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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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INDONESIA
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 19 Documents
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Search results for , issue "Vol. 32 Supplement 1 (2022)" : 19 Documents clear
Covid-19 Countermeasure Policy in the Province of Jakarta Capital City Yunita, Irma; Achadi, Anhari; Saputra, Maman; Kusumo, Rangga; Hasani, Nurul; Rusdi, Farhannuddin
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.12s

Abstract

Jakarta is the highest province of positive Covid-19 cases nationally and the epicenter region in Indonesia. This study aims to analyze the development of the number of cases and Covid-19 countermeasure policy in the Province of Jakarta Capital City. This study uses a qualitative method with in-depth interviews and document review. Primary data was collected from selected informants, namely the Head of Jakarta Health Office and Assistant to the Provincial Secretary for Governmental. Secondary data is taken from legal and policy documents, reports, websites, and press releases. The fluctuation of Covid-19 cases in Jakarta depends on the capacity of the examining laboratory and the capacity of contact tracing. Until April 30, 2020, The Provincial Government of Jakarta Capital City has made 74 policies. They made Covid-19 as a serious policy agenda and collaborates with the whole of government, privates, professional/community/ religious organizations, and society. Situational factors are the most influential factors in the policymaking process. The Provincial Government of Jakarta Capital City concerns early since the Wuhan Pneumonia case with the epidemiological surveillance system of the Health Office, which has been running regularly monitoring infectious diseases from the community health center level. Policy formulation is based on research and scientific studies. Monitoring and evaluation are carried out both formatively and summatively to address problems and obstacles in policy implementation. The Provincial Government of Jakarta Capital City took the early response to collaborates with the whole of government, privates, and society in policymaking and implementation.
Comparing Personal Protective Equipment Practice among Health Worker's Job Role and Hospital Unit Perdani, Fandaruzzahra Putri; Chalidyanto, Djazuly
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.8s

Abstract

Health workers have the highest risk exposure that can increase the pathogen infection risk during the Covid-19 pandemic. The use of Personal Protective Equipment (PPE) is the most significant prevention, but mistakes while using PPE may occur in the donning (putting on) and doffing (taking off) process. This study compares the practice of using PPE among groups of health providers and hospital service units. The study design was a cross-sectional study conducted on non-infectious hospital employees in one specific hospital in Surabaya, totaling 102 employees. The Infection Prevention and Control Link Nurse (IPCLN) of the hospital conducted observations and analyses of health personnel in inpatient and triage units, treatment units, and support units. Based on the job roles, the employees were divided into health providers, healthcare support workers, and other health workers. Work units were categorized into inpatient units, outpatient and triage units, treatment units, and support units (cashier and registration areas). The results of the assessment were measured using One-Way ANOVA. Based on the job role, significant errors occurred when removing masks (p=0.048) made by health workers (38%). Meanwhile, in the hospital unit category, significant errors occurred in removing masks (p=0.000) and the use of gloves (p=0.002). Most mistakes were made in the outpatient and triage units, 92% and 42%, respectively. The complexity of wearing and removing PPE requires increased awareness and updated training on the correct use of PPE for all health workers who work in hospitals based on WHO recommendations during the Covid-19 pandemic.
Initial Assessment Form of Medical Record Document: Is It Important to Complete? Zhafira Anisah Kesuma; Nuthea, Merry; Hariyanti, Tita
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.4s

Abstract

Medical record document completeness is crucial because it serves as a means of communication, quality evaluation, payment, and legal protection. A preliminary study showed that none of the initial assessment forms in the outpatient unit of Puri Bunda Mother and Child Hospital were filled completely. This study aimed to explore the causes of incomplete initial assessment forms to avoid lawsuits against the hospital. The method used was qualitative research with a case study approach. Data were collected using triangulation, which included in-depth interviews with 15 participants, flow observations, and document studies on 150 medical record files. Data were analyzed using thematic analysis. The document study found none of the medical records with a complete initial assessment form (0%). A total of 141 documents (94%) were not filled at all, and only 9 (6%) of the initial assessment forms were filled in certain fields. The flow observation disclosed that file availability was one of the contributing problems to the completeness of filling. Seven reasons for incomplete initial medical assessment documents were categorized into individual internal and external factors. The internal factors include the lack of awareness of doctors and feeling a high workload, and the external factors include the absence of communication between management and doctors, unavailability of work procedures, the absence of a reward and punishment system, the format and availability of initial assessment forms, and individual culture.
Decreased Motivation as a Reason for Switching Normal Labor from Obstetricians to Midwives in Hospitals Kusuma Wardhana, Eka Chandra; Nuthea, Merry; Hariyanti, Tita
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.9s

