Supervisi Kepala Ruangan dalam Menigkatkan Budaya Keselamatan Pasien

This study aims to determine the correlation between the supervision of the head of the room with the culture of patient safety in the Nganjuk Hospital inpatient installation. This research method is a quantitative analytic study with a cross-sectional study design. The results showed that most respondents consisted of women (74.4%) aged between 26 - 35 years (52.6%) who had a D3 / equivalent education (71.8%). The results of the bivariate analysis showed that the p-value was 0.000 <0.05. In conclusion, there is a significant relationship between the supervision of the head of the room with the culture of patient safety in the Inpatient Installation of Nganjuk Hospital.   Keywords: Patient Safety Culture, Hospital, Supervisio

Literasi Informasi Kesehatan Nifas Ibu Hamil Berstatus Sosial Menengah ke Bawah

Background: Post-partum health information is hardly accessible to pregnant women. In fact, post-partum health literacy for pregnant mothers in relation to socio-economic factors allows the decline of post-partum morbidities. Aim: This research aimed to analyse the post-partum health information literacy of pregnant women with middlelow social status. Method: This was a quantitative study by using a direct survey technique to assess respondents’ information literacy about post-partum health. There were 79 pregnant women to take part in this study. They only completed their high school degree as their highest educational level, and their family income was less than Rp 2,000,000 ($180) per month. This indicated that these participants are coming from middle-low social status. A selfdeveloped questionnaire was used in this study to be filled by respondents. Results: Results showed that nearly half of respondents (44.1%) found post-partum health information for their self-hygiene well-being after baby delivery process finished. Information accessed by pregnant women were elaborated from other people (66.1%) like as parents, relatives, colleagues, or health officers. Most of the participants agreed to trust captured information (78%), but there were only little use the information (11.9%). Conclusion: To summarize, the health information literacy of pregnant mothers with middle-low status was tenuously elaborated from other people, and most of them believed it. It is possible that information obtained from other people is incorrect, so pregnant mothers might use wrong information. Keywords: health, information literacy, post-partum, pregnant wome

Perhitungan Konsumsi Obat Untuk Logistik Medik di Rumah Sakit Islam Jemursari Surabaya

Inaccurate drugs planning may cause excessive budget, stagnant, and stockout. This research aims to analyze drugs planning in medical logistics of Rumah Sakit Islam Jemursari Surabaya. This research is a descriptive study using cross sectional design. Primary data were obtained through observations and interviews. Secondary data were obtained through drugs planning and drugs consumption data from November to December 2016. Afterward, data were processed and found that 40% drugs item on November 2016 have greater amount of consumption than their planning and 65% drugs item on December 2016 have greater amount of consumption than their planning. The method of drugs planning that used in medical logistics of Rumah Sakit Islam Jemursari Surabaya was consumption method, but it was not calculate the average of drugs consumption. After the calculation based on Keputusan Menteri Kesehatan Nomor 1121 Tahun 2008, there is only 20% drugs item on November 2016 which have greater amount of consumption than their planning and 20% drugs item on December 2016 which have greater amount of consumption than their planning. This research showed that the calculation of drugs consumption for medical logistics in Rumah Sakit Islam Jemursari Surabaya need repairement. Keywords: consumption method, drugs planning, hospita

ROOT CAUSE ANALYSIS ON HOSPITAL STANDARDS AND JOINT COMMISSION INTERNATIONAL STANDARDS: A COMPARATIVE STUDY

Background: Healthcare Associated Infections (HAIs) are infections that patients caught during medical treatment and health care. Prevention and control of infection will lead to patient safety, which ultimately has an impact on efficiency, management of health care facilities, and improvement of service quality. Infection can be controlled by identifying the causes. One method to achieve this goal is the Root Cause Analysis (RCA).Aim: This study aims to analyze the implementation of Root Couse Analysis (RCA) conducted by the Infection Prevention and Control Committee at the Mother and Child Hospital of Kendangsari MERR Surabaya.Method: This is a quantitative observational research that utilizes descriptive data analysis. This study is a cross sectional study and its results are presented narratively.Results: Results show that the Joint Commission International Standard 2015 version of RCA was not fully implemented at the Mother and Child Hospital of Kendangsari MERR Surabaya. Some methods, such as the fishbone and Plan-Do-Study-Action (PDSA), were not implemented. Limited resources became the contributing factor.Conclusion:  Infection Prevention and Control Committee at the Mother and Child Hospital of Kendangsari Merr Surabaya has implemented 9 out of 21 RCA steps of the Joint Commission International Standard 2015. The hospital needs to use other methods as an addition to the 5 Why’s in implementing RCA, such as fishbone diagrams and Plan-Do-Study-Action (PDSA), for problem solving planning. Keywords: Root Cause Analysis (RCA), HAIs, Infection prevention and control

Calculation of Nursing Staff Using Full Time Equivalent in Adi Husada Undaan Wetan Hospital Surabaya

Background: Full Time Equivalent (FTE) is one among many methods used to calculate number of hospital nursing staff needs. FTE expressed as a method that can improve the quality of health services, community satisfaction and personnel (nurses). This prompted Adi Husada Undaan Wetan (RSAH UW) Hospital whichusing Indonesian Ministry of Health (MOH) 2005, considering FTE to determine the number of nurses in the inpatient unit. On the use of FTE, RSAH UW Hospital meetsseveral obstacles, and objectives of this research is to reveal the obstacles on the FTE method and determine the compatible method for RSAH UW Hospital. Methods: The method used in this research is calculate the number of nurses using FTE method, then do a comparison with number of nurses that were determined by MOH 2005 method. Result: The outcome showed that FTE method’s resultis less than MOH 2005 method, this occurs because lack of data on the average hours of care and the projected number of days for patients in inpatient unit. FTE method also doesn’t consider the skills and work experience of each nurse. Conclusion: Even though the FTE method can improve the quality of service, community satisfaction and nurses, but there are obstacles in the implementation of the calculation, so it can be concluded FTE method is not always an option. Recommendation: The method that hospital used must be adapted to the conditions and needs of the hospital

Hospital staff acceptance toward management information systems in Indonesia

Background The use of hospital information systems in Indonesian hospitals have not met the proper level of acceptance. This study aims to assess the intention to use information systems among hospital staff. Methods This study used an online survey that was disseminated for 2 weeks in July 2019. The questions were developed based on the Technology Acceptance Model with the addition of Perceived Risk. The survey yielded 449 total responses, with only 400 determined to be valid. A total of three factors, namely: Perceived Usefulness, Perceived Ease of Use, and Perceived Risk were measured and then analyzed for its influence on Intention to Use, and to each other.Results The finding shows that only Perceived Usefulness has a significant influence on Intention to Use (β = 0,57). Furthermore, higher Perceived Ease of Use was associated with higher Perceived Usefulness (β = 0,68). Accordingly, higher Perceived Ease of Use also associated with significantly lower Perceived Risk (β = -0,49). The finding indicates that hospital employees do not yet have a strong perception of risk toward using hospital information systems. Conclusions employees’ perception of the benefits of using hospital information systems greatly determines their intention to use hospital information systems