Ditemukan 33106 dokumen yang sesuai dengan query :: Simpan CSV
Anastasia Nuansa Fitri; Pembimbing: Mieke Savitri; Penguji: Dumilah Ayuningtyas, Sirpan
Abstrak:
Analisis waktu tunggu operasi elektif memiliki tujuan untuk meningkatkan kualitas pelayanan khususnya untuk pasien operasi elektif. Adapun tujuan daripenelitian ini yaitu untuk mengetahui rata-rata waktu tunggu operasi elektif pasienkhususnya dari rawat inap dan untuk mengetahui penyebab lamanya waktu tunggu dilihat dari input, proses dan output. Jenis penelitian ini adalah kuantitatif dan kualitatif dengan desain cross-sectional. Pengumpulan data dilakukan dengan pengamatan, pencatatan waktu, telaah dokumen dan wawancara mendalam. Waktutunggu dihitung 2 kali, yaitu ketika pasien di poliklinik dan ketika pasien di rawatinap. Hasil penelitian didapatkan rata-rata waktu tunggu operasi elektif (daripoliklinik) yaitu 5.39 hari, dan 0.32 hari (dari rawat inap). Lamanya waktu tungguoperasi elektif dipengaruhi oleh kekurangan kamar perawatan, kamar dan alatoperasi, kekurangan SDM medis operasi, serta kondisi fisik pasien. Kesimpulan padapenelitian ini adalah waktu tunggu operasi elektif pasien rawat inap masih cukuplama, yaitu 5.39 hari yang melebihi standar SPM Rumah Sakit.
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S-8439
Depok : FKM UI, 2014
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Fitri Amalia Nur Majid; Pembimbing: Pujiyanto; Penguji: Masyitoh, Sonar soni Panigoro
Abstrak:
Penelitian ini membahas tentang peta perjalanan pasien di pelayanan rawat jalan RS Kanker “Dharmais” pada tahun 2014. Dalam penelitian ini peneliti berusaha menemukan unit dengan variasi perjalanan pasien tertinggi dan mengidentifikasi faktor-faktor penyebabnya. Penelitian ini adalah penelitian dengan pendekatan kualitatif dan metode cross-sectional. Hasil penelitian ini menemukan bahwa variasi perjalanan pasien tertinggi berada di Instalasi Administrasi Pasien Jaminan (APJ) dengan faktor penyebab antara lain faktor program komputer penunjang, sumber daya manusia, infrastruktur hingga prosedur pelayanan. Penelitian ini juga menemukan bahwa variasi perjalanan pasien dapat mengurangi mutu pelayanan yang diberikan.
The focus of this study is about outpatient journey of “Dharmais” Cancer Hospital in 2014. The purposes of this study are to find where the highest variation of patient journey is exists and to analize the cause of the variation. This research is cross-sectional qualitative. The results of this research show that APJ Instalation is the unit with the highest variation of patient journey. Factors that causing it are software of computer to support the service, human resource, infrastructure, and service procedures. The researcher suggests that high variation of patient journey will reduce the quality of the service.
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The focus of this study is about outpatient journey of “Dharmais” Cancer Hospital in 2014. The purposes of this study are to find where the highest variation of patient journey is exists and to analize the cause of the variation. This research is cross-sectional qualitative. The results of this research show that APJ Instalation is the unit with the highest variation of patient journey. Factors that causing it are software of computer to support the service, human resource, infrastructure, and service procedures. The researcher suggests that high variation of patient journey will reduce the quality of the service.
