti Handam Dewi Sri Desfita, Sri Sri Wahyuni sri wahyuni Syafira Nurullita Syafrani Syafrani Syafrani Syafrani SYAFRANI, SYAFRANI Tety Kuniasari Tin Gustina Tin Gustina Vidia Putri Maharani Wahyuni, Anggi Wan Sonia Fahira Welly Sando widi yanto Widuri, Rita winda septiani Windi Atika Yalesvitri Yalesvitri Yessi Harnani Yessi Harnani Yulrina Ardhiyanti Yunita, Jasrida Yusneli, Yusneli Zainal Abidin Zainal Abidin Zaman, Kamali Zulfatmawati, Sri Zulmeliza Rasyid