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Aina Fachrina;Pemb. Amal Chalik Sjaaf; Peng: Dumilah Ayunigtyas, Mieke Savitri, Carmen Siagian
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Penelitian ini bertujuan untuk mengetahui kepuasan pasien terhadap Pelayanan Unit Rawat Jalan Rumah Sakit Pusat TNI AU dr. Esnawan Antariksa. Dalam penyusunan kerangka konsep penelitian ini sebagai variabel dependen adalah variabel kepuasan total yang meiiputi harapan dan persepsi responden dimana tingkat kepuasan dihitung berdasarkan kesenjangan nilai antara keduanya sedangkan sebagai variabel independen adalah mencari diantara lima dimensi servqual yaitu rangible, reliability, responsiveness, asurance dan emphaty yang memiliki pengaruh paling dominan dalam kepuasan pasien. Metode penelitian yang dilakukan adalah kuantitatif, dimana menggunakan survei kepada 149 responden militer dan 140 responden umum. Data kuantitatif dikumpulkan menggunakan metode cross sectional terhadap responden. Kemudian data yang terkumpul dianalisis menggunakan program perangkat lunak komputer. Dari hasil penelitian didapatkan bahwa ada hubungan antara perkejaan dan pendapatan perbulan responden urnum dengan kepuasan, yaitu dengan p value 0,012 dan 0,011. Berdasarkan metode servqual didapati bahwa 8,72% responden militer dan 7,86% responden umum merasa puas terhadap pelayanan yang diberikan Unit Rawat Jalan RUSPAU. Penggunaan metode servqual sebagai alat ukur kepuasan responden, memperlihatkan adanya kesenjangan antara jasa yang dipersepsikan dengan jasa yang diharapkan responden. Berdasarkan diagram kartesius didapatkan bahwa responden militer merasa paling puas dengan dimensi emphaty yaitu sebesar 24,16% dan responden umum merasa paling puas dengan dimensi responsivenss yaitu sebesar 20%. Secara keseluruhan atribut servqua! yang harus menjadi prioritas untuk diperbaiki oleh manajemen rumah sakit adalah atribut pada dimensi tangible dan reliabiliiy. Sebagai kesimpulan dari penelitian ini bahwa alat ukur metode servqual dapat mengidentifikasikan unsur-unsur pelayanan yang menyebabkan ketidakpuasan responden militer dan umum terhadap perlayanan Unit Rawat Jalan RUSPAU serta unsur-unsur pelayanan mana yang menjadi prioritas untuk diperbaiki oleh manajemen rumah sakit. Oleh karena itu disarankan kepada pihak manejemen rumah sakit unluk menggunakan metode servqual dalam melakukan survei pengukuran kepuasan pasien. Karena penelitian ini membuktikan bahwa metode senfqual dapa! digunakan dan efektif untuk dterapkan di rumah sakit dalam mengukur kepuasan pasien di rumah sakit. Dari hasil penelitian, saran untuk semua pihak yang terkait untuk memperhatikan pasien yang mempunuai harapan tinggi namun berpersepsi rendah, dimana hal tersebut menggambarkan tingginya ketidakpuasan pasien di Unit Rawat Jalan RUSPAU.
This research goals is to assess the level of patient satisfaction of healthcare service on outpatient unit at Air Force Hospital dr. Esnawan Antariksa. ln compiling this frame of this research concept, the dependent variable are total satisfaction variable that encompased expectation and perseption of the military respondens and public respondens, where the level of satisfaction is calculated based on the different value between the two, while the independent variable is finding between consists of 5 dimension; service quality, tangible, reliability, responsiveness, assurance and emphaty that has most dominant effect in respondens satisfaction. Research method that is implemented is kuantitatif; that use surveys to l49 military respondens and 140 public respondens. Kuantitatif data was collected using cross sectional method to the responden. Then data obtained from this research will he analized by using computer software. From the result of the research, we can see there is a correlation between job and salary from the responden with responden satisfaction, with the p value 0,012 and 0,01 I. Based on servqual method we can get 8.72 % military responden and 7,86 % public responden felt satisfied with the services being served by the outpatient unit of RUSPAU. The used of servqual method as an indicator of repondent satisfaction, shows there is a gap between service that is perceived and the service that is expectation by the responden. Based on cartesius diagram, we can also get that military respondens felt the most satisfied with the emphaty dimension is 24,16 % and public respondens felt the most satisfied with the responsiveness is 20 %. Generally, servqual atribute has to be the priority to be fixed by the hospital management is the attribute of tangible and reliability dimension. As the conclusion from this research, servqual method can identified the attribute of services that causes military respondents and public respondents unsatisfied with the RUSPAU outpatient healthcare services and which attribute of service that become the priority to be fixed by the hospital management. It is recommended to the hospital management to use servqual method in surveys to assess the level ofthe custumers satisfaction. This method could be use effectively in hospital in order to assess the level of the customers satisfaction in the outpatient unit.