S-8387
Depok : FKM-UI, 2014
S1 - Skripsi 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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Niswatus Sholihah; Pembimbing: Puput Oktamianti; Penguji: Masyitoh, Lukitowati
Abstrak:
ABSTRACT
ABSTRACT
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Bed Occupancy Rate BOR merupakan salah satu outputkoordinasi perawatan untuk mencapai outcome efisiensi dalam rumah sakit.Bed Occupancy Rate BOR di Instalasi Rawat Inap Kelas 3 RS Kanker Dharmais mengalami penurunan setelah terjadi penambahan tempat tidur di kelas 1 pada tahun 2016. Namn penurunan tersebut tidak diikuti dengan penurunan jumlah pasien rawat inap dan jumlah hari perawatan. Tujuan dari penelitian ini adalah diketahuinya variabel- variabel input kerangka kinerja rumah sakit yang menyebabkan Bed Occupancy Rate BOR di Instalasi Rawat Inap Kelas 3 RS Kanker Dharmais dibawah standar 60-85 . Penelitian ini dilakukan selama bulan Mei ndash; Juli 2017, menggunakan penelitian kualitatif dengan metode analisis depkriptif yang melibatkan wawancara mendalam terhadap 6 informan. Hasil penelitian menunjukkan bahwa variabel- variabel input kinerja rumah sakit yang berpengaruh signifikan dalam pencapaian Bed Occupancy Rate BOR adalah varaibel kepemimpinan dan sumber daya. Variabel kepemimpinan yang menyebabkan penurunan Bed Occupancy Rate BOR karenaketidakefektifan pembagian struktur organisasi Instalasi Rawat Inap menjadi 2 bagian, kualifikasi kepala Instalasi tidak sesuai dengan Pedoman Pelayanan Instalasi Rawat Inap, dan Pemimpin kurang melakukan komunikasi efektif, Variabel input kinerja rumah sakit lainnya tidak berpengaruh signifikan terhadap penurunan Bed Occupancy Rate BOR di Instalasi Rawat Inap Kelas 3 RS Kanker Dharmais. Diharapkan dengan diketahuinya faktor- faktor tersebut, bisa menjadi evaluasi untuk mencapai efisiensi dalam rumah sakit.
Bed Occupancy Rate BOR is one of the outputs of coordination of care to achieve the outcome of hospital efficiency. Bed Occupancy Rate BOR at the Inpatient Installation Class 3 Dharmais Cancer Hospital decreased after the addition of a first class bed in 2016. Decrease of Bed Occupancy Rate BOR number was not equally means the drop of patients number and inpatient day. So the purpose of this research is to know the variable of input of hospital performance framework causing Bed Occupancy Rate BOR at Inpatient Installation Class 3 Dharmais Cancer Hospital under 60 85 standard. This research was conducted in May to July 2017, using qualitative method with depth interview of 6 informants. The results showed that the variable of hospital performance input which have significant effect on the achievement of Bed Occupancy Rate BOR is the leadership and resource variables Leadership variable causing the decrease of Bed Occupancy Rate BOR due to the ineffective division of organizational structure Inpatient Installation into 2 parts , The qualification of the head of the Installation is not in accordance with the Inpatient Installation Service Guideline, and the Leader lacks effective communication. Other hospital performance input variables have no significant effect on the decrease of Bed Occupancy Rate BOR in the Inpatient Installation Class 3 Dharmais Cancer Hospital. Expected by knowing these factors, it could be an evaluation to achieve hospital efficiency.
S-9583
Depok : FKM-UI, 2017
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Aulia Rahma Litahayu; Pembimbing: Pujiyanto; Penguji: Masyitoh, Retno Purwanti
Abstrak:
Penelitian ini bertujuan untuk mengetahui pelaksanaan supervisi keperawatan pada perawat orientasi di Instalasi Rawat Inap Rumah Sakit Kanker Dharmais tahun 2017 dilihat dari aspek input, proses dan output. Jenis penelitian yang digunakan adalah kuantitatif dan kualitatif dengan menggunakan kuesioner, wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukan bahwa kesesuaian perawat orientasi melaksanakan kewenangan klinisnya dengan persentase terendah yaitu pemberian obat yang aman dan tepat sebesar 30%. Didapatkan belum terdistribusi secara merata ratio antara perawat supervisor dan perawat orientasi di setiap ruangan. Kata kunci : Kewenangan Klinis; Perawat Orientasi; Supervisi This study aims to determine the implementation of nursing supervision at the nurse orientation in Installation of Inpatient Dharmais Cancer Hospital in 2017 seen from the aspects of input, process and output. The type of research used is quantitative and qualitative by using questionnaires, indepth interviews and document review. The results showed that the suitability of the nurse orientation exercises its clinical authority with the lowest percentage of safe and proper drug delivery by 30%. Obtained unequally distributed ratio between nurse supervisor and nurse orientation in each room. Keywords : Nurse Orientation; Clinical Authorithy; Supervision
