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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 201 Documents
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Analisis Faktor yang Berhubungan dengan Turnover Perawat di Rumah Sakit Awal Bros Batam Tahun 2017 Christiani, Luvi; Ilyas, Jaslis
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 4, No. 3
Publisher : UI Scholars Hub

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Abstract

Hospitals as plenary health service providers have an obligation to maintain the quality of services provided. The nurse is one of the spearheads of service and is the largest part of the hospital's resources. The quality of nursing services with the main goal is to maintain patient safety by controlling the turnover rate. During 2015 to 2017 there were 15.4%, 14.3%, and 18.9% turnover rates for nurses at awal bros hospital batam. The method of research are quantitative and qualitative approach to determine factors related to nurse turnover. Quantitative research for all nurses who had left was 79 people. Qualitative research on nurses in the inpatient and critical care section with informants 7 people.Quantitative results with univariate statistical show nurses who had been turnover were 77.2% women and 22.8% men; 82.3% aged up to 30 years and 17.7% aged over 30 years; diploma level III 89.9 % and strata I 10.1%; married 55.7% and not married 44.3%; 62% of recruits came from outside Batam and 38% came from Batam; and working period up to 5 years 81% and working period above 5 years 19%. The bivariate statistical test showed that the factors associated with turnover were marital status (Asymp. Sig 0.003) and the area of recruitment (Asymp. Sig 0.000). Qualitative analysis with in depth interviews and focus group discussions found non-physical environmental factors, especially leadership problems lead to turnover. The turnover rate in Awal Bros Hospital Batam is still high with factors of marital status and area of recruitment, non-physical working environment that are associated with turnover. This can be taken into consideration as the Awal Bros Hospital Batam as a factor to be able to control nurse turnover.
Pengaruh Pengetahuan, Sikap dan Motivasi Terhadap Kepatuhan Dokter dalam Penulisan Diagnosis pada Resume Medis di RS Zahirah 2018 Husni, Muhammad
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 4, No. 3
Publisher : UI Scholars Hub

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Abstract

The writing of a diagnosis on medical resume is the responsibility of the physician in charge of the patient (DPJP), for the benefit of BPJS claims. This relates to doctors' compliance in the diagnosis of medical resumes. Knowledge, attitudes, and motivations affect the physician's neck in writing the diagnosis on medical resume. This study aims to determine the influence of knowledge, attitudes, and motivation either partially or simultaneously to the doctor's compliance in the writing of the diagnosis on medical resume at Zahirah Hospital in 2018. This research is quantitative analytic, with cross sectional and prospective approach. The results showed that knowledge had no significant effect on the adherence of the diagnosis on the patient's medical resume (p value 0.091; R2 0.113). However, attitudes and motivations positively and positively affect the adherence of diagnosis to the patient's medical records (p value 0,000 and 0,000; R2 0,562 and 0.574). Knowledge, attitudes and motivations jointly affect the compliance (p value 0,000; R2 0.679). Zahirah Hospital should continue to support the work environment in the hospital so that doctors' compliance in writing disease diagnosis on the patient's medical resume increases. Doctors at Zahirah Hospital should be able to write medical diagnoses on medical resumes on time.
Analisis Penerapan Prinsip Keselamatan Pasien Dalam Pemberian Obat Terhadap Terjadinya Medication Error di Rawat Inap Rumah Sakit X Tahun 2018 Tampubolon, Lediana; Pujianto, Pujianto
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 4, No. 3
Publisher : UI Scholars Hub

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Abstract

Medication error is the incident of a drug provision that can inflicting injury to the patient with should be able to prevent as long as in control of a trained health professional, and of patients itself. From the 10 fact from World Health Organization on patient safety for the developing country in 2017 mentioned that 1 of 10 patients treated at hospital runs the risk against an onset of medical error and drug mistakes that may cause adverse effect. From the data of patient safety incident in hospital X performed from 2015 until 2016 there were 30 cases of patient safety incidents there were 12 cases of them was the case of error in administering medicine in inpatient unit. It is not conforming to standard of which are regulated by the Ministry of Health of Indonesia in 2008 which states that the incident at the hospital supposed to be zero accident. A design of this research is the qualitative study that aimed to analyze factors affecting patient safety in the process of administering medication by nurses in the X hospital for inpatient unit. The result shows that factors affecting the application of patient safety in administering medication are the lack of supervision of leaders, the lack of human resources, nursing turnover, absence of standard procedure of 7 right principle in administering medication, absence of training program for nurses, and also the lack of socialization
Analisis Kepuasan Pasien TNI Sebelum dan Sesudah Penerapan JKN di Ruang Rawat Inap Kelas II RS Dik Pusdikkes Kodiklat TNI AD Ernawati, Ernawati
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

