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HEALTHCARE FAILURE MODE AND EFFECT ANALYSIS DESIGN FOR INDONESIA HOSPITAL LABORATORIES: A LITERATURE REVIEW Zhafirah Salsabila; Masyitoh Masyitoh; Amal Chalik Sjaaf; Lia Gardenia Partakusuma
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.33-54

Abstract

Background: Error rate in medical laboratories is very low. Only one error is identified every 330–1,000 events. The goal of laboratory services should outweigh patient safety in a well-structured manner. Healthcare Failure Mode and Effect Analysis (HFMEA) is a proactive preventive method for identifying and evaluating potential failure.Aims: This study identified factors affecting patient safety in hospital laboratories and described potential risk identification process using the HFMEA.Methods: This study was conducted between March-July 2020 and retrieved data from PubMed, Scopus, and Google Scholar. The data were generalized and extracted into Table 2 based on factors dealing with patient safety in hospital laboratories. This study performed a risk identification design based on the steps of HFMEA.Results: Out of 4,062 articles collected, only 8 articles between 2013–2020 were included for analysis. The highest error rate in laboratories occurred in the pre-analytic phase (49.2%–84.5%). The errors included clotted and inadequate specimen volume, and thus the specimens were rejected. Factors related to patient safety in laboratories were patient condition, laboratory staff performance (including training, negligence, and burnout), facilities, and accreditation.Conclusion: The HFMEA process used the result of hazard analysis with severity and probability criteria categorized into health sector. Decision tree analysis could determine the next step of the work process. The HFMEA must be adjusted to the equipment and technologies in each hospital laboratory. Leader’s commitment in monitoring and evaluation is required to maintain patient safety culture. More comprehensive data from Indonesian hospital laboratories are needed to generate more representative and applicable results.Keywords: error, HFMEA, laboratory, patient safety 
OVERVIEW OF MEDICATION ERROR INCIDENCE IN HOSPITALS IN VARIOUS COUNTRIES: LITERATURE REVIEW Anisa Eka Amalia; Masyitoh Basabih
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.145-153

Abstract

Background: Medication error is one of the most common types of errors contributing to patient safety incidents in hospitals. In addition to their numerous cases and high costs, medication errors also contribute to deaths in various countries. Aims: This study describes the incidence of medication errors in hospitals in various countries, determines the phase of errors that occurred the most, and describes preventive strategies for medication errors in hospitals. Methods: This study was conducted between April 2021-July 2021 using the literature review method. Data were retrieved from ProQuest, ScienceDirect, PubMed, Google Scholar, and Garuda RistekBRIN. The data are generalized and extracted in a table based on the incidence of medication errors and preventive strategies. Results: Of the eleven included studies, the incidence of medication errors in one study conducted in Nigeria was the highest (80%). Four of the eleven studies were conducted in India with varying incidence rates. Most errors occurred during the prescribing stage. The number of reports and the number of events actually have no relevance. It can be said that countries with a high number of reporting have good reporting indicators. Strategies for preventing medication errors include the implementation of an information system in the CPOE (Computerized Physician Order Entry) form and providing training for staff. Conclusion: The difference in the incidence of medication errors in developing and developed economies can be attributed to factors in the healthcare system and the lower prescribing ratio and nurse ratio in developing countries. Keywords: literature review, medication errors, patient safety
Healthcare Failure Mode and Effect Analysis (HFMEA) in Reducing Patient Safety Incidents Risk at Hospital: Literature Review Anggika Yelzi Pratiwi; Masyitoh Basabih
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 2 (2023): August
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i2.2336

Abstract

Patient safety is a priority in hospital services, but patient safety incidents such as adverse events frequently occur in hospitals. Healthcare Failure Mode and Effect Analysis (HFMEA) is one of the hospital’s strategies to reduce patient safety incident risks through risk management. This study aims to describe the use of the HFMEA method in various countries and its role in reducing patient safety incident risks. This study began with searching data using four databases and selecting scientific article sources using the Preferred Reporting Items for Systemic Reviews and Meta-Analysis (PRISMA) method, where 15 articles were found that met the research objectives, inclusion, and exclusion criteria. The result shows that HFMEA has been applied in hospital services and management in various countries. HFMEA reduced the risk of failure and patient safety incidents in the hospital. However, this can be effective if the hospital implements all steps of HFMEA and routine monitoring and evaluation of interventions to prevent the occurrence of patient safety incident risk.
Analysis of Hospital Emergency Department Performance Measurement with Balanced Scorecard Hilda Melissa; Masyitoh Basabih
Jurnal Health Sains Vol. 4 No. 7 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i7.1021

