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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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Analisis Faktor Penyebab Komplain Pasien pada Pelayanan Rawat Inap: Studi Kasus di Rumah Sakit X Tahun 2024 Manzilah, Tasmiati; Hartono, Risky Kusuma
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

Complaints from patients are often used as an indicator of the quality of health services. The causes of complaints from inpatients are related to factors that cause dissatisfaction or discomfort experienced by patients during their hospitalization. This study aims to see the causes of patient complaints about inpatient services. In addition, researchers also examine the relationship between several variables and complaints and analyze further to determine the main factors causing complaints from patients about inpatient services. This study uses a sequential explanatory approach. The study design is cross-sectional for inpatients at Hospital X who are willing to be respondents and provide their perceptions of inpatient services. The factors of inpatient services that are assessed are facilities, human resources, cleanliness, officers' responsiveness, and information availability. Bivariate and multivariate analyses show that these factors have a significant relationship with the level of patient complaints. Patients with a length of stay of more than four days, non-surgical patients, and those who give poor ratings to human resources, facilities, cleanliness, and responsiveness are more likely to complain about hospital services. Hospitals need to implement strategic steps to improve various aspects, such as reducing complaints and improving the quality of service. One effort can be made to provide a spreadsheet link or Google Drive link containing a flow for accelerating complaint handling. Another effort is to implement a comprehensive improvement strategy to improve the patient experience during treatment.
Analisis Hubungan Sikap dan Tuning dengan Kepatuhan Perawat dalam Ketepatan Identifikasi Pasien di Rumah Sakit X Kabupaten Banyuwangi Tahun 2024 Wardhani, Lusyana Putri Kusuma; Imelida, Ica; Lailiyah, Syifa’ul; Damayanti, Nyoman Anita; Prayoga, Dian Santo
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

Patient safety is a top priority in healthcare services, including in the prevention of identification errors. Accurate patient identification is one of the Patient Safety Goals mandated by the Joint Commission International (JCI) 2024. The issue addressed in this study is the low compliance of nurses with patient identification procedures at Hospital X in Banyuwangi Regency. This study aims to analyze the relationship between nurses’ attitudes and tuning with compliance in implementing patient identification. A quantitative approach with a cross-sectional design was used. Data on attitudes and tuning were collected through questionnaires, while compliance data were obtained from direct observations of 91 randomly selected nurses. The analysis showed a significant relationship between nurses’ attitudes and compliance with patient identification (p = 0.006), whereas tuning did not show a significant relationship (p = 1.00). Although most nurses had a positive attitude, inconsistencies were found between their attitudes and actions in the field. Therefore, it is recommended that practice-based training be provided, strict supervision by head nurses implemented, and patient identification technologies such as barcodes or Radio Frequency Identification (RFID) be utilized as innovations to improve compliance with procedures.
Retrospective Study of Elective Intracranial Tumor Surgery Waiting Time at a National Referral Hospital in Indonesia Perkasa, Sayyid Abdil Hakam; Rahmah, Habibah Nurul; Arham, Abrar
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

Elective surgery waiting times are a key measure of healthcare system performance and service quality. Long wait times can lower patients’ quality of life, worsen symptoms, reduce treatment effectiveness, and increase financial stress. We aimed to provide a descriptive analysis of elective surgery waiting time for Intracranial Tumors at Mahar Mardjono National Brain Center Hospital in 2023. This study is a descriptive retrospective cross-sectional study using data from Electronic Health Records (EHR). The study sample included all elective intracranial tumor surgeries performed in 2023. A total of 371 elective intracranial tumor surgeries were analyzed. The median age of patients was 45 years, with the majority being female (64.42%). Most surgeries (44.47%) had a duration of surgery between 3–5 hours with meningioma making up the majority of cases operated (46.63%). The median waiting time for elective intracranial tumor surgery was 44 days, with most patients (72.78%) waiting between 0–3 months. These findings highlight the need for strategies to reduce elective intracranial tumor surgery waiting times. Both short-term and long-term interventions should be implemented, focusing on optimizing resources and expanding surgical capacity. Future studies should examine how these strategies impact patient outcomes and hospital efficiency while identifying potential barriers to their implementation.
Peran Unit Pengelola Darah Rumah Sakit Terhadap Peningkatan Kinerja Layanan Transfusi Darah: Tinjauan Literatur Naratif Marsaban, Adhika Putra; Nadjib, Mardiati
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

