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Amal C. Sjaaf
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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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Hubungan Fungsi Supervisi dengan Kepatuhan Perawat Menjalankan SOP Identifikasi Pasien Di RSUP Dr Mohammad Hoesin Palembang Tahun 2015 Fitrirachmawati, Fitrirachmawati
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

Supervision is a form supervisory that aim to improve the staf performance through a systematic process in the provision of motivation, communication and guidance. This study used an observational design with cross sectional approach using stratified random sampling. The purpose of this study was to determine the relationship between the function of head room supervision with the compliance of nurses in performing SOP patient identification. The result of this research using Chi Square test to prove there is a significant correlation between motivation, communication and guidance to compliance of nurses in implementating SOP of patient identification (p value < α). The conclusion of this study is that the functions of the supervision of head room had a substantial role to improve the nurse complaince in conducting the patient identification based on the SOP.
Analisis Formularium RSUD Cimacan Tahun 2017 Aritonang, Juliana
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

Hospitals must provide comprehensive, integrated and sustainable health services which in the organization of the hospital is inseparable from pharmaceutical services. The need for the provision and use of qualified and rational medicines is regulated in the formulary system where the drugs used are contained in the formulary book. The purpose of this study was to analyze the formulary of RSUD Cimacan seen from the preparation, maintenance and evaluation of formulary drugs. Evaluation of formulary drugs by performing ABC analysis of use, investment, critical index and VEN to obtain the result of proposed revision formulary of RSUD Cimacan. This research uses qualitative approach. The result is the process of formulary of RSUD Cimacan not optimal, procedure of maintenance of formulary already exist but not yet complete, procurement and prescription not according to formulary. 495,690 non-formulary drug use and 201 kinds of non-formulary drugs were provided in pharmaceutical installations. There are 322 kinds of formulary drugs used (43%), there are 21 types of drugs with an investment value of RP. 3.001.658.694. Only 31 types of drugs are very critical and 39 types of drugs are Vital to patient care.
Analisis Tatakelola Sasaran Keselamatan Pasien Pada Alur Pelayanan Penyakit Sepsis Di Rumah Sakit Tebet 2015 Rasam, Rianayanti Asmira
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

In the context of modern medicine, complexity hospital’s management is regarded as the primary cause of medical error (ME). The new healthcare paradigm of “Patient-Focused Care”, patient’s right to receive safe healthcare treatment is considered as main indicator in Standar Akreditasi Rumah Sakit of 2012 (SARS 2012) in Indonesia, through the implementation of 6 Patient Safety (KP) standards. In the category of emergency medical treatment, Sepsis is considered as a disease with high mortality and morbidity rate. The use of The International Classification of Diseases, based on Ninth Revision (ICD-9), have caused terminological confusion and contribute to the increase of sepsis mortality rate. Globally, sepsis’ mortality rate reaches 8 million/year or 24.000/day, with growth rate of 8-13% per-year. To ensure the effectiveness of KP standard implementation in sepsis medical treatment, a research on the implementation of 6 Targets of KP in RS Tebet is conducted. Using case study, qualitative and descriptive analysis, this research is performed in the course of April-May 2015. The research shows that effectiveness 6 Targets of KP implementation reaches 96,283%, with 5% margin of error. This research proves that implementation of 6 Targets of KP in healthcare treatment procedure for sepsis cases can reduce the risk of ME.
Audit Implementasi Clinical Pathway Diare Akut di Rumah Sakit Anak dan Bunda Harapan Kita Tahun 2016 Sari, Desy Rachma
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

This study aims to determine the implementation of clinical pathway of acute diarrhea with the audit process. This type of research is quantitative and qualitative by using operational research concept with document review method, data analysis and in-depth interview. The result of the research shows that the audit topic is the implementation of clinical pathway of acute diarrhea with the aim to assessing completeness of clinical pathway, compliance of primary responsible physician, primary responsible nurse, nutrition and pharmacy and assessing the length of stay with clinical pathway. Assessment standard used is the national standard that is KARS. The result of measurement showed that completeness of filling clinical pathway 25%, no variation on laboratory examination, nutrition and nursing care, but still found variation on additional drug 41%, and length of stay was 3.3 day. Some things that hospital need to do is developed policies related to clinical pathway, improve clinical pathway forms and socialization systems, make clinical pathway technical guidance, monitoring and evaluation systems, and reduce standards length of stay and discussion of variations in therapy.
Kajian Implementasi Mutu dengan Pendekatan Integrasi Six Sigma dan TQM Melalui Penilaian Malcolm Baldridge di Rumah Sakit Charitas Palembang Manurung, Jessihana Morgan
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

Hospitals increasingly are expected to provide better health services (Muchtar, 2011). Excellent service and quality have an impact on customer satisfaction and loyalty. One measure of quality achievement is customer loyalty. Charitas Hospital had a decline in customer loyalty from 2013 to 2015 by 80%. It was determined by a decrease in the quality indicators that BOR, LOS, TOI, GDR, NDR which dropped on the last three years (Data RS-Caritas, 2016). Quality management TQM and Six Sigma respectively conceptually and empirically proven as a quality improvement method to improve organizational performance. How is the quality of service at the Charitas Hospital observed from the criteria Malcolm Baldrige Criteria with the integration of TQM and Six Sigma approach?
Percepatan Pemulangan Pasien Rawat Inap dengan Konsep Lean di Rumah Sakit Masmitra Alamsyah, Alamsyah
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

