Latar Belakang: Direktorat Gizi Kementerian Kesehatan Indonesia meluncurkan Sistem Informasi Gizi Terpadu (SIGIZI Terpadu), salah satu platformnya adalah E-PPGBM untuk membantu mengatasi permasalahan gizi di Indonesia dan mendukung Gerakan Nasional Penurunan Stunting. Suku Dinas Kesehatan Jakarta Utara yang memiliki 47 Puskesmas telah menerapkan sistem informasi E-PPGBM sejak tahun 2017. Berdasarkan survei yang telah dilakukan terdapat beberapa masalah dalam penginputan data yang menjadi keluhan dari petugas gizi Puskesmas. Masalah tersebut antara lain : gangguan jaringan, aplikasi E-PPGBM sering sulit diakses, data yang sudah diinput ke aplikasi sering hilang pada saat aplikasi error serta didapatkan bahwa capaian entry data E-PPGBM masih ada yang di bawah 70%. Sehingga perlu dilakukan evaluasi pada sistem yang berjalan saat ini. Tujuan: Untuk mengetahui efektivitas penggunaan Sistem Informasi E-PPGBM  dengan pendekatan HOT-Fit pada Puskesmas di Jakarta Utara. Metode: Menggunakan pendekatan kuantitatif deskriptif dengan desain cross sectional (potong lintang) serta pendekatan survei. Sampel penelitian diambil menggunakan metode total sampling dengan jumlah 50 responden. Hasil: Variabel manusia dinilai responden sudah puas karena secara garis besar dapat membantu dalam pekerjaan tetapi masih kurang dalam kemudahan aksesibilitasnya. Variabel organisasi dinilai responden sudah puas karena adanya dukungan pimpinan dalam pelaksaan E-PPGBM.Variabel teknologi dinilai responden sudah baik tetapi masih kurang pada respon IT dan provider saat sistem mengalami gangguan. Kesimpulan: Efektivitas penggunaan E-PPGBM pada Puskesmas di wilayah kerja Suku Dinas Kesehatan Jakarta Utara sudah baik, hal ini dapat dilihat dari keempat komponen HOT-Fit dengan hasil kategori baik. Tetapi dalam penggunaannya masih memerlukan beberapa perbaikan agar lebih optimal.

Background: The Directorate of Nutrition of the Indonesian Ministry of Health launched the Integrated Nutrition Information System (Integrated SIGIZI), one of its platforms is E-PPGBM to help address nutrition issues in Indonesia and support the National Movement to Reduce Stunting. The North Jakarta Health Office, which has 47 health centers, has implemented the E-PPGBM information system since 2017. Based on a survey that has been conducted, there are several problems in data entry that have become complaints from Puskesmas nutrition officers. These problems include: network disruption, the E-PPGBM application is often difficult to access, data that has been inputted into the application is often lost when the application errors and it is found that the achievement of E-PPGBM data entry is still below 70%. So it is necessary to evaluate the current system. Objective: This study aims to determine the effectiveness of using the E-PPGBM Information System with the HOT-Fit approach at the Puskesmas in North Jakarta. Methods: Using a descriptive quantitative approach with a cross sectional design and a survey approach. The research sample was taken using the total sampling method with a total of 50 respondents. Results: Human variables are considered by respondents to be satisfied because they are generally helpful in the work, but still lacking in ease of access. Organizational variables are considered by respondents to be satisfied because of the support of leadership in implementing E-PPGBM.Technology variables are considered by respondents to be good but still lacking in IT and provider response when the system experiences interference. Conclusions: The effectiveness of using E-PPGBM at Puskesmas in the working area of North Jakarta Health Office is good, this can be seen from the four HOT-Fit components with good category results. However, its application still needs some improvement to be more optimal.

Sistem pelaporan insiden keselamatan pasien merupakan elemen penting dalam upaya mitigasi risiko yang dapat dicegah dalam layanan kesehatan. RSUPN dr. Cipto Mangunkusumo (RSCM) telah menerapkan pelaporan insiden melalui metode manual dan elektronik (e-Report), namun implementasinya belum optimal. Penelitian ini bertujuan mengevaluasi implementasi sistem pelaporan insiden di RSCM dengan pendekatan kualitatif, menggunakan kerangka Donabedian (struktur–proses–hasil) dan strategi perbaikan berbasis Plan–Do–Study–Act (PDSA). Hasil menunjukkan bahwa sistem e-Report belum memenuhi kebutuhan pengguna karena antarmuka tidak intuitif dan tidak tersedianya fitur pelacakan, notifikasi, serta umpan balik. Fragmentasi kanal pelaporan, dominasi laporan manual, serta persepsi bahwa pelaporan adalah beban administratif turut memperlemah budaya pelaporan. Di samping itu, proses tindak lanjut insiden dinilai tidak transparan dan jarang dikomunikasikan kepada pelapor, sehingga menurunkan kepercayaan terhadap efektivitas sistem. Temuan ini menjadi dasar penyusunan rekomendasi pengembangan sistem pelaporan yang terpusat, mudah digunakan, dan didukung pelatihan berbasis unit serta kebijakan pelaporan satu pintu. Pendekatan PDSA digunakan untuk merancang strategi perbaikan sistem yang lebih responsif dan berkelanjutan dalam rangka mendukung peningkatan mutu layanan dan keselamatan pasien.

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The patient safety incident reporting system is a critical component in mitigating preventable risks within healthcare services. Dr. Cipto Mangunkusumo National General Hospital (RSCM) has implemented both manual and electronic (e-Report) methods for reporting incidents. However, its implementation remains suboptimal. This study aims to evaluate the implementation of the incident reporting system at RSCM using a qualitative approach, guided by the Donabedian framework (structure–process–outcome) and the Plan–Do–Study–Act (PDSA) improvement cycle. The findings reveal that the current e-Report system does not sufficiently meet user needs due to an unintuitive interface and the absence of key functionalities such as report tracking, automated notifications, and feedback mechanisms. Additionally, fragmented reporting channels, a predominance of manual submissions, and the perception of reporting as a bureaucratic burden have contributed to a weakened safety culture. The follow-up process is also perceived as lacking transparency and is rarely communicated back to reporters, further reducing trust in the system. These challenges form the basis for recommendations to develop a centralized, user-friendly, and integrated reporting system, supported by unit-based training and a single-channel reporting policy. The PDSA cycle is applied as a strategic framework to design a more responsive and sustainable system that enhances both service quality and patient safety at RSCM.