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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
 7   8   9   10   11 
Daily Work Load Distribution to Increase Time Quality of Inpatients’ Medical Record Document Procurement In X Hospital Harjanti Harjanti; Navis Yuliansyah; 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.7160

Abstract

Procurement of inpatient medical record document is one of some indicators of a hospital’s minimum service standards (SPM). According to the hospital MSS, the ideal procurement of inpatient medical record document is about ≤ 15 minutes, however the procurement on the report of quality committee at the first semester on 2017 in X Hospital reaches 22,89 minutes. The study is aimed at identifying, determining the root of the problems, and trying to devise solutions to the problems. The study employs a qualitative approach by employing document analysis, in-depth interview, and ethnographic observation. The problems are identified by using three steps which are focus group discussion (FGD) by the board of directors, the head of division, and the head of unit X Hospital. The second step is time motion study at the place of inpatient registration, and the last is Urgency, seriousness, and growth (USG) in medical record unit. The study results show that the overload of inpatient admission officers’ work is known to be the root of the problem. Solution to the procurement which is not in accordance with the hospital minimum service standard is to distribute the daily workload of inpatient admission officers to related units.
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.
PENGISIAN SIGN IN DALAM MENINGKATKAN KEPATUHAN SAFE SURGERY DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA II Andri Firman Saputra; Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 2 (2015): July 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.208

Abstract

Background: Complications and deaths due to surgery become one of the global health problems. World Health Organization estimates that at least half a million deaths due to preventable surgical. An effort to improve the quality of surgical services including the Surgical Safety Checklist to use made by World Health Organization. Compliance to use this surgery checklist which is can increase the number of safe surgery,reduce the wrong site surgery and nearmiss. Method: This research is a qualitative action research design. The study population was all the doctors and nurse anesthetist. Number of samples 6 people. The data is collected by observation sheet Surgical Safety Checklist: Sign In RS PKU Muhammadiyah Yogyakarta Unit II for 3 cycles of observation. Result and Discussion: The results of observations on the first to the third cycle shows that all disobeying nurse anesthetist (100%) the Surgical Safety Checklist to fill: Sign In. The results of the response every cycle and a structured interview with the anesthesiologist showed that nurses are still confused how to use the checklist, the checklist has not been a necessity, the culture of patient safety is still minimal, lack quality of human resources, lack of supervision and lack of socialization mechanisms Surgical Safety Checklist noncompliance that influence nurses Sign In to to fill. Conclusion: Completing Sign In in the installation of surgery center in PKU Muhammadiyah Yogyakarta Unit II Hospital is noncompliance, because they still haven’t got the identity bracelet mounted on a patient who will be operating and marking the location of a rare surgery. Advice to hospital are to create a Standard Operating Procedure (SOP), SOP socialize regularly, make in-house training, increase the commitment of doctors and nurses, create a surveillance system, create a system of reward and punishment.
EVALUASI SARANA DAN PRASARANA RUMAH SAKIT DALAM MENGHADAPI BENCANA KEBAKARAN (Studi Kasus di RS PKU Muhammadiyah Yogyakarta Unit II) Mirza Sanjaya; Maria Ulfa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 2 (2015): July 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.209

Abstract

Latar Belakang: RS PKU Muhammadiyah Yogyakarta Unit II memiliki enam blok bangunan gedung. Masing-masing blok gedung terdiri dari empat lantai. Kondisi bangunan dan kerentanan di dalamnya membuat RS ini memiliki risiko tinggi akan terjadinya bencana kebakaran, sehingga diperlukan kesiapan sarana dan prasarana penanggulangan bencana kebakaran. Metode: jenis penelitian kualitatif dengan rancangan studi kasus. Subjek penelitian adalah pihak manajemen dan petugas rumah sakit. Objek penelitian yaitu kondisi kesiapan sarana dan prasarana penanggulangan bencana kebakaran. Pengumpulan data dilakukan dengan teknik wawancara dan observasi. Analisis data dilakukan secara deskriptif kualitatif. Hasil dan Pembahasan: RS PKU Muhammadiyah Yogyakarta Unit II memiliki kelengkapan sarana dan prarasana penanggulangan bencana yang sebagian besar telah sesuai dengan standar. Terdapat beberapa unsur yang perlu ditingkatkan, seperti penambahan detektor asap dan APAR, pemerataan sprinkler, jalur evakuasi untuk lantai atas, perbaikan jalur keluar darurat dan papan nama di titik berkumpul. Faktor pendukung yang terdapat di RS ini adalah ketersediaan sarana dan prasarana maupun antusiasme SDM untuk memiliki kemampuan penanggulangan bencana kebakaran. Faktor penghambatnya yaitu anggaran yang lebih diarahkan untuk meningkatkan pelayanan kesehatan. Kesimpulan: RS PKU Muhammadiyah Yogyakarta Unit II telah memiliki kesiapan sarana dan prasarana penanggulangan bencana kebakaran, namun masih terdapat beberapa unsur yang harus ditingkatkan agar sesuai standar.
EVALUASI FAKTOR ORGANISASI DALAM UPAYA PENINGKATAN PERFORMA SISTEM INFORMASI KESEHATAN : STUDI KASUS MUTU KELENGKAPAN PENGISIAN REKAM MEDIS PASIEN APPENDISITIS AKUT DI RS PKU MUHAMMADIYAH YOGYAKARTA Chandra Mukti Erryandari; Erwin Santosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 2 (2015): July 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.210