The process discharge of patients in hospital Masmitra is still not optimal, because there is no groove that describes the process of returning the patient as a whole. By applying the concept of Lean, value stream mapping current conditions which shows that the process of returning patients there were 41 activities and only 51% are value added, and of course has implications for wastage. From the analysis of the root causes of acquired ideas repair, and then carried into the re-design of the new process flow is considered ideal to produce a total of only 17 activities, 83% of which is value added. With the implementation of Lean Concept in RS Masmitra, expected efficiency will also occur when the work is done in accordance with what is required by the patient, right time, the right size and right on target.
Perlukah Keselamatan Pasien Menjadi Indikator Kinerja RS BLU? Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

The government which is the Ministry of Health through its regulations mandates the importance of patient safety. This can be seen from the mention of patient safety in the four articles in Undang-Undang Number 44 Year 2009 about Hospital and specifically in the Minister of Health Regulation. The importance of patient safety issues in hos pitals is not directly proportional to the performance indicators of the BLU Hospital written inPeraturan Direktur Jenderal Pembendaharaan Number 34 Year 2014 about the Guidelines for Performance Appraisal of Public Ser vice Bodies for Health Services. In this regulation, it can be seen that the performance assessment of BLU Hospital consists of financial aspect and service aspect. Patient safety can be seen in service aspect more specially can be seen in group of clinical quality indicator which have maximum score 12 from 100. Clinic quality is measured with five indicator which four of them is death rate. If it refers to the magnitude of the emphasis on patient safety and the definition of patient safety, then the question is whether the indicator of mortality adequately represents the im portance of patient safety in the hospital? This article aimed to provide an overview of the role of patient safety in the performance indicators of hospital performance BLU. This study was conducted by using the literature review method. The results of this study indicate that the patient's safety efforts have not fully become the benchmark of BLU Hospital performance.
Tata Kelola dan Kepatuhan Penerapan Standar Patient Safety Penyakit Stroke di Rumah Sakit Dr. Kanujoso Djatiwibowo Tahun 2015 Iskandar, Edy
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

Patient Safety is a system in which hospitals make patient care safer and to prevent injuries caused by medical error due to an action or not taking action that should be taken. The Management of Patient Safety is the Pathway set up as the Patient Safety Standard to be implemented for Stroke disease at Kanujoso Djatiwibowo Hospital Ten Patient Safety standard being studied are Patient Identification, Effective Communication, High Alert Medications, Accuracy of Patient, Procedure and Location of Operation, Hand Hygiene, Fall Risk Patient, Look alike Sound alike Drugs, Accuracy of Drug use, Catheter or Hoses Installation and Disposable syringes, this standard is the combination from The Solution of Patient Safety WHO and The International Patient Safety Goals. This study has successfully formed a Patient Safety Pathway for Stroke disease and analyse the implementation the standard as well.
Analisis Biaya dan Faktor-Faktor Penentu Inefisiensi Layanan Hemodialisis pada Pasien Gagal Ginjal Kronik Rumah Sakit Rk Charitas Palembang Tahun 2016 Rusli, Noer Triyanto
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 3
Publisher : UI Scholars Hub

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Abstract

Enactment of JKN in hospital changes the payment system from retrospective payment (fee for service) into prospective payment (INA-CBG's). As a healthcare facility, RK Charitas Hospital has a role to provide not only quality but also to consider cost effective of services. This study aimed to analyze costs and identify the determinants of the inefficiency of hemodialysis services in patients with chronic renal failure at RK Charitas Hospital. This is a descriptive analysis research using primary and secondary data. Approach of cost analysis is Activity Based Costing (ABC) with "Bottom Up" method. ABC method is used to allocate costs by identifying cost drivers of hemodialysis services. Operational cost is the biggest expense in the hemodialysis services. Analysis of the inefficiency factors uses the calculation of Value Stream Mapping (VSM). The composition of value added (VA) compared to non-value added (NVA) is 17.73%: 82.27%. Lean implementation on hemodialysis services could eliminate waste.
Faktor-Faktor yang Mempengaruhi Net Death Rate (NDR) Stroke di RSUD Dr. Kanujoso Djatiwibowo Balikpapan Tahun 2014 Rahmawati, Rosjidah
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 3, No. 3
Publisher : UI Scholars Hub

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Abstract

This study is seeking the impact of structure and process as the quality aspect according to Donabedian's theory that affecting to the Net Death Rate (NDR) Stroke disease. Selected data source are Stroke patients, consisting of Intracerebral Haemorrhage and Cerebral Infarction at Dr Kanujoso Djatiwibowo Balikpapan Hospital in the year 2014. This study is a qualitative research using descriptive analytic retrospective method. Structure and Process Factors that are influencing each other. It reveals that Structure Factors in hospitalization that are affecting sequentially are the condition of the patient, facilities, policies and human resource. On the other hand it reveals that Process Factors include obstacle on running the primary instruction and also Hospital Accociated Infections/ HAIs occurs due to the nursing process. In Emergency Unit there is obstacle in Process Factor as the CT scan service is not available sometime. It is recommend to improve the quality of Stroke patient to overcome the Structure and Process Factors and to develop the on stop service Stroke Unit.

Page 13 of 21 | Total Record : 201

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