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Nurses have a collaborative function in providing nursing care and the ability to implement appropriate 6 drugs, including: the right patient, the right drug, the right dose, the right time, the right way, and the right documentation. the relationship with the characteristics, knowledge, attitudes, ethical & legal understanding as well as humanism and the culture of competence that affect performance during the Covid-19 pandemic. This study used a quantitative approach with cross sectional method with a total sample of 50 nurses in the Intensive Care Room at RSPI Prof. Dr. Sulianti Saroso. Bivariate analysis with Contiunity Corretion and multivariate analysis with multiple logistic regression. The results showed a significant relationship between humanism and a culture of competence with professional behavior in the correct application of medication (p value 0.000) amounting to 74.2%, and ethical and legal understanding with professional behavior of nurses in the correct application of 6 drugs (p value 0.043). 63.39%. The multivariate results of humanism and competency culture variables are the dominant factors in the professional behavior of nurses in administering drugs. The professional behavior of nurses in the proper application of drug administration supports the improvement of services for patient safety in safe drug administration. The professional behavior of nurses is a very basic assessment in the credential process for employee selection. Efforts to implement this principle can be done by continuing nursing education and increasing supervision.
Kepuasan klien merupakan salah satu indikator untuk mengukur keberhasilan layanan rumah sakit yang berguna memberikan feedback bagi pihak manajemen, karena dengan mutu pelayanan yang baik akan memberikan kepuasan. Pengukuran kepuasan dapat dilakukan dengan membandingkan kesenjangan yang terjadi antara harapan dan kinerja. Latar belakang penelitian ini adalah masih rendahnya jumlah klien yang melakukan kunjungan VCT dan belum adanya informasi mengenai kepuasan klien yang sekaligus ditinjau dari karakteristik klien. Tujuan penelitian ini adalah untuk mengetahui gambaran kepuasan klien dan karakteristik klien yang manakah yang memiliki hubungan terhadap penilaian yang klien berikan. Metoda yang digunakan adalah deskriptif analitik, desain cross sectional dengan melakukan wawancara kepada 106 orang klien VCT. Analisa data secara kuantitatif menggunakan analisis univariat, bivariat, dan diagram kartesius. Hasil penelitian menunjukkan bahwa pasien mempunyai tingkat kepuasan yang tidak terlalu tinggi terhadap kualitas pelayanan ditinjau daTi 5 dimensi ServQual dimana nilai persepsi kenyataan hampir mendekati harapan mereka. Pada diagram kartesis terlihat kebanyakan atribut dimensi kualitas pelayanan berada pada kuadran dua, tiga dan empat. Selain itu dari uji chi square diperoleh karakteristik yang dinilai memiliki hubungan bermakna pada harapan klien adalah pekerjaan, sedangkan pada kinerja adalah pekerjaan dan umur. (p<0,05). Untuk meningkatkan kepuasan pasien maka disarankan untuk melakukan perbaikan dengan melengkapi fasilitas unit VCT dengan peralatan yang moderen ruangan yang bersih dan nyaman serta memberikan pelatihan kepada seluruh petugas, perawat dan dokter untuk meningkatkan kemampuan mengatasi masalah pasien dan menanamkan pentingnya kepuasan pasien sehingga para dokter dapat dengan mudah dihubungi untuk selalu membantu masalah klien. Survei kepuasan klien dilakukan secara rutin sebagai salah satu alat untuk memantau kualitas pelayanan. yang lebih besar daripada rata-rata skor pada pre-test.
Client satisfaction is one of the indicators for measuring hospital service and giving feedback for management, because of a good service quality will give satisfaction. Customer satisfaction can measure with compare gap between hope and kinerja Background: Low rate of client visit for VCT and there is no information about client satisfaction related to reutiliziation interest. Objective of this research is to describe client satisfaction and know wich character that have relation with client judgement. Method: Descriptive analysis with cross sectional design and interviewing to 106 patients. Research methodology is quantitative analysis with univariate analysis, bivariate and scatter diagram. Result: Client satisfaction is not to high through five dimennsion of ServQual. The score for the reality is almost same with their expectation. In scatter diagram, we can see much of service attributes are in second, third and fourth quadrant. Beside that from chi square we get relation ship between jobs and hope. In other side we also get relationship with jobs and age to kinerja. (p<0,05). Improving patient satisfaction and reutilization is to increase its qua1ity service. The important is improving inward quality service with adding more modern equipment make a clean and comfortable room, giving a training for employees, nurses, and doctors to raise their ability to solve patient problem and the important of patient satisfaction, so that the doctors can be easy to contact for helping the client problem. Beside that, routine client satisfactio survey as a tool for observing service quality.
Hospital is a health facility that organizes health service activities. Apart from having a positive impact, hospitals also have a negative impact, namely the presence of waste generated from hospital activities, which if not handled properly will have an impact on public health and the environment. In March 2020 there was a non-natural disaster from the Covid-19 pandemic in Indonesia which caused the production of solid medical waste in hospitals to increase significantly, thus requiring an increase in its management capacity in terms of quantity and quality. Dr. Rumkital Mintohardjo as one of the covid19 referral hospitals has implemented waste management even though it is not optimal. This study aims to analyze the management of solid hazardous and toxic (B3) waste through a systems approach at Dr. Rumkital. Mintohardjo. This type of research is observational, which describes the B3 solid waste management system starting from the input, process, and output to find out the problems that exist in the hazardous solid waste management system at Dr. Rumkital. Mintohardjo. The types of data used are primary data and secondary data. Primary data were obtained from in-depth interviews and direct observations, while secondary data were obtained from reviewing existing documents. The problem at the input stage is the lack of officers in the environmental health department, while at the process stage the problem lies in the implementation procedure for B3 solid waste management which is still not optimal (not in accordance with the established standards) and the capacity of the incinerator machine which is not proportional to the amount of B3 waste generation. solid. At the output stage, it is expected that all solid hazardous waste generation will be managed properly. Because there are problems in the management of B3 solid waste, it is necessary to improve the management of B3 solid waste and regular management evaluations in order to create a healthy hospital environment
Kata kunci: lean thinking, , medication error, swiss chesse model waktu tunggupelayanan
Quality improvement and patient safety are two things that cannot separated and mustbe continuous. Effort to improve quality and patient safety at Outpatient PharmacyPusat Otak Nasional Prof. DR.dr. Mahar Mardjono Hospital is described through theachievement of service indicators according to the hospital minimum service standardsthet have not resched the standard. This study was conducted to analyze the waitingtime for JKN patient medication services and risk activities of medication errors usingprinciples of lean thinking and the swiss cheese model. This type of research isoperational research with qualitative and quantitative approaches. Qualitative data isobtained through the process of observation and document review, while quantitativedata is based on waiting time data from electronic health records and waiting time forobservations. The result showed that the waiting time was 1 hour 3 minutes 11 seconds,with the longest waiting time was in the process of receiving the recipe (30 minutes 42seconds). Value_added activity (79%) was 13 minutes 13 seconds, non value addedactivity (21%) for 49 minutes 21 second. Most of waste is in waiting activities with apresentation time of 92% of the time for non value added. The bottleneck in this studywas taken from the longest waiting time process and the result of the swiss cheesemodel analysis at the assessment and examination stage of drug preparations.Reviewing the waiting time indicator profile for the finished medicine according to theSPM of the hospital. There is a need for workload analysis, and monitoring of thereview of prescription services. Proposed improvements are described in a future statemap by reducing non value added activity which can be directly eliminated withoutintervention.
Key words: lean thinking, medication error, swiss chesse model, medication error,service waiting time.