Abstract

Latar belakang:. Sistem informasi yang baik akan berguna dalam memajukan sistem kesehatan lokal. Rekam medis merupakan bagian dalam sistem informasi rumah sakit. Menjadi sangat penting dalam dunia kesehatan karena sistem informasi rumah sakit akan memberikan data untuk menentukan keputusan guna meningkatkan kualitas pelayanan. Mutu kelengkapan rekam medis sebagai salah satu sistem informasi kesehatan masih banyak mengalami kekurangan karena berbagai macam kendala. Untuk itu, peneliti tertarik untuk mengevaluasi faktor organisasi dalam unit rekam medis dalam upaya peningkatan performa sistem informasi kesehatan. Metode Penelitian : Penelitian ini merupakan jenis penelitian deskriptif analitik. Metode deskriptif analitik dilakukan dengan pendekatan mix method. Tujuannya adalah untuk mengetahui tentang faktor organisasi dalam unit sebagai bagian dari sistem informasi kesehatan. Hasil : Konsep peningkatan mutu kelengkapan rekam medis di RS ini sudah cukup baik. Namun, dari segi pelaksanaannya masih terdapat banyak kendala, seperti SDM kurang, proses sosialisasi tidak efisien, belum bekerjanya panitia sesuai tupoksi dan belum rutinnya proses pelaporan indikator mutu kepada direksi, serta belum adanya tindak lanjut dari direksi kepada dokter yang belum bisa lengkap dalam pengisian rekam medis. Kesimpulan : Konsep peningkatan mutu sebenarnya sudah tertanam dalam proses rumah sakit ini, tetapi dalam pelaksanaannya konsep ini masih menemui banyak permasalahan. Perlu kerja yang lebih keras lagi dari staf rekam medis, panitia rekam medis, panitia penjamin mutu, dan direksi dalam bersama-sama meningkatkan mutu kelengkapan rekam medis supaya lebih terintegrasi.
EVALUASI KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT JALAN PESERTA BPJS DI RSUD PANEMBAHAN SENOPATI BANTUL Fidela Firwan Firdaus; Arlina Dewi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 2 (2015): July 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.211

Abstract

Latar Belakang: Masalah yang sering dihadapi secara umum oleh rumah sakit adalah rumah sakit belum mampu memberikan sesuatu hal yang benar-benar diharapkan pengguna jasa. Beberapa pasien banyak yang masih bingung mengenai sistem rujukan yang ditetapkan dalam BPJS Kesehatan. Begitu juga dengan pasien yang mengeluh biaya kesehatan yang dulu seluruhnya terinci saat masih berupa PT Jamsostek, sekarang banyak yang tidak terinci saat sudah berubah menjadi BPJS. Metode: Penelitian kualitatif untuk menganalisis kualitas pelayanan terhadap kepuasan pasien rawat jalan peserta BPJS di RSUD Panembahan Senopati Bantul. Data primer diperoleh dari wawancara mendalam terhadap pasien rawat jalan peserta BPJS, dokter pelayanan rawat jalan, dan petugas BPJS di RSUD Panembahan Senopati Bantul. Hasil dan pembahasan: Hal yang mempengaruhi kepuasan pasien antara lain: pendaftaran lancar, waktu tunggu, pelayanan cepat, ramah, sopan, keterampilan dan perawatan medis bagus, profesional, ruangan bersih dan fasilitas lengkap. Sebaliknya, hal-hal yang menjadi hambatan kepuasan pasien antara lain: karyawan pendaftaran datang terlambat, lambat, dan mengobrol sendiri, waktu tunggu lama, nada suara petugas medis tinggi, keramahan kurang, ruangan kurang luas, tidak memakai sekat, ruang tunggu kurang, jarak poli satu ke poli lain terlalu dekat, dan tidak ada pengeras suara. Faktor lain yang mempengaruhi yaitu BPJS. Kesimpulan dan saran: Kepuasan pasien sesuai dengan teori SERVQUAL (Parasuraman dan Zeithml, 1990). Hambatannya yaitu ruangan dan fasilitas, waktu tunggu lama, jumlah SDM, SIM RS versi lama, dan tata cara sistem rujukan. Solusinya yaitu ruangan yang lebih luas, ruang tunggu yang lebih nyaman, sekat dari dinding, memberikan pengeras suara, menambah jumlah SDM, dan memperbarui SIM RS. Sarannya yaitu melakukan survey hal-hal yang sudah membuat pasien puas dan yang masih kurang, melakukan perbaikan dan melengkapi ruangan dan fasilitas di rumah sakit, menambah sumber daya manusia, mempertimbangkan bridging system, dan melakukan evaluasi terhadap program yang sudah berjalan.
EVALUASI PENERAPAN IDENTIFIKASI PASIEN DI BANGSAL RAWAT INAP RSI SITI AISYAH MADIUN Donna Dwi Yudhawati; Ekorini Listiowati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 2 (2015): July 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.212

