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Amal C. Sjaaf
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Department of Health and Policy, Building F Floor 1, Faculty of Public Health Universitas Indonesia, Kampus Baru UI Depok 16424, Depok City, West Java Province, Indonesia
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Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Published by Universitas Indonesia
ISSN : 24069108     EISSN : 2476986X     DOI : https://doi.org/10.7454/arsi
Core Subject : Health, Science, Social,
Decision Sciences, Operations Research & Management Public Health Social Sciences
Jurnal ARSI (Administrasi Rumah Sakit Indonesia) was initiated by the Center for Health Administration and Policy Studies (CHAMPS) Faculty of Public Health, University of Indonesia (FKM UI) and is currently managed by the Department of Health Administration and Policy, Faculty of Public Health, University Indonesia . Jurnal ARSI (Administrasi Rumah Sakit Indonesia) was published with the Indonesian Hospital Association (PERSI) and the FKM UI Hospital Management Association (IKAMARS). Jurnal ARSI (Administrasi Rumah Sakit Indonesia) is a peer-reviewed journal that focuses on service administration and management in hospitals in Indonesia. The articles or scientific manuscripts published in the Jurnal ARSI (Administrasi Rumah Sakit Indonesia) include original research, case studies, and reviews supporting corporate governance, clinical governance, or both (bridging). This journal is published electronically, featuring articles in either Bahasa or English. Printed versions are produced only by request. This journal also provides direct open access to its content with the principle that research publications are freely available to the public for broad benefit.
Arjuna Subject : Umum - Umum
Articles 5 Documents
 1 
Search results for , issue "Vol. 11, No. 3" : 5 Documents clear
Effect of Establishing a Separate Outpatient Pharmacy Counter on Reducing Waiting Time in Mayapada Hospital Irham, Hanifan; Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 3
Publisher : UI Scholars Hub

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Abstract

Pharmacy waiting time is one of the quality indicators that affects patient satisfaction in hospitals. One of the various efforts to reduce drug waiting times is adding outpatient pharmacies. This study aims to see whether the addition of pharmacies based on guarantors can reduce drug waiting times for outpatients. This is an observational study with a cross-sectional design. The sample included 11,703 patients who received prescriptions at Mayapada Hospital Bogor outpatient with insurance and private coverage. Data were collected over four months, two months before and two months after the separation of pharmacies. Waiting time data were obtained from the hospital’s Health Information System (HIS). Univariate analysis showed that most patients visited the hospital during the noon shift (51.1%). Patients with private coverage dominated at 50.8% and non-compounding drugs dominated at 68.7%. There was a time difference of 1 minute and 22 seconds before, and 1 minute and 17 seconds after, the addition of the pharmacy for patients in the private coverage category with insurance. The Mann-Whitney test results get a p-value = <0.001, indicating a significant difference in waiting time between patients with personal coverage and insurance before and after the addition of the pharmacy. These results suggest that separating pharmacies by insurance type can be an effective strategy to reduce prescription waiting times. However, the two-month post-separation period is a limitation, as it may not fully reflect long-term outcomes. Further studies with a longer evaluation period are recommended for more optimal results.
The Role of The Triage Nurse Deployment in Reducing Triage Time in Emergency Department Karina, Ristanti; Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 3
Publisher : UI Scholars Hub

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Abstract

Emergency Departments (ED) operate under high-pressure conditions where rapid and accurate triage is essential to ensure optimal patient outcomes. This study aimed to evaluate whether the assignment of dedicated triage nurses could reduce triage procedure time in the ED. The study employed an observational cross-sectional design using secondary data extracted from the Hospital Information System (HIS) at XYZ Private Hospital, Bogor. The intervention involved assigning trained triage nurses for each shift starting in June 2024, replacing the previous practice of ad hoc triage by available nurses. The results showed a significant reduction in median triage time from 4 minutes and 11 seconds to 2 minutes and 23 seconds after the intervention (p-value = <0.001). These findings indicate that structural changes in workforce allocation can improve triage efficiency. However, other influencing factors such as daily visit volume, shift-based workload, and the complexity of clinical cases may also affect triage duration. This study did not disaggregate data by triage category or shift, suggesting the need for further research to assess the intervention's impact more comprehensively. With global Emergency Room (ER) visits increasing by 30%, the implementation of a fast and accurate triage system, led by well-trained nurses, is essential. Hospitals are advised to adopt triage nurse assignment policies, provide ATS-based training, and conduct routine monitoring and evaluation as part of continuous quality improvement in emergency care.
Analisis Implementasi Rekam Medis Elektronik terhadap Kelengkapan Dokumentasi Rekam Medis Purnamasari, Novita; Bachtiar, Adang
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 3
Publisher : UI Scholars Hub

