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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 Journal of Health and Nutrition Research 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 Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Ilmu Kesehatan Masyarakat Indonesian Journal of Global Health Research
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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Optimizing Early Detection: Key Factors Influencing Hospital Early Warning System Implementation – A Systematic Review Hilma Fitria Nur Faiz; Masyitoh Basabih
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1147

Abstract

Early Warning System (EWS) is a clinical tool used to detect early signs of patient deterioration and prevent delayed interventions. Despite broad implementation, challenges persist related to healthcare providers’ readiness, organizational support, system design, and varied care environments. This study aims to identify and analyze factors influencing EWS implementation based on recent empirical evidence to support more effective and sustainable use in healthcare settings. A systematic review was conducted using five electronic databases: PubMed, Scopus, ScienceDirect, SpringerLink and ProQuest. The search employed key terms including “Early Warning System,” “EWS score,” “National Early Warning Score,” “NEWS2,” “hospital,” “implementation,” “adherence,” “barriers,” “facilitators,” and “healthcare professionals.” A total of 1,163 articles were initially identified. Following duplicate removal, title and abstract screening, and full-text assessment in accordance with PRISMA guidelines, 23 peer-reviewed articles met the inclusion criteria. Eligible studies were open-access, published in English between 2018 and 2025, and reported original empirical findings related to EWS implementation. This review was registered with PROSPERO. The included studies identified four major categories of factors influencing EWS implementation: (1) Individual factors, including clinical experience, attitudes, knowledge, and emotional readiness; (2) Organizational factors, such as managerial support, patient safety culture, infrastructure, and institutional policies; (3) Intervention-related factors, including system design, training quality, and integration with information technology; and (4) Environmental factors, encompassing resource availability, facility conditions, and the need for local adaptation. Successful implementation of Early Warning Systems requires a comprehensive and integrated approach. Effectiveness and long-term sustainability are influenced by the extent to which implementation strategies are aligned with local clinical contexts, supported by structured training programs, embedded within a strong patient safety culture, and reinforced through multidisciplinary collaboration.
Collaborative Strategies to Optimize Operating Room Turnover Time: A Systematic Review of Multidisciplinary Interventions I Made Esa Sadana Yoga; Masyitoh Basabih
Journal of Health and Nutrition Research Vol. 5 No. 2 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i2.1341

Abstract

Minimizing operating room turnover time (TOT) is crucial for optimizing surgical efficiency and improving clinical outcomes. Achieving this reduction heavily relies on effective multidisciplinary teamwork among surgical staff. This systematic review aims to evaluate various multidisciplinary collaboration strategies and their impact on decreasing TOT. Following the PRISMA guidelines and utilizing the JBI Critical Appraisal Checklist for quality assessment, a literature search was conducted across four databases for publications between 2015 and 2025. This yielded 16 eligible articles for analysis. The data synthesis evaluated collaboration models, intervention methods, and their specific effects on TOT. The analysis highlighted four primary strategies: (1) utilizing dedicated teams to build personnel familiarity, (2) applying structured communication during preoperative planning, (3) implementing parallel workflows for simultaneous collaboration, and (4) conducting systematic, coordination-based evaluations. These approaches were found to significantly reduce TOT. Healthcare facilities can adapt these strategies to their specific organizational contexts to enhance operational efficiency, cost-effectiveness, and patient safety. Future research should emphasize standardizing these collaborative frameworks across various hospital settings and surgical disciplines.
Exploring the Determinants of Operating Room Utilization: A Scoping Review of Influential Factors in Surgical Efficiency Chumairah, Isma Sari; Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

Optimal utilization of the operating room (OR) is a crucial element in improving the efficiency of surgical services and hospital performance. This scoping review aimed to identify and map the factors influencing OR utilization based on recent scientific literature. We conducted a scoping review using the Population–Concept–Context (PCC) framework and reported it according to the PRISMA-ScR guidelines. We systematically searched PubMed, Scopus, and ScienceDirect for articles published between 2015 and 2025. Eligible studies were screened, and information on study characteristics and reported determinants of OR utilization was extracted and summarized descriptively. Forty studies were included. The reported determinants clustered into two broad domains: patient-related factors including age, Body Mass Index (BMI), American Society of Anesthesiologists (ASA) status, medical history, preoperative readiness, and financial conditions; and hospital-related factors including scheduling systems, waiting times, staff preparedness, resource availability, Post-Anesthesia Care Unit (PACU) and Intensive Care Unit (ICU) bed capacity, procedure complexity, and technology utilization. Across different settings, hospital and organizational factors showed a more consistent association with OR utilization than patient characteristics. The findings suggest that how ORs are managed and coordinated matters more for utilization than who the patients are. Strengthening scheduling, teamwork, and operational processes may therefore be key to improving OR utilization.
Exploring the Factors Associated with Discharge Before Noon at Universitas Indonesia Hospital in 2024 Shalawa, Radhica El; Basabih, Masyitoh; Sari, Erna Puspita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 2 (2026): August 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i2.558

