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Evaluation of Diagnostic Delay in Emergency Urological Cases at a General Hospital Emergency Department Khaeriah B; Andi Dedi Pradana Putra
Jurnal Ar Ro'is Mandalika (Armada) Vol. 5 No. 1 (2025): JURNAL AR RO'IS MANDALIKA (ARMADA)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59613/armada.v5i1.5268

Abstract

This study aims to evaluate the diagnostic delays in emergency urological cases at a general hospital emergency department (ED). Using a qualitative research approach and a literature review methodology, the study analyzes existing research articles, medical journals, and case studies focusing on diagnostic delays in urological emergencies. The findings indicate that diagnostic delays are prevalent in EDs, primarily due to factors such as insufficient specialized knowledge among emergency physicians, communication breakdowns, overcrowding, and limited access to diagnostic tools. These delays have serious consequences, including worsened patient outcomes such as kidney damage, testicular loss, and increased risk of sepsis. The study also identifies several strategies to reduce diagnostic delays, including improving training for emergency department staff, enhancing communication between medical teams, and integrating technology, such as telemedicine and AI-assisted diagnostic tools. The review highlights that addressing these factors through targeted interventions could significantly improve diagnostic accuracy and reduce delays, ultimately leading to better patient outcomes. Moreover, the research provides insights into the systemic challenges within EDs that contribute to delays, including overcrowding and inadequate staffing. The study’s findings emphasize the need for hospitals to adopt evidence-based practices to optimize diagnostic procedures and improve the efficiency of emergency care. This study contributes to the ongoing efforts to improve the quality of care in urological emergencies and underscores the importance of timely diagnosis in preventing severe complications.
Mutu Layanan Peserta BPJS Kesehatan: Pendekatan Interaction Quality Dimension Ruslang; Yanuar Azis, Anugerah; Khaeriah B; Azizah, A. Nur; Mustafa, Idarwati; Mikhrunnisai, Andi; Yakob, Asmirati; Alfiyani, Lina
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 7 No. 1 (2024): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v7i1.5426

Abstract

BPJS Kesehatan continues to improve the quality of health services through various facilities that work with it. According to BPJS Kesehatan data in 2021, there are 10,228 puskesmas and 7,078 private clinics as First Level Health Facilities (FKTP), and 2,745 hospitals as Advanced Referral Health Facilities (FKRTL). This study aims to analyze the quality of BPJS Health services from the perspective of participants using the Interaction Quality Dimension approach at Puskesmas Tanasitolo, Wajo Regency, South Sulawesi. The research approach used is quantitative with a descriptive design. Data collection was carried out through distributing questionnaires to 99 respondents, namely BPJS Health participants who met certain criteria. The results showed that the attitude, behavior, and expertise of health workers have a significant impact on BPJS Health patient satisfaction. Therefore, it is important to continue to improve these aspects to ensure optimal health services for BPJS Kesehatan patients at the Puskesmas.
Effectiveness of Community-Based Health Education in Enhancing Dengue Prevention in Remote Areas Nurul Hidayah; Khaeriah B; Made Dewi Sariyani
Miracle Journal Get Press Vol 2 No 2 (2025): May, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i2.129

Abstract

Dengue fever (DHF) remains a significant public health challenge in remote areas due to limited access to health services and a lack of public awareness regarding disease prevention. This study aimed to assess the role of health education in improving knowledge and behavior related to dengue prevention through a community-based approach. The research used a pretest-posttest design without a control group and applied a quantitative method. A total of 28 participants from high-risk areas were selected using a purposive sampling technique. The health education was delivered through counseling sessions involving lectures, interactive discussions, and visual media such as posters and educational videos. The effectiveness of the health education was evaluated by comparing pretest and posttest scores. The results showed a statistically significant improvement in participants' understanding, with the average score increasing from 54.46 before the health education to 79.36 afterward. This study confirms that interactive and contextualized health education is effective in increasing community awareness and participation in dengue prevention efforts. The findings recommend implementing community-based health education programs tailored to community needs to bridge the information gap and promote sustainable preventive behavior. Further research is recommended to explore the long-term impact and optimization of health education strategies in resource-limited settings.
Evaluation of the Implementation of the Puskesmas Management Information System (SIMPUS) on Primary Health Care Efficiency Khaeriah B; Antik Pujihastuti; Gede Wirabuana Putra
Miracle Journal Get Press Vol 2 No 3 (2025): August, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i3.169