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S-9574
Depok : FKM-UI, 2017
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Aisy Mutiara Rachmawati; Pembimbing: Atik Nurwayuni; Penguji: Masyitoh, Ika Wahju Nusati
S-9453
Depok : FKM UI, 2017
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Aurora Sihombing; Pembimbing: Budi Hidayat; Penguji: Pujiyanto, Wachyu Sulistiadi, Wkisnu Handoyo, Ari Purwohandoyo
Abstrak:
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ABSTRAK Name : Aurora Sihombing Study Program : Health Economic Title of Reserach : “Analisa Biaya Satuan Tindakan Terapi Radiasi Eksternal Pada Pasien Kanker Payudara di Instalasi Radioterapi RS. Kanker Dharmais Tahun 2016”. Angka kasus kanker payudara di Indonesia, tinggi. Kunjungan pasien kanker payudara ke RS Kanker Dharmais mengalami peningkatan. Terapi Radiasi eksternal termasuk layanan unggulan untuk pengobatan kanker payudara di RS. Kanker Dharmais. Pemerintah membiayai tindakan terapi ini lewat tarif INA CBG’s sebesar Rp 1.014.906. Melalui metode perhitungan Activity Based Costing (ABC), peneliti ingin mengetahui berapa sebenarnya biaya satuan tindakan untuk terapi ini ; lalu dibandingkan dengan tarif INA CBG’ s yang berlaku. Hasil penelitian menunjukkan bahwa total biaya tindakan 1 siklus terapi radiasi eksternal kanker payudara di RS Kanker Dharmais tahun 2016 adalah sebesar Rp 36.482.930, dengan biaya satuan tindakan sebesar Rp 1.216,098,- Keywords : Unit Cost, Activity Based Costing (ABC), External radiation
ABSTRACT Name : Aurora Sihombing Study Program : Health Economics Title of Research : Analysis of Unit Cost of External Radiation Therapy for Breast Cancer Patient of Radiotherapy Installation at Rumah Sakit Kanker Dharmais in 2016. The number of breast cancer cases in Indonesia is at alarming rate. Breast cancer patients looking for treatment at Rumah Sakit Kanker Dharmais have continually increased for the last several years. The external radiation therapy of Rumah Sakit Kanker Dharmais has been considered as one of the best cancer treatment facilities in the country. Indonesian government subsidizes cost of the therapy based on INA- CBG’s tariff scheme of Rp 1.014.906. Using Activity Based Costing (ABC) approach, the researcher would like to investigate the real unit cost of the treatment; the result will then be compared to the INA- CBG’s tariff. The study showed that the total cost of one cycle of the external radiation therapy for breast cancer at Rumah Sakit Kanker Dharmais is Rp36.482.930 in 2016, while the unit cost is Rp 1.216,098,- for the same periode. Keywords: Unit Cost, Activity Based Costing (ABC), External Radiation
T-4983
Depok : FKM-UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Sekar Inas Pratiwi; Pembimbing: Masyitoh; Penguji: Purnawan Junadi, Reny Fitri
Abstrak:
Bed Occupancy Ratio (BOR) Rumah Sakit Hermina Bekasi setiap tahunnya mengalami peningkatan, begitupula dengan jumlah pasien yang masuk rawat inap melalui instalasi gawat darurat. Peningkatan ini menyebabkan adanya penumpukan pasien boarding di instalasi gawat darurat yang belum dapat ditransfer ke ruang rawat inap. Penelitian ini menganalisis proses boarding dan transfer pasien dari IGD ke rawat inap melalui pendekatan lean six-sigma dengan teknik time motion study kepada 30 pasien. Pendekatan lean memperlihatkan persentase aktivitas value added dan non value added sedangkan six sigma memberikan gambaran variasi kegiatan pada proses. Hasil penelitian menunjukkan bahwa pasien membutuhkan waktu selama 2 jam 31 menit 48 detik dalam proses boarding dan transfer dengan persentase aktivitas value added 20,77% dan non value added 79,23%. Berdasarkan analisis 5whys didapatkan akar penyebab masalah yaitu pemulangan pasien yang belum terencana.
