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Journal : Jurnal ARSI : Administrasi Rumah Sakit Indonesia

PATIENT SAFETY CULTURE IN PUBLIC GENERAL HOSPITALS: LITERATURE REVIEW Fauziyyah, Rifa; Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
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.
Perlukah Keselamatan Pasien Menjadi Indikator Kinerja RS BLU? Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

The government which is the Ministry of Health through its regulations mandates the importance of patient safety. This can be seen from the mention of patient safety in the four articles in Undang-Undang Number 44 Year 2009 about Hospital and specifically in the Minister of Health Regulation. The importance of patient safety issues in hos pitals is not directly proportional to the performance indicators of the BLU Hospital written inPeraturan Direktur Jenderal Pembendaharaan Number 34 Year 2014 about the Guidelines for Performance Appraisal of Public Ser vice Bodies for Health Services. In this regulation, it can be seen that the performance assessment of BLU Hospital consists of financial aspect and service aspect. Patient safety can be seen in service aspect more specially can be seen in group of clinical quality indicator which have maximum score 12 from 100. Clinic quality is measured with five indicator which four of them is death rate. If it refers to the magnitude of the emphasis on patient safety and the definition of patient safety, then the question is whether the indicator of mortality adequately represents the im portance of patient safety in the hospital? This article aimed to provide an overview of the role of patient safety in the performance indicators of hospital performance BLU. This study was conducted by using the literature review method. The results of this study indicate that the patient's safety efforts have not fully become the benchmark of BLU Hospital performance.
ANALYSIS OF ACCESSIBILITY OF PEOPLE WITH SENSORY DISABILITIES IN RSUD PASAR MINGGU Suryoputra, Daffaldo; Basabih, Masyitoh; Mulyani, Fify
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

People with a disability is someone who has conditions, whether physically and mentally that make a person experience difficulty in certain conditions and interact with their environment. Pasar Minggu Regional Hospital (RSUD Pasar Minggu) has achieved a general patient satisfaction indicator with satisfaction rate of 90% in 2022. This satisfaction indicator mainly comes from infrastructure and facility factors, along with the competence of service providers and costs. As a regional referral hospital, this hospital certainly has patients with physical limitations due to disabilities or illnesses. To ensure patient satisfaction can also be felt by patients with physical limitations, this study aimed to get an overview regarding the accessibility of health service facilities for persons with sensory disabilities at RSUD Pasar Minggu, both physically and non-physically. This qualitative study was supported by several data collection including observation, document review, and in-depth interviews with patients with sensory disabilities, as well as health workers at in the Eye polyclinic and ENT polyclinic in 2023. The results showed that physical accessibility at RSUD Pasar Minggu already includes information boards, guiding blocks, handrails, special information counters, while braille and TV text are in the process of planning to be provided at the hospital. Meanwhile, non-physical accessibility includes training for healthcare providers, socialization of health services, as well as special communication for people with disabilities which have been carried out quite well and have provided satisfaction for patients with visual and hearing impairments in terms of the quality of health services at RSUD Pasar Minggu.
Effect of Establishing a Separate Outpatient Pharmacy Counter on Reducing Waiting Time in Mayapada Hospital Irham, Hanifan; Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Pharmacy waiting time is one of the quality indicators that affects patient satisfaction in hospitals. One of the various efforts to reduce drug waiting times is adding outpatient pharmacies. This study aims to see whether the addition of pharmacies based on guarantors can reduce drug waiting times for outpatients. This is an observational study with a cross-sectional design. The sample included 11,703 patients who received prescriptions at Mayapada Hospital Bogor outpatient with insurance and private coverage. Data were collected over four months, two months before and two months after the separation of pharmacies. Waiting time data were obtained from the hospital’s Health Information System (HIS). Univariate analysis showed that most patients visited the hospital during the noon shift (51.1%). Patients with private coverage dominated at 50.8% and non-compounding drugs dominated at 68.7%. There was a time difference of 1 minute and 22 seconds before, and 1 minute and 17 seconds after, the addition of the pharmacy for patients in the private coverage category with insurance. The Mann-Whitney test results get a p-value = <0.001, indicating a significant difference in waiting time between patients with personal coverage and insurance before and after the addition of the pharmacy. These results suggest that separating pharmacies by insurance type can be an effective strategy to reduce prescription waiting times. However, the two-month post-separation period is a limitation, as it may not fully reflect long-term outcomes. Further studies with a longer evaluation period are recommended for more optimal results.
The Role of The Triage Nurse Deployment in Reducing Triage Time in Emergency Department Karina, Ristanti; Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Emergency Departments (ED) operate under high-pressure conditions where rapid and accurate triage is essential to ensure optimal patient outcomes. This study aimed to evaluate whether the assignment of dedicated triage nurses could reduce triage procedure time in the ED. The study employed an observational cross-sectional design using secondary data extracted from the Hospital Information System (HIS) at XYZ Private Hospital, Bogor. The intervention involved assigning trained triage nurses for each shift starting in June 2024, replacing the previous practice of ad hoc triage by available nurses. The results showed a significant reduction in median triage time from 4 minutes and 11 seconds to 2 minutes and 23 seconds after the intervention (p-value = <0.001). These findings indicate that structural changes in workforce allocation can improve triage efficiency. However, other influencing factors such as daily visit volume, shift-based workload, and the complexity of clinical cases may also affect triage duration. This study did not disaggregate data by triage category or shift, suggesting the need for further research to assess the intervention's impact more comprehensively. With global Emergency Room (ER) visits increasing by 30%, the implementation of a fast and accurate triage system, led by well-trained nurses, is essential. Hospitals are advised to adopt triage nurse assignment policies, provide ATS-based training, and conduct routine monitoring and evaluation as part of continuous quality improvement in emergency care.