Abstract

Emergency Department (IGD) is the face of a hospital (RS). Good hospital emergency room services will result in patient satisfaction and the community around the hospital, so that the hospital becomes an option as a health facility. The performance of a hospital emergency room needs to be assessed objectively so that continuous efforts can be made to improve services. Balanced Scorecard (BSC) assessment can be used in service assessment in organizations such as hospitals or parts of organizations such as emergency room hospitals. This study aims to determine the components in emergency room services that play the most role in achieving the performance of emergency room services that support hospital performance. This research method is a scoping review using literature studies using keywords from the Balanced Scorecard AND Hospital AND Emergency with literature search strategies from the databases Ebsco Host, Embase, Scopus, Pubmed, Proquest, and Google Scholar. The results of the study contained 6 (six) appropriate articles after screening using PRISMA 2020 Flow Diagram. BSC either independently or combined with other methods can be used as performance monitoring in the health sector both in hospitals and in one of the units such as the Emergency Installation. There are 4 perspectives, namely: finance, customers, internal business processes and growth learning, where it is found that the education factor of staff training is the most widely intervened approach that results in improving the performance of emergency rooms and hospital finances. Further research suggestion is that further research is needed to assess the other three factors in the Balanced Scorecard that will effectively improve performance in other units of RS.
HUBUNGAN KUALITAS LAYANAN, KEPERCAYAAN, DAN LOYALITAS DALAM MEMBANGUN BRAND EQUITY RUMAH SAKIT BERBASIS PASIEN Valencia Imelda Triastuti; Masyitoh Basabih
Jurnal Medika Hutama Vol. 5 No. 01 Oktober (2023): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Abstract

Hospital is a health institution that provides complete individual health services. A high level of brand equity, especially in healthcare organizations increases customer satisfaction, their rebates, and also the level of loyalty, which is a key role that brands play in business success. This research is to identify the role of service, trust, and loyalty in the progress of hospital brand equity. A literature search in this systematic review was conducted on 3 (three) databases: PubMed, Cochrane, Embase Google Scholar, published in 2013 until 2023. Selection of literature based on predefined inclusion and exclusion criteria. This systematic review identified 13 studies that examined service quality, trust, and loyalty in building patient-based brand equity. Service quality has a positive impact on customer loyalty, and customer loyalty has a significant positive relationship with brand equity. The quality of service, both services and facilities, has a significant effect on patient trust and satisfaction. Improving service quality by paying attention to various aspects of both services and facilities has an impact on patient trust and loyalty to the hospital. Patient loyalty has an impact on brand equity.
Evaluation of Decision-to-Delivery Interval and Its Effect on Maternal and Neonatal Outcomes in Category-1 and Category-2 Emergency Caesarean Section Deliveries: A Systematic Review Jimmy Sakti Nanda Berguna; Masyitoh Basabih
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.57

Abstract

Emergency cesarean section is a surgery delivery through the abdomen that must be carried out immediately within a decision-to-delivery interval (DDI) <30 minutes because it threatens the maternal and neonatal. This study prevents prolonged DDI response time for emergency cesarean section categories 1 and 2. This study aims to determine the causes of prolonged DDI for maternal and neonatal outcomes so that hospital management becomes standardized with the standard of care for emergency cesarean sections and the quality of care for patients increases. A literature search was conducted through four databases, SpringerLink, ScienceDirect, Google Scholar, and PubMed, using keywords that matched the clinical questions. Article selection was carried out based on exclusion and inclusion criteria. The selected literature was reviewed and assessed for validity, importance, and applicability based on the Oxford Center of Evidence-Based Medicine guidelines. Nineteen (19) studies examined category 1 or category 2 emergency cesarean sections from publications from 2018 to 2022. Of the 19 studies, only 3 achieved a response time of 30 minutes for emergency cesarean section category 1 and 75 minutes for category 2. However, 17 studies explained that DDI did not affect maternal and neonatal outcomes. Factors that influence not achieving the DDI target are the unavailability of operating rooms, anesthesiologists, pediatricians, and insufficient nurses. On the other hand, lack of special training, no standard emergency cesarean section service, and limited places and facilities impact maternal and neonatal outcomes.
Opportunities and Challenges in Implementing Regional Public Service Agency Policy in Regional Hospitals: Systematic Review Masyitoh Basabih; Indriaswari Widhakuswara
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 1 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.1.1-20