B-1147
Depok : FKM UI, 2008
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Lusi Irmina Destiani; Pembimbing: Jaslis Ilyas; Penguji: Mintroro Sumego, Budi Hidayat, Mieke Savitri
B-1184
Depok : FKM UI, 2009
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Fitri Arlem; Pembimbing: Mieke Savitri; Penguji: Peter Albert W. Pattinama, Mintoro Sumego
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Dalam memberikan pelayanan kesehatan, tenaga keperawatan adalah personil rumah sakit yang paling sering dan paling banyak menghabiskan waktunya untuk kontak dengan pasicn sehingga sangat berperan dalam mutu pelayanan rumah sakit secara keseluruhan. Di RUSPAU Esnawan Antariksa, tenaga keperawatan selain melakukan asuhan keperawatan, juga rnelakukan aktivitas Iain diluar asuhan keperawazan seperti menghitung administrasi keuangan pasien. Selain itu, pada setiap ruang rawat inap RUSPAU Esnawan Antariksa, ditempatkan tenaga Susnal. Beban kenja perawat merupakan salah satu faktor yang menentukan performan kerja perawat. Beban kemja perawat dipengaruhi oleh jumlah pasien, jumlah perawat, klasifdcasi pasien, mctode pemberian asuhan keperawatan yang diterapkan, kelompok hari bermgas tenaga keperawatan. Tujuan penelitian ini adalah mendapatkan informasi beban kexja tenaga keperawatan di ruang rawat inap Garuda dan Merpati RUSPAU Esnawan Antariksa. Penelitian ini hersifat kualitatii Beban kexja perawat dihitung dengan mempcrgunakan metode work sampling dan daily log, yang dihitxmg pada hari kelja maupun hari libur. Data primer diperoleh dcngan mengadakan pengamatan selama 7 (tujuh) hari berturut-turut yaitu Senin sampai Minggu dengan mcmpergunakan lime list yang diisi dengan aktivitas tcnaga perawat selama 24 jam terus-menerus pada jam kcrja pagi, sore, dan malam. Hasil penelitian menunjukkan aktivitas keperawatan di ruang rawat inap Garuda, yang mempergunakan metode pemberian asuhan keperawatan MPKP, benumt-turut mulai dari yang paling banyak tenaga keperawatan lakukan adalah aktivitas keperawatan tidak langsung, aktivitas keperawatan langsung, dan aktivitas non kepemwatan, baik pada hari kerja maupun pada hari libur. Sedangkan aktivitas keperawatan di ruang rawat inap Merpati, yang mempergunakan metode pembcrian asuhan keperawatan iimgsional, pada hari kexja berturut-tumt mulai dari yang paling banyak tenaga kcpcrawatan lakukan adalah aktivitas non keperawatan, aktivitas keperawatan tidak langsung, lalu aktivitas keperawatan langsung. Dan pada hari libur adalah aktivitas keperawatan langsung, aktivitas non keperawatan, dan aktivitas keperawatan tidak langsung. Sehingga dapat disimpulkan bahwa metode pemberian asuhan keperawatan MPKP Iebih baik daripada metode fimgsional. Pada kcdua ruang rawat inap, rata-rata waktu yang dipergunakan untuk administrasi keuangan pasien tidak menyita waktu dari tenaga keperawatan, tetapi dapat menyebahkan tenaga keperawatan tidak maksimal dalam membcrikan asuhan keperawatan yang dibutuhkan pasien. Berdasarkan wawancara mendalam, tenaga susnal terkadang juga melakukan alctivitas keperawatan yang selain dapat merugikan pasien, dapat pula merugikan RUSPAU Esnawan Antariksa apabila terjadi tuntutan karcna tidak mempunyai legal aspek. Pada penelitian ini disarankan agar metode pemberian asuhan keperawatan MPKP dapat diterapknn di seluruh ruang rawat inap di RUSPAU Esnawan Antariksa, sebailcnya pihak Rumah Sakit tidak melakukan penerimaan tenaga Susnal, dan meningkatlcan pcndidikan tenaga lceperawatan dari SPK menjadi D3 Keperawatan, untuk administrasi keuangan pasien sebaiknya di sediakan lmit khusus.