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Abstract

Completeness of medical records is one of the important factors in improving the quality of health services. Despite its importance, incomplete documentation remains a prevalent issue, and the adoption of Electronic Medical Records (EMRs) is anticipated to address this challenge. This study is a narrative review and utilized the PRISMA 2020 flow diagram for literature selection. Articles were sourced from the ProQuest and Scopus databases for articles published in 2019-2024. From an initial selection of 431 articles, eight articles met the inclusion criteria for this study. The analysis of these studies shows that the implementation of electronic medical records positively influences the medical record documentation’s completeness. Among the eight reviewed articles, seven articles demonstrated significant improvements in the completeness of medical documentation following electronic medical record implementation. Continuous evaluation and identification of supporting factors for implementing electronic medical records in improving medical record documentation’s completeness need to be studied further.
Determinant Factors of Completeness of Medical Resume Filling by Doctors at Pesawaran Regional General Hospital Farista, Achmad Deza; Karyus, Aila; Djamaluddin, Abikusno
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 3
Publisher : UI Scholars Hub

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Abstract

A medical resume serves as a vital document that compiles essential information related to a patient’s clinical management. In 2019, the completeness rate of medical resume documentation at Pesawaran Regional General Hospital was only 37.4%. This study aimed to identify factors influencing the completeness of medical resume documentation by doctors through a quantitative, cross-sectional design involving 37 inpatient care doctors. Data were collected via questionnaires and direct observation, then analyzed using univariate, bivariate (Chi-Square), and multivariate (Logistic Regression) methods. Observation showed that 56.8% of medical resumes were incomplete. Questionnaire results indicated that 54.1% of respondents had negative perceptions of Standard Operating Procedures (SOP), 51.4% had high motivation, 62.2% perceived low rewards, 59.5% experienced democratic leadership, and 54.1% faced inadequate supervision. Bivariate analysis found significant associations between completeness and perceptions of SOP (p-value = 0.006; OR = 9.6), motivation (p-value = 0.029; OR = 6.0), leadership style (p-value = 0.044; OR = 5.8), and supervision (p-value = 0.001; OR = 18.4), while no significant association was found with perceived rewards (p-value = 0.760). Multivariate analysis identified supervision as the most dominant factor (OR = 39.281). These findings suggest that strengthening supervisory mechanisms and improving SOP clarity and implementation are essential for enhancing documentation completeness. Hospital management is advised to establish regular, structured supervision and continuous SOP review to ensure consistent compliance among doctors.
Towards The Four-Hour Rule: Impact of Observation Units and Emergency Medicine Specialists in an Indonesian Tertiary Hospital Sulistio, Septo; Gani, Ascobat
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 3
Publisher : UI Scholars Hub

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Abstract

Emergency Department (ED) overcrowding is a global challenge. In response, the government of Indonesia mandates an ED Length of Stay (LOS) of ≤4 hours. This study aims to evaluate the impact of implementing an Emergency Department Observation Unit (EDOU) combined with an Emergency Medicine (EM) specialist-led disposition process on ED LOS at a national referral hospital in Indonesia. This was a retrospective, pre-post analysis comparing all ED visits in 2023 (pre-intervention, n = 26,282) with all visits in 2024 (post-intervention, n = 31,483). The primary outcome was the proportion of patients with an ED LOS ≤4 hours. Secondary outcomes included median ED LOS and the odds ratios (OR) for yellow zone patients achieving the ≤4-hour target based on the intervention period and the deciding physician's specialty. Following the intervention, the median ED LOS decreased from 16.4 hours to 8.0 hours (p-value = <0.05). Yellow zone patients in the post-intervention period had 6.37 times the odds of achieving a ≤4-hour LOS compared to the pre-intervention period (95% CI [5.72–7.09]). When the decision to admit to the EDOU was made by an EM specialist, the odds of achieving the target were 1.86 times higher than for other specialists (95% CI [1.43–2.42]). The combined implementation of an EDOU and EM specialists-led disposition significantly reduced ED LOS and dramatically increased the odds of meeting national performance targets. The success was driven by both increased downstream bed capacity and streamlined, specialist-led disposition processes.

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