Patient satisfaction is one of indicator of health care quality measurement and can be used as a benchmark for the hospital. The purpose of this study was to describe the characteristic of TNI patients who are JKN’s based on age, sex, education and rank, determine the performance of member RS DIK PUSDIKKES Kodiklat TNI AD for TNI patients with Servqual method as well as knowing the difference of services before and after impletation of JKN. This is a quantitative study with cross sectional approach using descriptive analysis and cartesian diagram. The study was conducted for 3 months on 100 patients treated at the military class II. The result showed that the level of patient satisfaction based on average dimensions are quite satisfied, but based on the Cartesian diagram there were 13 items that should be prioritized for improvement. The patients are more satisfied with the service before JKN compared to service after JKN. The complicated registration process, service investigations and provision of drugs becomes an important points with the largest gap value. This studies recommended to add modern equipment at RS Dik Pusdikkes Kodiklat RS Army, formed a team of Quality Control to assess service satisfaction on a regular basis.
Rencana Pengembangan CSSD (Central Sterile and Supplies Department) Berdasarkan Kebutuhan di RS Meilia Tahun 2015 Delia, Lintang Kusuma
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

To meet the requirements of Peraturan Menteri Kesehatan RI number 56 2014 and JKN in 2015, RS Meilia need the planning of CSSD development that refers to the literature, regulations, guidelines and standards of the Ministry of Health of Indonesia and also refers to the analysis of internal and external factors in the RS Meilia CSSD to reach an ideal CSSD. The analytical results are RS Meilia has been preparing since the beginning of the construction of the hospital to hold a separate CSSD unit. In addition, there is a problem about the distribution flow of dirty goods and sterile goods are still mixed.CSSD development plan was divided into three stages. The first stage should be done as it relates to accreditation of hospitals, namely the separating distribution flow of sterile goods and dirty goods. The second stage is the development steps of CSSD with conditions still remain below the unit OK, namely human resources development, renewing and socialization of SPO to CSSD staff, unit OK and other units, improving the maintenance of CSSD sterilization machines, and create a standard label for the sterile goods. While third stage is the steps that must be done when the development of the CSSD into the unit itself, which is the renovation of OK and CSSD facilities, the recruitment of head of unit and sub-unit, and adding other CSSD equipment.
Analisis Biaya Layanan Diabetes Melitus dengan Komplikasi dan Faktor Penentu Inefisiensi Penanganan Diabetes Melitus di Rawat Inap RSUD Banyuasin Tahun 2015 Rahman, Fahrul
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

Since JKN was offiacially administered in general hospital on January 1st, 2014, there has been changing in hospital administration payment from the restrospective system (free for services) to the prospective system (INA-CBG’s). It is planned in 2019 that all the people in Indonesia is registered in BPJS (Universal Heath Coverage) as one of the facilities for public healt services provided by Banyuasin general hospital (RSUD Banyuasin) which ains to provide qualified services, yet still considering effiencies due to the lach of the government subsidies. This study aimed to analyze the cost and identify determinant factor in handling Diabetes Melitus with complications, so that it can be a reference to handle the cost in taking care of patients with Diabetes Melitus. This study applied descriptif analysis which using primary data (observation and interview) and secondary data from Banyuasin general hospital (RSUD Banyuasin) in 2015 meanwhile. The cost analysis was appliyng Activity Based Costing (ABC) method. The ABC method was applied to allocated the cost by identifying the cost driver which was the major cause for cost for financing services for Diabetes Melitus with complication. The result of this study showed that medical component was the determinant factor of the inefficiencies for Diabetes Melitus with complication services. There are many efforts that can be done by the hospital to overcome the ineficiencies, for instance, making quidance for clinical practies, making revision for hospital formulation, and using e-cataloq medicine consistently.
Analisis Perbedaan Tarif Rumah Sakit dan Tarif INA-CBG’s Pelayanan Rawat Jalan di RSUD Budhi Asih Jakarta Tahun 2015 Dumaris, Hotma
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