Abstract

Only 20% of inpatients at Universitas Indonesia Hospital (RSUI) were discharged before noon (12:00 PM) in 2024, indicating that the hospital has not yet achieved its early discharge target (70%). While early discharge is recognized as a quality indicator, limited evidence exists on the factors influencing discharge timeliness in teaching hospitals. This study aimed to identify factors associated with inpatient discharge before noon at Universitas Indonesia Hospital. A retrospective design was employed using secondary data from the Hospital Information System for the period January-December 2024. Data were analyzed using univariate analysis, bivariate chi-square tests, and multivariate logistic regression. Six variables were significantly associated with discharge timing: discharge planning, treatment type, patient age, financial coverage, length of stay, and discharge day. These findings underscore the importance of strengthening discharge planning, optimizing clinical and administrative workflows, and enhancing interdepartmental coordination. Managerial contributions were also emphasized, particularly the optimization of the Hospital Information System (HIS), inter-unit coordination, and the implementation of strategies such as early physician orders, morning rounds, standardized discharge checklists, effective communication, and staff training. Further research should examine additional factors, including human resource availability and the involvement of medical students, which are unique to teaching hospitals.
Integrating palliative care into comprehensive cancer management: A systematic review of components and impacts on patient quality of life Ade Margaretha Lister Tarigan; Masyitoh Basabih
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.2227

Abstract

Background: The integration of palliative care into comprehensive cancer management has been shown to confer benefits, yet its influence on patient quality of life remains inconsistently reported across studies. Purpose: To assess the impact of incorporating palliative care components into cancer treatment on patient‑reported quality of life outcomes. Method: A systematic review was conducted in accordance with PRISMA guidelines. Literature searches were performed in PubMed, Scopus, and ProQuest Health and Medicine using keywords related to palliative care, comprehensive cancer treatment, and quality of life. Studies were eligible if they compared patients receiving integrated palliative and oncological care with those receiving standard oncological care with minimal or no palliative involvement. Data extraction and risk of bias assessments were undertaken using standardized protocols. Results: Integration of palliative care was associated with improvements in patient‑reported quality of life, particularly in domains such as pain control, psychosocial well‑being, and communication. Multidisciplinary coordination yielded significant benefits in reducing symptom burden and enhancing emotional support. Conclusion: Incorporating palliative care into cancer treatment enhances patient quality of life. Future investigations should prioritize the development and standardization of intervention protocols to maximize clinical outcomes.
Co-Authors Ade Margaretha Lister Tarigan Adisasmito, Wiku Bakti Bawono Ambarwati, Maulaya Istafa Tiwikrama Andang Evrilianto Andriani, Helen Anggika Yelzi Pratiwi Anhari Achadi Anisa Eka Amalia Ariani Shinta Azzahra Asmawati, Dika Basrin Harsono Sigalingging Chumairah, Isma Sari Dharmaningsih, Dwi Diara Oktania Ede Surya Darmawan Eszwara, Wendy Fauziyyah, Rifa Firdaus, Mentari Kirana Giri, Salsabilla Kaulika Rinalda Putri Gultom, Chiefriana Dearni Hilda Melissa Hilma Fitria Nur Faiz Himma Illiyana I Made Esa Sadana Yoga Ida Bagus Sila Wiweka 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 Nani Handayani Nurmadani, Labbaika Pertiwi, Tasya Caesarena Pratiwi, Anggika Yelzi Rahmalina, Septia Rifa Fauziyyah Robbiyani Ilma 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 Sultoni, Siti Suranta, Roy Michael Suryoputra, Daffaldo Susanna Muthmainnah Tahir, Hadijah Tambun, Sondang Whita Kristina Tasya Caesarena Pertiwi Tiara Fani Yolanda Trisnawati, Wisda Valencia Imelda Triastuti Widhakuswara, Indriaswari WINARTO Yolanda, Tiara Fani Zhafirah Salsabila