In giving health services, nursing staff are no doubt the hospital personnel who mainly and most frequently spend time to make contact with the patients, thus they play an important role in shaping the image of hospital services in general. At RUSPAU, the nursing stalf, beside using their skill as a nurse, they also work in area which is they have not been teached it before, such as in calculated patient?s finance. Beside that, in cvcry ruan g ruang rawat inap in RUSPAU, they put Susnal in this location. The workload of the nursing sta5` is one of the factors that determine their performance, and the workload is influenced by the number of patients, the number of muses and the methods applied in supervision of nursing services. The objective of this research is to gain information on the workload and the number of nursing staff needed in Garuda and Merpati inpatient chambers in Dr. Esnawan Antariksa Air Force Central Hospital. The research used qualitative approach. The workload of the nurses was examined by using work sampling and daily log method and was examined both on workdays and holidays. The primary data was taken by conducting observation on 7 consecutive days, i.e. from Monday to Sunday, by using the forms that were filled with nursing staff?s activities for the whole 24 hours during work hours in the morning, aitemoon, and evening. The study revealed that the direct nursing activities in Garuda, that using pemberian asuhan keperawatan MPKP, in continuing basis, starting with the nursing staE` mostly doing it such as indirect nursing activity, direct nursing activity, and non nursing activity, either in working day or holiday. Furthennore, nursing avtivities in wang gawat inap Mei-pati, which is using pemberian asuhan keperawatan tiingsional, at continuing working day, starting from mostly nursing have been done, such as non nursing activity, indirect nursing activity, and then direct nursing activity. And in holiday, applied direct nursing activity, non nursing activity and indirect nursing activity. So, it can be concluded that pembcrian asuhan keperawatan MPKP much better compare to fimgsional methode. In every ruang rawat inap, time for patient?s financing is not take more time fiom the real nursing activity itseltl but it can make nursing skill itself not maximum applied to the patients. Based on detail interview, tenaga susnal sometimes merugikan patients that impact to RUSPAU also, if sue happened cause there is no litigimate aspect. In this penelitian suggessted for metode pemberian asuhan keperawatan MKPK applied to all ruang rawat inap in RUSPAU. Sebaiknya, the Hospital itself not accept tenaga susnal,and to increase nursing education iiorn SPK through D3 Kepeiawatan. For patient?s finance administration should be handled by dedicated unit.
B-1020
Depok : FKM UI, 2007
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Basuki Supartono; Pembimbing: Ronnie Rivany; Penguji: Dumilah Ayuningtyas, Amal C. Sjaaf, H. Chandra Svaras
B-974
Depok : FKM UI, 2006
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nadya Adina Zuhdi; Pembimbing: Ede Surya Darmawan; Penguji: Jaslis Ilyas, Puput Oktamianti, Enny Mulyatsih, Sandry Tri Sumarni
Abstrak:
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Penyakit saraf adalah gangguan pada sistem saraf yang dapat menurunkan fungsi tubuh. Berdasarkan data Survei Kesehatan Indonesia (2023), salah satu penyakit dengan prevalensi tertinggi adalah penyakit saraf, yaitu stroke yang memiliki biaya pengobatan tertinggi ketiga setelah penyakit jantung dan kanker. Akupunktur memiliki dampak yang signifikan pada pengobatan berbagai penyakit saraf. Rumah Sakit Pusat Otak Nasional menangani kasus neurologi (kesehatan otak dan saraf) yang semakin meningkat dan kompleks. Akupunktur medik menjadi salah satu layanan perawatan penunjang di RS PON yang sudah tersedia sejak tahun 2021. Berdasarkan laporan capaian layanan 3 tahun terakhir, tren jumlah pasien tahun 2021-2023 berturut-turut adalah sebagai berikut: 496 pasien, 727 pasien, dan penurunan pada tahun 2023 dengan jumlah 575 pasien. Penurunan angka kunjugan ini berbanding terbalik dengan jumlah kunjungan pasien secara total di RS PON pada periode 2020-2024 yang mengalami peningkatan. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan keinginan pasien rawat jalan di RS PON terhadap layanan akupunktur medik. Penelitian ini merupakan penelitian observasional dengan uraian hasil penelitian deskriptif. Jenis penelitian yang dipilih, yaitu penelitian cross sectional (potong lintang) yang dilakukan dengan menggunakan kuesioner sebagai instrumen pengumpulan data. Teori yang digunakan sebagai kerangka konsep pada penelitian ini adalah teori Capability, Opportunity, Motivation – Behavior (COM-B). Berdasarkan hasil analisis data pada penelitian ini, sejumlah 130 responden (58% dari total responden) memiliki keinginan terhadap layanan akupunktur medik, sisanya, taitu sejumlah 94 responden (42%) tidak memiliki keinginan terhadap layanan akupuntur medik. Persepsi layanan menjadi faktor yang paling mempengaruhi keinginan terhadap layanan akupunktur medik.
