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Fakultas Kedokteran Universitas Brawijaya Gedung Graha Medika Lt. 1, Ruang 104
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Kota malang,
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Jurnal Kedokteran Brawijaya
Published by Universitas Brawijaya
ISSN : 02169347     EISSN : 23380772     DOI : http://dx.doi.org/10.21776/ub.jkb
Core Subject : Health,
Medicine & Pharmacology
JKB contains articles from research that focus on basic medicine, clinical medicine, epidemiology, and preventive medicine (social medicine).
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 14 Documents
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Search results for , issue "Article in Press 2" : 14 Documents clear
Completeness of Medical Record Documents: Exploration of Causes and Solutions Syukria, Orin Annahriyah; Wardhani, Viera
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

One of the problems identified at X Hospital in the first six months of 2020 was the delay in returning inpatient medical records to the medical records unit. This study was conducted to explore the elements of the incomplete medical records and the factors that contribute to the emergence of delays in returning these documents. This study uses a qualitative method. Exploration was carried out on 21 medical records using a checklist. Besides, data were obtained through interviews involving the head of the relevant unit and a survey of 52 nurses. Data were collected using interview guidelines and nursing work index-revised (NWI-R) instruments. Incompleteness was found mostly in the patient discharge summary form, initial emergency assessment, and initial inpatient medical assessment. Items that have not been completed at most are officer authentication and information on date and time. One of the root causes of this problem is the factor of the nurse. The results of the NWI-R assessment are 3.15 (maximum value 4), which means that the work environment at X Hospital supports nurses in carrying out their duties well. The highest score is 3.31 on the nurse-doctor relationship factor. The lowest score is 2.93 on adequate human resources to ensure quality services.
Needs and Modification Analysis for X Hospital Dental Clinic Infrastructure in Response to Covid-19 Kurniawan, Gladys; Hakim, Lukman; Al Rasyid, Harun; Djauhari, Thontowi
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

This research was conducted to find the root of the problem and the solution to the inactivity of X Hospital Dental Clinic since the Covid-19 pandemic. The findings from the study are expected to be an input for the hospital to be able to immediately reopen Dental Clinic services. The research design used descriptive analysis of observation data, interviews, and literature study. The Fishbone Diagram combined with 5 WHYs is used to find the root of the problem. Determination of problem solutions using the CARL method (Capability, Accessibility, Readiness, and Leverage) through the Forum Group Discussion (FGD). The results showed that the root cause of the inactivity of X Hospital Dental Clinic since the Covid-19 pandemic was the unavailability of infrastructure in accordance with the minimum standards. Therefore, X Hospital needs to procure appropriate infrastructure and support the X Hospital Dental Clinic facilities in providing services during the Covid-19 pandemic. This procurement must be adjusted to the conditions of the space and environment around the Dental Clinic and the capabilities of the hospital. The proposed adjustment is a modification to the infrastructure that will be provided and the existing Dental Clinic facilities. The infrastructure that must be provided is related to air circulation, practice room management, and patient procedures.
THE COMMUNITY’S STIGMA CAUSE OF DECREASE VISITING “X” HOSPITAL IN COVID-19 PANDEMIC Megawati, Devvy; Erzi’, Alfan; Ratri, Devita Rahmani
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

“X” hospital Tulungagung is a class D with madya accredited hospital in collaboration health BPJS. "X" hospital Tulungagung has a problem of decreasing the utilization bed in the Inpatient Unit during Covid-19 pandemic. These problems lead to decline of 32.5% income. Decreasing income has an impact on cash flow, increasing operating expenses, hospitals experiencing losses, and threatening the continuity of service operations. At "X" hospital Tulungagung the research aims to identify the root of problem and find the best solution based on the problem. The research at "X" hospital Tulungagung is mixed method research. Qualitative research method uses interviews and quantitative methods uses a questionnaire in totaling 164 samples with eta correlation test method. The results of the fishbone diagram analysis obtained the root of problem, namely community's stigma about Covid-19 pandemic and rapid test at the "X" Tulungagung hospital, Tulungagung Regency's had the policy for private hospitals not take care of Covid-19 patients, Prohibition to visiting families for inpatients, expensive operational costs of Covid-19 screening, and SDI's stigma regarding to care of Covid-19 patients. The most dominant root of problem is community's stigma about Covid-19 pandemic and rapid test at the "X" Tulungagung hospital. The efforts to enhance visits at "X" Tulungagung hospital, namely eliminating the stigma of society through the creation of an educational Starter Kit about Covid-19 protocol at "X" Tulungagung hospital, which is part of hospital health promotion.
FACTORS CAUSES OF STOCK OUT AND DRUG STAGNANT AT PHARMACY INSTALLATION OF HOSPITAL X MALANG Tri Utami, Ni Nyoman Ayu; Ratri, Devita Rahmani; Nuthea, Merry
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Hospital pharmacy service is a supporting service as well as a revenue center in the hospital. More than 90% of hospital services use pharmaceutical supplies and 50% of hospital revenues come from managing pharmaceutical supplies. In the Covid-19 pandemic situation, the Pharmacy Installation must calculating the logistics management of the medicine properly. However, based on the hospitalization stock in May-July at X Hospital, there was still an incidence of stock out of 4.06% and stagnation of 2.44% due to poor drug procurement, which caused drug sales to decline. This study aims to analyze the factors that causing drug stock outs and stagnation in the Pharmacy Installation of X Hospital. This study uses a descriptive approach with data collection methods through observation, Focus Group Discussion (FGD), and a Likert scale questionnaire to get the root of the problem. Then the data was analyzed using the Fishbone Diagram and Pareto Diagram. The research subjects based on total sampling were all 11 staff of the Pharmacy Installation. The results obtained through the Fishbone Diagram are 13 root causes covering aspects of Man, Money, Method, Machine, Material, and Environment. The priority of the root cause of drug stock outs and stagnation in the Pharmacy Installation of X Hospital, namely HMIS is not optimal. Solutions that can be given are conducting intensive training for Pharmacy Installation staff in the use of HMIS, developing HMIS related to drug procurement, as well as repairing warehouse and pharmacy installation facilities and infrastructure.

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