Abstract

The implementation of health information systems is crucial to enhancing efficiency in primary health care centers, yet systems like the Puskesmas Management Information System (SIMPUS) are not fully optimized in many Indonesian health centers. Ideally, SIMPUS should enable faster, more accurate, and integrated services, but inefficiencies persist. This study evaluated SIMPUS implementation and its effect on service efficiency in several Puskesmas in Padang City, Indonesia. A cross-sectional descriptive quantitative study was conducted using a structured questionnaire based on the Human-Organization-Technology Fit (HOT-Fit) framework and the Technology Acceptance Model (TAM). Eighty health workers with varying roles and SIMPUS usage experience participated. Descriptive statistics assessed respondent characteristics and perceptions of service effectiveness. Results showed that among 40 respondents, 37 (92.5%) who rated SIMPUS highly (score >4.0) also reported high satisfaction with service effectiveness. Chi-Square and simple linear regression analyses found a significant relationship between system perception and service efficiency. Higher perceived efficiency was noted among users with over two years of experience, administrative and medical record staff, and female health workers. These findings highlight the gap between SIMPUS’s potential and actual outcomes, emphasizing the need for technological readiness, continuous training, system updates, and committed leadership to advance digital transformation in primary health care.
Analysis of Patient Satisfaction with Health Services in Ambacang Padang Health Center Based on Electronic Derry Trisna Wahyuni S; Hilda Harun; Agnes Ratna Saputri; Khaeriah B; Wibowo Hanafi Ari Susanto
Miracle Journal Get Press Vol 2 No 4 (2025): November, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i4.254

Abstract

Quality health services and satisfying patients are the main factors in increasing trust and effectiveness of services at puskesmas. The implementation of electronic-based service system is expected to improve the quality of Service and patient satisfaction. Objective: This study aims to analyze the level of patient satisfaction with electronic-based health services in Ambacang Padang Health Center. Methods: this study uses a quantitative approach with descriptive survey design. Data were collected through questionnaires distributed to 150 patients who had used electronic services at the Ambacang Health Center. Data analysis was conducted using descriptive statistics and regression analysis to determine the effect of Service variables on patient satisfaction. Results: the results showed that patients were satisfied with electronic-based services at the Ambacang Padang Health Center with an average satisfaction score of 4.1 on a scale of 5. The main factors contributing to patient satisfaction include ease of access to services, speed of Service, and quality of communication between health workers and patients. Implication: This finding gives an idea that the implementation of electronic service system is able to improve the quality of health services in puskesmas, so that it can be used as a reference for further service development, both in terms of technology and human resources. Conclusion: electronic-based health services in Ambacang Padang Health Center are effective in increasing patient satisfaction. Therefore, it is necessary to make continuous improvements to the system and training of officers so that the quality of service can be maintained and improved.
The Comprehensive Systematic Review of Association of Positive Surgical Margins to Biochemichal Recurrence in Prostate Cancer Andi Dedi Pradana Putra; Khaeriah B
The International Journal of Medical Science and Health Research Vol. 24 No. 2 (2026): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/c19rae16

Abstract

Introduction: Positive surgical margins (PSM) following radical prostatectomy (RP) represent a critical prognostic factor in prostate cancer management, yet their precise impact on biochemical recurrence (BCR) and long-term oncological outcomes remains heterogeneous across studies. A systematic synthesis of the evidence is required to clarify this association and guide clinical decision-making. Methods: This comprehensive systematic review adhered to PRISMA guidelines, screening studies from multiple databases. Inclusion criteria encompassed observational studies or systematic reviews/meta-analyses investigating the PSM-BCR association in men undergoing RP for non-metastatic prostate cancer, with a minimum 6-month follow-up. Data extraction was performed systematically, focusing on study design, PSM and BCR definitions, patient demographics, surgical details, association findings, and the impact of adjuvant therapies. Results: The review incorporated 80 studies. PSM was consistently associated with a significantly increased risk of BCR, with pooled hazard ratios (HR) ranging from 1.35 to 2.37 in multivariate analyses (Zhang et al., 2018; Kim et al., 2022). The risk was modulated by PSM characteristics: Gleason grade 4/5 at the margin (HR 1.87 vs. grade 3), margin length >3mm (HR 1.99), and multifocality (HR 1.38) conferred higher BCR risk (Lysenko et al., 2020; John et al., 2023; Guo et al., 2024). PSM rates varied by surgical approach and pathological stage, with nerve-sparing techniques and surgeon experience influencing outcomes (Moris et al., 2021; Bianco et al., 2006). While adjuvant radiotherapy (RT) improved BCR-free survival, early salvage RT demonstrated comparable long-term metastasis-free and overall survival (Hackman et al., 2019; Schneider, 2020). Discussion: The heterogeneity in effect estimates is attributable to differences in study populations, methodological rigor, and the granularity of PSM characterization. PSM should not be interpreted in isolation but as part of a multimodal risk profile including pathological stage and Gleason grade. The evolving paradigm favors risk-adapted strategies, potentially reserving immediate adjuvant RT for the highest-risk profiles while employing early salvage for others. Conclusion: PSM is a significant, independent predictor of BCR after RP, but its prognostic weight is contingent upon specific margin characteristics and coexisting pathological features. Clinical management should integrate detailed margin assessment with other risk factors to personalize postoperative strategies, emphasizing refined risk stratification and judicious use of adjuvant therapies.