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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : https://doi.org/10.18196/jmmr
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) focuses on the research and research review related to hospital management that is relevant to the development of the theory and practice of hospital management in Indonesia and Southeast Asia. Focus on hospital management (but not limited) to hospital services such as primary health care, laboratory, pharmacy, and radiology. JMMR covered various research approaches, namely: quantitative, qualitative, and mixed-method. JMMR focuses on various themes, topics, and aspects of accounting and investment, including (but not limited) to the following topics: Hospital Management, Hospital Accounting, Health Services Management, Health Insurance, Health Policy, Community Health Center, Medicine, Nursing, Pharmacy, Information Technology Health Services, Health Law and Ethics.
Arjuna Subject : Umum - Umum
Articles 10 Documents
 1 
Search results for , issue "Vol. 13 No. 1 (2024): April 2024" : 10 Documents clear
Social Media Health Prevention Strategies for Hospitals to Captivate Young Adults' Interest Amalia Putri Ocean; Mahendro Prasetyo Kusumo
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.7

Abstract

Social media has the potential to be used by hospitals to play their role as health-promoting hospitals. By utilizing social media, hospitals can perform health prevention services at a reasonable cost. Nowadays, youths are more likely to suffer non-communicable diseases (NCD) like Diabetic Mellitus due to lifestyle changes that are sedentary. However, most youths consider that health promotion messages that already exist are unappealing. The purpose of this study is to determine the relevant strategy to deliver a health promotion message through social media that can captivate the youth’s interest. This study is a qualitative study with a phenomenology design. Data collection was carried out from three focus group discussions (FGD) that were selected by purposive and selective sampling methods. The data was then analyzed with the inductive theme analysis method. Triangulation and transferability tests were conducted to assess the validity of this study. Health promotion delivery must ensure that the message is attractive and easy to understand To expand the target audience's understanding. Health promotion should be done by considering what the message is, who the target is, what kind of content is, and on what platform. Besides, the content should be relevant, entertaining, credible, and easy to be understood.
Evaluation of Administration Prophylactic Antibiotic against Incidence of Surgical Site Infection in Post Appendectomy at Panembahan Senopati Hospital, Indonesia Esa Adzillina; Sri Sundari; Siti Mizabul Ijabah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.23

Abstract

Appendicitis is a prevalent abdominal surgical emergency in Indonesia, occurring at a rate of 5 per 1,000 people, with around 10 million cases each year. Appendectomy, the surgical removal of the vermiform, is the primary treatment for appendicitis but carries a high risk of surgical site infections. Prophylactic antibiotics are given to minimize the risk of infection resulting from surgery, administered in accordance with established guidelines. This study aims to evaluate the administration of antibiotic prophylactic against SSIs. This study used a mixed-methods approach to evaluate prophylactic antibiotic administration and the incidence of surgical site infection in post-appendectomy patients. The researchers conducted in-depth interviews with surgeons and nurses and an analytical observational study with a cross-sectional design, observing various indicators such as the timing and duration of prophylactic antibiotic administration and the presence of surgical site infections. The study found that the duration of antibiotic administration ≤24 hours had a higher number of infection-free patients (62.50%). The researchers analyzed the relationship between the duration of antibiotic administration and surgical site infection in post-appendectomy patients and found a significant relationship (p <0.05) at the hospital. There is a relationship between prophylactic antibiotic administration and surgical site infection. All patients were given prophylactic antibiotics with appropriate timing, duration, and method of administration.
The Roots Cause of the Drug Shortage and Expired Drug Problem at Hospital X Ni Putu Udayana Antari; I Gede Wayan Sujarna; Ni Wayan Ratih Purnama Sari; Nurul Fatoni; Ni Luh Damayanti; Ni Made Dharma Shantini Suena
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.46

Abstract

Good drug management in the Hospital Pharmacy Installation is the key to the smooth running of pharmaceutical services. The availability of the necessary drugs at the right time and place affects patient safety and satisfaction. Empty drugs and expired drugs are problems in drug management, mainly Hospital X. Empty drugs result in the replacement of drugs in prescriptions, thus increasing the burden on pharmaceutical services and creating risks for patient safety. Expired drugs cause hospital losses. This study aims to describe the root cause of drug shortages and expired drugs in Hospital X. The research used a qualitative approach to dig deeper into these complex problems—elicitation of data using semi-structured interviews supported by secondary data from the hospital. Data were analyzed using a Fishbone diagram to get a systematic overview of the root causes of problems based on specific domains. The root causes of expired drug problems and empty drug substitution in Hospital X are materials/inputs, methods, people, machinery/equipment, measurement (process evaluation), and the pharmacy facility environment domains.
Patient Safety Culture Analysis at Sultan Agung Islamic Dental Hospital to Improve Patient Safety Kusuma Arbianti; Rosa Amalia; Julita Hendrartini; Tjahjono Kuntjoro; Gesti Bening Aulia; Ghea Tri Khusnul Khotimah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.65