Neurological diseases are disorders of the nervous system that can reduce body function. Based on data from the Indonesian Health Survey (2023), one of the diseases with the highest prevalence is neurological disease, namely stroke which has the third highest medical cost after heart disease and cancer. Acupuncture has a significant impact on the treatment of various neurological diseases. The National Brain Center Hospital handles increasingly complex neurology (brain and nerve health) cases. Medical acupuncture is one of the supporting care services at the PON Hospital which has been available since 2021. Based on the service achievement report for the last 3 years, the trend in the number of patients in 2021-2023 is as follows: 496 patients, 727 patients, and a decrease in 2023 with a total of 575 patients. This decrease in the number of visits is inversely proportional to the total number of patient visits at the PON Hospital in the 2020-2024 period which has increased. The purpose of this study was to determine the factors related to the desires of outpatients at the PON Hospital for medical acupuncture services. This study is an observational study with a description of the results of descriptive research. The type of research chosen is cross-sectional research conducted using a questionnaire as a data collection instrument. The theory used as a conceptual framework in this study is the Capability, Opportunity, Motivation – Behavior (COM-B) theory. Based on the results of data analysis in this study, a number of 130 respondents (58% of total respondents) have a desire for medical acupuncture services, the rest, namely 94 respondents (42%) do not have a desire for medical acupuncture services. Perception of service is the factor that most influences the desire for medical acupuncture services.
Neurological diseases are disorders of the nervous system that can reduce body function. Based on data from the Indonesian Health Survey (2023), one of the diseases with the highest prevalence is neurological disease, namely stroke which has the third highest medical cost after heart disease and cancer. Acupuncture has a significant impact on the treatment of various neurological diseases. The National Brain Center Hospital handles increasingly complex neurology (brain and nerve health) cases. Medical acupuncture is one of the supporting care services at the PON Hospital which has been available since 2021. Based on the service achievement report for the last 3 years, the trend in the number of patients in 2021-2023 is as follows: 496 patients, 727 patients, and a decrease in 2023 with a total of 575 patients. This decrease in the number of visits is inversely proportional to the total number of patient visits at the PON Hospital in the 2020-2024 period which has increased. The purpose of this study was to determine the factors related to the desires of outpatients at the PON Hospital for medical acupuncture services. This study is an observational study with a description of the results of descriptive research. The type of research chosen is cross-sectional research conducted using a questionnaire as a data collection instrument. The theory used as a conceptual framework in this study is the Capability, Opportunity, Motivation – Behavior (COM-B) theory. Based on the results of data analysis in this study, a number of 130 respondents (58% of total respondents) have a desire for medical acupuncture services, the rest, namely 94 respondents (42%) do not have a desire for medical acupuncture services. Perception of service is the factor that most influences the desire for medical acupuncture services.
