Proceedings of the International Conference on Applied Science and Health
Proceedings of the International Conference on Applied Science and Health is a conference collection of technical papers freely accessible to scholars over the world. Articles featured vary areas of efforts to develop health and well-being for better society such as factors of illness, epidemiology, health promotion, health policy, nutrition, environmental health and safety, nursing and midwifery, and other sciences related to health development.
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<![CDATA[PATIENT SAFETY CULTURE IMPROVEMENT TO ENHANCE THE QUALITY OF HEALTHCARE IN HARAPAN BUNDA HOSPITAL JAKARTA ]]>
<![CDATA[Hanifah Iskhia Dilla]]>;
<![CDATA[Wachyu Sulistiadi]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: One of the achievements in running health care service institutions (hospitals) is providing strategic health care services to improve health status. Harapan Bunda Hospital is a private hospital located in East Jakarta. Whose vision is to become the preferred hospital by providing the best quality service. One of the implemented programs was reporting incidents in the unit to the QPS Committee. However, the incident that occurred in Harapan Bunda Hospital is still not widely reported regularly by officers in the unit. In addition, there are many discrepancies in service delivery in the form of safety. Therefore, it is necessary to measure the Safety Culture at Harapan Bunda Hospital. Methods: This research used quantitative method with design cross sectional and used descriptive analysis to seek whole picture of all patient safety variable that had been done by Harapan Bunda Hospital. The population in this research is all staff of Harapan Bunda Hospital which around 708 staff member. Researcher used systematic random sampling with Slovin calculation formula and get 256 minimum sample needed. Instrument used is Patient Safety Culture survey refer to Agency for Healthcare Research and Quality (AHRQ). Results: The result of mean measurement patient safety culture in Harapan Bunda Hospital is 72%, it means Harapan Bunda Hospital was moderate Patient Safety Culture. There are dimensions being focused to improving patient safety culture; the overall perception of patient safety, feedback and communication about errors, communication openness, frequency of incident reporting, staffing and non-punitive responses to errors. Conclusion: Meanwhile, the other 6 dimensions of safety culture have been included in the good category of safety culture. Thus, Harapan Bunda Hospital is expected to always carry out routine monitoring and evaluation of the measurement of safety culture.]]>
<![CDATA[REDUCED LENGTH OF STAY IN CHILDREN WITH DIARRHEA FOLLOWING IMPLEMENTATION OF CLINICAL PATHWAY ]]>
<![CDATA[I Nyoman Gede Bayu Wiratama Suwedia]]>;
<![CDATA[Atik Nurwahyuni]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: Diarrhea or Acute Gastroenteritis (AGE) is a dissease that common found in toddlers at emergecy room. The complication of diarrhea such as dehydration may go undetected by parents will affect the treatment and length of stay in the hospital. Decreasing the length of stay in the hospital can be done by implementing clinical pathways. This study aims to examine the effect of implementing clinical pathways on length of stay in children with diarrhea. Methods: This study was a systematic review that used PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Data obtained from Electronic databases Proquest and Scopus that published between 2009-2019 and used English. By using keywords such as clinical pathway, gastroenteritis, and length of stay to find the relevant articles. Results: The search found 610 studies, of which 6 studies were included in the systematic review. These studies conducted majority in USA and 1 study in Australia. Analysis of the studies found out that implemented clinical pathway can decrease length of stay 0.4 days (95% CI 0.04 to 0.7, p <0.01). The decreased of length of stay can increased 2.5% (CI 0.25% to 4.38%) used of medical beds then the bed can be more effective and used by other patients. Conclusion: Implementing clinical pathway in the treatment process of diarrhea towards children not only reduce the length of stay in hospital but also useful in providing patient diagnosed and reduce the bed use per day and year.]]>
<![CDATA[FACTORS RELATED TO PENDING CLAIM IN INDONESIAN NATIONAL HEALTH INSURANCE (JKN): A SYSTEMATIC REVIEW ]]>
<![CDATA[I Nyoman Gede Semarajana]]>;
<![CDATA[Prastuti Soewondo]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: The number of Indonesian National Health Insurance (JKN) member is increasing every year. It is bringing impact to the hospital and Social Security Organizing Agency (BPJS) of health. The hospital finances will face problem if BPJS of health pending or giving a smaller number of claims paid to the hospital. The hospital will get problem with employee payroll, payment of specialist medical services, drugs availability, and maintenance of hospital facilities and medical equipment. This study aims to analyze factors related to pending BPJS claim in Indonesian National Health Insurance. Methods: This study was a systematic review used PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyses) guidelines. Data obtained from journal database of Google Scholar that published between 2014-2019. The relevant studies must include factors related