Ditemukan 3 dokumen yang sesuai dengan query :: Simpan CSV
Richard Sabar Nelson Siahaan; Pembimbing: Prastuti Soewondo; Penguji: Wahyu Sulistiadi, Atik Nurwahyuni, Darnus Djaya, Ferdi Antonio
Abstrak:
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Hasil penelitian memperlihatkan bahwa ada hubungan yang bermakna antara penilaian triase, diagnosa gawat darurat, intervensi gawat darurat, pemeriksaan penunjang, konsultasi dokter dan disposisi dokter terhadap memanjangnya EDLOS. Faktor yang paling berpengaruh adalah faktor label triase, intervensi gawat darurat, jenis pemeriksan penunjang, jenis konsultasi dokter, dan disposisi dokter. Diperlukan penelitian lain yang berkaitan dengan faktor input dan output untuk memberikan informasi yang lengkap terhadap penyebab memanjangnya EDLOS selain fakor throughput di IGD. Disarankan untuk membuat kebijakan untuk kepatuhan dokter terhadap clinical pathway, peningkatan kompetensi tenaga IGD dan evaluasi penetapan target EDLOS di IGD RSCAM Kota Bekasi
The results showed that there was a significant relationship between triage assessment, emergency diagnosis, emergency intervention, investigations, doctor's consultation and doctor's disposition to the prolonged of EDLOS. The most influential factors are the triage tag factor, emergency intervention, type of diagnostic testing, type of doctor's consultation, and disposition. Other research is needed related to input and output factors to provide complete information on the causes of the prolongation of EDLOS in addition to the throughput factors in the ED. It is recommended to make a policy for physician compliance with clinical pathway, increasing the competency of emergency staff and evaluating EDLOS targets in the emergency room at RSUD dr Chasbullah Abdulmadjid Bekasi City.
The results showed that there was a significant relationship between triage assessment, emergency diagnosis, emergency intervention, investigations, doctor's consultation and doctor's disposition to the prolonged of EDLOS. The most influential factors are the triage tag factor, emergency intervention, type of diagnostic testing, type of doctor's consultation, and disposition. Other research is needed related to input and output factors to provide complete information on the causes of the prolongation of EDLOS in addition to the throughput factors in the ED. It is recommended to make a policy for physician compliance with clinical pathway, increasing the competency of emergency staff and evaluating EDLOS targets in the emergency room at RSUD dr Chasbullah Abdulmadjid Bekasi City.
B-2154
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Putu Darmika; Pembimbing; Surya Ede Darmawan; Penguji: Amal C. Sjaaf, Pujiyanto, Budi Hartono, I Made Sudiana
Abstrak:
Keselamatan pasien merupakan isu global yang pencapainnya masih rendah, sehingga untuk pencapainnya perlu menerapkan budaya keselamatan pasien. Budaya keselamatan pasien diukur berdasarkan 12 elemen budaya keselamatan pasien menurut AHRQ dan penerapan 6 sasaran keselamatan pasien. Dipersepsikan penyebab masalah adalah lingkungan kerja, tim kerja, kepemimpinan, kepuasan kerja dan stress kerja. Di RSU Dharma Yadnya Denpasar, belum diketahui persepsi staf tentang budaya keselamatan pasien, namun tingkat insiden yang terjadi masih tinggi. Adapun tujuan dari penelitian ini adalah untuk mengetahui hubungan determinan faktor yang berhubungan dengan budaya keselamatan pasien. Metode penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional yang dianalisis menggunakan PLS, dengan sampel perawat dan bidan pelaksana yang berjumlah 72 responden. Hasil penelitian ini menunjukkan ada hubungan signifikan antara tim kerja, kepemimpinan, dan stress kerja dengan budaya keselamatan pasien berturut-turut sebesar 3,707, 12,647, dan 3,135 > T Statistik 1,96. Sedangkan tidak terdapat hubungan signifikan antara lingkungan kerja dan kepuasan kerja dengan budaya keselamatan pasien sebesar 1,336 dan 0,328 < T Statistik 1,96. Penelitian ini menyimpulkan bahwa kerjasama tim, penurunan tingkat stress kerja dan penerapan model kepemimpinan transformasional perlu diterapkan dalam upaya meningkatkan budaya keselamatan pasien dirumah sakit.
