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All Journal Jurnal Farmasi Sains dan Komunitas Cendekia Journal of Pharmacy
Hartayu, TB. Titien Siwi
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Medicine & Pharmacology

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Implementation of Hospital Management Information Systems: Obstacles and Challenges (Case Study at Santo Antonio Baturaja Hospital) Sumiyem, Sr. M. Karla; Hartayu, TB. Titien Siwi
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 21, No 1 (2024)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.006777

Abstract

The Hospital Information System (HIS) handles and integrates the entire flow of hospital services. This study aimed to identify factors that affect the effectiveness and efficiency of HIS implementation and select strategies that can be used to overcome the inhibiting factors. In-depth interviews were used in this study with a qualitative and case-study strategy. The respondents were 26 officers selected by non-random purposive sampling. Data analysis used triangulation of in-depth interviews, document observations, and observations of HIS implementation. Data were transcribed verbatim and analyzed thematically. The results showed that the positive behavior of officers, leadership support, and officer abilities supported the implementation of HIS. However, there are still obstacles due to the attitude of officers and management policies. From document observations, it was found that officers had incorrect input, doubled input, and forgotten input. Due to a lack of Standard Operating Procedures (SOPs) and guidelines for implementing HIS, observations on its deployment revealed inconsistent data input. The strategy suggested to deal with the barriers included designing monitoring programs, creating SOPs, conducting extensive socializing programs, and conducting training programs to enhance officers' soft skills. It is clear that Human Resources play a crucial role for the effectiveness of HIS implementation. 
RASIONALITAS PENGGUNAAN ANTIMIKROBA RESERVE DI RUANG INTENSIVE CARE UNIT RUMAH SAKIT DI BALI PASCA PROGRAM PENGENDALIAN RESISTENSI ANTIMIKROBA Erma Ariningsih, Ida Ayu Made; Hartayu, TB. Titien Siwi
Cendekia Journal of Pharmacy Vol 9, No 2 (2025): Cendekia Journal of Pharmacy
Publisher : Institut Teknologi Kesehatan Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/cjp.v9i2.329

Abstract

Antimicrobials are used to treat patient with infectious diseases. Inappropriate use oof antimicrobials can trigger bacteria that are resistant to antimicrobials. Reserve group of antimicrobials are antimicrobials which is reserved and are used for the treatment of patients with MDRO. In an effort to increase the rational use of antimicrobials, the government formed KPRA which us tasked with controlling the use of antimicrobials in hospitals, One of the private hospital in Bali has also formed KPRA since 2018. The use of antimicrobials in the ICU is quite high, but there is no data regarding antimicrobial control rate in the ICU, so it is important to analyze the use of antimicrobials in the ICU after KPRA. This study aims to determine the rationality of using reserve group antimicrobials in the ICU. This research is a descriptive analytical study, quasi-experimental design. Data was taken retrospectively from June 2017-May 2021. The study population was all hospital inpatient during the study period. The research subjects were all patients in the ICU. Data source from patient medical records and HIS. The sample size is the total that meets the criteria. Inclusion criteria were all patient in the ICU with reserve antimicrobials group in the period June 20017-May 2029 (pre-PPRA) and June 2019-May 2021 (post PPRA). Exclusion criteria were all patients in the ICU but the data was incomplete. Data analysis uses DDD calculations and the Gyssen method. The result showed that the DDD rate did not change significantly. The most widely used antimicrobials are Ceftriaxone 1G, Levofloxacin 500mg, Levofloxacin 750mg, and Meropenem 1G. The number of vials used for antimicrobials in the ICU decreased by 75.46%. Rational use of reserve group antimicrobials after PPRA implementation increased by 42.85%. The rationality of using reserve group antimicrobials in the ICU after PPRA increase.
Co-Authors Erma Ariningsih, Ida Ayu Made Sumiyem, Sr. M. Karla