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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 8 Documents
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Search results for , issue "Vol. 4 No. 1 (2015): January 2015" : 8 Documents clear
ANALISIS BUDAYA KESELAMATAN PASIEN DI RSU PKU MUHAMMADIYAH, BANTUL Aris Suparman Wijaya; Arlina Dewi; Della Mawros Dwita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 1 (2015): January 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.190

Abstract

Background: Patient safety culture in PKU Muhammadiyah Hospital of Bantul based on Putri (2010) in the category of enough. Though PKU Muhammadiyah Hospital of Bantul is a Class C has an obligation to implement the Patient Safety throughout the service area. Method: This study used a mixed methods research approach is a quantitative method using cross sectional and qualitative methods with case study approach with a descriptive research design. Research subjects are nurses who deal directly with patients. A total of 61 people. Measurement of patient safety culture using a questionnaire from the AHRQ (Agency for Healthcare Research and Quality) in 2004 entitled HSOPSC (Hospital Survey on Patient Safety Culture). The questionnaire consisted of 12 questions dimensions with 42 items and is equipped with the interview data and report patient safety incidents from Patient Safety Team PKU Muhammadiyah Hospital, Bantul. Results and Discussion: Patient Safety Culture at PKU Muhammadiyah Hospital of Bantul in the category of enough with a mean and median of 73.9. Still found gaps between the patient safety incident reporting patient safety teams and real in the field. As well as barriers to implementation of patient safety in PKU Muhammadiyah Hospital of Bantul is still not optimal support came from management, not optimal team performance because the work load and the persistence of blaming culture in the unit.
ANALISIS EKSTERNAL DALAM UPAYA PENGEMBANGAN MUTU PELAYANAN RAWAT INAP DI RSUD PANEMBAHAN SENOPATI BANTUL Fitra Sari; Susanto Susanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 1 (2015): January 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.191

Abstract

Background: Panembahan Senopati Hospital in Bantul as one government hospital in order to survive and be able to compete with other centers must be able to develop it self according with quality demand. Effort to the win that competition can be done by improving service quality and providing services properly as expected by the customerThere for, Panembahan Senopati hospital need to have a quality plan by identifying their customer need to improve the quality services. Based on customer needidentification process, service quality development stretegies can be arranged. Objectives: To know the gap between expectation and reality external customer for the quality of care in Panembahan Senopati Bantul Hospital, knowing the gap between expectation and reality of customer as an ingredient in developing a strategy of development of quality service in Panembahan Senopati Hospital. Methods: The research is quantitative research with cross sectional design. The study was conducted on November 2013 in Panembahan Senopati Bantul Hospital. The sampel Obtained was 100 people. The sampling design is random sampling. The data analysis with defferent test average in pairs (t-test). Result: The result showed that there are significant gaps between the average expectation and reality (p<0,05). The significant gap score on Class II there are dimension Emphaty of nurse with gap=0,010. Class III and VVIP there is gap significant in communication dimension with gap=0,049 andgap 0,011 and assurance dimension with gap= 0,001 on Class III. The significant gap score on Classn1there are dimension tangible with gap 0,016. While the other dimension are not gap significant. Conclusion: Quality of service in Panembahan Senopati Hospital for VVIP still does not meet customer expectations, then quality of service in Panembahan Senopati Hospital for class II and III still does meet customer expectation.
ANALISIS HUBUNGAN KOMPENSASI DENGAN KINERJA KARYAWAN RUMAH SAKIT PKU MUHAMMADIYAH TEMANGGUNG Wiwik Dewi Sugiharti; Firman Pribadi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 1 (2015): January 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.193

Abstract

The PKU Muhammadiyah Temanggung applies an integrated compensation system to its employees in order to motivate their spirit of work and productivity. Deep evaluation over this system is needed to value the employees peformance quality achievement as one of the factors to improve the work productivity in this institution. This research has an aim to analyse the connection between Financial Compensation and Non Financial Compensation with the Employees Performance in the PKU Muhammadiyah Hospital Temanggung. This quantitative descriptive research was run using the method of Cross Sectional which is the questionnaire means of measurement was applied. The sampling collection was conducted using Purposive Sampling technique against employees of the PKU Muhammadiyah Hospital Temanggung in the amount of 150 respondents who fulfill the criteria. The variables whitin this research consists of Financial Compensation, Non Financial Compensation, and also Employees Performance. The data analysis using Univariat and Bivariat Analysis applying Spearman Correlation Rank and Kendall Tau Test to comprehend the connection among variables. Improving the validity of research data the data source triangulation was done. This research emerging the conclusion that there is no significant connection between the Financial Compensation and the Employees Peformance in the phase of less significant, and also the existing connection between the Non Financial Compensation and the Employees Performance in the phase of weakness.
PELAKSANAAN IDENTIFIKASI PASIEN BERDASARKAN STANDAR AKREDITASI JCI GUNA MENINGKATKAN PROGRM PATIENT SAFETY DI RS PKU MUHAMMADIYAH YOGYAKARTA UNIT II Sri Lestari; Qurratul 'Aini
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 1 (2015): January 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.197