to pending claim in JKN. Results: The search found out 217 studies, of which 84 studies used English and Indonesia language and only 5 studies that eligible for this study. The 5 studies showed factors related to pending claim in JKN were human resources, administration, regulation, facilities, external and evaluation factors. Human resources factor more likely appeared as cause for pending BPJS claim. Conclusion: Factors related to pending claim in JKN were human resources, administration, regulation, facilities, external and evaluation factors. Human resources was the factor that most influenced for pending BPJS claim. The hospital must create strategies to overcome the factors that cause pending claim. The government should create a policy that can help BPJS of health overcome the deficit and protect the patients from facing decrease in the quality of hospital services.]]>
<![CDATA[FACTORS RELATED TO THE REDUCTION OF MEDICATION DISCREPANCIES AT TRANSITION OF CARE: A SYSTEMATIC REVIEW ]]>
<![CDATA[Ida Bagus Nyoman Maharjana]]>;
<![CDATA[Adik Wibowo]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: Adverse drug events (ADE) are a leading cause of injury and death within health care systems around the world. Up to 67% of patients’ prescription medication histories recorded on admission to hospital have one or more errors and 30 – 80% of patients have a discrepancy between the medicines ordered in hospital and those they were taking at home. This study aims to systematically evaluate the available literature on the medication history records as a quality improvement in reducing medication discrepancies during the transition of care. Methods: This study was used systematic review which performed according to the PRISMA method. The search included articles were obtained through databases: MEDLINE (1946), EMBASE (1966), CINAHL (1937) and PubMed (1946). Some of the key words or Medical Subject Heading (MeSH) terms used in the search were: “transition of care,” “medication discrepancies,” “medication errors,” “patient safety,” “medication history,” “patient admission,” “patient discharge,” “patient transfer,” and “hospital”. Only studies published in English were included. Exploring literature was focused on the articles published from 2009 to 2019. Results: Initially, a total of 162 potentially relevant articles were obtained. After screening tittle and reviewing abstracts, 14 full text were assessed for eligibility. Of the 10 articles met all inclusion criteria, 5 studies were randomized controlled trials, 2 quasi-experimental studies, 1 cohort study, and 2 qualitative studies with quantitative approaches. All studies found that involving best possible medication history in identifying medication discrepancies and communicating this information affected medication discrepancies in the medical record. Conclusions: The available literature such as lack of well-designed studies precluded us from concluding that no effect exists. Medication reconciliation supported by information technology was an important tool for minimizing the percentage of medications with unintentional discrepancies]]>
<![CDATA[EFFECTIVENESS OF CAESAREAN SECTION CLINICAL PATHWAY TOWARDS HOSPITAL LENGTH OF STAY: A SYSTEMATIC REVIEW ]]>
<![CDATA[Maria Wahyu Daruki]]>;
<![CDATA[Atik Nurwahyuni]]>;
<![CDATA[Adang Bachtiar]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: Improving quality and efficiency in hospital services can be done by using Clinical Pathway (CP). CP can decrease the hospital length of stay and cost. In indonsia, the increasing number of Caesarean Section (SC) affects to the Length of Stay (LOS) in hospital. This study aims to examine the effectiveness of clinical pathway in caesaren section to length of stay in the hospital. Methods: This study was a systematic review used PRISMA guidelines. Data obtained from Electronic journal databases Pubmed and ProQuest that published between 2014 until 2019 and used English language. By using keywords such as clinical pathway, childbirth labor, and length of stay to find the relevant journal. Results: The search found out 4,937, studies from 2 journal databases. The articles that not suitable with the criteria inclusion must be exclude. Totally, 6 studies were analyzed in this study. 1 study explained the affect of increasing length of stay in the National Health Insurance, 2 studies mentioned that CP was not affected to the length of stay in hospital and 3 studies mentioned that CP was reduced the length of stay in hospital. Conclusion: Clinical pathway in Caesarean section can reduced the length of stay in hospital. The hospital should implement the clinical pathway in caesarean section to increase the quality of hospital service and reduce the cost.]]>
<![CDATA[THE LEADERSHIP ROLE FOR A SUCCESSFUL CHANGE MANAGEMENT: A SYSTEMATIC LITERATURE REVIEW ]]>
<![CDATA[Meike Magnasofa]]>;