B-2550
Depok : FKM-UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Feizy Marin Amiroeddin; Pembimbing: Wiku Adisasmito; Penguji: Junadi Purnawan, Martini, Arif Setyantoko
Abstrak:
Penelitian ini bertujuan untuk mengetahui komponen data dalam resume medis RSAU yang tidak lengkap dan untuk mengetahui faktor penyebab ketidaklengkapan. Berdasarkan data awal ditemukan bahwa data rekam medis di setiap ruangan perawatan tidak mencapai 100%. Berdasarkan data awal tersebut, penelitian diteruskan untuk mengetahui data yang lebih spesifik yaitu komponen data dalam formulir resume yang telah disepakati. Penelitian ini merupakan penelitian mix methods atau penelitian kuantitatif yang dilakukan secara observasional pada data sekunder rekam medis yaitu formulir resume medis dan dilanjutkan dengan penelitian kualitatif untuk mengetahui faktor yang berhubungan dengan kelengkapan resume medis melalui pendekatan sistem input- proses-output. Lokasi penelitian di RSAU dr. Esnawan Antariksa, dan sampel ditetapkan secara purposive, yaitu 100 data resume dari masing-masing ruangan mulai bulan februari 2016 sampai dengan april 2016. Untuk wawancara mendalam dipilih 4 informan yaitu satu dokter dengan persentase pengisian resume paling lengkap, satu dokter dengan persentase pengisian resume yang kurang lengkap (bukan terburuk), satu kepala ruangan, dan satu perwakilan manajemen. Hasil penelitian dari isian formulir resume medis yang dibagi menjadi 3 kelompok data, yaitu data identitas pasien, data klinis, dan data adminitrasi, menunjukkan bahwa terdapat beberapa komponen data resume medis yang diisi lengkap dan komponen data yang jauh dari standar persentase kelengkapan. Hanya 9 komponen data yang terisi lengkap dari total 28 komponen yang seharusnya diisi dalam formulir resume medis RSAU, meskipun tidak semua dari 9 data tersebut yang konstan terisi dengan lengkap. Sembilan komponen data tersebut adalah: Nama Pasien, Nomor Rekam Medis, Tanggal Masuk, Ruang Rawat, Diagnosa Primer, Diagnosa Sekunder, Indikasi Rawat, Tanda Tangan Dokter, Nama Dokter. Dari 9 data ini, hanya kolom nama pasien dan nomor rekam medis yang konstan selalu diisi oleh pengisi formulir. Adapun faktor penyebab terjadinya ketidaklengkapan adalah formulir resume yang terlalu kompleks, belum adanya SOP terperinci khusus pengisian resume medis, tidak adanya sosialisasi dan pelatihan, serta minimnya monitoring dan evaluasi oleh manajemen rumah sakit.
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B-1853
Depok : FKM UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Lucyanel Arlym; Pembimbing: Suprijanto Rijadi; Penguji: Dumilah Ayuningtyas, Sandi Iljanto, Wirda Saleh
Abstrak:
Tesis ini bertujuan untuk mengetahui kepuasan pasien terhadap pelayanan Instalasi Rawat Jalan Rumah Sakit Ketergantungan Obat (RSKO) dan faktor-faktor yang berhubungan dengan kepuasan pasien, yakni karakteristik pasien dan pelayanan di instalasi rawat jalan. Metode penelitian analitik cross sectional pada 110 pasien rawat jalan. Digunakan analisis univariat, bivariat dan multivariate dengan uji statistic chi square dan regresi logistik.
This Research aims to determine patient satisfaction on service of ambulatory care Installation at Drug Dependence Hospital Jakarta in year 2010 and the factors associated with patient satisfaction, ie, patient characteristics and service in ambulatory care installation. The method of this thesis is cross sectional analytic study on 110 patients that used univariate analysis, bivariate and multivariate analysis. Chi square and logistic regression is used as statistic test.
The research results that 64% respondents who expressed satisfaction. There are three dominant variables of patient characteristics that are related to occupation, income and education. There are three dominant variables of ambulatory services related with satisfaction, that are environmental infrastructure in the waiting room, nursing services, and physician services. By patients characteristics this research informed that requiring community services more customer-oriented, communicative, fast, responsive, and competence and quality of the service implementation.
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Hasil penelitian 64% responden menyatakan puas. Tiga variabel karakteristik yang dominan berhubungan adalah pekenjaan, penghasilan dan pendidikan. Tiga variabel pelayanan di rawat jalan yang dominan berhubungan adalah lingkungan sarana/prasarana di ruang tunggu, pelayanan tenaga perawat di poli dan pelayanan tenaga dokter di ruang periksa. Dari karakteristik pasien didapatkan komunitas yang memerlukan pelayanan berorientasi pelanggan, komunikatif, cepat, tanggap, dan kualitas dan kompetensi pelaksana pelayanan.
Prioritas saran untuk lingkungan sarana/prasana di ruang tunggu lebih memperhatikan kenyamanan ruang tunggu, melengkapi dengan kipas angin/ac, bahan bacaan dan kebersihan wc/toilet, diklat customer care training untuk perawat, kedisiplinan dokier, penjadwalan kunjungan, dan meningkatkan pemasaran rumah sakit.This Research aims to determine patient satisfaction on service of ambulatory care Installation at Drug Dependence Hospital Jakarta in year 2010 and the factors associated with patient satisfaction, ie, patient characteristics and service in ambulatory care installation. The method of this thesis is cross sectional analytic study on 110 patients that used univariate analysis, bivariate and multivariate analysis. Chi square and logistic regression is used as statistic test.