Abstract

Penelitian ini mengungkap identifikasi pasien yang merupakan salah satu bagian penting dari keselamatan pasien. Akreditasi RS beralih dan berorientasi pada paradigma baru dimana penilaian akreditasi didasarkan pada pelayanan berfokus pada pasien. Keselamatan pasien menjadi indikator standar utama penilaian akreditasi baru yang dikenal dengan Akreditasi RS versi 2012. 1 Rancangan penelitian menggunakan eksperimen dengan one group pretest postest design dengan pretest, intervensi, dan postest. Metode penentuan sampel secara accidental, meliputi pasien rawat inap, perawat, bidan dan penunjang medis, melalui kuesioner, wawancara, pengamatan dan FGD. Hasil dianalisis secara statistik deskriptif dan deskriptif kualitatif. Hasil penelitian menunjukkan bahwa identifikasi pasien belum dilakukan dengan baik, sesuai hasil kuesioner dan pengamatan masih ditemukan pasien rawat inap yang belum menggunakan gelang identitas, 100% petugas belum memberikan edukasi tentang manfaat penggunaan gelang identitas pasien, dan 85% petugas belum melaksanakan identifikasi secara benar. Pelaksanaan identifikasi berdasar nama dan nomor kamar pasien. Walaupun sosialisasi, ronde patient safety, pemasangan poster identifikasi pasien telah di lakukan dan semua dokumen tentang identifikasi pasien telah lengkap. Kesimpulanya pelaksanaan identifikasi di RS PKU Muhmmadiyah Yogyakarta belum berjalan sesuai standar. Saran yang disampaikan peneliti diantaranya ialah untuk memperbesar dukungan pihak managemen terutama dalam pemenuhan SDM, perubahan kebiasaan yang mendukung program patient safety oleh petugas.
PELAKSANAAN KEBIJAKAN DAN PENILAIAN PENGGUNAAN APD (ALAT PELINDUNG DIRI) OLEH DOKTER DAN BIDAN DI RUANG BERSALIN DAN NIFAS RSU PKU MUHAMMADIYAH YOGYAKARTA UNIT I TAHUN 2014/2015 Nia Supiana; Supriyatiningsih Supriyatiningsih
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 1 (2015): January 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.199

Abstract

Background: Hospital is a place for taking care of the patients where there are many kinds of disease there. Disease caused by infection is one of disease that can be found in hospital. It can be the mild one or the severe one. Therefore, it can spread from one patient to the other patients. Besides that, the workers also can be infected since their job required them to having a contact with the infection agent. The General hospital of PKU Muhammadiyah Yogyakarta Unit 1 has formed the Komite Pencegahan dan Pengendalian Infeksi (KPPI) or Committee of Prevention and Restraint of Infection since 2012, this committee has made a policy related to universal precautions which giving protection to medical staff, patients, and patients’ families. Methods: In collecting the data, this research used mixed method with concurrent triangulation strategy design and cross-sectional approach. The population of this research is doctors in delivery and postpartum room and the members of KPPI. The total of the population is 30 people. In analyzing the data, the writer used logistic regression. The resources were taken from some related books, journals, articles, and research from several media. Results and Discussion: The result of this research showed that the degree of compliance of doctors and midwives in using PPE (Personal Protective Equipment) in postpartum room (92.9%) was higher than the using of PPE in the delivery room (76.9%). This implementation/compliance is influenced by disposition factors/attitude (ρ = 0.000 <0.05) and the structure of bureaucracy (ρ 0,000 <0.05), while the variable of communication (ρ=0,164 > 0,05) and resource (ρ=0,431 > 0,05) do not influence on the implementation of the use of PPE. Conclusions and Recommendations: The implementation of the use of PPE in the delivery and postpartum room is still not performing well and the evaluation process was still not optimal. The hospital is expected to improve the supervision of the head room. Moreover, the implementation of SOP (Standard Operational Procedure) on the universal Guidelines for Vigilance Implementation should be conducted especially the use of PPE in delivery and postpartum room.
PENGARUH STRESSOR PEKERJAAN TERHADAP MUTU PELAYANANPERAWAT DI BANGSAL RAWAT INAP RSUD SUKOHARJO Muhammad Alwi Andi; Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 1 (2015): January 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.205