Abstract

Backgraund: This research is to reveal the evaluation of the application of identification patient at Siti Aisyah Madiun Islamic Hospital. The diversities and the routines of the services in hospital will make adverse event (KTD) if we don’t manage it properly. Errors due to misidentification patient happen almost in every aspect or diagnosis stages and treatment, so it needs the accuracy of patient’s identifications. Method: This research using qualitatif methods that produce descriptive data such as written words and verbal from people and observed attitude and study planning cases that exploits a problem with detail data retrictions, accompanied with detail data retrieval from many sources so can reflects patient identifications done by Siti Aisyah Islamic Hospital. Instruments used in this research is the search guidelines, in-depth interviews, FGD and RCA. Result and Discussion: This research result shows incident type of patient safety happens at Siti Aisyah Islamis Hospital. One of the causes is misidentifications patients. The nurses knowledge about the identification of patients had 100 % but the implementation of identification in hospital not optimal. Conclussion: The implementation of the identification of patients that should be done by nurses not yet become a culture in Siti Aisyah Madiun Islamic Hospital and the implementation still far from the expectation. The suggestion from the researchers is management should do some evaluation and routine monitoring on the patient’s identifications in hospital to cultivate all nurses to identify patients become common culture nurse.
ANALISIS PERHITUNGAN BIAYA SATUAN TINDAKAN ORIF (Open Reduction Internal Fixation) FRAKTUR FEMUR MENGGUNAKAN METODE ABC (Activity Based Costing) (STUDI KASUS DI RS PKU MUHAMMADIYAH BANTUL) Rizka Nurul Firdaus; Firman Pribadi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 2 (2015): July 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.213

Abstract

Background: The determination of operating room rates at PKU Muhammadiyah Hospital in Bantul is currently using fee for service method where the operating rate is determined by the calculation of the cost components that occur as the cost of medical services, consumables, medicines, and the rent of operating room, but it has not included all the components of the activity-based costs associated with clinical pathways. However, this surgical procedure may result significant costs to the hospital. Methods: The study was conducted at PKU Muhammadiyah Hospital in Bantul. This research is descriptive qualitative case study design. The sample were the patients who underwent an operation of ORIF for Femoral Fractures without complications that met the inclusion and exclusion criteria. Cost analysis method used was the Activity-Based Costing (ABC). Results and Discussion: The unit cost of ORIF for Femoral Fractures which was calculated by the method of Activity Based Costing (ABC) was 8,157,726 rupiahs, while the real cost spent by the hospital was 9,035,885 rupiahs. The amount of real cost on ORIF for Femoral Fracture specified by RS PKU Muhammadiyah Bantul was higher than the unit cost calculated based on Activity-Based Costing method. The obtained difference was a positive difference, which was 878.159 rupiahs (10,76%). In the Activity-Based Costing (ABC), indirect and direct cost (overhead) are charged at some cost drivers, while the traditional system is only charged on a cost driver. Conclusions and Recommendations: Based on the calculation of unit costs obtained, it can be concluded that the unit cost of ORIF for Femoral Fracture in Central Surgery Installation PKU Muhammadiyah Hospital in Bantul with Activity- Based Costing method is lower and more proportionate with the activity. However, the hospital should also apply the calculation of the unit cost to all the types of service especially for surgery in order to identify and examine the cost components which are subject to change at any time and cause some disadvantages to the hospital accounting.

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