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All Journal Journal Of Business, Finance, and Economics (JBFE) Journal of Economics and Social Sciences
Yuniati Lestari
Universitas Adhirajasa Reswara Sanjaya
Agriculture, Biological Sciences & Forestry Economics, Econometrics & Finance Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Social Sciences

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Analysis of Standard Precautions and Prevention of Nosocomial Infections in Improving Patient Safety Culture Among Nurses at Duta Indah Hospital, Jakarta N. Siti Nuraeni; Bayu Wahyudi; Yuniati Lestari
Journal of Economics and Social Sciences (JESS) Vol. 4 No. 2 (2025): Journal of Economics and Social Sciences (JESS)
Publisher : CV. Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/jess.v4i2.1181

Abstract

Patient safety is a top priority in healthcare, yet healthcare-associated infections (HAIs) remain a persistent challenge. Duta Indah Hospital Jakarta experiences gaps between infection prevention standards and actual nursing practices, affecting its patient safety culture. To analyze nurses’ understanding and implementation of standard precautions and HAI prevention, examine their contribution to patient safety culture, and identify influencing factors. A qualitative case study was conducted through in-depth interviews with 17 informants, observations, and document review. Data were analyzed thematically. Standard precautions were acknowledged as the foundation of infection prevention but were not optimally applied, especially in preventing ventilator-associated pneumonia (VAP). Nurses supported patient safety culture through hand hygiene compliance, proper use of personal protective equipment (PPE), environmental hygiene, and HAI bundles. Barriers included unsupportive mindsets and work culture, limited PPE and hand hygiene facilities, and high workload. Standard precautions are vital in preventing HAIs and fostering a patient safety culture. Strengthening their implementation requires education, compliance monitoring, and managerial support. Adherence to national regulations Law No. 17/2023 on Health, Minister of Health Regulation No. 27/2017 on Infection Prevention and Control, and Minister of Health Regulation No. 11/2017 on Patient Safety is essential as a legal framework to reinforce patient safety culture in hospitals.
Evaluasi Implementasi Pengelolaan Piutang BPJS di BLUD Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat Alisza Novrita Sari; Erliany Syaodih; Yuniati Lestari
Journal Of Business, Finance, and Economics (JBFE) Vol 6 No 2 (2025): Desember : Journal Of Business, Finance, and Economics (JBFE)
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jbfe.v6i2.7697

Abstract

The Regional General Hospital (RSUD) of West Nusa Tenggara Province, as a major referral hospital, faces a serious issue of accumulated receivables from the National Health Insurance Agency (BPJS Kesehatan) due to claim payment delays of 60–120 days. This situation strains cash flow and affects drug procurement, medical staff remuneration, and service continuity. This study aims to evaluate the management of BPJS receivables and their impact on the hospital’s financial and operational conditions, as well as to formulate improvement strategies. A qualitative descriptive method was employed through interviews, observation of claim submission processes, and document review. The analysis covered receivable conditions, claim procedures, management strategies, operational impacts, and recommendations. The results indicate challenges related to incomplete medical records, limited coding personnel, and the lack of integration between the hospital information system and the BPJS e-Claim application, which lengthen receivable periods and weaken cash flow. Management efforts such as establishing a claim team, administrative digitalization, and routine coordination with BPJS have reduced claim rejection risks. Recommendations include strengthening electronic medical records, enhancing human resource capacity, integrating the hospital information system with BPJS applications, and conducting regular evaluations using average collection period and receivables turnover ratio to improve receivable management effectiveness and ensure service sustainability.
Co-Authors Alisza Novrita Sari Bayu Wahyudi Erliany Syaodih N. Siti Nuraeni