Abstract

Stressor of nurse work is an inability of nurse to face any condition or situation in work environment. Stressor of work consist of workload, physical environment, individual, group, and organization which is the source of stressor. The research identified the effect of work stressor on the quality of nurse care in inpatient wards of Sukoharjo Regional Public Hospital. The type of research is quantitative research with Cross-Sectional approach. The populations are all nurses who served in inpatient wards of Sukoharjo Regional Public Hospital. The samples are 81 nurses by using total sampling. There was no workload effect on the quality of nurse care (p 0,365; B -0,104). There was physical environment effect on the quality of nurse care (p 0,004; B 0,818). There was indiviual effect on the quality of nurse care (p 0,001; B 1,875). There was no group effect on the quality of nurse care (p 0,555; B 0,244). There was no organization effect on the quality of nurse care (p 0,640; B 0,184). The negative effect of stress in high level influenced the care to patient. The higher the perceived work stress would influence the quality of nurse care in inpatient wards of Sukoharjo Regional Public Hospital.
PERSEPSI DAN EKSPEKTASI DOKTER TERHADAP JASA MEDISDI RS PKU MUHAMMADIYAHNANGGULAN Heru Yuliyanto; Erwin Santosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 1 (2015): January 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.206

Abstract

Background: General practitioners / specialist considerations a hospital which are most suitable to be used as a practice. There are several considerations in determining a doctor's office, one of which is the most powerful pull factor is the amount of medical services to be received from the PKU Muhammadiyah Hospital Nanggulan. Objectives: in this study is to describe the perceptions and expectations of general practitioners and specialists for medical services in PKU Muhammadiyah Hospital Nanggulan. Method: This study used a qualitative research approach. The study was conducted in PKU Muhammadiyah Hospital Nanggulan, KulonProgo, Yogyakarta during the month of July 2011 - February 2015. The subjects in this study were four general practitioners and four specialists in PKU Muhammadiyah Hospital Nanggulan who has had a license to practice. Data analyze used descriptive qualitatively. Result: Perception of general practitioners / specialists in PKU Muhammadiyah Hospital Nanggulan vary according to the characteristics of informants that includes needs, age, status, workplace, social conditions, and hope the doctor. General practitioners revealed that remuneration has been timely received, but not yet in accordance with the load of work done. Specialist physicians perceive that the medical services received are in accordance with the assumption that the meaning of work for informants as worship and religious symbols. General practitioners hope that hospitals provide child support and medical benefits. Specialist doctors have hope in order to meet current needs and hope that PKU Muhammadiyah Hospital Nanggulan can improve the quality and infrastructure for specialists, provide health insurance for specialists, and in order to improve reply to specialist medical services in accordance with the development of the hospital. Conclusion: Remuneration received by general practitioners has on time, but not in accordance with the load of work done. Medical services received by specialists are in accordance with the assumption that the meaning of work for informants as worship and religious symbols.
EFEKTIVITAS PEMBERIAN SIMULASI HAND HYGIENE TERHADAP KEPATUHAN HAND HYGIENE PETUGAS NON MEDIS DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA UNIT II Ekorini Listiowati; Lisa Nilamsari
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 1 (2015): January 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.207

Abstract

Hospital Associated Infection (HAIs) is the world’s problem and one of the causes is hand hygiene compliance in healthcare workers are still low. Data showed 80% of HAIs spread by hands. Non medical healthcare workers are at risk for spreading the phatogen by hands, because although they don’t give intervention directly to the patients, they still have big possibilities to be in one of 5 moments hand hygiene. Hand hygiene simulation is one of training methods for heakthcare workers to create higher compliance in hand hygiene. This research was an experimental design with one group pre-posttest design. The population were all non medical healthcare workers in security department, nutritional department, and cleaning service department, the total sample is 37 persons. Paired T-test is used for stastitical analysis.The results obtained, the implementation of hand hygiene with proper procedure is 0,55%. The compliance rate increase after intervention by hand hygiene simulation 13,83%. Statistical analysis showed significant result p<0,05; p=0,026 for security department, p=0,027 for nutritional department, and p=0,002 for cleaning service department, meaning there is a difference in hand hygiene compliance of non medical healthcare workers before and after intervention by hand hand hygiene simulation.Hand hygiene simulation is effecticve to improve hand hygiene compliance. Therefore it can be used to improve hand hygiene compliance in non medical healthcare workers.

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