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ABSTRAK Proyek adalah sekumpulan kegiatan yang dimaksudkan untuk mencapai hasil akhir tertentu yang cukup penting bagi kepentingan pihak manajemen. Proyek tersebut salah satunya meliputi proyek konstruksi. Proses pembangunan proyek konstruksi pada umumnya merupakan kegiatan yang banyak mengandung unsur bahaya. Masalah keselamatan dan kesehatan kerja (K3) secara umum di Indonesia masih sering terabaikan. Hal ini ditunjukkan dengan masih tingginya angka kecelakaan kerja. Masalah umum mengenai K3 ini juga terjadi pada penyelenggaraan konstruksi. Tenaga kerja di sektor jasa konstruksi mencakup sekitar 7-8% dari jumlah tenaga kerja di seluruh sektor, dan menyumbang 6.45% dari PDB di Indonesia. Sektor jasa konstruksi adalah salah satu sektor yang paling berisiko terhadap kecelakaan kerja, disamping sektor utama lainnya yaitu pertanian, perikanan, perkayuan, dan pertambangan. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor dari nilai-nilai efektifitas penerapan SMK3 terhadap tingkat kecelakaan kerja di PT GPS Batam dan juga mengetahui tingkat efektifitas kinerja K3 di PT GPS Batam dan perbandingannya dengan stardar SMK3 yang dipakai oleh PT GPS Batam. Penelitian dilakukan dengan menggunakan metode kualitatif dengan pendekatan observasional, dilakukan verifikasi dan review ‘in depth’ terhadap tingkat pencapaian elemen-elemen SMK3. Identifikasi kesesuaian penerapan ini salah satunya adalah dengan cara melakukan suatu audit terhadap implementasi SMK3, hubungan antara tingkat pemenuhan program dan target di dalam leading indikator terhadap tingkat lagging indikator yang telah dicapai oleh PT GPS. Hasil penelitian menunjukkan pelaksanaan SMK3 berdasarkan elemen-elemen OHSAS 18001 telah dilaksanakan dengan sangat baik dengan tingkat pencapaian persentase kesesuaian sebesar 95%. Efektifitas implementasi SMK3 dengan pencapaian tingkat leading indikator yang bersifat pencegahan telah berhasil menurunkan angka lagging indicator menjadi nol (0) untuk kategori MTI, RWI dan LTI pada periode tahun 2011 dan 2012.
ABSTRACT Project is some activities with the aim to get the outcome as targeted and the result is important for the management. One of the project type is the Construction project. The fabrication phase of the construction project in general has involving many various hazard in their processes. Occupational health and safety problem in general in Indonesia is negligence quite often. It can shows by the high accident rate in all sector. Labor in construction service has cover up around 7-8% from the total labor in all sector and contribute around 6,45% of PDB in Indonesia. Construction sector is one of the sector that having a highest risk to the work accident, the other main sector such as agriculture, fishery, forestry and mining. This research has intention to identify and analyse the effectiveness of implementing the health and safety management system to the incident rate that occur at PT GPS Batam and also compare it to the OHSMS that has been implemented at PT GPS Batam. This result has been using a qualitative method with observational approach, to do verification and in depth review to the accomplishment rate of the OHSMS elements. One of the way to identify the compliances of implementation is conducting the audit to the OHSMS implementation itself, correlation between the accomplishment rate of the program and target in leading indicator to the lagging indicator rate that has been achieved by PT GPS. The result of this research has showing the implementation of OHSMS that base on OHSAS 18001 elements has been implemented very well with percentage of compliance achievement around 95%. Effectiveness of OHSMS implementation with good leading indicator rate has been succeed in lowering lagging indicator rate become zero (0) for MTI, RWI and LTI category for the year of 2011 and 2012 period. Verification of the audit result from the performance of the effectiveness of the implementation could be seen from the performance of the HSE departments in distinctive and performance of company in general.
Berdasarkan hasil identifikasi bahaya danpenilaian risiko kerja PT XYZ didapat bahwa Departemen PPIC dan Produksi yangmemiliki aktivitas pekerjaan berisiko tinggi yang terbanyak. 47 tindakanPengendalian yang sudah dilakukan dan 29 tindakan yang belum direncanakan olehmanajemen workshop. Berdasarkan evaluasi kesesuaian HIRADC dengan datainvestigasi kecelakaan terdapat 10 aktivitas pekerjaan menjadi berisiko tinggi. 16program keselamatan kerja sesuai dengan pengendalian pada HIRADC diworkshop dan 10 program prioritas utama perlu dilakukan perbaikan. 15 indikatoryang dapat menjadi indikator kinerja keselamatan sesuai dengan program kerjakeselamatan.
Kata kunci: Penilaian risiko, Program keselamatan, Indikator kinerja keselamatan
Kriteria utama obesitas menurut WHO adalah IMT namun obesitas sentral lebih berhubungan dengan risiko kesehatan dibanding obesitas umum Tujuan penelitian untuk mendapatkan cut off point dari ketiga indikator dalam mendeteksi terjadinya DMT2. Juga untuk mengetahui hubungan obesitas dengan indikator IMT, LP dan rasio LP-TB dengan terjadinya DMT2 dan menentukan indikator mana yang lebih baik dari ketiganya. Desain Cross Sectional. menggunakan data sekunder. Analisis menggunakan regresi logistic dan metode ROC.
Hasil : prevalensi DMT2 9,1% dan prevalensi obesitas berkisar 38,37 % - 41,98 % Nilai cut off obesitas umum IMT ≥ 25,72 kg/m2, LP laki-laki ≥ 80,65 cm perempuan ≥ 80,85 cm dan LP-TB laki-laki ≥ 0,51 perempuan ≥ 0,55.
