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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.
Analysis of Outpatient Installation Pharmacy Waiting Time at Special Hospital of Drug Addiction Jakarta in 2023 Abstract Prescription services waiting time in outpatient installations is one of the indicators for evaluating the performance of pharmaceutical installations that affects the quality of hospital services. Hospitals need to effort that prescription services waiting time meet the Minimum Service Standards (SPM). Through the Lean method with the Value Stream Mapping approach, this study aims to determine the prescription service procedures at the outpatient installation of RSKO Jakarta, identify value added and non-value added and waste that occurs so that factors that cause waste can be analyzed which can be prevented through the strategy recommendations obtained. This is a qualitative research with data collection obtained through observing and recording the e-prescriptions services waiting time at the RSKO outpatient installation, extracting in-depth information from informants and reviewing documents. Observations were made on 20 concoction medicine recipes and 10 concoction medicine recipes. The selection of informants was carried out using a purposive sampling technique and interviews were conducted with patients to obtain value from the customer's perspective according to the principles of the Lean method. The data obtained is then analyzed to obtain the factors affecting the prescription services waiting time duration using a fishbone diagram then a scoring system is carried out by assessing the urgency, severity and growth aspects of the cause problem so that priority recommendations can be formulated. The results of research conducted in April-May 2023 found that the average waiting time for prescription drug services was 49.25 minutes (VAR 17.5%) and for concoction drugs 80.2 minutes (VAR 33%), which means that it still exceeds the SPM set by KMK No. 128 of 2009 (no concoction drug recipe < 30 minutes, concoction drug recipe < 60 minutes). Some of the factors that cause waste are inefficiency in human resources, pharmaceutical inventory systems that have not been automated, inadequate evaluation/monitoring of drug use, the absence of a separate system for emergency prescription services, prescription service SPO that has not been adjusted with the establishment of prescription response time quality standardsfor each process, networks information system that frequently down/loads repeatedly and patient’s interruption for asking information. It is hoped that in the future an improvement strategy can be carried out to improve the waiting time for prescription services; increasing HR efficiency through arrangements so that during peak hours pharmaceutical HR focuses on working on the duties and functions of prescription services, facilitating a pharmaceutical inventory system with an automated system, implementing an evaluation system for monitoring drug use more effectively so that procurement planning becomes more accurate, regulation separates prescription services from the emergency room, providing SPO in accordance with prescription service implementation, separate the information system network between patient services and office and providing reachable information for pastient (visual management).
Rumah Sakit Ketergantungan Obat merupakan salah satu rumah sakit rujukan ketergantungan Obat yang terletak di daerah Cibubur Jakarta Timur. Rumah sakit ini tidak hanya memfokuskan kepada pasien-pasien ketergantungan obat saja melainkan dikembangkan pelayanan bagi pasien non ketergantungan obat (umum atau non NAPZA). Penelitian ini bertujuan untuk dapat menentukan target pasar yang sesuai bagi Instalasi Rawat Inap Non NAPZA RSKO Cibubur Tahun 2008 berdasarkan identifikasi dan pemilihan segmentasi pasar yang ada. Karakteristik penduduk dalam kajian ini dibagi berdasarkan segmen geografi, demografi. psikografi dan perilaku. Data yang digunakan dalam pene1itian ini adalah data primer dan data sekunder. Penelitian ini merupakan penelitian deskriptif analitik yang bersifat kualitatif kuantitatif. Penelitian kualitatif dilakukan dengan me1akukan wawancara mendalam kepada pihak rumah sakit sebagai informan. Sedangkan penelitian kuantitatif dilakukan dengan menyebarkan kuesioner kepada responden yang ada disekitar lingkungan rumah sakit. Dari hasil anal isis dan pengolahan data didapat dua kluster segmentasi psikografi dan tiga kiuster segmentasi perilaku. Pada segmentasi geografi didapat bahwa responden memilih pelayan rawat inap yang dekat dengan tempat tinggal, sedangkan pada segmentasi demografi usia produktif yang paling dominan, ini sesuai dengan yang diharapkan pihak RSKO. Pekerjaan sebagai karyawan merupakan yang paling banyak, hal ini menjadi pertimbangan pihak RSKO untuk dapat menjalin kerjasama dengan perusahaan yag ada disekitar RSKO. Dengan tingkat pendidikan terbanyak SMU dan berpenghasilan 1-2 juta maka pihak RSKO hendaknya meningkatkan kualitas tenaga medis dan peralatan serta menyediakan rawat inap kelas 2 dan kelas 3 lebih banyak lagi. Untuk mendapatkan target pasar yang diinginkan maka RSKO hendaknya melakukan seminar atau promosi untuk merubah paradigm RSKO sebagai rumah sakit menakutkan, meningkatkan pelayanan untuk rawat inap NON NAPZA dengan biaya yang terjangkau, menambah ruangan rawat inap untuk kelas 2 dan kelas 3.
Rumah Sakit Ketergantungan Obat (RSKO) Cibubur is one of drug dependence reference hospital which located in area Cibubur Jakarta Timur. This hospital not only focussed to just drug dependence patients but developed by service for patient non drug dependence {common or non NAPZA). This research aim to to be able to determine target of market appropriate for Installation R,awat !nap Non NAPZA RSKO Cibubur 2008 based on identification and election of the market segmentation. Resident characteristic in this study divided based on segment geography, demography, psychography and behavior. Data applied in this research is primary data and secondary data. This research is analytic descriptive research having the character of quantitative qualitative. Research qualitative is done by doing in depth quantitative research is done by propagating questionalre to the responder is around by hospital area. From result of analysis and data processing is gotten [by] two kluster segmentation of psychography and three kluster behavioristic-segmentation, At segmentation geography it is gotten that respondent chooses steward to rawat inap which close to residence, while at segmentation of productive age demography of which most dominance, this matching with?
