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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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AN ANALYSIS ON NON-SPECIALIST OUTPATIENT REFERRALS AT BEJI AND DEPOK JAYA HEALTH CENTERS IN 2018 Pertiwi, Tasya Caesarena; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

The Health Social Security Agency (BPJS kesehatan) is one of the government’s efforts to provide quality healthcare for the people. To guarantee its quality and maintain efficiency, a tiered referral system is used. However, there were many problems in its implementation. One of the ways to investigate is to evaluate the non-specialist outpatient referrals (RRNS). Therefore, in March-July 2018, this research was performed in order to analyze whether the system was implemented at Beji and Depok Jaya Health Center. The method used was the qualitative research method, with primary data from in-depth interviews and secondary data from documents. It was discovered that both Centers had optimal RRNS ratios (0%). This was because the doctors at both Centers has provided referrals as indicated and there was feedback on the RRNS total. The civil servant (PNS) doctors at both centers were experienced and skillful, but the number of doctors was insufficient compared to their workload. The non-PNS doctors also were not sufficiently trained. Other problems include insufficient equipment and medication provision.
Analysis of Non-Prescription Drug Services Via Telemedicine Using the Lean Six Sigma Method: Case Study in a Company Clinic Nurmadani, Labbaika; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The non-compounded prescription drug service via telemedicine became an alternative solution to continue providing pharmaceutical services while simultaneously controlling physical contact in hospitals during the COVID-19 pandemic. However, after its implementation, hospitals still need to improve the effectiveness of this telemedicine service. This study aims to propose improvements to enhance the effectiveness and efficiency of non-compounded drug services via telemedicine using the Lean Six Sigma method. This method is used to identify and eliminate all waste in the business process (service) to make efficient use of time and other resources. The study uses both quantitative and qualitative approaches, with data collection through observation, document review, and in-depth interviews. The quantitative approach was used to calculate service times, while the qualitative approach was employed to explore and examine the implementation of telemedicine for non-compounded drug services. The interview results revealed at least three main problems that cause significant delays in drug service processes, namely: drug requests not being processed through the system, incomplete patient data, and delays in doctors' confirmations regarding medication changes. Observations showed that the average service time for non-compounded drug prescriptions via telemedicine is 1 hour, 37 minutes, and 11 seconds, with value add activities taking 32 minutes and 39 seconds (33.6%) and non-value-added activities taking 1 hour, 4 minutes, and 32 seconds (66.4%). The identified waste includes overprocessing, waiting, motion, and defects, leading to proposed improvements such as work standardization, flowchart refinement, 5S, and Kaizen.
Dental Radiation Safety In Radiography Policies: Scoping Review And Findings In Indonesia Illiyana, Himma; Basabih, Masyitoh
Interdiciplinary Journal and Hummanity (INJURITY) Vol. 2 No. 7 (2023): INJURITY: Journal of Interdisciplinary Studies.
Publisher : Pusat Publikasi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58631/injurity.v2i7.98

Abstract

Radiation safety is important to prevent deterministic and stochastic effects on patients. The aims of this review are to summarize and provide an overview of radiography policies on dental radiation safety and to identify the gaps between Indonesia’s radiography policies with worldwide best practices. The review is based on the PRISMA-ScR. Articles are searched through Embase, Pubmed and Scopus. Articles focused on dental radiation safety are included with addition of policy documents found by manual searching. Results are summarized in a table and in-text and analyzed by comparing with policies in Indonesia.Ten articles are collected and identified as policy statement (n = 2), guideline (n = 2), and recommendation (n = 6). Three themes are used to summarize the findings: (1) target, (2) qualified expert, and (3) best practice. The result shows that all policies have incorporated safety radiation principles. Radiography policies regulates: dental practitioners and trained operators as personnel qualified to conduct radiography examination; appropriate technique and practical measures; x-ray maintenance and radiological testing. The scope of radiography policies in Indonesia is extensive, with health facilities and service providers as the primary policy targets
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.
Analisis Kesiapan Implementasi Kebijakan Kelas Rawat Inap Standar Jaminan Kesehatan Nasional Rumah Sakit Umum Daerah DKI Jakarta Ilmansyah, Vicky Danis; Basabih, Masyitoh
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 4 (2025): JURNAL LOCUS: Penelitian & Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i4.4101

Abstract

Undang-Undang Nomor 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional menyebutkan kelas pelayanan rawat inap di rumah sakit diberikan berdasarkan kelas standar. Penelitian ini bertujuan untuk menganalisa kesiapan implementasi kebijakan Kelas Rawat Inap Standar Jaminan Kesehatan Nasional (KRIS JKN) di Rumah Sakit Umum Daerah (RSUD) DKI Jakarta tahun 2025 dan memberikan rekomendasi terkait hambatan dan kendala implementasi KRIS JKN. Penelitian ini menggunakan metode cross sectional dengan pendekatan kualitatif. Data dikumpulkan melalui telaah dokumen dan wawancara mendalam (indepth interview). Dari dua puluh sembilan RSUD di Provinsi DKI Jakarta, sebelas RSUD (38%) sudah memenuhi seluruh kriteria KRIS JKN. Pemenuhan kriteria paling sedikit yaitu kelengkapan tempat tidur berupa nurse call atau 2 kontak tanpa percabangan, kriteria kepadatan ruangan maksimal 4 tempat tidur atau jarak antar tempat tidur 1,5 meter. Penyebabnya adalah faktor keterbatasan luas ruangan dan area bangunan yang belum diperluas karena kurangnya perencanaan baik anggaran maupun pengajuan izin renovasi bangunan RSUD. Keberhasilan implementasi pemenuhan KRIS JKN sangat dipengaruhi peran masing-masing stakeholder mulai dari Pemerintah Pusat, Pemerintah Daerah, serta internal rumah sakit. Saran penelitian selanjutnya untuk menganalisa pemenuhan kriteria KRIS JKN di rumah sakit swasta di DKI Jakarta.
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%.
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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Abstract

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 =
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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Abstract

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 =
Has Regional Hospital Autonomy Achieved Its Goals? Lessons Learned from Indonesia: A Systematic Review Basabih, Masyitoh; Widhakuswara, Indriaswari
Kesmas Vol. 20, No. 3
Publisher : UI Scholars Hub

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Abstract

This study examined the impact of hospital autonomy implementation on the performance of regional public hospitals in Indonesia, particularly in terms of efficiency, effectiveness, and governance. A systematic review of 32 peer-reviewed studies published between June 12 and September 6, 2023, was conducted using Garba Rujukan Digital and Google Scholar, following PRISMA guidelines. Studies addressing financial performance, service outcomes, and challenges related to implementing autonomy were included. The findings indicated that while autonomy led to improvements in infrastructure, service types, visit volumes, and hospital revenues, it had only a marginal impact on improving key health performance outcomes, such as service efficiency, effectiveness, and overall quality, suggesting the core goals of autonomy had not yet been fully achieved. Key barriers included weak policy capacity, inadequate governance structures, and limited human resources. Unlike centrally managed hospitals, the success of regional hospital autonomy is significantly shaped by local institutional arrangements and the broader decentralization framework, which together influence hospitals’ capacity to manage their operations effectively.
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