<![CDATA[Mardiati Najib]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: Globally there are significant concerns about the role of leadership in the disruptive era where change is inevitable. Organization needs a leader who can response those changes toward right direction to sustain. This review is to identify a more comprehensive relation between the leadership role and change management in the organization and its associated factors drawing upon systematic review of literatures published in the last ten years. Methods: This study used systematic literature review based on the PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyses) protocol to identify all the published articles using relevant keywords. We searched in Emerald Insight (2010-2019), Science Direct (2010-2019), and EBSCOhost (2010-2019) to retrieve relevant articles published in English language only between January 2010 and April 2019. The review used key terms and phrases associated with Leadership, Change Management, and Disruptive. The abstracts were reviewed according to inclusion criteria and quality assessment. Results: From 16,658 authors finally include 6 papers in this review. By the review, we noted that it is almost impossible to avoid change although resistance to change is real. There is a positive relation between leadership role and successful change management. The most significant subject and contributor for the successful change are the culture of change within the organization and the effective communication between leaders and their subordinates. The hindrances of change are lack of authority, uncertainly of role and lack of time and focus from the leaders. The findings of the study can be relevant for variety of settings as the study was conducted across cultures and sectors. Conclusions: Leaders need to understand and spread the ambience with their employee of 4 points; the clarity about the needs of change in their organization, the key alignments, complementary development strategies and critical enablement. The recommendation for future research is to review more leadership studies on disruptive era in health care sector only in order to get deeper understanding in homogeneity setting. For policy makers, it is suggested to design policy that enforces leaders to improve their leadership skill and updating knowledge.]]>
<![CDATA[THE CHILD’S DENTAL TREATMENT WITH SEDATION: REASONS, DENTAL TREATMENT NEEDS, MEDICAL CONDITION, AND HISTORY OF DENTAL ANXIETY AMONG CHILDREN IN YARSI DENTAL HOSPITAL ]]>
<![CDATA[Mia Mariani]]>;
<![CDATA[Adang Bachtiar]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: The prevention and treatment of oral diseases in childhood and adolescence as the basis for good oral health throughout life is the aim of pediatric dentistry. The ability to care for the segment of the pediatric patients with fear and anxiety of dental treatment also with the medically compromised condition has become an important component of dental practice. Therefore, a need does exist for sedation services within the dentistry field. This study aimed to determine the reasons, dental treatment needs, medical condition, and history of dental anxiety in the analyzed group of pediatric patients.Methods: This was a cross-sectional study using secondary data from medical records data conducted by YARSI Dental Hospital from March to April 2019. About 30 data were eligible for this analysis. The dependent variable in this study was dental treatment with sedation. Independent variables consisted of reasons, dental treatment needs, medical condition, and history of dental anxiety. The data were analyzed using univariate and bivariate analysis.Results: In this study, there were 21 children (70%) doing dental treatment with sedation because of the need for dental treatment and intervention reason. There was a statistically significant interaction between reason and dental treatment with sedation with p-value = 0.023 < 0.05. Another finding, children with a history of dental anxiety were more likely to use dental treatment with sedation (43.3%). With p-value 0.935 > 0.05 there was no statistically significant interaction between the history of dental anxiety with dental treatment with sedation. This study also did not reveal a statistically significant correlation between the following variables: dental treatment needs (p=0.128) as well as children’s medical condition (p=0,091). Conclusions: Most of the correspondents were non-medically compromised children with a history of dental anxiety. The reasons they came to YARSI dental hospital were because of the need for dental treatment and intervention reason. Conservation was the most needed dental treatment. Of the 4 (four) variables studied, the highest influence was the relationship between reason with dental treatment with sedation.]]>
<![CDATA[HOSPITAL EMPLOYEES’ PERCEPTION OF MARKETING STRATEGY AT H. ABDUL MANAP GENERAL HOSPITAL IN JAMBI CITY ]]>
<![CDATA[Milya Timeida]]>;
<![CDATA[Kurnia Sari]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: A hospital is required to be capable of maintaining its existence by developing effective marketing strategies to encounter the globalization challenges. The marketing strategy in the hospital is influential for its activities to provide appropriate services to the patient's needs. This study aims to determine the hospital employees’ perception towards priority marketing strategy at H. Abdul Manap Regional Hospital. Methods: This study was used the quantitative method with the descriptive analytic research. This research conducted in 602 people while the samples were 240 people, selected by accidental sampling technique. The primary data collection was conducted by employing a questionnaire as the survey method. The data analysis carried out was univariate analysis to obtain a percentage value description for each marketing strategy. Results: The results identified that price was the top priority marketing strategy voted by 171 respondents (71.3%). On the second rank, Product was voted as the top marketing strategy by 141 people (58.8%). In the third position, Professionalism was voted by 132 people (55.0%) as the top priority for marketing strategy. Conclusions: The research concludes that the hospital employees perceived that H. Abdul Manap General Hospital needed to prioritize price, product, and professionalism in developing its marketing strategies. It is advised that H. Abdul Manap General Hospital revise its price, develop new products based on patient needs, and provide professional human resources with good communication skills.]]>