Kesimpulan : orang dengan obesitas meningkatkan risiko terjadinya DMT2 setelah dikontrol faktor umur. Karena hasil ketiga indikator tidak jauh berbeda, maka penggunaanya tergantung keputusan praktisi kesehatan itu sendiri.
The WHO's major obesity criteria is BMI but central obesity is more associated to health risks than general obesity. The objective of the research is to define the cut off points of the three measurements in detecting the occurrence of T2DM. It is also aimed to examine the relationship of obesity indicators (BMI, WC, and WHtR) with T2DM and determine the best indicator of them. Design of Cross Sectional employs secondary data. Analysis apply logistic model and ROC method.
The result: prevalence of type 2 DM is about 9.1%, and obesity prevalence is about 38.37 % to 41.98 %. The cut off values of BMI general obesity, male WC, female WC, male WHtR, and female WHtR are ≥ 25.72 kg/m2, ≥ 80.65 cm, ≥ 80.85 cm, ≥ 0.5, and ≥ 0,55 respectively.
Conclusion: adjusted by age, obesity increases the risk of type 2 DM occurrence. Since there is no significantly different result, the use of obesity indicators depends on the health practitioner decisions.
Kata kunci : Peraturan KBK, Implementasi, indikator angka kontak, indikator rasio prolanis, indikator rujukan non spesialistik.
This research aims to find out the implementation of Performance-Based Capitation Regulation in Primary Helalth Care in East Jakarta Region, 2017. This research is a qualitative study with data collection through interviews, observation, and document review. This study shows that there are problems in communication, resources, and implementation to achieve performance indicators. The researcher suggested that improvement efforts should be made in the case of socialization, review of workload and task division, make SOPs for Prolanis activities, routine training for doctors, make allocation budget for Prolanis, and policy making related to services for participants who are not registered in Primary Health Care Addressed.
Key words : Performance-Based Capitation, Implementation, contack rate indicators, Prolanis ratio indicators, non-specialistic refferal indicators.
Metode penelitian menggunakan desain potong lintang, dengan pendekatan kuantitatif, data primer didapatkan dengan menyebarkan kuesioner kepada seluruh tenaga keperawatan di RSIA Assalam. Total sampel 56 sama dengan populasi, dengan analisis multivariat menggunakan regresi logistik.
Hasil analisis bivariat variabel terukur, relevan, hasil kerja berhubungan secara signifikan (p<0,05) dengan penilaian kinerja. Perilaku paling dominan terhadap penilaian kinerja dengan hasil analisis multivariat ukuran kinerja perilaku (p=0.0001) dan indikator jelas (p=0.039).
Kesimpulan dari penelitian ini indikator kinerja yang digunakan sudah jelas tapi kurang terukur, kurang relevan dan kurang terikat waktu. Instrumen yang digunakan dapat mengukur perilaku dengan baik, tapi belum dapat mengukur hasil kerja dan kompetensi dengan baik. Perbaikan indikator kinerja dan ukuran kinerja pada instrumen penilaian kinerja perlu dilakukan demi meningkatkan kinerja tenaga keparawatan
Sharia hospital is a hospital that carries out all activities, both patient care and management based on the principles of Maqashid Al-Shari'ah. This study aims to determine the relationship between quality indicators and minimum service standards of Sharia Hospital on the performance of Medical Check-Up (MCU) services at YARSI Hospital Jakarta. The design used in this research is a mixed methods research in a cross-sectional way. From the results of the study, it was found that the compliance of officers in identifying patients, compliance by officers in washing hands 6 steps 5 moments, hijab (veil, patient clothes, or cloth) for patients, installation of an ECG according to gender, reminding patients to pray, and gharar (uncertainty) had a relationship with the performance of MCU services after Sharia certification at YARSI Hospital Jakarta in the form of extending MCU service time, preventing infection to MCU patients, preventing contamination, reducing doubts in action, being on time, and no parties feeling aggrieved. It is recommended to YARSI Hospital Jakarta, especially at the MCU installation so that the flow of MCU patient care is followed by all MCU officers, regular briefings for uniformity of MCU services, and giving rewards/punishments to MCU officers.
One of the important business processes in hospital organizations is the management of pharmaceutical supplies. The management of pharmaceutical supplies management at RSPG Cisarua Bogor involves teams starting from the stages of planning, procurement, storage and distribution. Internal obstacles in the process of planning and procuring pharmaceutical supplies are obstacles that can be controlled by internal intervention in business processes within the hospital. This research focuses on proposed changes in the management system of pharmaceutical supply management, especially planning and procurement within RSPG Cisarua Bogor. Intervention in the procurement process using lean six sigma as an evaluation tool to determine weak points in this study only reached the improvement stage. Data collection used in-depth interviews with informants related to the process of planning and procuring pharmaceutical supplies, observation and document tracing then ended with group discussions to determine mutual agreement. The results showed that the absence of fixed procedures in the process of procuring pharmaceutical supplies made the procedure run longer and there was no benchmark of efficiency in the system. Tools in the process of procuring pharmaceutical supplies are also absent so that internal communication between departments even in the same team is low. At the improve stage of lean six sigma produced proposals for changes to standard operating procedures for routine pharmaceutical supply procurement processes, the use of procurement efficiency indicators and the use of ABC VEN as a tool in the pharmaceutical supply procurement process. Proposed improvements in the use of ABC VEN and planning efficiency indicators to address waste over production identified during the pharmaceutical supply planning process. Proposed establishment of new standard operating procedures containing timelines, tools for grouping pharmaceutical supplies based on ABC VEN and procurement efficiency indicators to overcome waste waiting in the pharmaceutical supply procurement process.