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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
Dari pengamatan terhadap pola kegiatan perawat diperoleh hasil penggunaan waktu produktif perawat di Instalasi Rawat Inap 64,45%, dan waktu tidak produktif 35,54%. Berdasarkan data primer yang berhasil dikumpulkan, setelah diolah oleh Formula (Gillies, PPNI, Ilyas) dan data sekunder terkait seputar pengetahuan seputar pekerjaan, keterampilan dan sikap, diperoleh kesimpulan bahwa jumlah tenaga perawat di Instalasi Rawat Inap sejumlah 10 orang. Jumlah ini sesuai dengan jumlah perawat saat ini.
Kata kunci: Analisis kebutuhan tenaga, perawat, Instalasi Rawat Inap
This thesis aims untuki know the analysis of energy needs in Inpatient RSIA SamMarie Basra 2014. The research background is the increasing number 3 beds, the percentage of overtime, center hospital revenue. The calculation formula used is the formula (Gillies, PPNI, Ilyas). This research is quantitative with observation (time and motion study), qualitative in-depth interviews and document review. Primary data were collected through observation during the 8 days of work, and conduct in-depth interviews to informants related to research in RSIA SamMarie Basra.
From the observation of the pattern of activity nurses obtained results using productive time nurse in Inpatient 64.45%, and 35.54% unproductive time. Based on primary data collected, after being processed by Formula (Gillies, PPNI, Ilyas) and related secondary data regarding knowledge about jobs, skills and attitudes, it is concluded that the number of nurses in Inpatient some 10 people. This number corresponds to the number of nurses today.
Keywords: Analysis of energy needs, nurses, Inpatient
ABSTRAK
Tesis ini membahas Rencana Strategis Unit Pelayanan Terpadu RSCM Kencana RSUPN Dr. Cipto Mangunkusumo Tahun 2013 – 2017. Penelitian ini menggunakan metode kualitatif dengan pendekatan operation research. Tehnik yang digunakan adalah wawancara mendalam dan Consensus Decision Making Group (CDMG). Hasil Penelitian ini adalah terbentuknya visi dan misi serta diketahuinya aspek internal dan eksternal yang mempengaruhi RSCM Kencana. Aspek internal (kekuatan dan kelemahan) dan aspek eksternal (peluang dan ancaman) yang mempengaruhi RSCM Kencana. Hasil penelitian menghasilkan analisa SWOT RSCM Kencana ada di kuadran tiga dengan strategi Turn Around, Matriks TOWS ada di internal fix it dan analisa dengan matriks IE RSCM Kencana ada di kuadran III, V dan VII yaitu Hold and Maintenance. Dimana alternatif strategi dianalisa adalah pengembangan produk. Pengembangan produk yang dipilih sebagai prioritas dari matriks QSPM adalah pembuatan paket layanan.
ABSTRACT
This thesis discussed Strategic Plan of Integrated Services Unit RSCM Kencana at RSUPN Dr. Cipto Mangunkusumo for 2013-2017. This study used qualitative with the operation research approach. The techniques used were in-depth interviews and Consensus Decision Making Group (CDMG). This study result is the new vision and mission. The result of the research discussed internal aspects (strengths and weaknesses) and external aspects (opportunities and threats) influencing the RSCM Kencana. The results of SWOT analysis in third quadrant with Turn Around strategy, TOWS matrix in internal fix it and IE matrix analysis is at quadrant III, V and VII which strategy used are Hold and Maintenance. Where the alternative strategy is product development. The choice of the priority development products from the QSPM matrix is making the service packet. Keywords: vision, mission and strategic planning.
Background : Prematurity, asphyxia, sepsis and congenital disorder still considered as the cause of death in many newborn. All of those conditions required NICU treatment. Brawijaya Duren Tiga (BDT) Hospital under the Brawijaya Group has the commitment to give comprehensive care for mother and babies. After the acquisition process, there has been some increase expectation from the public. NICU development strategic plan has been made to upgrade the quality of care in the BDT hospital. An affordable NICU for all will make the good image of a hospital. Purpose : to make a NICU development strategic plan and feasibility study in BDT Hospital year 2021-2025. In a specific purpose, this research tries to analyze data related to internal and external environmental, what kind of internal and external factor that will affect the establishment of a strategic plan, in what spot the hospital position is in a business strategic scheme, and to know any development strategy, key performance indicator, and what kind of activity that is needed. Research method : operational research, held at BDT hospital, October 2019 – Mei 2020. Collecting data technique for the primary data done by doing in-depth interview to the key person and followed by focused group discussion. Secondary data is done by collecting any supporting data : internal hospital document, regulation, government rules, survey data, journal report dan others. Research instrument is question list as the interview guideline and audio recorder. Data is analyzed by processing primary and secondary data, then it is processed to establish the strategic plan. The result of data processing is alternative strategies, priority strategy, KPI and activities. Result : hospital vision and mission is supporting strategic plan of NICU development. The analysis of internal and external environment data supports the issue for development of NICU. IE matrix puts the hospital positioning on cell 4 : grow and build. TOWS matrix offered alternative strategies which are dominant at the four quadrant : future quadrant. Both matching stages matrix show that the strategy for NICU development is market development and product development. QSPM generates list of priority strategies : increase the marketing and promotion, cost control, audit process to clinical pathway compliance, emphasize the human resource management, maintain patient loyalty, increase partner part, to monitor and evaluate the NICU quality indicator. Simple feasibility study shows that based on the assumption, NICU is worth to develop because it will achieve the BEP on the second year. Some efforts must be done to fulfill the assumptions : the increase of census should be 12 patients/year, operational cost should vi Universitas Indonesia be efficient, not more than 10% per year, review of NICU tariff aim to increase of 10%/year. Conclusion : this research shows that the development of NICU in BDT hospital is feasible as long as everybody has commitment to do the strategy and activities. Keyword : NICU, strategic plan, feasibility study, KPI, activity
Kata kunci: Rekam Medis, Peralatan Penyimpanan, Perlengkapan Penyimpanan, Map/File Folder, Value Analysis.
Kata kunci: Budaya Keselamatan Pasien, Persepsi Tenaga Keperawatan, Hospital Survey On Patient Safety Culture (HSOPSC)
This study discusses the perceptions of nursing staff on the patient safety culture at RSIA SamMarie Basra in 2017. The purpose of this study is to get a description of the perceptions of nursing staff on patient safety culture that can reflect the quality level of patient safety implementation at RSIA SamMarie Basra. This research is a quantitative research with survey method and cross sectional approach. The results showed that 53,1% of nursing staff at RSIA SamMarie Basra had a good perception of the patient safety culture. There is no significant relationship between individual characteristics on the nursing staff perceptions on patient safety culture. The researcher recommends that all workers in the hospital commit to the implementation of non-punitive response so that the patient safety culture in hospitals can be improved.
Keywords : Patient Safety Culture, Nursing Staff Perceptions, Hospital Survey On Patient Safety Culture (HSOPSC
