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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 321 Documents
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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.
The Influence of the Use of Electronic Medical Record Systems on Effective Doctor-Patient Communication Relationships in the Outpatient Clinic Lestari, Nadia Putri; Ramadhani, Isniani; NurCita, Boenga; Kristanti, Melly
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.134

Abstract

Electronic medical records are being used based on the Regulation of the Minister of Health (PMK) number 24 of 2022 concerning Medical Records, which is a transition of patient medical records from conventional systems to electronic-based. This study aims to determine the effect of using an electronic medical record system on effective doctor-patient communication relationships in hospital outpatient clinics. This study was conducted at a B-class general hospital in Jakarta Regional General Hospital, using an analytical descriptive method and a cross-sectional approach. A total of 153 respondents followed quota sampling rules. The test used was the chi-square test, with the p-value being less than 0.05. Approximately 50% of respondents demonstrated high levels of effective doctor-patient communication and high levels of knowledge on the use of RME. This study states that there is a positive relationship between the use of electronic medical records and effective communication between doctors and patients.
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.
Behavior Mapping Study of The Layout of Drug Service Room in Outpatient Pharmacy of X Hospital Yulianto, Wahyu; Zuhriyah, Lilik; Haripradiantoi, Tito
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.145

Abstract

The quality of pharmaceutical services is related to patient satisfaction and the short waiting times for their accomplished drug in pharmacy installation. This research was conducted to describe the prescription service process in the outpatient pharmacy at X Hospital by observing the flow of drug dispensing and officer movement along with the time required for the process, with the environment behavior study and value stream mapping as the observation method. This action research was conducted by collecting qualitative and quantitative data. Data collection was carried out by observation (time allocation, time for drug service activities), interviews, focus group discussion (FGD), and Behavior Mapping. The results of value stream mapping showed that non-value added was greater than value-added, 78.5% versus 21.5%. Behavior mapping showed a physical trace in a stack of prescription files in all POSs during the service process. The longest process time occurred at post 4, which is during drug preparation, while the longest interval time was interval time 4, which is waiting for the re-check process. Other factors cause the waiting time for drug services to be lengthened. The spatial structure of pharmacy depot block A was less effective. The waiting time was still long. The researchers suggest that the space be regulated again and continued to the next action research cycle, up to the effective drug services, so that the waiting times can be short.
Accuracy Analysis of Topographical and Morphological Code in the RSUP Dr. Sardjito Cancer Registry, Indonesia Nurhidayah, Novi; Putri, Dhea Edvy Permata; Budi, Savitri Citra; Yuliana, Yuliana
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.406

Abstract

In cancer cases, a cancer registry functions as a national cancer control program to analyze cancer severity and risk factors in specific areas, aiming to reduce morbidity and mortality. Accurate coding is essential for producing a high-quality cancer database. This study aims to analyze the accuracy of the cancer registry at RSUP Dr. Sardjito in assigning topography and morphology codes. A mixed-methods approach was employed to evaluate code accuracy and identify factors influencing accuracy and inaccuracy based on the 5M framework. Data were sourced from the Hospital-Based Cancer Registry at RSUP Dr. Sardjito, with a total population of 4500 patients in 2021. A sample of 1000 cancer patients was selected using a simple random sampling technique.   Each sample was analyzed as true or false based on verifier notes, revealing that 904 topography codes were accurate (90.40%) and 96 were inaccurate (9.60%). For morphology codes, 913 were accurate (91.30%) and 87 were inaccurate (8.70%). Researchers conducted in-depth interviews with registrars and verifier doctors and observed all cancer registry activities, focusing on topography and morphology codification. Observations and interviews indicated no obstacles in codification activities, but inaccuracies occurred, possibly due to case complexity. In conclusion, the study demonstrates high accuracy in the coding of cancer cases at RSUP Dr. Sardjito. The complexity of cases may contribute to inaccuracies. The study suggests continuous evaluation to enhance coding accuracy, which is crucial for effective cancer control programs.
Employee Engagement in a Multigenerational Workforce at Hospital X Kristi, Gandhi; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.411

Abstract

As the organization grows each year, the workforce will continue to change. New hires may come from older or younger generational groups, leading to a multigenerational workforce in the organization. It is known that each generational group has different characteristics that can affect employee engagement per generation in the workplace. This study aims to determine the depiction of the multigenerational workforce and employee engagement in the multigenerational workforce at the hospital. This study used a cross-sectional study and was conducted by distributing online questionnaires to health workers who worked at Hospital X. The results found that a multigenerational workforce is apparent in Hospital X. It was also found that the oldest generation group in the hospital, Generation X, had the highest average engagement score. Through analysis, a significant relationship was also found between the multigenerational workforce and employee engagement. The discovery of a multigenerational workforce and differences in the level of employee engagement in generational groups indicates that hospital management must take advantage of the diversity that exists. Strategies are also needed to increase and maintain employee engagement in each generational group.
Managing CCTV in Indonesian Hospitals: A Legal, Ethical, and Managerial Perspective Sarwono, Aditya Pratama
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.412

Abstract

Closed Circuit Television (CCTV) in Indonesian hospitals presents significant legal, ethical, and managerial challenges, particularly due to unclear regulations governing its installation in clinic rooms. The absence of specific guidelines raises legal uncertainties, casting doubt on patient privacy and the hospital's responsibility for safeguarding sensitive medical information. Ethical concerns intensify as the use of CCTV in clinic rooms may lead to potential privacy violations in the absence of clear regulations. This condition certainly poses managerial challenges for hospitals, affecting resource allocation, personnel training, and the management of data related to the CCTV system. Effectively managing this system becomes crucial to balance surveillance needs with privacy protection. Hence, this research aims to explore legal uncertainties surrounding CCTV installation, identify ethical issues, and evaluate managerial impacts. The study seeks to offer profound insights, aiding the development of pertinent policies, ethical frameworks, and effective managerial strategies for a balanced and responsible CCTV implementation in healthcare settings.

Page 29 of 33 | Total Record : 321

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