Rahmad Ramadhan Ritonga
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Factors Inhibiting Incident Reportin Patient Safety Fauzan, Ahmad; Felix Kasim; Rahmad Ramadhan Ritonga
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i2.2698

Abstract

Background: RSUD dr. H. Kumpulan Pane (RSKP) has not yet successfully implemented real-time incident reporting as stipulated by the Minister of Health Regulation No. 11 of 2017. Objectives: Based on this situation, this study aims to analyze the condition of the patient safety incident reporting system in the inpatient unit at RSKP, identify the inhibiting factors, and propose priority policy alternatives to improve the system. Research method: To achieve these objectives, the Grounded Theory method, emphasizing qualitative data analysis from informants including structural officials, healthcare workers, and the quality and patient safety committee at RSKP, was used to reveal the conditions and inhibiting factors of patient safety incident reporting in the inpatient unit at RSKP. Meanwhile, to obtain priority alternatives for improving the incident reporting conditions, the researcher used the Analytical Hierarchy Process method. Results: The results of the study indicate several weaknesses in the reporting conditions, including very minimal incident reporting actions, incomplete implementation of system-oriented approaches, lack of coordination regarding assurance of immunity from punishment for incident reporting actions, unguaranteed independence from external parties, and partial patterns of patient safety incident resolution.  Conclusion: Patient safety incident reporting in the inpatient unit of RSKP remains suboptimal due to a weak reporting culture, insufficient training, unsupportive leadership, and an underdeveloped system. Strategic actions such as timely disbursement of service incentives, the establishment of a dedicated SPO improvement team, and the implementation of proportional sanctions are essential to enhance the overall quality of incident reporting.
Factors Affecting the Implementation of Hospital Information System (HIS) Br Ginting, Setyawati; Felix Kasim; Rahmad Ramadhan Ritonga
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jbvaag02

Abstract

Background: The implementation of the Hospital Management Information System (SIMRS) at the Regional Public Hospital of Sidikalang (RSUD Sidikalang) aims to enhance the efficiency and quality of healthcare services. However, technical challenges such as the lack of data integration across units and the readiness of human resources (HR) hinder the success of its implementation. Research Objectives: This study aims to analyze the implementation conditions of SIMRS at RSUD Sidikalang, identify the factors that hinder its success, and provide policy recommendations to improve the system’s efficiency, focusing on HR readiness, technological infrastructure, and hospital management support. Research Methodology: This research uses a quantitative approach with a descriptive correlational design. Data was collected through surveys distributed to 161 employees of RSUD Sidikalang involved in the management of SIMRS. Data analysis was performed using the Chi-Square test to determine the relationship between variables, and multiple logistic regression to analyze the factors most affecting SIMRS implementation. Research Results: The findings indicate that the Human Resources (HR) factor has a significant impact on the success of SIMRS implementation. Respondents who rated HR positively were more likely to assess SIMRS implementation as good. Technology and organizational factors also played a crucial role in enhancing the effectiveness of SIMRS. Conclusion: The success of SIMRS implementation at RSUD Sidikalang heavily depends on HR readiness, the quality of technological infrastructure, and hospital management support. Continuous HR training, adequate technology maintenance, and improved coordination between hospital units are key to maximizing the benefits of SIMRS.
The Role of an Integrated Administration System in Reducing Patient Waiting Times in the Emergency Department at Grandmed Hospital Lubuk Pakam in 2025 Rahmad Ramadhan Ritonga; Arif Sujatmiko; Putri Sari Maharani
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/fnrvh047

Abstract

The Emergency Department (ED) is a vital hospital service that is required to provide fast, accurate, and efficient care. However, administrative processes that are not fully integrated often prolong patient waiting times. This study aims to analyze the role of integrated administrative systems in reducing patient waiting times at the ED of Grandmed Hospital Lubuk Pakam in 2025. A quantitative research design with a cross-sectional approach was applied, involving 100 patients and 20 administrative staff selected through purposive sampling. Data were collected through patient waiting time observations, staff perception questionnaires, and hospital documents. The results showed that most staff assessed the integrated administrative system as effective (75%). The average patient waiting time decreased from 7 minutes to 4 minutes after the system was implemented, meeting the Indonesian Ministry of Health’s service standard (≤5 minutes). Spearman correlation analysis revealed a significant relationship between administrative system effectiveness and patient waiting time (p = 0.002; r = –0.521). Simple linear regression further indicated that the effectiveness of the administrative system significantly contributed to reducing patient waiting times, with an effect size of 37% (R² = 0.37). In conclusion, the integrated administrative system plays an important role in improving the efficiency of ED services by reducing patient waiting times, and its continuous optimization is strongly recommended.