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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
Compliance Analysis Of Hand Hygiene Regulation Implementation At Dr. M. Goenawan Partowidigdo Pulmonary Hospital Based On Who Multimodal Hand Hygiene Improvement Strategy Mila Fitriana; Anhari Achadi; Masyitoh Bashabih; Ede Surya Darmawan; Ida Bagus Sila Wiweka
Jurnal Indonesia Sosial Teknologi Vol. 4 No. 9 (2023): Jurnal Indonesia Sosial Teknologi
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jist.v4i9.726

Abstract

The Hospital Infection Prevention and Control Program (HIPCP) is an effort to reduce the risk of Healthcare-Associated Infections (HAIs), including hand hygiene compliance. WHO issued the Multimodal Hand Hygiene Improvement Strategy as one of the strategies to tackle low hand hygiene compliance. Dr. M. Goenawan Partowidigdo Pulmonary Hospital (RSPG) has implemented hand hygiene regulations referring to the current policies, but it has not met the target over the last three years. This study aims to analyze the implementation of the regulation of hand hygiene compliance at RSPG according to the WHO Multimodal Hand Hygiene Improvement Strategy, using an analytical descriptive qualitative approach with a case study method. The analysis uses the combination of the theory of George Edward III, Weaver, and the WHO Multimodal Hand Hygiene Improvement Strategy. WHO Multimodal Hand Hygiene Improvement Strategy assessment was conducted by scoring the Hand Hygiene Self-Assessment Framework (HHSAF). The results showed the lowest percentage of HHSAF scores on the bureaucratic structure variable, but the most important variable was the resource variable, namely human resources, related to activeness and behavior issues. These issues were obtained from in-depth interviews developed from structured questions on HHSAF. Hand Hygiene of RSPG is at an intermediate level. Researchers recommend behavioral enforcement with appreciative inquiry in addition to reward and punishment as an effort to improve compliance with the implementation of hand hygiene regulations at RSPG.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar

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.
EVALUASI EFEKTIVITAS PENGGUNAAN TELEDENTISTRY PADA PELAYANAN KESEHATAN GIGI DAN MULUT PADA MASA PANDEMI COVID19 – SISTEMATIK REVIEW Wendy Eszwara; Masyitoh Basabih
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i1.24854

Abstract

Pandemi COVID-19 membawa dampak yang sangat banyak terhadap berbagai aspek, tidak terkecuali pada pelayanan kesehatan gigi dan mulut. Sejumlah prosedur perawatan dalam pelayanan kesehatan gigi dan mulut dapat memicu terjadinya droplets dan aerosol sehingga berpotensi meningkatkan risiko penularan COVID-19. Berbagai upaya dilakukan untuk memberikan akses pelayanan kesehatan kepada masyarakat pada masa pandemi saat ini sehingga dapat membatasi rute penularan virus. Teledentistry menjadi alternativ sebuah praktik dalam menegakkan dan merencanakan perawatan dari jarak jauh oleh tenaga medis dengan memanfaatkan teknologi informasi dan komunikasi. Peran teledentistry menjadi sebuah solusi dalam menyebarkan informasi dengan cepat kepada masyarakat pada masa pandemi saat ini. Penelitian ini bertujuan untuk evaluasi penggunaan teledentistry sebagai akses pelayanan kesehatan gigi dan mulut pada masa pandemic COVID-19. Metode penelitian dilakukan dengan Systematic Review dengan pencarian manual data base melalui scopus, sciencedirect, proquest, dan pubmed dari tahun 2017-2023 yang berkaitan dengan teledentistry pada masa pandemi. Hasil penelitian diperoleh bahwa penggunaan teledentistry pada masa pandemi COVID-19 memberikan keefektifitasan menegakkan diagnose, penghematan biaya, serta dokter gigi dapat membantu proses konsultasi dan penjadwalan waktu yang tepat untuk dilakukan perawatan. Teledentistry merupakan solusi yang efektif dilakukan dimasa pandemi untuk mengurangi penyebaran virus sehingga dapat membantu masyarakat dalam melakukan konsultasi mengenai masalah kesehatan gigi dan mulut.
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.
Strategies and Challenges in the Distribution of Public Health Centre Doctors in Indonesia Sondang Whita Kristina Tambun; Masyitoh Bashabih; Zakaria Zakaria
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3653

Abstract

Adequacy of doctors through the deployment of public health center doctors to achieve equity in health services for the community. The deployment of public health center doctors has been implemented through various policies but there are still public health centers that do not have a doctor. This article aims to determine the strategies, challenges, and successes in the distribution of public health center doctors. Document analysis of legal documents was approached using the READ method to determine the distribution strategy of doctors. A Systematic Literature Review (SLR) was conducted using the PRISMA protocol from two online database search engines, where 25 articles were found that met the research objectives, inclusion, and exclusion criteria. The challenges of the distribution of public health center doctors are due to deployment for remote and very remote areas. Factors that challenge the distribution of doctors are individual factors, work factors, living environment factors, and health system factors. Recruitment and deployment of public health center doctors in remote areas need to be done comprehensively with crossector.