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Astuty
JMARSI No.1, Vol.2
Depok : FKM UI, 2000
Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Astuty; Pembimbing: Purnawan Junadi
B-430
Depok : FKM UI, 2000
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Budiyanto Nagawidjaja; Pembimbing: Ronnie Rivany
B-417
Depok : FKM UI, 2000
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Didi Supriadi; Pembimbing: Ede Surya Darmawan; Penguji: Anhari Achadi, Pujiyanto, Sumedi
Abstrak:
Penelitian ini menganalisa pelaksanaan kebijakan pelayanan, yang menjadi faktor penyebab pembatalan operasi elektif di IBS RSUP Persahabatan. Angka pembatalan operasi elektif merupakan parameter kualitas pelayanan bedah suatu rumah sakit. Yang dimaksud pembatalan operasi elektif adalah operasi terencana, namun tidak dilaksanakan pada hari yang telah dijadwalkan. Pembatalan operasi elektif di IBS RSUP Persahabatan masih di atas angka standar IBS, yang seharusnya angka pembatalan operasi IBS sama atau kurang dari ≤ 5 % . Penelitian ini merupakan studi deskriptif analisis dengan metode kualitatif. Wawancara mendalam kepada dua belas informan dengan latar belakang jabatan, profesi, pendidikan, masa kerja dan usia yang berbeda di lingkungan RSP Persahabatan yang terkait dengan pelayanan IBS, dilaksanakan pada bulan April- Mei 2017. Hasil penelitian menyatakan bahwa faktor penyebab pembatalan operasi karena sosialisasi kebijakan yang tidak adekuat, masih ada bahasa kebijakan yang rancu. kapasitas ICU yang tidak memadai, Jumlah perawat IBS kurang, ada dokter bedah yang kurang komitmen. Sehingga IBS RSUP Persahabatan perlu terus memperbaharui (revisi) SOP dan kebijakan agar sesuai kebutuhan terkini, perlu memiliki sistim informasi online berbasis komputer yang terkait pelayanan bedah.
This study, analyzes the implementation of the Service Policy, which is the factor causing the cancellation of elective surgery in IBS RSUP Persahabatan. The number of cancellations elective surgery is a parameter of the quality of surgical services of a hospital. The termination of elective Surgery is a planned operation, but not on a scheduled day. The cancellation of elective surgery at IBS Persahabatan Hospital is still above the IBS standard number, which should be the number of cancellation of IBS surgery equal to or less than ≤ 5%. This research is a descriptive analysis study with qualitative method. In-depth interviews with twelve informants with different backgrounds of occupations, professions, education, years of service and age in the Persahabatan hospital to IBS services were conducted in April-May 2017. The results suggest that factors causing cancellation of operations due to socialization of policies Inadequate, there is still an ambiguous policy language. Inadequate ICU capacity, Number of IBS nurses is lacking, there are less committed surgeons. So IBS Persahabatan RSUP needs to keep updating (revision) SOP and policy according to the current condition, need to have computer based online information system that connects between rooms related to surgical service.
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This study, analyzes the implementation of the Service Policy, which is the factor causing the cancellation of elective surgery in IBS RSUP Persahabatan. The number of cancellations elective surgery is a parameter of the quality of surgical services of a hospital. The termination of elective Surgery is a planned operation, but not on a scheduled day. The cancellation of elective surgery at IBS Persahabatan Hospital is still above the IBS standard number, which should be the number of cancellation of IBS surgery equal to or less than ≤ 5%. This research is a descriptive analysis study with qualitative method. In-depth interviews with twelve informants with different backgrounds of occupations, professions, education, years of service and age in the Persahabatan hospital to IBS services were conducted in April-May 2017. The results suggest that factors causing cancellation of operations due to socialization of policies Inadequate, there is still an ambiguous policy language. Inadequate ICU capacity, Number of IBS nurses is lacking, there are less committed surgeons. So IBS Persahabatan RSUP needs to keep updating (revision) SOP and policy according to the current condition, need to have computer based online information system that connects between rooms related to surgical service.