The research results that 64% respondents who expressed satisfaction. There are three dominant variables of patient characteristics that are related to occupation, income and education. There are three dominant variables of ambulatory services related with satisfaction, that are environmental infrastructure in the waiting room, nursing services, and physician services. By patients characteristics this research informed that requiring community services more customer-oriented, communicative, fast, responsive, and competence and quality of the service implementation.
As Suggestions for waiting room facilities service is to keep waiting room comfortable with air conditioner, the reading materials and sanitary toilets, training for customer care, training for nurses, doctors are more disciplined and stand by at the poly, schedule visiting, and increase hospital marketing.
B-1259
Depok : FKM-UI, 2010
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Syanti Puspitasari; Pembimbing: Masyitoh; Penguji: Hadijah
Abstrak:
Peningkatan mutu dan keselmatan pasien merupakan dua hal yang tidak bisadipisaahkan dan harus berkesinambungan. Upaya peningkatan mutu dan keselamatanpasien di Instalasi Farmasi Rumah Sakit Pusat Otak Nasional Prof. DR. dr. MaharMardjono digambarkan melalui capaian indicator pelayanan menurut Standar PelayananMinimal Rumah Sakit yang belum mencapai standar. Penelitian ini dilakukan untukmenganalisis waktu tunggu pelayanan obat jadi pasien JKN dan aktivitas risikoterjadinaya medication error dengan prinsip lean thinking dan swiss cheese model. Jenispenelitian ini adalah operational research dengan pendekatan kualitatif dan kuantitatif.Data kualitatif diperoleh melalui proses observasi dan telaah dokumen, sedangkankuantitatif berdasarkan data waktu tunggu dari electronic health record dan waktutunggu hasil observasi. Hasil penelitian menunjukan waktu tunggu adalah 1 jam 3 menit11 detik, dengan waktu tunggu terlama adalah pada proses penerimaan resep (30 menit42 detik). Kegiatan VA (79%) yaitu 13 menit 13 detik. Aktivitas NVA (21%) denganwaktu 49 menit 21 detik. Waste terbanyak adalah pada kegiatan waiting denganpresentasi waktu 92% dari waktu NVA. Bottleneck pada penelitian ini diambil dariproses waktu tunggu terlama dan hasil analisis swiss chesse model pada tahapanpengkajian dan pemeriksaan sediaan obat.Usulan perbaikan berdasarkan hasil analisisproses pengkajian dan pelayanan resep obat jadi ini adalah perlu adanya penyusunanregulasi pengkajian dan pelayanan obat sesuai standar pelayanan kefarmasian, telaahprofil indicator waktu tunggu obat jadi sesuai SPM rumah sakit, perlu adanya analisisbeban kerja, dan monitoring supervise kajian pelayanan resep obat. Usulan perbaikandigambarkan dalam future state map dengan mereduksi aktivitas NVA yang dapatsecara langsung dihapuskan tanpa dilakukan intervensi.
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.
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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.
S-10439
Depok : FKM UI, 2020
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Tria Yune Eriartasari; Pembimbing: Sandi Iljanto; Penguji: Wahyu Sulistiadi, Purnawan Junadi, Indrasari Aulia, Hermiati
Abstrak:
Fenomena tingginya angka rujukan pasien yang diterima oleh rumah sakit di eraJaminan Kesehatan Nasional mengakibatkan penumpukan pasien yang berobat ke rumahsakit. Salah satu konsep yang dapat digunakan di era JKN untuk dapat memberikan kualitaspelayanan bagi pasien rujukan agar lebih efektif dan optimal, melakukan efisiensi biaya danjuga berorientasi kepada nilai walaupun dengan keterbatasan anggaran dan sumber daya yangdihadapi rumah sakit adalah dengan mengaplikasikan konsep Lean dalam pelayanankesehatan.Penelitian ini menunjukkan bahwa faktor penentu belum optimalnya pelayanan pasienrujukan JKN di poliklinik disebabkan oleh waktu tunggu berkas rekam medik lama, waktutunggu dokter spesialis lama, serta pasien yang menumpuk dan berkerumun menungguantrian. Berdasarkan Karakteristik Sistem Rujukan WHO, kurangnya SDM rekam medik,profesionalitas dokter, kurangnya kerjasama dan komunikasi pra rujukan, kelengkapanfasilitas sarana prasarana dan sumber daya pendukung yang kurang memadai, serta belumsempurnanya aplikasi SIMRS juga menyebabkan belum optimalnya pelayanan pasienrujukan JKN di poliklinik. Berdasarkan Current State Value Stream Mapping didapatkanaktivitas value added pada proses pelayanan hanya 7,32 % sampai 17,75 %, sedangkanaktivitas non value added mencapai 82,25 % sampai 92,6 %. Dengan memotong alurpelayanan, mengeliminasi waste yang ditemukan, dan implementasi tools Lean 5S, VisualManagement, Eror Proofing, dan Heijunka diharapkan pada Estimate Future State ValueStream Mapping akan menghasilkan penurunan waktu pelayanan sampai 87 menit, danmeningkatkan aktivitas value added sampai 34,95%.
