ANALYSIS OF THE APPLICATION OF PATIENT SAFETY (Case Study at Ratu Aji Putri Hospital Botung Penajam Paser Utara 2016-2021

  To prevent nosocomial infections, it is necessary to implement patient safety. Patient safety is a condition of being safe physically, socially, spiritually, financially, politically, emotionally, occupationally, psychologically and avoiding various threats. This study aims to analyze the application of patient safety at Ratu Aji Putri Hospital Botung Penajam Paser Utara. The research method used was a case study with a qualitative approach where the informants were the hospital director, the patient safety team leader, the head of the nurse's room and the patient. Methods of collecting and processing data with observational participants, independent interviews and triangulation. Based on the results of the study, it shows that the leadership behavior of the head of the room is directive, where there are obstacles in its implementation that have not been carried out optimally due to a reporting gap that has not been carried out by the head of the room with the management. The communication made by the head of the room with the nurses has been going well but the management has never received positive feedback and there is no freedom and limited expression of opinions or policy proposals. Coordination and division of tasks have been carried out properly, fairly and evenly. Management pays more attention to completing and seeking officers to actively express opinions, it is hoped that this will develop patient safety training programs for officers. &nbsp

LOYALTY, QUALITY OF WORK LIFE, ORGANIZATIONAL CULTURE, AND WORK MOTIVATION CREATING ORGANIZATIONAL CITIZENSHIP BEHAVIOR (Study at North Penajem Paser District Health Office)

Organizations, both profit-oriented and non-profit organizations, expect the maximum possible performance from their employees to achieve the goals set. The North Penajam Paser District Health Office is a local government organization that provides health services to the community. Health services provided must certainly be able to provide satisfaction to the community it serves. Human resources who perform excessively compared to what has been set are termed Organizational Citizenship Behavior (OCB). The purpose of this study was to examine and analyze the influence of loyalty, quality of work life , organizational culture and work motivation on OCB either partially or simultaneously. This study has five variables consisting of one dependent variable and four independent variables. Organizational Citizenship Behavior (OCB) as the dependent variable (Y), Loyalty (X1), Quality of Work Life (X2) , Organizational Culture (X4), and Work Motivation (X5) as independent variables. Respondents in this study were employees at the North Penajam Paser District Health Office. The number of samples in this study were 84 people, the analytical tool used was multiple linear regression. The results showed Loyalty, Quality of Work Life , Organizational Culture, and Work Motivation have a simultaneous influence on OCB. Partially Loyalty has a significant influence on OCB, as well as Organizational Culture and Work Motivation have an influence on OCB. However, the Quality of Work Life variable has no effect on OCB

Statin Therapy for The Primary Prevention of Cardiovascular Disease: Pros

Cardiovascular disease (CVD) is the leading cause of death worldwide. Dyslipidemia is one of the causes of cardiovascular disease with a contributor to plaque formation.Statins are a class of drugs that lower cholesterol levels by inhibiting the enzyme HMG-CoA reductase. The purpose of statin therapy is to reduce the risk of cardiovascular and associated morbidity and mortality. Statins have a significant impact on reducing atherosclerosis cardiovascular disease. However, primary prevention of ASCVD using statins is debated although statins have several advantages. This review describes the pros of using statins as primary prevention of cardiovascular disease .A comprehensive electronic search was conducted using PubMed, Google Scholar, and ScienceDirect. The search was limited to English-language publications from 2002 to 2021. Hand-searching of relevant journals and reference lists was also performed. It is found that statins can lower cholesterol levels to prevent the formation of atherosclerosis, which then progresses to cardiovascular disease. Recognizing the presence of coronary artery calcium with imaging strategies can guide the initiation of therapy in young adults. Statins have pleiotropic effects to prevent cardiovascular, cost effective, safe, effective, and well tolerated. On the other hand, statins are still debated in older adults. Statins are a primary preventive consideration to reduce morbidity and mortality due to cardiovascular disease. Keywords: statin, atherosclerosis, primary prevention, and cardiovascular diseas

Pengaruh Lingkungan Kerja, Kompetensi, dan Jaminan Kesehatan Terhadap Keselamatan Pasien