Kata Kunci : Kualitas Pelayanan, Loyalitas, Rawat Inap
Daftar Pustaka: 48 (1975-2012).
This thesis discusses the trend of decline in the number of patient visits that showindications of low levels of patient loyalty Installation Inpatient RSAB Harapan Kita, wherethe patient may be switched to another hospital or may not return to visit because it was notsatisfied by the services provided. The purpose of this study to determine the relationship ofindependent variables of service quality (tangibles, reliability, responsiveness, assurance andempathy) with the dependent variable in patient loyalty Installation Inpatient RSAB HarapanKita in 2012. This study used a cross-sectional study design, the sample size is 106respondents were new patients or patients longer. To test for univariate analysis of frequencydistribution analysis was used, while to test bivariate analysis using quadratic kai test.The analysis showed no significant relationship between service quality and loyalty ofpatients as p value < α (α = 0.05). Obtained p value for each dimension of service quality,that is tangibles (p value = 0.001), reliability (p value = 0.023), responsiveness (p value =0.006), assurance (p value = 0.002) and empathy (p value = 0.033). So is the relationship ofpatient satisfaction with the loyalty of the patients showed a significant relationship ie, pvalue = 0.001.
Keywords : Quality Service, Loyalty, Inpatient
References : 48 (1975-2012)(xix + 118 pages + 27 tables + 4 figures + 2 graphs + 7 appendices)
Kata kunci: FMEA; Instalasi Rawat Inap; Manajemen Risiko; Pasien Jatuh; Pencegahan Pasien Jatuh
The incidence of patients fall is a second big issue after the incidence of medication errors. Reducing the risk of falls is one measure of service quality that is the main focus of the Hospital. This study aims to analyze the risk management of inpatient falls at Woman and Children Hospital SMB in 2020 by using FMEA tool. This research is a qualitative study by using in-depth interviews, observation, document review, and FGD as data collection methods. The results of this study indicate that factors of patient fall which become high priority potential failure modes are found in the structure and process variables. Factors in the structure variables include hospital protocols that do not regulate the mobilization of discharged patients and infrastructures that have not been provided. Factors in the process variable include inconsistent documentation and patient supervision. The potential impacts are difficulty to measure risk management of patient fall and increased risk of patient fall. Research recommendations are strengthening the monitoring system through the implementation of bedside checklist status, shift reports on patient needs related to falling prevention, optimization briefings and de-briefings of patient Safety, and improving the SOP of discharge planning.
Keywords: FMEA; Inpatient Care; Risk Management; Patient Falls; Patient Falls Prevention
Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien pada Rawat Inap Paviliun Eksekutif Sukaman RSJPDHK pada proses pemberian pelayanan kesehatan perawatan inap secara komprehensif, termasuk after care, rehabilitasi, dan edukasi kesehatan setelah pasien selesai menjalani rangkaian pengobatan di perawatan inap Paviliun Eksekutif Sukaman RSJPDHK. Studi kepuasan ini mengadopsi penelitian Nickel et al. (2010) dengan menggunakan metode penelitian kuantitatif dan kualitatif. Pengumpulan data utama menggunakan instrumen kepuasan FKP dan wawancara mendalam. Responden penelitian berjumlah 34 orang yang didominasi oleh laki-laki (85,3 persen) dan rentang usia 50--60 tahun (58,8 persen). Cut-off point tingkat kepuasan yang digunakan pada penelitian ini sebesar 75 persen. Tingkat kepuasan terendah terdapat pada komponen edukasi dan tertinggi pada pelayanan oleh perawat. Nilai kepuasan pasien secara rinci pada penerimaan ruang rawat sebesar 79,8 persen, pelayanan oleh dokter 78,5 persen, pelayanan oleh perawat (81,4 persen), penataan ruang rawat dan kegiatan sehari-hari (80,8 persen), after care dan rehabilitasi (77,8 persen), dan komponen edukasi (75,3 persen). Penelitian ini menyarankan perlunya pocket book untuk edukasi dan sosialisasi tata kelola rumah sakit kepada dokter. Kata Kunci : Kepuasan Pasien, Proses, Rawat Inap, Rumah Sakit Jantung
The purpose of this study was to assess level of satisfaction on the In Patient Sukaman Executive Ward of RSJPDHK in a process of delivering the whole comprehensive health services, including after care, rehabilitation, and patient education after the patients had been discharged from that Executive Ward. The satisfaction study written by Nickel et al. (2010) was adopted regarding the quantitative and the qualitative approach. The instrumen that had been used to obtain the quantitative data was FK-P Questioner. The study was conducted on 34 cases that was dominated by (Men 85,3%) within the range of age in between 5060 years old (58,8%), and the Cut-off point for level of satisfaction was 75%. The lowest and the highest level of satisfaction was found on the component of education and the component of nursing care, respectively. The detail of satisfaction result are: admission (79,8%), physician care (78,5%), nursing care (81,4%), lodging and daily routine (80,8%), after care and rehabilitation (77,8%), and patient education (75,3 %). To improve the quality of services on this Executive Wards this study suggested to produce a pocket book given to either patient or family regarding the patient education and forming the hospital governance as a new culture of this hospital . Keywords : Patient Satisfaction, Process, In-Patient, Cardiovascular hosital