Abstract

Based on the regulations, normal delivery with complications referred to a mother and child hospital is not under the right and obligation of the midwife as a maternity leader but must be led by an obstetrician. However, 58% of the normal deliveries were referred to midwives at Puri Bunda Mother and Child Hospital. This study aimed to explore the cause of the transfer of leadership in normal deliveries from obstetricians to midwives as the basis for developing solutions to the problems. This research was qualitative with a case study approach. Data were collected through focus group discussions, unstructured observations, and in-depth interviews. The total number of participants involved in this study was 16 people. Focus group discussions were conducted with midwives in the delivery room. In-depth interviews were conducted with the hospital director, the head of the delivery room, and obstetricians who provide normal delivery services. The results showed no guidelines and policies regarding the transfer of normal deliveries.
Teleconsultation in Hospital Service: Implementation Challenge Ernawati, Cicilia Maria; Agustina, Else; Suryanto, Suryanto
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.3s

Abstract

Teleconsultation is one of the telemedicine services provided by hospitals and is getting popular during the Covid-19 pandemic. As a new service model, developing a quality management system that can ensure the effectiveness and safety of this service to provide users' satisfaction is necessary. This research aimed to identify and analyze the process and problems of teleconsultation services. This research was qualitative with a descriptive case study approach to get a detailed picture of the teleconsultation process in a hospital and its issues. The study was conducted from September to October 2021 in a type C private hospital in Malang. Data were obtained from interviews with officers and patient feedback on teleconsultation services. Problems in teleconsultation services in the hospital were ineffective communication, limited-service coverage, lack of support for medical support facilities, technological constraints, lack of understanding of service flow, and cost affordability.
Stock Procurement and Documentation as Emergency Trolley Content Discrepancy Factors in Emergency Installation (Study on a Private General Hospital in Malang Regency) Yoga Sedana, I Ketut; Listuhayu, Kararawi; Setijowati, Nanik
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.1s

Abstract

One of the common problems in managing emergency logistics is the emergency trolley that conflicts with the standard operating procedures. It causes a mismatch of the emergency trolley contents. In fact, the availability of unstandardized emergency trolleys will impact the quality of emergency services in the emergency department. The emergency medicine shortage and emergency trolley content discrepancy also occurred several times in the ER. This study was conducted to analyze the determinant factor of content discrepancy in the emergency trolley in the emergency room of a private hospital in Malang Regency. The research method used was descriptive quantitative. The methods of identifying the root of the problem were carried out through field observations, literature studies, brainstorming, and Focus Group Discussions (FGD). Statistical tests were done using Bartlett's test of sphericity and Kaiser-Mayer Olkin (KMO) with a value higher or equivalent to 0.5. The study results formed two determinants of content discrepancies in the emergency trolley in the ER. The stock procurement factor is able to explain the problem by 48.02%, and the process documentation factor is able to explain the problem by 17.63%.
Determinants of Suboptimal Use of Digital Marketing at X Hospital Pradana, Endy Wira; Hanggriyani, Kristiwi; Prawestiningtyas, Eriko
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.17s

