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All Journal Jurnal Riset Kesehatan Jurnal Administrasi Kesehatan Indonesia Unnes Journal of Public Health Poltekita : Jurnal Ilmu Kesehatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Medika Hutama Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Jurnal Health Sains Jurnal Locus Penelitian dan Pengabdian INJURITY: Journal of Interdisciplinary Studies Jurnal Indonesia Sosial Teknologi JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Malahayati International Journal of Nursing and Health Science Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Basabih, Masyitoh
Fakultas Kesehatan Masyarakat, Universitas Indonesia
Aerospace Engineering Automotive Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Medication Error Prevention Using Healthcare Failure Mode And Effect Analysis At Clinical Pharmacy Installation Salsabilla Kaulika Rinalda Putri Giri; Masyitoh Basabih; Basrin Harsono Sigalingging
Jurnal Riset Kesehatan Vol 13, No 1 (2024): MEI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v13i1.10186

Abstract

Medication error is the second most common patient safety incident worldwide. Medication errors can be defined as unintentional failures in medication services that have the potential to cause harm to patients. Maintaining safe health services is highly dependent on the ability of service providers to proactively conduct patient safety risk analysis, one of which is using the Healthcare Failure Mode and Effect Analysis (HFMEA) method. This study was aimed at obtaining the HFMEA design as an effort to prevent medication errors at Company X Clinical Pharmacy Installation. The research method used is qualitative research with a specific type of Operations Research. Data collected by in-depth interviews, observation, secondary data analysis, and focus group discussion. The results of this study found factors that cause medication errors to occur from organizational factors and staff factors. These results then analyzed for the HFMEA design which obtained 11 risks that required attention and then 14 action plans are made to overcome them.  This study successfully developed HFMEA design to prevent medication error in Company X Clinical Pharmacy Installation.
Burnout and Contributing Factors to Burnout Among Indonesian Healthcare Workers Before and During COVID-19 Pandemic Simbolon, Monalisa; Basabih, Masyitoh
Jurnal Psikiatri Surabaya Vol. 12 No. 2 (2023): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v12i2.48468

Abstract

Introductions: The prevalence of burnout among health workers in Indonesia varies. During the Coronavirus Disease 2019 (COVID-19) pandemic, there was an increase in burnout among health workers. Many factors can affect the prevalence of burnout in health workers. Objectives: to provide an overview of the prevalence and factors that influence burnout among healthcare workers in Indonesia. Methods: The writing of this article uses the literature search method. Literature searches used the Pubmed and Google Scholar search engines, using literature within a time limit of 3 years before and three years during the COVID-19 pandemic. Results: It is known that the prevalence of burnout before the COVID-19 pandemic reached 19.8%–62.85%, and during the COVID-19 pandemic reached 5.2%–82%. For factors that affect burnout before and during the COVID-19 pandemic, there is not much difference between factors such as age, gender, marital status, type of work, workload, stress level, length of service, number of hours worked per week, and level of education. In several studies before the COVID-19 pandemic, additional factors such as religiosity, work environment, and organizational structure leadership were found. In contrast, during the COVID-19 pandemic, there were other risk factors, namely the risk of transmission of COVID-19, educational background, and access to psychological services. Conclusions: By knowing the factors related to burnout, it is hoped that it can be used as a step to form an effective and efficient management system to overcome burnout
Implementation of Lean Hospital Intervention in Outpatient Pharmacy Depot at the National Brain Center Hospital Prof. Dr. dr. Mahar Marjono Jakarta, Indonesia Dharmaningsih, Dwi; Andriani, Helen; Bashabih, Masyitoh; Tahir, Hadijah
Unnes Journal of Public Health Vol 13 No 1 (2024): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v13i1.74992