The performance of hospital blood transfusion services is crucial for patient safety and overall operational effectiveness. Blood management, as a vital and limited resource, plays a significant role. Traditional centralized blood management models often face challenges regarding response speed, potential waste, and quality control. As an alternative, Unit Pengelola Darah Rumah Sakit (UPDRS) offers the potential for performance enhancement. This narrative literature review is based on 16 relevant scientific articles identified through a database search (Scopus, Proquest, Wiley, Google Scholar) and a selection process visualized with a PRISMA diagram. Key findings identified significant impacts on cost efficiency, time efficiency (faster Turnaround Time), blood utilization (waste reduction, improved C:T ratio), and service quality and safety. Overall, the role of UPDRS tends to be positive for performance enhancement, particularly in speed and utilization, but its impact is contextual and requires strong internal management and adequate investment. Implementation challenges such as initial costs and regulations need to be considered.
Implementation of Patient Safety Incident Reporting Using Web-Based Quality Management Information System in Hospital X Tangerang Jeremia, Andrew; Nadjib, Mardiati
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

Patient safety incident reporting is a critical component of hospital quality systems. This study evaluated the implementation of a Quality Management Information System (QMIS) for incident reporting at Hospital X using the Structure–Process–Outcome (SPO) framework integrated with the HOT-Fit model. A mixed-methods case study was conducted, combining analysis of 774 incident reports submitted between March 2023 and December 2024 with in-depth interviews involving clinical staff, unit heads, and the Quality and Risk (QR) Manager. Findings revealed that while structural elements such as computing infrastructure and leadership support were in place, gaps remained in staff training, procedural awareness, and system usability. QMIS was actively used for reporting, but advanced features like root cause analysis (RCA) and dashboards were underutilized. Reporting performance was moderate, with 62.8% of reports submitted within 24 hours and a reporting rate of 22.03 per 1,000 patient days, below international benchmarks. Although some process improvements were implemented, feedback loops to frontline staff were limited. To enhance system effectiveness, technical improvements are recommended, including interface simplification, mobile access, data validation, and integration with hospital systems. Strengthening local support and fostering a learning-oriented safety culture is also essential to sustain engagement and improve patient safety outcomes.
Analisis Implementasi Program Promosi Kesehatan di Rumah Sakit Umum Daerah Reda Bolo Kabupaten Sumba Barat Daya Wole, Bewa Dangu; Santosa, Didik Hadi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

The provision of healthcare services is increasingly focused on health promotion, maintenance, and protection, rather than solely on disease recovery or treatment. However, in practice, many hospitals still emphasize curative and rehabilitative services due to the suboptimal implementation of Hospital Health Promotion (PKRS). This study aims to analyze the implementation of the PKRS program at Reda Bolo Regional Public Hospital (RSUD) in Southwest Sumba Regency, based on three standards: policy, assessment, and intervention. The study was conducted from February to March 2025 using a descriptive qualitative approach to examine and analyze the implementation of the PKRS program. Data were collected through observation and in-depth interviews. The results indicate that the regulatory aspect of PKRS at RSUD Reda Bolo meets the established standards; however, the assessment and intervention components have not been implemented effectively. Furthermore, health promotion activities are not yet prioritized and are limited to within the hospital environment. Therefore, it is recommended that RSUD Reda Bolo increase the number of PKRS personnel according to organizational structure needs and provide relevant training to enhance human resource competencies in supporting the successful and sustainable implementation of the PKRS program.
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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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
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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.

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