Abstract

During the Covid-19 pandemic era, digital-based hospital activities were chosen as an alternative solution to support the physical distancing policy. Digital marketing is a digital-based marketing activity to reach customers widely. This study aimed to determine the determinants of suboptimal digital marketing in X Hospital. This research was conducted using a qualitative descriptive method. Data were collected using observation, document review, and Focus Group Discussion (FGD). FGD respondents determined were six respondents consisting of the Head of General and Administrative Division, Head of Finance, two Public Relations and Marketing Staff, Hospital Management Information System (SIMRS) staff, and Patient Registration Coordinator. The root of the problem is presented in the fishbone diagram and followed by the 5-Whys method. The priority of the root of the problem found was that the PR and marketing unit staff of X Hospital had not optimally used the features on social media for marketing activities. The alternative solution was chosen using a scoring method on Capability, Accessibility, Readiness, and Leverage (CARL), which was optimizing the Instagram business feature as the main social media for X Hospital in the digital marketing activities.
Causes of Medication Errors in Inpatient Wards at Private Hospital in Malang Faruqi, Faris; Maiga Mahliafa Noor, Viva; Suryanto, Suryanto
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.5s

Abstract

The absence of medication errors is a sign of successful implementation of patient safety management, particularly safe treatment. The quality indicator data report at the Pharmacy Installation of a private hospital in Malang in 2020 showed a number of drug administration errors in the inpatient unit. This study aimed to explore the incidence and causes of medication errors in the inpatient unit. The study was conducted at a private hospital in Malang in August-September 2021. The study design was descriptive with data collected through focus group discussions (FGD) with five inpatient pharmacy staff, four inpatient nurses, and the head of the medical support. The study results indicated no clear regulation, especially the Standard Operational Procedure (SOP) for administering drugs to inpatients, which becomes a latent cause of medication errors. Hospitals need to develop SOPs for administering drugs to inpatients according to the 7 Pillars, followed by socialization to nurses in inpatients and periodic monitoring.
Analysis of Factors for Incomplete Informed Consent at Medical Record Installation of Bangil Regional General Hospital in 2021 Mahbubah, Mahbubah; Roosalina, Arma; Holipah, Holipah
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.7s

Abstract

All medical procedures on patients must be initiated by completing the informed consent. According to the hospital's minimum service standard, the completeness of informed consent filling is 100%, but the achievement of informed consent completeness at Bangil Regional General Hospital is still 37%. This study analyzed the causative factors of incomplete informed consent at Bangil General Hospital. The data analysis method used was descriptive. Data collection techniques were document studies and focus group discussions (FGD). Document studies were conducted on 100 informed consent documents, and FGD was done with 17 people consisting of 7 physicians-in-charge and 10 installation heads. The results of the FGD were analyzed using a fishbone diagram and revealed a list of problems that caused incomplete informed consent at Bangil General Hospital; then, scoring was carried out to determine the three main factors driving the problem of incomplete informed consent at the hospital. The three main factors for incomplete informed consent were the absence of a flow or policy guide for filling out, the unavailability of informed consent documents in outpatient installations, and the absence of a person in charge of the room for filling out informed consent.
Optimization of Online Pharmacy System to Lower the Late Billing for Chronic Disease Drugs Herwendanasari, Deltania; Andarini, Sri; Zuhriyah, Lilik
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.13s

Abstract

One of the biggest cost control problems among hospitals in the National Health Insurance is chronic disease drug services. Billing fee delays or unpaid billing fees often occur due to patient failure to revisit the doctor according to the requirement of 30 (thirty) days from the last visit. It resulted in the hospital's inability to collect the financing for chronic disease drugs from Social Security Administrative Agency (BPJS). This study aimed to discover the root cause of the pending billing of chronic disease drug costs and executable solutions in hospitals. This research was conducted at X Hospital Malang. This research used mix-method of qualitative and quantitative. The qualitative method were observations of the service flow for chronic disease patients, interviews with all unit coordinators, and focus group discussion with the Pharmacy Unit and Casemix Unit coordinators. The quantitative method was done using CARL scoring to determine the priority of the problem solution. The root of the problem was the lack of adequate systems and resources in chronic disease drug services. The possible solution is to modify the flow in the outpatient pharmacy. It is necessary to apply patient screening through the Online Pharmacy Application at the outpatient pharmacy to prevent patients who visit for less than 30 days. The results of the solution implementation are expected to reduce the amount of money from pending billing for chronic disease drug costs, thereby minimizing hospital financial losses.

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