Abstract

Waiting time for prescription services indicates the quality of hospital services. The waiting time at the National Brain Center Hospital Prof. Dr. dr. Mahar Marjono Jakarta (RSPON Jakarta) Regular Outpatient Pharmacy Depot has not yet reached the standard of ≤30 minutes for non-concoction prescription, ≤60 minutes for concoctions prescription. This research aims to reduce the waiting time for outpatient prescription services using the Lean Hospital approach, which uses operational research methods with a qualitative approach through direct observation, interviews, and document review. In current state conditions, the lead time for non-concoction prescriptions is 46.7 minutes, with the ratio of value-added activity to total service time 25%:75%, while for concoctions prescriptions is 98.9 minutes, with the ratio of 27%:73%. The highest waste is waiting and overprocessing. Causes of waste are human resources inefficiency, simultaneous doctors' practice schedules, no separate system for regular and executive outpatient staff, e-prescriptions optimation, internet instability, and patient interruptions. Lean hospital intervention was the Balancing-Heijunka through modification of shifts and 5S. Future state results showed a 28% reduction in lead time for non-concoction prescriptions (33.3 minutes), while concoction prescriptions decreased by 32% (67.1 minutes). Lean Hospital can reduce waste and lead time for prescription services.
Perlukah Keselamatan Pasien Menjadi Indikator Kinerja RS BLU? Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 2
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 Vol. 10, No. 2
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.
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.
ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA Rojak, Thasya Sabilla Putri; Basabih, Masyitoh; Winarto; Suranta, Roy Michael
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.258-269

Abstract

Background: DKI Jakarta reports about 5,000 annual deaths from heart disease, disasters, accidents, and other causes. Ambulance demand has risen, especially for COVID-19 cases that require quick medical attention. In 2022, the average emergency response time was 21-30 minutes. Therefore, efforts are needed to improve the response time of PSC 119 ambulances to minimize impacts.  Aims: This study uses the Lean Six Sigma methodology to analyze the factors contributing to prolonged response times in emergency ambulance services. Methods: This study used a mixed-method approach based on the DMAI (define, measure, analyze, and improve). The data were collected through observations, document reviews, and in-depth interviews. Results: The results showed that the average duration of ambulance services was 4 hours and 30 minutes. The identified inefficiencies include software issues with the Nusantara app, staff fatigue, and license renewals, difficult access for ambulance and URC units, delays from call center staff awaiting family decisions, closely located posts leading to fewer cases per post, community-initiated patient movements, challenges in finding suitable referral hospitals for special cases, and slow response times from referral hospitals. Conclusion: The recommended improvements include using a kaizen board, conducting expert training, promoting the Integrated Referral System or Sistem Informasi Rujukan Terintegrasi (SISRUTE), and revising standard operating procedures. Keywords: ambulance services, Public Safety Center 119, Lean Six Sigma
Training Management Analysis In Medical Service Training Program Trisnawati, Wisda; Basabih, Masyitoh; Sigalingging, Basrin Harsono
Jurnal Riset Kesehatan Vol 13, No 2 (2024): NOVEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v13i2.11385

Abstract

Indonesia still faces a problem with the quality of its human resource for health, despite the potential for improvement through training. According to the Ministry of Health data from 2022, only 44,391 out of 1,440,130 healthcare workers (3%) received accredited training., with many lacking a proper management process. The purpose of this study is to analyze the management of health worker training at Medstrap, organized by Company X using the Analyze, Design, Develop, Implement, Evaluate (ADDIE) Model. Researcher uses a cross-sectional design with a qualitative approach and uses in-depth interviews, observation, and document review. The result are: The analysis phase of training lacks depth, making it difficult to identify clear objectives, which are essential for developing a training roadmap. In the design phase, the absence of a clear blueprint for learning objectives and materials impacts the selection of methods and resources. Delivery and time management are big problems that can be seen from the implementation of training, which is influenced by the ability of the presenter to communicate and master the participants. Evaluation is limited by inadequate time and presenter capabilities, making it hard to measure training outcomes effectively. These issues, particularly in the analysis phase, highlight the need for improvement in the Medstrap process.
ANALYSIS OF THE ANNUAL PLANNING PROCESS IN DINAS KESEHATAN PROVINSI DKI JAKARTA ON THE YEAR OF 2019 Rahmalina, Septia; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 6, No. 3
Publisher : UI Scholars Hub