Kata kunci : Pasien rujukan JKN, optimalisasi pelayanan, konsep lean, waktu tunggu.
The phenomenon of high rates of referral of patients received by the hospital in theera of National Health Insurance resulted in a buildup of patients treated at the hospital . Oneconcept that can be used in the era JKN to be able to provide quality care for the patientsreferral to be more effective and optimal, cost efficiency and also oriented to value althoughwith limited budgets and resources faced by hospitals is to apply the concept of Lean inhealthcare.This study shows that the decisive factor is not optimal patient care referral JKN inpolyclinic are caused by long waiting time for medical record file, long waiting timespecialist doctors, and patients who accumulate and clump waiting queue. Based ReferralSystem Characteristics WHO, lack of human resources in medical records, physicianprofessionalism, lack of cooperation and communication pre references, completeinfrastructure facilities and supporting resources are inadequate, and incomplete applicationSIMRS also lead to non-optimal patient care referral JKN in polyclinic. Based on the CurrentState Value Stream Mapping, value added activities in the service only 7.32 % to 17.75 %,while the non-value added activity reached 82.25 % to 92.6 %. By cutting the service flow,eliminate waste were found, and implementation tools of Lean 5S, Visual Management, ErrorProofing , and Heijunka expected at Estimate Future State Value Stream Mapping will resultin reduced service time to 87 minutes , and increase value added activities until 34.95 % .
Key word : referral patient of JKN, optimization services, lean concept, waiting time.
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Kata kunci : Pasien rujukan JKN, optimalisasi pelayanan, konsep lean, waktu tunggu.
The phenomenon of high rates of referral of patients received by the hospital in theera of National Health Insurance resulted in a buildup of patients treated at the hospital . Oneconcept that can be used in the era JKN to be able to provide quality care for the patientsreferral to be more effective and optimal, cost efficiency and also oriented to value althoughwith limited budgets and resources faced by hospitals is to apply the concept of Lean inhealthcare.This study shows that the decisive factor is not optimal patient care referral JKN inpolyclinic are caused by long waiting time for medical record file, long waiting timespecialist doctors, and patients who accumulate and clump waiting queue. Based ReferralSystem Characteristics WHO, lack of human resources in medical records, physicianprofessionalism, lack of cooperation and communication pre references, completeinfrastructure facilities and supporting resources are inadequate, and incomplete applicationSIMRS also lead to non-optimal patient care referral JKN in polyclinic. Based on the CurrentState Value Stream Mapping, value added activities in the service only 7.32 % to 17.75 %,while the non-value added activity reached 82.25 % to 92.6 %. By cutting the service flow,eliminate waste were found, and implementation tools of Lean 5S, Visual Management, ErrorProofing , and Heijunka expected at Estimate Future State Value Stream Mapping will resultin reduced service time to 87 minutes , and increase value added activities until 34.95 % .
Key word : referral patient of JKN, optimization services, lean concept, waiting time.