Abstract

A culture of patient safety can improve hospital patient safety. Patient safety is the foundation of quality health services, an indicator of assessment in healthcare facilities, and a mechanism by which health services protect patients from harm. The purpose of this study is to examine the patient safety culture at Sultan Agung Islamic Dental Teaching Hospital Semarang in order to identify ways to improve patient safety. A cross-sectional research of 124 participants was conducted at Sultan Agung Dental Teaching Hospital, Semarang, Indonesia. Distributing questionnaires to collect data, the Dental Office Survey on Patient Safety Culture (DOSOPSC) includes 58 items and 10 dimensions. Out of a total of 124 respondents, the average positive response value exceeded the dependability criterion on four dimensions: teamwork (93.7%), the highest, and work pressure and speed (56.2%), the lowest. There are four areas in which the average positive response value exceeds the dependability threshold, including teamwork, staff training, hospital systems and standards, work pressure, and speed.
Rational Use of Drugs in Patients with Schizophrenia at Inpatient Installation of Dr. Soeharto Heerdjan Hospital Jakarta, Indonesia Suriyati Hutauruk; Wawan Ridwan; Galianti Prihandayani; Rusti Winarni; Eko Heppy Purwanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.84

Abstract

Schizophrenia is one of the mental health diseases in the inpatient department of Dr. Soeharto Heerdjan Hospital. Prescribing for Schizophrenia patients must be the right drug, the right patient, the right diagnosis, the right dose, and the right frequency of drug administration. This study aims to describe the use of drugs in patients with Schizophrenia in the inpatient installation at Dr. Soeharto Heerdjan Mental Hospital. The method used was a descriptive study of schizophrenia patients. The study population was patients of Dr. Soeharto Heerdjan Mental Hospital in the period October-December 2021. Total sampling with inclusion criteria was used from medical record data. The authors obtained 692 samples. The data is displayed in the form of a frequency distribution table. The results obtained were 69.83% male and 30.17% female; the youngest patient was 17 years old, and the oldest patient was 79 years old. The authors obtained 1765 prescriptions from single prescriptions to 54 drug combination prescriptions. Drug administration for Schizophrenia is the right patient, diagnosis, and frequency of drug administration, but still found 5.22% inappropriate drug administration and 5.22% inappropriate process. Overall, the rational use of drugs at Dr. Soeharto Heerdjan Mental Hospital is still within the limits of the rational drug use module issued by the Ministry of Health in 2011. However, there needs to be improvement (quality control) at the institution for drug therapy and dosage in schizophrenia patients because there are still cases of drug dose combinations that exceed the maximum dose when compared to drug rationality guidelines based on the Pharmacotherapy Handbook Ninth Edition Algorithms.
The Role of Artificial Intelligence in Developing Hospital Information Management Systems I Ketut Dian Lanang Triana; Putu Dyah Candra Agustina; Rivaldi Febrian; I Dewa Gede Putra Wiadnya; Vip Paramarta
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.127

Abstract

Hospital information management systems (HIMS) play significant roles in improving clients' health by applying developed technologies, one of which is artificial intelligence (AI). This study aims to explore the roles of AI in order to support the development of HIMS. We conducted a literature review by extracting the articles from PubMed, ProQuest, and Google Scholar in the past 5 years (January 2019-August 2023) using specific keywords. The full text of relevant articles then thematically synthesized and to be presented. Our findings revealed eight themes that represent the role of AI in supporting the hospital information management system and its implementation in healthcare settings. The themes identified include Diagnosis and Medical Imaging, Health Data Management, Risks Prediction and Disease Progression, Inventory and Procurement Management, Telemedicine and Remote Consultation, Patient Care Management, Drug Development and Clinical Research, and Hospital Data Security System. The AI implementation brings the potential to improve efficiency, accuracy, and quality of care in hospitals. However, it should be noted that the development and implementation of AI need to consider the ethical aspects and proper integration through existing health systems.
The Relationship between Distress Tolerance, Emotional Labor and Job Satisfaction in Private Hospital Workers Şerife Güzel; Hilal Akman Dömbekci; Volkan Can Topuz; Müjdat Yeşildal
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.131