Patient safety is a global issue where the achievement is low, so that it needs to implement a patient safety culture. The patient safety culture is measured based on 12 elements of the patient's safety culture according to AHRQ and the application of 6 patient safety goals. Perceived causes of the problem is the work environment, team work, leadership, job satisfaction and job stress. At RSU Dharma Yadnya Denpasar, the staff's perception about patient safety culture is not known yet, but the incident rate is still high. The purpose of this research is to know the relation of determinant of factor which is related to patient safety culture. This research method is quantitative research with cross sectional design which analyzed by PLS, with sample of nurses and midwife implementer which is 72 respondent. The results of this study indicate that there is a significant correlation between work team, leadership, and work stress with the patient safety culture, respectively 3.707, 12.647, and 3.135 > T Statistics 1.96. While there is no significant relation between work environment and job satisfaction with patient safety culture equal to 1,336 and 0,328 < T Statistic 1,96. This study concludes that teamwork, decreased levels of work stress and the application of transformational leadership models need to be applied in an effort to improve the patient safety culture in the hospital.
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Patient safety is a global issue where the achievement is low, so that it needs to implement a patient safety culture. The patient safety culture is measured based on 12 elements of the patient's safety culture according to AHRQ and the application of 6 patient safety goals. Perceived causes of the problem is the work environment, team work, leadership, job satisfaction and job stress. At RSU Dharma Yadnya Denpasar, the staff's perception about patient safety culture is not known yet, but the incident rate is still high. The purpose of this research is to know the relation of determinant of factor which is related to patient safety culture. This research method is quantitative research with cross sectional design which analyzed by PLS, with sample of nurses and midwife implementer which is 72 respondent. The results of this study indicate that there is a significant correlation between work team, leadership, and work stress with the patient safety culture, respectively 3.707, 12.647, and 3.135 > T Statistics 1.96. While there is no significant relation between work environment and job satisfaction with patient safety culture equal to 1,336 and 0,328 < T Statistic 1,96. This study concludes that teamwork, decreased levels of work stress and the application of transformational leadership models need to be applied in an effort to improve the patient safety culture in the hospital.
B-1951
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Kartika Malahayati; Pembimbing: Jaslis Ilyas; Penguji: Atik Nurwahyuni, Vetty Yulianty Permanasari, Muhamad Nur Ihwan,
Purwa Kurnia Sucahya
Abstrak:
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Casemix, casemix index dan hospital baserate merupakan indikator penting untuk melihat kinerja rumah sakit di bawah sistem pembayaran INA-CBGs. Indikator tersebut merupakan penyusun besaran tarif INA-CBGs, instrumen penilaian kinerja rumah sakit mitra BPJS Kesehatan dan instrumen penyusun pembayaran klaim mixed method INA-CBGs dan global budget yang mulai diujicobakan. Penelitian ini dilakukan dengan tujuan untuk menganalisis capaian dan determinan indikator casemix, casemix index dan hospital baserate RSPG Cisarua Bogor selama tahun 2017 – 2022. Penelitian akan dilakukan selama bulan Mei – Juni 2023 oleh peneliti langsung di RSPG Cisarua Bogor. Analisis capaian indikator casemix, casemix index dan hospital baserate rumah sakit menggunakan data sekunder yang didapatkan dari rekapitulasi data pada elektronik klaim (e-klaim) Kementerian Kesehatan. Determinan yang berpengaruh terhadap ketiga indikator yang dihitung dalam penelitian ini akan dianalisis secara crossectional melalui pendekatan analitik kuantitatif dari data sekunder berupa e-klaim dan laporan rumah sakit. Uji statistik berupa uji korelasi dan regresi linier sederhana digunakan untuk melihat determinan yang berkaitan dengan indikator casemix, casemix index dan hospital baserate. Hasil