T-5050
Depok : FKM UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ita Mu'tiyah; Pembimbing: Puput Oktamianti; Penguji: Masyitoh, Lendy Delyanto
Abstrak:
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Utilisasi kamar operasi merupakan bagian yang penting dalam proses pelayanan di rumah sakit, oleh karena itu kinerja di kamar operasi yang memadai dapat berpengaruh terhadap kualitas mutu pelayanan Rumah Sakit. Keterlambatan pelayanan operasi elektif tentunya akan membuat kualitas mutu pelayanan di kamar operasi menjadi menurun, padahal kamar operasi sebagai salah satu unit di rumah sakit yang memiliki peran strategis dalam meningkatkan mutu pelayanan secara keseluruhan. Dengan menggunakan metode Lean Six Sigma dengan pendekatan DMAIC penelitian ini mempunyai tujuan untuk mengetahui alur prosedur pelayanan di kamar operasi RSUD Cilegon, selain itu teridentifikasi value added, non-value added dan waste yang terjadi pada pelayanan di kamar operasi sehingga didapatkan faktor penyebab waste yang terjadi melalui analisis kemudian ditemukan rekomendasi usulan perbaikan yang sesuai dengan masalah yang teridentifikasi. Penelitian ini merupakan penelitian kualitatif dengan metode pengumpulan data yang didapatkan melalui pengamatan dan pencatatan waktu keterlambatan operasi elektif di RSUD Cilegon, serta menggali informasi secara mendalam dan rinci kepada informan baik informan dalam maupun pasien penerima layanan operasi elektif di RSUD Cilegon dan melakukan telaah dokumen. Dilakukan observasi dan wawancara mendalam terhadap 20 pasien yang menjalani operasi elektif di RSUD Cilegon di shift yang berbeda – beda setiap harinya. Pemilihan informan dilakukan menggunakan teknik purposive sampling, dan kemudian dilakukan wawancara kepada pasien sehingga didapatkan value perspektif customer sesuai dengan prinsip metode Lean Six Sigma. Data yang diperoleh kemudian dianalisis untuk mendapat faktor penyebab adanya keterlambatan pelayanan operasi elektif menggunakan fishbone diagram yang dikelompokkan ke dalam kategori Man, Machine, Method, Money dan Environment sehingga penyebab masalah yang teridentifikasi dapat dirumuskan prioritas usulan perbaikan yang sesuai dan perlu dilakukan. Hasil penelitian yang dilakukan di bulan Mei – Juni 2023 didapatkan rata – rata total value added pada proses persiapan hingga pelayanan operasi elektif di RSUD Cilegon yaitu selama 40,8 menit atau sebesar 27,36% dari total waktu yang dihabisakan oleh pasien yang menjalani persiapan hingga dilakukan pembedahan. Sedangkan rata – rata total non-value-added yang didapatkan adalah selama 108,3 menit atau sebanyak 72,64% dari total waktu yang dihabiskan pasien sejak persiapan dan konsultasi hingga pasien mendapatkan pelayanan operasi. Beberapa faktor yang menjadi penyebab adanya non-value added dan waste yang terjadi adalah kegiatan menunggu pemanggilan dari kamar operasi, keterlambatan dokter operator dan anestesi yang masih melakukan praktik atau menangani pasien lain, serta menunggu jawaban konsul operator atau anestesi. Selain itu kemampuan petugas di kamar operasi yang belum merata juga menyebabkan terjadinya waste, selain itu ketersediaan alat, BHP dan fasilitas pendukung kegiatan operasi elektif yang terbatas turut mendukung adanya waste dan mengakibatkan banyaknya non-value-added yang teridentifikasi sehingga menyebabkan keterlambatan dimulainya operasi elektif. Peneliti mengharapkan strategi perbaikan yang telah diberikan dapat terus diterapkan untuk memperbaiki dan mengeliminasi kegiatan non value added yang terjadi yaitu dengan memberlakukan pengurangan indikator kinerja kepada petugas yang terlambat sehingga akan berdampak pada remunerasi petugas, selain itu diharapkan tersedia penanggung jawab akan jadwal kegiatan operasi sehingga dapat mengingatkan dokter operator maupun anestesi agar datang tepat waktu, penerapan diklat yang mempunyai target tercapainya kompetensi sehingga kompetensi petugas yang diperlukan terpenuhi, dan pengadaaan alat rutin yang dapat dilakukan secara berkala demi mencukupi kebutuhan di pelayanan operasi.