Kata kunci: boarding, transfer, lean six sigma, Instalasi Gawat Darurat Every year,
Bed Occupancy Ratio (BOR) of Hermina Hospital Bekasi has increased, as well as the number of patients who admitted to the hospital through emergency room. This increase leads to the buildup of boarding patients at emergency departments that can not be transferred to the inpatient room. This study analyzes the boarding and transfer of patients from ED to inpatient room through lean six-sigma approach with time motion study from 30 patients. The lean approach shows the percentage of value added and non value added activities while six sigma provides an overview of the activity variations in the process. The results showed that the patient took 2 hours 31 minutes 48 seconds in the process of boarding and transfer with the percentage of value added activities 20.77% and non value added activities 79.23%. Based on 5whys analysis, the root cause of the problem is the unplanned discharge patient.
Keywords: boarding, transfer, lean six sigma, Emergency Department
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Kata kunci: boarding, transfer, lean six sigma, Instalasi Gawat Darurat Every year,
Bed Occupancy Ratio (BOR) of Hermina Hospital Bekasi has increased, as well as the number of patients who admitted to the hospital through emergency room. This increase leads to the buildup of boarding patients at emergency departments that can not be transferred to the inpatient room. This study analyzes the boarding and transfer of patients from ED to inpatient room through lean six-sigma approach with time motion study from 30 patients. The lean approach shows the percentage of value added and non value added activities while six sigma provides an overview of the activity variations in the process. The results showed that the patient took 2 hours 31 minutes 48 seconds in the process of boarding and transfer with the percentage of value added activities 20.77% and non value added activities 79.23%. Based on 5whys analysis, the root cause of the problem is the unplanned discharge patient.
Keywords: boarding, transfer, lean six sigma, Emergency Department
S-9672
Depok : FKM UI, 2018
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Dyah Batiar Aprillia; Pembimbing: Puput Oktamianti; Penguji: Ede Surya Darmawan, Indah Rosana Djajadiredja
Abstrak:
Penelitian ini menggunakan metode Narrative Review tentang analisis konsepLean Thinking terhadap perbaikan waktu tunggu pelayanan pasien Instalasi Rawat JalanRumah Sakit di Indonesia. Tujuan penelitian ini adalah untuk mengetahui gambaranimplementasi konsep Lean Thinking dalam mengatasi waktu tunggu pelayanan pasienInstalasi Rawat Jalan Rumah Sakit. Agar memperoleh literatur layak uji, penelitimenggunakan pedoman PRISMA. Peneliti mendapatkan 12 literatur dengan metodepenelitian kualitatif dan kuantitatif. Hasil penelitian menyimpulkan bahwa konsep Leandapat membuktikan proses pelayanan rawat jalan Rumah Sakit di Indonesia masihbelum Lean. Terdapat 7 literatur yang menunjukkan bahwa Lean efektif mengurangilama waktu tunggu pelayanan pasien rawat jalan di Rumah Sakit dibuktikan denganmengadopsi prinsip utama Lean, yaitu Standardize work dan Heijunka. Agar tercapaikondisi Lean, Rumah Sakit harus menyelaraskan implementasi antara 5 prinsip Lean(Customer value, value stream, flow, pull, perfection) dengan budaya organisasi, polapikir, metode Lean, membudayakan 5 S, dengan melibatkan seluruh pihak di RumahSakit untuk menyelesaikan masalah secara konsisten dan berkesinambungan.Kata kunci:Waktu Tunggu Rawat Jalan; Lean Rumah Sakit; Lean Hospital
This study uses the Narrative Review method concerning the analysis of theLean Thinking concept towards improving the waiting time for patient services in theOutpatient Hospital in Indonesia. The purpose of this study was to describe theimplementation of the Lean Thinking concept in overcoming the waiting time for patientservices in the Hospital Outpatient Installation. In order to obtain test-worthyliterature, researchers used the PRISMA guidelines. The researcher obtained 12literatures using qualitative and quantitative research methods. The results of the studyconclude that the Lean concept can prove that the outpatient service process ofhospitals in Indonesia is still not Lean. There are 7 literatures that show that Lean iseffective in reducing the waiting time of outpatient services at the hospital as evidencedby adopting Lean's main principles, namely Standardize work and Heijunka. In order toachieve the Lean condition, the Hospital must align the implementation of the 5 Leanprinciples (customer value, value stream, flow, pull, perfection) with organizationalculture, mindset, Lean method, cultivate the 5 S, by involving all parties in the hospitalto solve problems consistently and continuously.Keywords:Outpatient Waiting Time; Lean Hospital.