Rumah sakit memikul tanggung jawab yang sangat penting dalam menjaga keselamatan pasien. Keselamatan pasien dianggap sebagai prinsip utama dalam perawatan mereka dan merupakan aspek yang krusial dalam manajemen mutu layanan kesehatan. Prioritas harus diberikan pada jaminan keselamatan pasien untuk mengurangi risiko kecelakaan dan memastikan penyediaan layanan yang optimal. Faktor-faktor yang berkontribusi terhadap keselamatan pasien termasuk lingkungan kerja, tingkat kompetensi tenaga medis, dan jaminan kesehatan. Penelitian ini bertujuan untuk menganalisis pengaruh lingkungan kerja, kompetensi dan jaminan kesehatan terhadap keselamatan pasien di Puskesmas Cigalontang. Metode penelitian yang digunakan adalah kuantitatif dengan pendekatan deskriptif verifikatif, menggunakan Analisis Regresi Linier Berganda. Hasil penelitian menunjukkan bahwa variabel lingkungan kerja, kompetensi, jaminan kesehatan, dan keselamatan kerja berada pada kategori yang baik. Dari analisis regresi linier berganda, ditemukan bahwa tidak terdapat pengaruh yang tidak signifikan antara dimensi lingkungan kerja terhadap keselamatan pasien, tetapi terdapat pengaruh signifikan antara dimensi lingkungan dan jaminan kesehatan terhadap keselamatan pasien. Koefisien R sebesar 0,824 menunjukkan bahwa sekitar 82,4% variasi dalam keselamatan pasien dapat dijelaskan oleh lingkungan kerja, kompetensi, dan jaminan kesehatan. Ini menegaskan adanya pengaruh antara lingkungan kerja, kompetensi, dan jaminan kesehatan terhadap keselamatan pasien sebesar 68,0%

Peran Pelayanan Perawatan Dukungan Pengobatan (PDP) dan Kepuasan Pasien terhadap Kepatuhan Penggunaan Anti Retro Viral (ARV)

Perawatan, dukungan dan pengobatan (PDP) merupakan komponen pelayanan perawatan dan pengobatan kepada ODHA secara komperhensif agar ODHA termotivasi kemudian pasien akan cenderung patuh dan taat terhadap perawatan yang telah disarankan atau disepakati. Kepatuhan ODHA dalam menjalani terapi dapat mempengaruhi keberhasilan pengobatan HIV AIDS. Selain itu, kepatuhan juga dapat dilihat dari kepuasaan pengobatan. Kepuasaan ODHA dapat dilihat berdasarkan persepsi ODHA terhadap kualitas pelayanan.Tujuan penelitian ini untuk menganalisis pengaruh PDP dan kepuasan pasien ODHA terhadap kepatuhan penggunaan ARV di RSUD Bayu Asih Purwakarta. Penelitian ini menggunakan metode penelitian kuantitatif. Populasi dalam penelitian ini adalah seluruh pasien ODHA yang datang ke RSUD Bayu Asih Purwakarta sebanyak 531 orang. Jumlah responden pada penelitian ini sejumlah 84 responden, ditentukan dengan simple random sampling. Variabel bebas adalah pelayanan perawatan dukungan pengobatan dan kepuasaan pasien. Variabel terikat adalah kepatuhan penggunaan ARV. Instrumen penelitian menggunakan kuesioner. Uji statistik yang digunakan adalah Uji F dan Uji t. Berdasarkan analisis Uji t didapatkan hasil H1 ditolak (P value 0,208 > 0,05) dan H2 diterima (P value 0,007 < 0,05). H1 membuktikan bahwa PDP tidak memiliki pengaruh secara parsial terhadap kepatuhan penggunaan ARV dan kepuasan pasien memiliki pengaruh secara parsial terhadap kepatuhan penggunaan ARV. Hasil uji F menunjukkan bahwa nilai signifikansi P value 0,000 artinya ada pengaruh secara simultan dari variabel PDP dan kepuasan pasien terhadap kepatuhan penggunaan ARV. Kepatuhan responden dalam meminum obat ARV dalam proses pengobatan tidak dipengaruhi oleh PDP namun tergantung pada responden itu sendiri. Kepatuhan juga dapat dipengaruhi oleh faktor kepuasaan terhadap kualitas pelayanan (service quality). Semakin puas pasien dengan terapi yang dilakukan, semakin patuh pasien untuk minum obat