Abstract

The Policy of the Regional Public Service Agency (Badan Layanan Umum Daerah or BLUD) is a form of autonomy for Regional Public Hospitals (Rumah Sakit Umum Daerah or RSD) born from healthcare service reforms. Despite being implemented for over two decades, several challenges in persist policy implementation. This research aims to analyze the opportunities and challenges in implementing the BLUD policy in RSD within the context of public services. The research method employed is a systematic review using inclusion criteria. Searches were conducted using the keywords policy implementation, BLUD, and RSD, utilizing the Garuda database and Google Scholar. This systematic review analyzes articles published from 2007 to 2022. The study identifies challenges such as resource quality, organizational fragmentation, and suboptimal communication. On the other hand, there is evidence of positive acceptance or response from implementers towards the BLUD policy. Based on the analysis, it can be concluded that the BLUD policy provides opportunities for RSD to enhance performance through its flexibility. Human resource capacity and communication pose challenges in BLUD policy implementation within RSDs. Implement targeted training programs for both regional governments and hospitals should address the specific needs and challenges of BLUD implementation, such as potential knowledge gaps arising from differing educational backgrounds.
PATIENT SAFETY CULTURE IN PUBLIC GENERAL HOSPITALS: LITERATURE REVIEW Fauziyyah, Rifa; Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: The global prevalence of preventable adverse events in healthcare is a significant problem, with approximately 42.7 million annual accidents resulting in 23 million DALYs lost. Safety culture plays a crucial role in mitigating or exacerbating these incidents within hospitals. Objectives: To identify the results of the assessment of patient safety culture and the characteristics associated with patient safety culture in public general hospitals in various countries. Methods: This study was conducted between April-July 2021 utilizing a literature review approach using study searches through PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda databases, and it discovered 17 papers from 2011-2021 that used the Hospital Survey on Patient Safety Culture (HSOPSC) as an instrument to assess patient safety culture. Results: This study found that patient safety culture at public general hospitals remains low, and hospital staff perception of safety has to be improved. Discussions: “Teamwork in hospital units” receives the most favorable replies, while “non-punitive response to error” receives the least positive responses. The majority of the employees assessed patient safety in their work unit as “excellent/very good/acceptable” and reported no incidents in the previous year. Staff and hospital characteristics were also found to be related to patient safety culture.
SERVICE OF PEOPLE WITH PSYCHIATRIC PROBLEMS (ODMK) AT THE PASAR BARU HEALTH CENTER AND PABUARAN TUMPENG HEALTH CENTER IN TANGERANG CITY IN 2022: A COMPARATIVE STUDY Firdaus, Mentari Kirana; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 7, No. 3
Publisher : UI Scholars Hub

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Abstract

Mental health is one of the global health issues with cases that continue to increase every year. In 2019, psychiatric problems were the second leading cause of disability worldwide with a total of 970 million cases. This research is a comparative study that aims to determine the difference between ODMK services at Pasar Baru Health Center and Pabuaran Tumpeng Health Center. This research uses a qualitative approach with a case study method, data collection is done through in-depth interviews and document review. The variables analyzed include input, process, and output. The results of the study found that in the input variable, health human resources at Pabuaran Tumpeng Health Center had a higher workload than health human resources at Pasar Baru Health Center. In the process variable, Pasar Baru Health Center is able to carry out innovative activities to improve ODMK services during the pandemic. In the output variable, it was found that the quality of service at the Pasar Baru Health Center was better than the Pabuaran Tumpeng Health Center, besides that the coverage of ODMK services at the Pasar Baru Health Center in 2021 reached 128% while at the Pabuaran Tumpeng Health Center it only reached 77%. This study concludes that the health center that have adequate human resources and able to carry out services according to the existing situation, can produce higher quality services and achieve service coverage targets.
POTRAIT OF PUBLIC PRIVATE PARTNERSHIP POLICY SUBSTANCES IN REGIONAL HOSPITALS IN INDONESIA Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Public Private Partnership (PPP) is a strategy of the Indonesian Government to deal with budget constraints and overcome gaps in infrastructure, access, and quality of health services. PPP on the operational cooperation (KSO) model is the oldest and most widely applied practice by regional hospitals in Indonesia. The implementation of KSO must refer to government policies in the form of laws and regulations. Since its initial implementation until today, the Ministry of Home Affairs, as the body that oversees the local government, has not carried out a comprehensive evaluation of the KSO policy. This study was carried out by conducting document analysis related to the operational cooperation policies of regional hospitals and reviewing the substance of operational cooperation policies at the national and regional levels. Study found that there are no articles governing service level agreements; no performance indicators of cooperation in monitoring and evaluation, limited autonomy; several regional head regulations are not accompanied by technical guidelines; and there are variations in the substance of the regional head regulations. This study concludes that the KSO policy framework for regional hospitals is inadequate, incomplete, and limits the autonomy of regional hospitals.