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This study uses the Narrative Review method concerning the analysis of theLean Thinking concept towards improving the waiting time for patient services in theOutpatient Hospital in Indonesia. The purpose of this study was to describe theimplementation of the Lean Thinking concept in overcoming the waiting time for patientservices in the Hospital Outpatient Installation. In order to obtain test-worthyliterature, researchers used the PRISMA guidelines. The researcher obtained 12literatures using qualitative and quantitative research methods. The results of the studyconclude that the Lean concept can prove that the outpatient service process ofhospitals in Indonesia is still not Lean. There are 7 literatures that show that Lean iseffective in reducing the waiting time of outpatient services at the hospital as evidencedby adopting Lean's main principles, namely Standardize work and Heijunka. In order toachieve the Lean condition, the Hospital must align the implementation of the 5 Leanprinciples (customer value, value stream, flow, pull, perfection) with organizationalculture, mindset, Lean method, cultivate the 5 S, by involving all parties in the hospitalto solve problems consistently and continuously.Keywords:Outpatient Waiting Time; Lean Hospital.
S-10329
Depok : FKM-UI, 2020
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Faradina Anastasia; Pembimbing: Suprijadi Rijanto; Penguji: Masyitoih, Dasir
Abstrak:
Skripsi ini membahas mekanisme pendaftaran pasien dengan Jaminan Kesehatan Nasional di instalasi rawat jalan Rumah Sakit Islam Jakarta Pondok Kopi 2014. Penelitian ini bersifat deskriptif kualitatif yang dilakukan dengan cara observasi, telaah dokumen, dan wawanncara mendalam. Hasil penelitian menunjukan bahwa pelayananan JKN masih belum optimal yang disebabkan oleh beberapa faktor input,diantaranya yaitu ketersediaan sumber daya manusia, penerapan kuota, dan pelaksanaan sistem perjanjian yang masih perlu diperbaiki serta terdapat faktorfaktor lain yang penulis temukan pada saat penelitian. Berdasarkan hasil penelitian tersebut, peneliti menyarankan rumah sakit untuk meningkatkan jumlah tenaga dokter dan kuota serta menyempurnakan sistem perjanjian sehingga seluruh pasien JKN dapat dilayani dengan baik.
Kata kunci: Pendaftaran, Jaminan Kesehatan Nasional (JKN), Rawat Jalan
This thesis discusses the mechanisms of patient registration with Jaminan Kesehatan Nasionnal (JKN) in the outpatient installation Rumah Sakit Islam Jakarta Pondok Kopi 2014. This is a descriptive qualitative study conducted by observation, document review, and deep interview. The results showed that pelayananan JKN still not optimal due to several input factors, among which the availability of human resources, the implementation of quotas, and the implementation of the appointment system that still need to be improved and there are other factors that I have found at the time of the study. Based on these results, the researchers suggest hospitals to increase the number of doctors and quotas as well as perfecting the system so that all patients with JKN can be served well.
Keywords: Registration, Jaminan Kesehatan Nasional (JKN), Outpatient
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Kata kunci: Pendaftaran, Jaminan Kesehatan Nasional (JKN), Rawat Jalan
This thesis discusses the mechanisms of patient registration with Jaminan Kesehatan Nasionnal (JKN) in the outpatient installation Rumah Sakit Islam Jakarta Pondok Kopi 2014. This is a descriptive qualitative study conducted by observation, document review, and deep interview. The results showed that pelayananan JKN still not optimal due to several input factors, among which the availability of human resources, the implementation of quotas, and the implementation of the appointment system that still need to be improved and there are other factors that I have found at the time of the study. Based on these results, the researchers suggest hospitals to increase the number of doctors and quotas as well as perfecting the system so that all patients with JKN can be served well.
Keywords: Registration, Jaminan Kesehatan Nasional (JKN), Outpatient
S-8613
Depok : FKM UI, 2015
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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