B-1785
Depok : FKM UI, 2016
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Vika Wahyudi Anggiri; Pembimbing: Jaslis Ilyas; Penguji: Ede Surya Darmawan, Septiara Putri, Iin Dewi Astuty, Hadijah Tahir
Abstrak:
Resep elektronik merupakan salah satu sistem informasi berpusat kepada pelayanan dengan menghubungkan antara dokter dan apoteker yang bertujuan untuk meningkatkan keselamatan pasien, mengurangi ketidakefisienan dan mengurangi kesalahan pemberian obat. Penyelenggaraan resep elektronik bertujuan untuk memudahkan pengguna dalam melaksanakan tugasnya sehari-hari. Namun, faktor kegunaan dan manfaat dari teknologi ini akan bergantung dari penerimaan pengguna dalam memanfaatkan teknologi yang ada. Tujuan penelitian untuk mengetahui dan menganalisa pengaruh penerimaan penggunaan terhadap resep elektronik dengan pendekatan Technology Acceptance Model di RS PON Prof. Dr. dr. Mahar Mardjono. Penelitian dilakukan pada bulan Juni sampai Juli tahun 2020 menggunakan desain penelitian studi cross sectional dengan pendekatan metode kuantitatif. Uji hipotesis menggunakan analisis Partial Least Square dengan probabilitas dua arah dimana nilai T-statistik lebih besar dari 1,96 maka hasil signifikan dengan memiliki pengaruh yang bermakna. Penerimaan teknologi resep elektronik di RS PON Prof. Dr. dr. Mahar Marjono dikategorikan cukup dengan nilai 69,6%. Hasil penelitian menunjukan bahwa persepsi kemudahan penggunaan dipengaruhi oleh desain layar, terminologi dan pelatihan serta sikap terhadap penggunaan dan kecenderungan penggunaan dipengaruhi oleh persepsi kegunaan. Kondisi nyata penggunaan sistem terjadi penurunan jumlah penggunaan resep elektronik dan didapatkan nilai rata-rata penggunaan resep manual sebesar 5,4%. Implementasi resep elektronik di RS PON Prof. Dr. dr. Mahar Mardjono sudah berjalan cukup baik dan diperlukan peningkatan kemampuan sistem dengan tujuan meningkatkan kinerja dan kualitas layanan rumah sakit.
Electronic prescribing is one of the information systems focusing on automated service that connects doctors and pharmacists, which potentially improves safety care, reduces inefficiencies and prescription errors. Electronic prescribing assists users in delivering their daily works. However, the usefulness factor and benefits of electronic prescribing relies on the user acceptance to optimize the advantages of this technology. This research aims to find and to analyze the effect of user acceptance towards electronic prescribing by using Technology Acceptance Model approach at National Brain Center Prof. Dr. dr. Mahar Mardjono Hospital. The research was conducted in June to July 2020 by employing cross sectional research design and quantitative method approach. The hypothesis testing is developed by using Partial Least Square analysis with a twoway probability where if the value of T-Statistics is higher than 1,96, the effect is significant and meaningful. User acceptance towards electronic prescribing at National Brain Center Prof. Dr. dr. Mahar Mardjono Hospital is categorized as sufficient with a value of 69,6%. The research finds that perceived ease of use was influenced by screen design, terminology and training, while attitude towards using and behavioral intention were influenced by perceived usefulness. The actual system use signifies a decline in electronic prescribing usage and the average value of using manual prescribing was 5,4%. Implementation of electronic prescribing at National Brain Center Prof. Dr. dr. Mahar Mardjono Hospital has been running quite well and it is necessary to increase system capabilities with the aim of improving the performance and quality of hospital services.
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Electronic prescribing is one of the information systems focusing on automated service that connects doctors and pharmacists, which potentially improves safety care, reduces inefficiencies and prescription errors. Electronic prescribing assists users in delivering their daily works. However, the usefulness factor and benefits of electronic prescribing relies on the user acceptance to optimize the advantages of this technology. This research aims to find and to analyze the effect of user acceptance towards electronic prescribing by using Technology Acceptance Model approach at National Brain Center Prof. Dr. dr. Mahar Mardjono Hospital. The research was conducted in June to July 2020 by employing cross sectional research design and quantitative method approach. The hypothesis testing is developed by using Partial Least Square analysis with a twoway probability where if the value of T-Statistics is higher than 1,96, the effect is significant and meaningful. User acceptance towards electronic prescribing at National Brain Center Prof. Dr. dr. Mahar Mardjono Hospital is categorized as sufficient with a value of 69,6%. The research finds that perceived ease of use was influenced by screen design, terminology and training, while attitude towards using and behavioral intention were influenced by perceived usefulness. The actual system use signifies a decline in electronic prescribing usage and the average value of using manual prescribing was 5,4%. Implementation of electronic prescribing at National Brain Center Prof. Dr. dr. Mahar Mardjono Hospital has been running quite well and it is necessary to increase system capabilities with the aim of improving the performance and quality of hospital services.
B-2160
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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