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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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“ABED TANGI” As a Solution for Time Inaccuracy in Returning Medical Record at X Hospital Ika Rahayu Susanti; Andriyani Hamzah; Siti Asiyah Anggraeni; Kurnia Widyaningrum
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7152

Abstract

This study aims to determine the root of problem and alternative solutions of inaccuracy return medical record inpatient files. The research was conducted through qualitative descriptive approach in RSUD Blambangan from September until October 2017. Data was collected by document review, field observation and unstructured interview with Head of Services, Head of Nursing Services, 1 doctor, 2 head of ward, Head of Medical Record Installation, Head of Nutrition Installation and Head of Pharmacy Installation. Root of problem was analyzed with fishbone diagram, focus group discussion (FGD) method and urgency, seriousness, growth (USG) method. Priority determination solution is carried out using filter analysis method with CARL (Capability Accessibility Readiness Leverage). The results show that factor inaccuracy return inpatient medical records file because are incomplete of medical record file, absence of standard operating procedure and unavailability of monitoring and evaluation, and the increasing number of medical record form according to hospital quality standard. The root problem is not optimally main task and function of professional care giver when filling medical record. Alternative proposed solutions is socialization to professional care giver, revised standard of operational procedure, and monitoring evaluation of the completeness and timeliness of medical record file returns with innovation "ABED TANGI".
Financing of Dengue Hemorrhagic Fever Control Program in Banda Aceh City Ellia Nufara; Ali Ghufron Mukti; Tri Baskoro T. Satoto Mail
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7153

Abstract

Background: From January to June 2017, the number of DHF cases in Banda Aceh City reached 216 cases with the incidence Rate of 89.5%. To suppress the increase in the cases, the Health Office of Banda Aceh and its staff has conducted control activities, but the number of DHF cases is difficult to reduce. It is therefore necessary to conduct this study to assess the relationship between the availability of DHF control programs and the number of DHF cases in Banda Aceh City. Methods: This observational was done using a case-control study design. The number of samples was 76 cases in four selected health centers with a case-control ratio of 1:1. For data collection, it was conducted in July until August 2017. Results: The results show that the reduction in funding of DHF disease control programs was associated with an increase in the number of DHF cases in Banda Aceh City (p = 0.005, OR = 2.49 at 95% CI; 1.23 - 5.06). Conclusion: Inadequate financing can increase the number of DHF cases in Banda Aceh City.
The Differences Of Doctor Adherence And Medical Record Completeness In Accredited And Unaccredited Primary Health Care Aisyah Shofiatun Nisa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7154

Abstract

In the field of medical and dentistry, medical records is one of authentic evidence a service provided by doctor and dentist, which contain clinical record of a patient. Accreditation is one of method made by government to control and maintain the quality of public health service. The purpose of this study is to analyze the differences in the completeness medical records at primary health care that have been accredited and haven’t. Quantitative descriptive method which observes the field condition is used in this research. Approximately the knowledge of a doctor on accredited Primary Health Care is 69.4% while 65.27% for unaccredited Primary health care. As for the assessment for adherence a doctor on accredited Primary Health Care is 87.64% while 73.52% for unaccredited. The completeness medical records from (n: 300 medical records at 6 Primary health care) accredited Primary health care is on 80.33% while unaccredited Primary health care is on 68%. Based on the analysis using paired t-test to assess the differences between the completeness medical records at accredited and unaccredited Primary health care obtained sig value 0.0001. There is a difference in the completeness the medical record between accredited Primary health care and unaccredited Primary health care.
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.
Evaluating Clinical Pathway Typhoid Fever Monitoring at ABC Hospital Malang Ika Shanti Rosalina; Muhammad Mansur; M. Kuntadi Syamsul Hidayat; Kurnia Widyaningrum
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7155

Abstract

ABC Hospital has implemented 15 Clinical Pathway, and Typhoid Fever is the most cases that can be served. The inaccuracy of the monitoring report on the implementation of Clinical Pathway has prevented the hospital from taking appropriate actions to improve the implementation of Clinical Pathway Typhoid Fever. This study aims to determine the obstacles of monitoring implementation of Clinical Pathway Typhoid Fever in ABC Hospital. This research is a case study and descriptive-explorative research, using document review, field observation, interview, and questionnaire for data collection. The research was conducted in the in-patient wards and medical records room of ABC Hospital during September 2017. The respondents of the research include room physicians, head of inpatient rooms, pediatric, internist, pharmacist, nutritionist, and medical record staff. The result show that factors which impeded implementation of Clinical Pathway monitoring in ABC Hospital were the absence of Clinical Pathway team, the incompatibility of the Clinical Pathway Guide content, the absence of SOP of Clinical Pathway filling form, and the lack of socialization. Suggestion for improving monitoring of Clinical Pathway Typhoid Fever are establish a Clinical Pathway team, revise the Guidance of Clinical Pathway, compile SOP of Clinical Pathway filling form, and do socialization.
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.
Disaster Risk Reduction and Emergency Preparedness for Children With Autism in Facing Earthquake Disaster in Yogyakarta Fika Nur Indriasari; Prima Daniyati K; Linda Widyarani
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7156