Abstract

This study aims to examine the state of tolerating the distress of private hospital workers and whether emotional labor is related to job satisfaction. Three scales, namely distress tolerance, emotional labor, and job satisfaction, were used in the study. The research population consists of employees working in a private hospital in Ankara. In this context, the research was carried out with 220 hospital employees. Convenience sampling was used to collect the data. Necessary permissions were obtained for the research. The findings obtained in the study were analyzed through the IBM SPSS Statistics 22 program. T-test and ANOVA test were used because the data took values suitable for normal distribution. While there was no significant difference between tolerating the profession and distress and job satisfaction, a significant difference was obtained with emotional training. As a result, a fragile positive and significant relationship was obtained between distress tolerance and emotional labor. In contrast, a weak positive and significant relationship was found between distress tolerance and job satisfaction and between emotional labor and job satisfaction.
Academic Clinic Development Strategy Through Balanced Scorecard Approach (Study at RSGM-P FKG Usakti Academic Clinic, Indonesia) Rosmalinda Suryani; Joko Kusnoto; Asyurati Asia
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.133

Abstract

The Academic Clinic is a supporting facility for the academic continuity of dental faculty students. The need for the preparation of a strategic plan for the development of academic clinic services as a health organization aims to anticipate various kinds of situations that are always changing and related to external and internal environmental factors. Strategic management tools can help generate some of the best alternative strategies for developing academic clinics with the Balanced Scorecard (BSC) approach. This study aims to develop a development strategy for the Dental and Oral Educational Hospital Faculty of Dentistry Universitas Trisakti (RSGM-P FKG Usakti) Academic Clinic based on four BSC perspectives: finance, customers, internal business processes, and learning and growth. This operational research was conducted using quantitative and qualitative methods. Secondary data was collected from Badan Pusat Statistik (BPS), Hospital Annual Report, and comparable RSGMs. Primary data collection used questionnaires, interviews, and a Consensus Decision Making Group (CDMG) to obtain variables that became strategic factors. Based on four BSC perspectives, it increases academic clinic income from financial perspectives, provides easy access and increases customer trust for customer perspectives, captures market opportunities, builds a good image of academic clinics from an internal business processes perspective, and increases human resource capabilities for learning and growth perspective.
Investigating Between Patient Safety Culture, Organizational Climate, and A Positive Workplace on Reporting of Patient Safety Incidents in Hospital Dian Widya Christiany Jacobus; Yuliani Setyaningsih; Septo Pawelas Arso
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.136

Abstract

Many patient safety incidents (PSIs) begin the hospital's safety system establishment, which is oriented toward patient safety. The importance of PSI reporting is of particular concern to WHO. Therefore, comprehensive guidance exists on designing, implementing, and applying good PSI reporting. This research is a non-experimental design using SEM analysis techniques, and it is processed using the SMARTPLSv3 application. This study aims to determine the effect of patient safety culture (X1), organizational climate (X2), and a positive environment (X3) on motivation to report PSI (Y1). The research sample was the X Semarang Hospital staff, with 200 respondents. The results showed that the Patient Safety Rate at X Semarang Hospital was in a suitable category of 54%, even though the number of PSI reported was in the low category. The SEM analysis result indicated that the construct of the X1 and X2 variables after modification was valid and reliable. Moreover, there was a positive and significant effect of X1 and X2 on Y1 with an effect size of 0.042 (small) and 0.490 (large). However, X2 did not have a significant influence on Y1. The hierarchy culture implemented in X Hospital didn't affect motivation for the reporting of patient safety incidents (PSI). It even tends to have an indirect negative influence through a supportive environment variable.
Work Stress, Fatigue, Shift Work, Workload Intensity, and Patient Safety Incidents Among Nurses Lintang Lestari Cahya Sawitri; Bayu Anggileo Pramesona; Maya Ganda Ratna; Fitria Saftarina
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i1.138

Abstract

The prevalence of Patient Safety Incidents (PSIs) in Indonesia from 2015 to 2019 has increased. However, there have been limited previous studies addressing the correlation between work stress, fatigue, shift work, workload intensity, and patient safety incidents among nurses. This study aims to examine the correlation between work stress, fatigue, shift work, workload intensity, and patient safety incidents among nurses. The cross-sectional study was conducted from September to November 2023. The purposive sampling technique was used to obtain a sample of 157 respondents. Data collection used questionnaires and internal reporting of PSIs. Data analysis was performed using descriptive and Chi-Square tests. There was a significant correlation between work stress (OR=3.361, 95% CI=1.688-6.693), fatigue (OR=5.690, 95% CI=1.873-17.284), shift work (OR=1.062, 95% CI=0.560-2.015), workload intensity (OR=2.227, 95% CI=1.155-4.297), and patient safety incidents among nurses. Nurses need to be aware of their levels of stress and fatigue, and they should develop stress management and coping strategies to overcome these challenges, enabling them to work optimally. Hospital management should pay increased attention to the issues of stress and fatigue experienced by nurses, particularly those with heavy workloads and night shifts.

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