<![CDATA[A DEMOGRAPHIC PICTURE ON MEDICAL CHECK UP PATIENTS AND ITS ASSOCIATION WITH PATIENT SATISFACTION LEVEL AT X HOSPITAL IN WEST JAKARTA FOR THE PERIOD OF OCTOBER 2018- FEBRUARY 2019 ]]>
<![CDATA[Prisca Gisella]]>;
<![CDATA[Adang Bachtiar]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: Nowadays, the trend of non-communicable diseases is increasing around the world. The Sustainable Development Goals (SDG’S) sets the target to decrease number of mortality and morbidity from non-communicable diseases. One of the strategies to achieve the target is by doing medical check- up routine in the hospital. To do medical check-up is affecting by the patient satisfaction with the hospital services. The characteristic of patients can influence the patient to do medical check-up and will affect the satisfaction level with the hospital services. This study aims to examine the demographic characteristic of patients associated with patient’s satisfaction level in hospital “X”. Methods: This study was a quantitative study used cross-sectional method. The sample in this study was 502 patients during October 2018 to February 2019. The dependent variable in this study was patient’s satisfaction. The independent variables were age, gender, residential area, marital status, and patient status in hospital. The data was analysed in univariate and bivariate analysis used Chi-square. Results: The demographic characteristic of patients in hospital “X” were majority female, had aged 50 years and older, married, lived near hospital “X”, and actually old patient in the hospital. Bivariate analysis showed that age associated with patient’s satisfaction level (p value = 0.000, CI 95%). Meanwhile the other demographic characteristics were not statistically significant with patient’s satisfaction. Conclusion: This study showed that majority of the patients who did medical check-up in the hospital “X” had aged 50 years and older, married, lived near hospital “X”, and actually old patient in the hospital. The aged of the patient was statistically significant associated with patient’s satisfaction. Therefore, the medical check-up service of hospital “X” should be improved based on existing market segment.]]>
<![CDATA[HOW EFFECTIVE IS SIMULATION-BASED EDUCATION FOR IMPROVING THE NURSES’ KNOWLEDGE ON PEDIATRIC IV INSERTION: A SYNTHESIS FROM AWAL BROS HOSPITAL GROUP IN INDONESIA ]]>
<![CDATA[Retno Dewi Sulistyowati]]>;
<![CDATA[Adang Bachtiar]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No. 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: Simulation-based nursing education has been growing rapidly and becomes one of the most popular teaching methods for improving patient safety and patient care. One of the difficult Nursing skills to achieve is IV insertion. Due to the high complaints in the number of IV insertion attempts in the paediatric patients, the Nursing Corporate of Awal Bros Hospital Group organized an educational program emphasizing the team training, clinical decision- making and communication skills. These were the first internal education sessions using live rabbits and mannequins. This study aimed to evaluate the attitude of the participants, the self- confidence level and their change in the knowledge on clinical performance in Paediatric IV Insertion after attending the educational program. Methods: The training and education sessions were conducted at Awal Bros Hospitals in Bekasi Barat and Tangerang during March and April 2019. The participants included a total of 52 Nurses. Pre- and Post-tests consisting of 20 multiple choice questions were administered to the participant before and after the 3-day simulation-based training workshop in Bekasi Barat and after the 2-day simulation- based training workshop in Tangerang. The workshop also utilized rabbits for the participants to practice their hands-on skills. Results: A total of 52 Nurses working in different Nursing units were enrolled. The mean pre-test and post-test scores were 43.81 and 87.52 respectively. In the Statistics Test table, the value of Asymp. Sig (2-tailed) was 0,000. Because the value of sig 0,000 < 0.05 was according to the statistical tests we used, then there are significant differences between before training and after training. Conclusions: Participants had positive attitude toward this new training program. They stated that this technique was more exciting and effective compared to the “traditional” techniques such as lecture, power point presentations or Q&A that they attended. Significant improvement of the knowledge on clinical performance in Nurses participating in these training and education session was observed after the participation in this simulation-based educational program. Many expressed their higher self- confidence in doing IV insertion to the future patients, especially babies and children. More simulation- based education using pre- and post-tests are recommended.]]>