There is a fundamental change of hospital’s payment system in Indonesia since the Indonesian National Health Insurance was implemented (January 2014). The former retrospective payment system was changed into prospective payment system with Indonesia Case Base Groups (INA-CBG) as expense base. This change forced hospital to propose a new efforts to adjust the rate difference between the previous hospital based-tariff system and the latter INA-CBG-based-tariff system in order to assure the health service quality. This study aims to find out hospital’s efforts to adjust the tariff difference between the hospital-based- tariff system and INA-CBG-based-tariff-system.This is a quantitative as well as qualitative research. There were 2384 cases analyzed, with 645 cases (27.1%) with positive tariff balance and 1739 cases (72.9%) with negative tariff balance. Tariff differences was Rp. 135.871.977 (27.5% of the total hospital tarif). Average hospital tariff was Rp. 221.683, while the average INA CBG’s tariff was Rp. 278.676 and average difference was Rp 56.993. Hospital claim for chronic disease, which was not included in INA-CBG’s list, increased the positive balance to Rp. 187.208.274 (35,42% of hospital total tariff). Medication became the biggest part of the hospital cost (37.4%). The hospital’s management had worked efficiently to control the cost and assure the quality. Cost-efficiency-efforts as well as good remuneration system had been implemented from planning to evaluation. Hospital had to arrange and implement the clinical pathway as a standardization as well as quality control.
Analisis Perencanaan dan Pengendalian Persediaan Obat Antibiotik di RSUD Cicalengka Tahun 2014 Kencana, Gita Gilang
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Poor planning and controlling of drug in RSUD Cicalengka has resulted excess inventory and potential Hospital losses. This operational research was using ABC Critical Index Analysis Method, Safety Stock, Economic Order Quantity (EOQ) and Reorder Point (ROP). Stock evaluation using Inventory Turnover Ratio (ITOR) was also conducted. The result of ABC Critical Index Analysis showed that were seven antibiotics need to be prioritized. The estimation of antibiotic drug in group A for year 2015 was done using Single Exponential Smoothing Method. Safety stock for Cefadroxil Kaps 500 mg (5x10) as much as 344, EOQ as much as 1476 and ROP as much as 977. The result of ITOR figure was 8.1 and after analysis it was 19.6. The study suggested RSUD Cicalengka to implement planning and controlling of drug in the hospital.
Hubungan Faktor Risiko Ergonomi dan Keluhan Cumulative Trauma Disorders pada Dokter Gigi di PT. X Tahun 2014 Winihastuti, Hany
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 1
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Dentist’s works have kind of risks related with Cumulative Trauma Disorders (CTDs). This research’s aim is to explain ergonomic factors and CTDs that happens to dentist. Cross sectional method is used in this research along with 44 dentis in hospitals and cliniques X as samples. The usage of RULA and MB Ruler in this research is supported the researcher to assess the work’s postures on the upper arm, forearm, wrist, neck, torso and leg.The study found that dentists who complained of CTDs as much as 72.7%. Bivariate analysis showed a relationship between the duration and the incidence of complaints CTDs (p = 0.045),and between exercise habits with the onset of complaints CTDs (p = 0.045). Exercising regularly, improving ergonomic working position can be done in order to prevent CTDs
Pengendalian Persediaan Obat Kemoterapi Melalui Pendekatan Analisis ABC Indeks Kritis di Ruang Pencampuran Instalasi Farmasi RSUP Dr. Mohammad Hoesin Palembang Tahun 2015 Khuriyati, Layla Izzatul
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 1
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One of the featured services at RSMH is integrated chemotherapy services. One of the resources in support of these services is a pharmaceutical supplies including the Chemotherapy drugs are relatively expensive. In conducting the inventory control Dr. Mohammad Hoesin Hospital not classify drugs based on user value, investment value and criticality of drugs through certain methods. So in this study aims to conduct chemotherapy drug control approach ABC Analysis Critical Index in the Cytostatica Handling Room of Pharmacy Instalation RSUP Dr. Mohammad Hoesin Palembang. This study design using operational research with quantitative and qualitative descriptive analysis. The results showed that out of 83 drug items, for group A (60% -30% -10%) is a Paxus 100 mg injection. with an investment of IDR. 3,220,525,650, - of the total investment of IDR. 33,509,826,356, -.Critical Index Analysis group A (70% -20% -10%) with an investment of IDR. 11,045,150,780, - of the total investment value of IDR 33,509,826,356, - consists of six types of items, namely: Holoxan 1 gram injection, Leocovorin injection, doxorubicin 50 mg injection, Brexel 20 mg injection, Brexel 80 mg injection and Paxus 100 mg injection. While the group A (80% -10% -10%) or IDR. 12,472,877,428, - of the total investment value of IDR. 33,509,826,356, - consists of eight items, namely: Carboplatin 150 mg injection, Holoxan 1 gram injection, Leocovorin injection, doxorubicin 50 mg injection, Brexel 20 mg injection, 80 mg injection Brexel and Paxus 100 mg injection, and Taxotere 20 mg injection. Critical Index ABC Analysis method can assist the hospital in a drug needs planning to consider: consumption, investment value, the criticality of drugs for hospital cost efficiency.

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