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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 Vol. 11, No. 3
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 = <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 Vol. 11, No. 3
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 = <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.
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.
EVALUASI EFEKTIVITAS PENGGUNAAN TELEDENTISTRY PADA PELAYANAN KESEHATAN GIGI DAN MULUT PADA MASA PANDEMI COVID19 – SISTEMATIK REVIEW Eszwara, Wendy; Basabih, Masyitoh
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.
Medication Error Prevention Using Healthcare Failure Mode And Effect Analysis At Clinical Pharmacy Installation Giri, Salsabilla Kaulika Rinalda Putri; Basabih, Masyitoh; Sigalingging, Basrin Harsono
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.
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.