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Abstract

Planning is important in setting the basis for regulating and controlling the goals to be achieved from a system. The purpose of this research is to understand the annual planning process in Dinas Kesehatan Provinsi DKI Jakarta in the year 2019. The research is a descriptive study with qualitative methods. The data were collected through in-depth interviews and document review. This research found that the human resources (HR) of the existing planning staff were not in accordance with the needs. There was also no standard operational procedure (SOP) that regulates both in terms of planning HR needs and a more detailed planning process that could be used as a reference for planning staff in planning preparation. The researcher suggests that the planner's quality needs to be improved again, given adequate facilities and more detailed SOP development. Keywords: Planning is important in setting the basis for regulating and controlling the goals to be achieved from a system. The purpose of this research is to understand the annual planning process in Dinas Kesehatan Provinsi DKI Jakarta in the year 2019. The research is a descriptive study with qualitative methods. The data were collected through in-depth interviews and document review. This research found that the human resources (HR) of the existing planning staff were not in accordance with the needs. There was also no standard operational procedure (SOP) that regulates both in terms of planning HR needs and a more detailed planning process that could be used as a reference for planning staff in planning preparation. The researcher suggests that the planner's quality needs to be improved again, given adequate facilities and more detailed SOP development.
POLICY OF PATIENT SAFETY GOVERNANCE FOR HOSPITALIZED PATIENT AT THE KOJA PUBLIC HOSPITAL IN 2019 Yolanda, Tiara Fani; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 5, No. 1
Publisher : UI Scholars Hub

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Abstract

Clinical governance is a structured organizational framework to improve the quality and safety of patients in the hospital which made by the NHS into seven pillars and adjusted to RI Law No. 44 of 2009. The evaluation results from the quality and patient safety team of Koja Public Regional Hospital in 2018, showed that there is Fall Patient incidents (6 events), KTD and KNC (13 events) which is not following the 0 % of the target from Patient Safety Goals by the Ministry of Health. The study was conducted to analyze patient safety governance for hospitalized patients at the Koja Public Regional Hospital in 2019 based on 4 of the Clinical Governance theories, which are clinical leadership, clinical audit, clinical effectiveness (guidelines); and education, training, and development of conservation profession. This study is using in-depth interview methods through the Purposive Sampling method and also reviewing documents conducted from May to June 2019. The results of the study found that the implementation of Clinical Leadership in Koja Public Hospital was running quite well but not yet optimal because the leadership system, which used the Line Organization to help to faster the decision-making process, is still weak in monitoring. From the Clinical Pathway (CP) evaluation, The medical audit was done well, but the monitoring and evaluation aspects are not yet optimal. The evaluation of clinical effectiveness showed that the compliance to fill the CP form was not optimal because of the lack of CP benefit socialization. Training and courses were done pretty well but have not been evaluated yet. The management team recommends monitoring, collaborating with the medical committee to evaluate the CP usage, providing training related to CP procurement to increase understanding, and also providing necessary training and its evaluation
Co-Authors Adisasmito, Wiku Bakti Bawono Andriani, Helen Anggika Yelzi Pratiwi Anhari Achadi Anisa Eka Amalia Asmawati, Dika Basrin Harsono Sigalingging Dharmaningsih, Dwi Ede Surya Darmawan Eszwara, Wendy Fauziyyah, Rifa Firdaus, Mentari Kirana Giri, Salsabilla Kaulika Rinalda Putri Gultom, Chiefriana Dearni Hilda Melissa Ida Bagus Sila Wiweka Illiyana, Himma Ilmansyah, Vicky Danis Indriaswari Widhakuswara Irham, Hanifan Jimmy Sakti Nanda Berguna Karina, Ristanti Kristi, Gandhi Lia Gardenia Partakusuma Marisa Anggraini Indah Sari Br Haloho Mentari Kirana Firdaus Mila Fitriana Mulyani, Fifi Mulyani, Fify Nurmadani, Labbaika Pertiwi, Tasya Caesarena Pratiwi, Anggika Yelzi Rahmalina, Septia Rifa Fauziyyah Rojak, Thasya Sabilla Putri Salsabilla Kaulika Rinalda Putri Giri saputera, christina Sari, Erna Puspita Septia Rahmalina Shalawa, Radhica El Sigalingging, Basrin Harsono Simbolon, Monalisa Sjaaf, Amal Chalik Styfanni Mahury Suranta, Roy Michael Suryoputra, Daffaldo Tahir, Hadijah Tarigan, Ade Margaretha Lister Tasya Caesarena Pertiwi Tiara Fani Yolanda Trisnawati, Wisda Valencia Imelda Triastuti Widhakuswara, Indriaswari WINARTO Yolanda, Tiara Fani Zhafirah Salsabila