Operating room utilization is an important part of the hospital service process. Therefore, adequate performance in the operating room can affect the quality of hospital services. Delays in elective surgery services will certainly make the quality of service in the operating room decrease, even though the operating room as one of the units in the hospital has a strategic role in improving the overall quality of service. By using the Lean Six Sigma method and the Value Stream Mapping approach, this study aims to find out the flow of service procedures in the Cilegon Hospital operating room, in addition to identifying value added, non-value added and waste that occurs in services in the operating room so that the factors that cause waste are identified. This occurs through analysis which then finds recommendations for improvements that are in accordance with the problems identified. This research is a qualitative research with data collection methods obtained through observing and recording the delay in elective surgery at Cilegon Hospital, as well as digging in-depth and detailed information to informants both inside informants and patients receiving elective surgery services at Cilegon Hospital and conducting a document review. Observations and in-depth interviews were carried out with 20 patients undergoing elective surgery at Cilegon Hospital in different shifts every day. The selection of informants was carried out using a purposive sampling technique, and then conducted interviews with patients in order to obtain a customer perspective value in accordance with the principles of the Lean Six Sigma method. The data obtained is then analyzed to obtain the factors causing the delay in elective operating services using fishbone diagrams which are grouped into the Man, Machine, Method, Money and Environment categories so that the causes of the identified problems can be formulated priority recommendations for improvements that are suitable and need to be carried out. The results of research conducted in May - June 2023 obtained an average total value added in the preparation process to elective surgery services at Cilegon Hospital, namely for 40.8 minutes or 27.36% of the total time spent by patients undergoing preparation to surgery was performed. Meanwhile, the total non-value-added average obtained was 108.3 minutes or as much as 72.64% of the total time spent by patients from preparation and consultation to patients receiving surgical services. Some of the factors that cause non-value added and waste that occur are activities waiting to be called from the operating room, delays in operating doctors or anesthesiologists who are still practicing or treating other patients, and waiting for the operator or anesthesiologist's consult. In addition, the uneven ability of officers in the operating room also causes waste to occur, and the limited availability of tools, consumable part and supporting facilities for elective surgery also supports the presence of waste and results in many non-value-added being identified which causes delays in the beginning of elective operations. . The researcher hopes that the improvement strategies that have been provided can continue to be applied to improve and eliminate non-value-added activities that occur, namely by imposing a reduction in performance indicators for officers who are late so that it will have an impact on employee remuneration. reminding the operator and anesthetist to come on time, implementing training that has the target of achieving competence so that the necessary competence of officers is fulfilled, and procuring routine equipment that can be carried out periodically to meet the needs in operating services.
B-2396
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Muhammad Askar; Pembimbing: Purnawan Junadi; Penguji: Sandi Iljanto, Mieke Savitri, Sumijatun, Prapanca Yuli Satar
Abstrak:
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Pelayanan kamar Operasi merupakan salah satu bentuk pelayanan yang sangat mempengaruhi tampilan dan merupakan salah satu indikator pelayanan Rumah Sakit.Instalasi Kamar Bedah Rumah Sakit Otorita Batam terdiri dari empat ( 4 ) buah kamar operasi yang melayani operasi cito, dan operasi bedah elektif. Komplain dari pasien dan dari survey awal pada saat residensi di bulan September 2010 dari data buku register instalasi kamar bedah didapatkan 95,79% (205 operasi terlambat dimulai dari 214 operasi elektif yang telah dijadwalkan sebelumnya). Penelitian ini bertujuan untuk menganalisa penyebab keterlambatan dimulainya operasi elektif di instalasi kamar bedah Rumah Sakit Otorita Batam,sehingga diharapkan menjadi masukan yang berarti bagi pihak manajemen Rumah sakit untuk mengelola Instalasi kamar bedah kedepannya. Penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif dan tidak bersifat intervensi. Hasil penelitian membuktikan bahwa 68% penyebab keterlambatan dimulainya operasi disebabkan oleh terlambatnya kedatangan operator.