penelitian menunjukkan tren casemix rawat jalan dan rawat inap tahunan RSPG mengalami penurunan dari 2017 hingga 2021 seiring dengan penurunan jumlah kasus. Penurunan pada tahun 2020 dan 2021 diakibatkan adanya penurunan jumlah kasus yang signifikan selama pandemi Covid-19. Nilai casemix di tahun 2022 kembali naik seiring membaiknya kondisi pandemi di Indonesia. Capaian casemix index rawat jalan dan rawat inap RSPG Cisarua lebih rendah bila dibandingkan dengan rata-rata capaian casemix index RS Pemerintah Kelas A di regional I. Terjadi kenaikan casemix index saat pandemi Covid-19 dikarenakan masyarakat berobat dalam keadaan lebih parah di saat pandemi. Hospital baserate rawat jalan RSPG tahun 2017 dan 2021 masih berada di bawah tarif nasional, sedangkan tahun 2018, 2019, 2020, dan 2022 hospital baserate lebih tinggi dibandingkan tarif nasional. Hospital baserate rawat inap RSPG secara konasisten lebih tinggi dibandingkan tarif nasional. Artinya biaya yang dikeluarkan rumah sakit lebih tinggi dibandingkan tarif yang dibayarkan oleh BPJS dalam menangani kasus dengan nilai cost weight=1. Terdapat 5 variabel yang bernilai signifikan dengan p<0,05 terhadap casemix rawat jalan, yakni jumlah kasus, jumlah klinik rawat jalan, jumlah dokter spesialis, proporsi beban pegawai, dan proporsi beban penyusutan. Variabel yang berkorelasi secara statistik terhadap casemix rawat inap adalah jumlah kasus, severity level II dan III, lama hari perawatan, jumlah dokter spesialis, proporsi beban pegawai, dan proporsi beban penyusutan. Jumlah klinik rawat jalan dan proporsi beban pegawai memiliki hubungan dengan capaian casemix index rawat jalan. Jumlah kasus, severity level I dan III, lama hari perawatan, serta jumlah dokter spesialis yang praktek di rumah sakit secara statistik berpengaruh terhadap capaian casemix index rawat inap. Hospital baserate di rumah sakit dihitung dengan membagi total biaya dengan casemix. Jumlah klinik rawat jalan, jumlah dokter spesialis, dan proporsi beban pegawai memiliki hubungan (p<0,05) terhadap hospital baserate rawat jalan. Jumlah kasus, severity level I dan III, lama hari perawatan, dan proporsi beban pegawai merupakan determinan yang teridentifikasi terhadap hospital baserate rawat inap.
Casemix, casemix index and hospital baserate are important indicators to evaluate hospital performance under the INA-CBGs payment system. These indicators are the basis for the INA-CBGs tariff rates, the instrument for assessing the performance of BPJS Kesehatan partner hospitals and the constructing instrument of mixed method global budget claim payments for INA-CBGs which has begun to be trialled. This research was conducted to analyze the achievements and determinants of casemix, casemix index and hospital baserate RSPG Cisarua Bogor from 2017 to 2022. The research conducted on May - June 2023 at RSPG Cisarua Bogor. Analysis of the achievement indicators for casemix, casemix index and hospital base rate uses secondary data obtained from Ministry of Health's electronic claims (e-claims). The determinants that affect the indicators will be analyzed cross-sectionally through a quantitative analytical approach from secondary data form e-claims and hospital reports. Correlation and simple linear regression were used to see whether the determinants related to the casemix, casemix index and hospital baserate indicators. The results showed that the casemix trend for outpatient and inpatient at RSPG had decreased from 2017 to 2021 along with the number of visits. The decline in 2020 and 2021 was due to a significant decrease in the number of visits during the Covid-19 pandemic. The casemix in 2022 increased as the pandemic conditions improved in Indonesia. The casemix index for outpatient and inpatient care at RSPG Cisarua were lower than the average casemix index for Class A Government Hospitals in regional I. RSPG outpatient hospital baserate in 2017 and 2021 is still below the national rate, while the other years are higher. RSPG's hospital base rate of inpatient care is consistently higher than the national rate. This means that the costs incurred by the hospital are higher than the rates paid by BPJS in handling cases with cost weight = 1. There are 5 variables that have significant value with p
B-2348
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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