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Journal : JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)

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.
Employee Engagement in a Multigenerational Workforce at Hospital X Kristi, Gandhi; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.411

Abstract

As the organization grows each year, the workforce will continue to change. New hires may come from older or younger generational groups, leading to a multigenerational workforce in the organization. It is known that each generational group has different characteristics that can affect employee engagement per generation in the workplace. This study aims to determine the depiction of the multigenerational workforce and employee engagement in the multigenerational workforce at the hospital. This study used a cross-sectional study and was conducted by distributing online questionnaires to health workers who worked at Hospital X. The results found that a multigenerational workforce is apparent in Hospital X. It was also found that the oldest generation group in the hospital, Generation X, had the highest average engagement score. Through analysis, a significant relationship was also found between the multigenerational workforce and employee engagement. The discovery of a multigenerational workforce and differences in the level of employee engagement in generational groups indicates that hospital management must take advantage of the diversity that exists. Strategies are also needed to increase and maintain employee engagement in each generational group.
Optimizing Healthcare Professionals' Communication with Patients during Inpatient Hospital Discharge: A Systematic Review Gultom, Chiefriana Dearni; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.498

Abstract

This systematic review analyzed the role of communication between nurses, doctors, and patients in the inpatient discharge process, as well as the barriers encountered during this process. A total of 34 studies meeting the inclusion criteria—articles published in English or Indonesian addressing nurse-doctor communication and patient discharge—were analyzed. The exclusion criteria included studies that did not involve nurse-doctor communication, did not assess discharge communication, or did not undergo peer review. Findings from the studies indicate that caregiver involvement, the use of written guidelines, and communication technologies such as telemedicine can enhance patient understanding and improve discharge outcomes. However, barriers such as lack of coordination among medical professionals, communication difficulties with patients who have language limitations or complex medical conditions, and unclear post-discharge information were identified. This review adheres to the PRISMA reporting standards and is registered with PROSPERO. The study provides insights into the importance of clear communication, caregiver involvement, and interprofessional collaboration in improving patient safety and discharge success. It is hoped that these findings will help enhance the effectiveness and safety of patient discharge practices.
Exploring Patient Safety Risks in CAPD Services: A Qualitative Analysis Using Failure Mode and Effect Analysis (FMEA) Pratiwi, Anggika Yelzi; Basabih, Masyitoh; Mulyani, Fifi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.509

Abstract

Pasar Minggu Regional General Hospital is currently developing CAPD as a new service, which is a high-risk service involving healthcare professionals and patients themselves. This research aims to identify the risk of patient safety incidents using the FMEA method in CAPD at RSUD Pasar Minggu to prevent the incident risk. The research is qualitative research with an operational research approach. Data were obtained from primary sources through in-depth interviews and focus group discussion (FGD) and secondary data through a literature review. The result showed that the post-insertion process of peritoneal access and patient self-management in CAPD was the focus of the FMEA process. The priority risks were exit site/ tunnel infection, peritonitis infection, catheter obstruction, and leakage. The root cause of the risks is the incomplete CAPD service regulatory, education and re-education plans have not been implemented, and monitoring and evaluation have not been determined. Recommendations for preventing these risks include completing CAPD regulations in the service guidelines, optimizing patient education and re-education plans with CAPD training plan matrix and patient education poster, and establishing monitoring and evaluation procedures for CAPD patient care.
Reduction of Emergency Room Service Time at St. Carolus Summarecon Serpong Hospital, Indonesia with DMAIC Approach in 2023 Saputera, Christina; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.519

Abstract

Service time is one of the quality ER’s indicators that is still a problem in various hospitals. This study was conducted based on the ER’s quality indicator achievement, service time ≤ 3 hours at St. Carolus Summarecon Serpong Hospital which always does not reach the target (74,3% of the target > 90% of total ER inpatients) and is reinforced by the researcher’s search in SINTA indexed journals, there has been no research discussing the ER’s service time improvement using DMAIC interventions up to the control stage. The result using operational research design, blended method and probability sampling techniques (a sample of 32 ER patients) successfully identified unplanned discharges of inpatients to cleaning service staff, room entrustment policies, waiting lists for VIP rooms, and the lack of human resources for inpatient nurses, as the root cause of the problem, reducing lead time from 4:14 to 2:39:2 (↓ 37,4%) at the post-intervention stage and to 2:19:46 (↓ 12,1%) at the control stage; reduce non value-added activities from 1:38:19 to 32:22 (↓ 67,1%) at the post-intervention stage and to 25:23 (↓ 21,6%) at the control stage and successfully eliminate waste transport, reduce waste waiting time and lead time by 55%.