Operating room service is one type of services that greatly affect the appearance and is one indicator Hospital appearance. Surgery Instalation Room Batam Authority Hospital consists of four (4) operating rooms that serve Cito surgery, and elective surgery. Complaints from patients and from the initial survey at the time of residency in September 2010 from the data register book installation of the operating room founded 95.79% (205 operations performed late in starting the operation of 214 elective operations previously scheduled). This study aims to analyze the causes of delay in the commencement of elective surgery in the operating room installation Batam Authority Hospital, which is expected to be input which means the part of hospital management to manage the Installation of the operating room in the future.The study was a descriptive research approach is qualitative and no intervention. The research proves that 68% of the causes of delay in the commencement of operations caused by the delay in the arrival of the operator.
B-1275
Depok : FKM-UI, 2011
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Lena Sari Dewi; Pembimbing: Trihono
M-93
[s.l.] :
[s.n.] :
s.a.]
D3 - Laporan Magang Pusat Informasi Kesehatan Masyarakat
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Era Setiara; Pembimbing: Trihono
M-82
[s.l.] :
[s.n.] :
s.a.]
D3 - Laporan Magang Pusat Informasi Kesehatan Masyarakat
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B-785
Depok : FKM-UI, 2004
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dewa Ngakan Gde Wahyu Mahatma Putra; Pembimbing: Jaslis Ilyas; Penguji: Adang Bachtiar, Bambang Dwipoyono, Chairulsjah Sjahruddin
Abstrak:
ABSTRAK Latar belakang dari penelitian ini adalah adanya waktu tunggu antrian pasien OK yang cukup lama hingga 21 hari dan angka utilisasi beberapa ruangan OK yang masih di bawah standar utilisasi. Waktu tunggu antrian OK yang lama dan angka utilisasi yang belum optimal salah satunya disebabkan oleh metode penjadwalan operasi yang belum akurat. Penelitian bertujuan untuk mengetahui utilisasi ruangan OK IBS dan mengetahui hubungannya dengan akurasi waktu mulai operasi, jumlah operasi, dan jenis operasi. Penelitian ini menggunakan pendekatan kuantitatif dengan metode telaah dokumen. Uji korelasi dilakukan dengan menggunakan metode Spearman. Berdasarkan 320 data sampel yang diteliti diperoleh rata-rata utilisasi ruangan OK IBS pada bulan Januari-Maret 2018 adalah 53,36%. Total pemakaian ruangan OK adalah 555 jam 24 menit. Terdapat dua faktor yang berhubungan dengan utilisasi kamar operasi yaitu akurasi waktu mulai operasi (p-value=0,012) dan jumlah operasi (p-value=0,015) dengan hubungan positif. Sedangkan jenis operasi (p-value = 0.373) tidak memiliki hubungan dengan utilisasi kamar operasi. Faktor lain yang mempengaruhi utilisasi kamar operasi adalah hari efektif jam buka ruangan OK setiap bulannya. Kata Kunci: Kamar Operasi, Operasi Elektif, Utilisasi, Akurasi Waktu Operasi, Jumlah Operasi, Jenis Operasi The background of this research is the high number of OK patients queue and delayed operation schedule due to the high utilization rate in the OK room in Central Surgery Installation Sanglah General Hospital. The study aims to find out the utilization of OK IBS room and to know its relation to the accuracy of the starting time of operation, the number of operation, and the type of operation. This research uses quantitative approach with document review method. The correlation test is done by using Spearman method. Based on the 320 sampled data obtained, the average utilization of OK IBS room in January-March 2018 is 53.36%. The total usage of OK room is 555 hours 24 minutes. There are two factors related to operating room utilization that is accuracy of starting time of operation (p-value = 0,012) and number of operation (p-value = 0,015) with positive relation. While the type of operation (p-value = 0.373) has no relationship with operating room utilization. Another factor affecting operating room utilization is the effective day open room hours OK in every month. Keywords: Operating Room, Elective Operation, Utilization, Accuracy of Starting Operation Time, Number of Operations, Type of Operation
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B-2014
Depok : FKM-UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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