Abstract

Special Needs Children (ABK) is one of the vulnerable groups in times of disaster. Some of them have mobility hindrance even to perform a defence and personal escape independently, therefore, information is needed on what procedures or plans to take to rescue ABKs who need help from people around them (e.g. teachers, classmates, school staffs). Objectives: To determine the preparedness of children with special needs in dealing with earthquake disasters in Yogyakarta. This research uses a observational descriptive design. The samples are selected using a purposive sampling technique, while the data are collected by means of observation sheets. The respondents for this research are special needs children with autism at ‘SLB N Pembina’, Yogyakarta. Data analysis is performed using a descriptive qualitative analysis. Disaster awareness trainings give a positive influence in reducing disaster risks and in increasing the disaster preparedness of special needs children with autism. Special needs children with autism show ability and participation after performing 5 times simulation. The preparedness increase of special needs children after training is 39%.
Implementation of Interactive Nurses Effective Communication Guidelines Pipit Puspita Dewi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7157

Abstract

Patient safety is a system whereby the hospital keeps the patient's care safer by preventing injuries caused by errors resulting from taking an action or not taking appropriate action. One component of patient safety is effective communication. Improving effective communication is one way of achieving patient safety according to patient safety standards. This study aims to analyze how the implementation of effective communication guidelines for nurses. This research is a mix method with a cross-sectional design. Quantitative data to see the knowledge, abilities, and compliance of nurses selected by simple random sampling. Qualitative data were obtained by conducting a deep interview to the head of the inpatient ward, emergency department supervision, and supervision of the nursing manager. The number of samples in this study was 37 in-patient nurses, 6 ward heads and 2 supervisors. The research instrument used is the questionnaire and checklist. Data analysis using Spearman test. This study found that there is a relationship between nurse knowledge, abilities, and compliance in the implementation of effective communication guidelines and there are obstacles in the process of implementing effective communication guidelines.
The Analysis Of Workload And Need Of Nurse With Wisn Method In Inpatient Room In Hospital X In Yogyakarta Alon Ekawati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7158

Abstract

The success of nursing service standard of inpatient care in Hospital X is supported by the availability of human resources. Therefore, the need analysis of performer nurses based on the workload should be done. The aim of the research was to find out the workload and the need for performer nurses using the WISN method. The research was qualitative in nature and the collecting technique of the number of the informant was with total sampling. The method of primary data collection was through observation and interview as well as secondary data like document study and the data of employee affair. The result of the research had WISN ration of 0.7. It showed that if the WISN ratio was <1, it meant that human resource in the unit has not met and did not correspond with the workload. Now, the number of human resource in the inpatient room of Al-Kausar was 15 nurses whereas the need according to the WISN method was 21 nurses. So, the total shortage was 6 nurses.
Preparation of financial policy to increase timing of inpatient billing information of hospital “X” Abdi Agus Youandi; Kurnia Widyaningrum; Navis Yuliansyah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7159

Abstract

Background: One of the main problems encountered in RS X is the timing of inpatient billing information that has not been ≤ 2 hours. The focus of the study was to begin when the DPJP said the patient was allowed to go home until the patient received inpatient billing information. This study aims to explore the root of the problem has not reached the standard speed of inpatient billing information. Method: This research method is qualitative research. The study was conducted at hospital X from September to October 2017. Data were collected using literature study method, document review, unit observation, in-depth interview, focus group discussion (FGD). Result: Delay of billing information due to slow recording and recording differences. Differences in recording arise due to duplicate work of nurses who have other activities. Duties nurses not only provide patient care but have the administrative task. Conclusion: The speed of inpatient billing information information has not been standardized ≤ 2 hours due to duplicate of work of nurse having other activity. The solution to the problem is the need for revised policies and SOPs that regulate the duties, authority and responsibilities of each staff in more detail.

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