Perancangan Strategis Perencanaan Sistem Informasi Menggunakan Zachman Framework dari Segi Planner

Masalah dalam organisasi sering terjadi karena ketidak sesuaian posisi dengan kegiatan operasional yang dijalankannya. Dimana banyaknya tugas dan fungsi yang harus dilakukan suatu Perusahaan menjadi landasan utama perlunya sistem informasi yang dibangun untuk mempermudah proses bisnis yang dijalankan oleh tiap-tiap karyawan yang ada. Zachman Framework merupakan salah satu EAP yang paling banyak digunakan dalam pembuatan perancangan perencanaan sistem infromasi yang sistematis. Langkah terstruktur yang disediakan Zachman Framework membuat perancangan perencanaan sistem informasi pengaturan kegiatan-kegiatan operasional pada organisasi secara global oleh menejemen operasional menjadi lebih sistematis dan deskriptif. Dengan menggunakan Zachman Framework dapat diperoleh infomasi secara detail tetang lingkungan sebuah sistem. Dengan Zachman Framework ini dapat membantu manajemen operasional sebuah organisasi atau instansi dalam penyusunan kewenangan SDM dalam kegiatan operasional yang berjala

Pelatihan Komputer dan Pemanfaatan Sosial Media untuk Menunjang Produk Industri Rumahan pada Kecamatan Jebus

Peranan komputer dan teknologi saat ini menjadi pemain utama dalam persaingan dalam dunia digital saat ini. Teknologi dan sosial media menjadi nilai tambah bahkan sarana utama dalam pemasaran dan penunjang kemajuan suatu produk. Bagi keberlangsungan suatu usaha industri rumahan bagi para pelaku usaha industri rumahan.. Salah satu permasalahan yang terjadi pada industri rumahan adalah belum meratanya pemahaman tentang komputer dan teknologi media sosial yang seharusnya mereka pahami dalam menunjang usaha mereka. Atas dasar hal tersebut dirasakan sangat perlu untuk memberikan pengetahuan dan pelatihan pada kecamatan jebus. Tujuan utamanya adalah agar para pelaku industri perumahan bisa bersaing dan menghadapi era informasi saat ini serta dapat membuka pemikiran yang luas dan juga keinginan untuk ikut andil dalam meningkatkan produk-produk industri rumahan. Didapati dari 20 orang peserta yang meingkuti kegiatan ini sekitar 60% atau 12 orang diketahui mengalami peningkatan kemampuan yang diukur berdasarkan pretest dan post-test. 2 orang tidak mendapatkan hasil yang sama dan 6 orang mendapati hasil menurun. Kedepannya kegiatan seperti ini harusnya melibatkan pihak pemerintah, akademisi dan tokoh masyarakat, agar ada diskusi dua arah sehingga tujuan dari indusrti rumahan atau umkm yang ada dapat ditentukan

Peningkatan Keamanan Pesan Berbasis Android Menggunakan Algoritma Kriptografi RSA

Keamanan dan kerahasiaan sebuah data atau informasi merupakan hal yang sangat penting, baik dalam suatu organisasi seperti Perusahaan, perguruan tinggi, maupun individual. Itu dikarenakan seringkali data atau informasi yang penting kadang tidak sampai ke tangan si penerima atau juga bisa sampai ke tangan si penerima tapi data yang diterima tersebut disadap terlebih dahulu tanpa sepengetahuan pengirim maupun penerima itu sendiri. Untuk mengatasi masalah yang ada, peneliti akan membuat suatu aplikasi peningkatan keamanan pesan berbasis android menggunakan algoritma kriptografi RSA yang akan di implementasikan untuk aplikasi pesan pada smartphone android. Aplikasi ini digunakan untuk mengirim dan menerima pesan pada smartphone berbasis android dengan mengamankan atau menyembunyikan pesan asli. Metode yang digunakan Adalah algoritma kriptografi RSA yang menggunakan dua kunci berbeda dalam melakukan enkripsi dan dekripsi yaitu kunci publik untuk enkripsi dan kunci privat untuk dekripsi. Algoritma kriptografi RSA ditambahkan dalam aplikasi ini guna meningkatkan keamanan pesan berbasis android dengan menerapkan algoritma RSA dalam proses mengenkripsikan pesan dengan menggunakan key yang berupa angka-angka yang telah ditentukan pengirim, dan mendekripsikan pesan yang dikirim menjadi pesan asli, sehingga pesan tersebut cukup aman dan tidak akan terbaca oleh pihak yang tidak mempunyai hak atas pesan tersebut

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

Critical care admission following elective surgery was not associated with survival benefit:prospective analysis of data from 27 countries

Purpose: As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality. Methods: Planned analysis of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. Results: 44,814 patients from 474 hospitals in 27 countries were available for analysis. Death was more frequent amongst patients admitted directly to critical care after surgery (critical care: 103/4317 patients [2%], standard ward: 99/39,566 patients [0.3%]; adjusted OR 3.01 [2.10–5.21]; p < 0.001). This association may differ with national income (high income countries OR 2.50 vs. low and middle income countries OR 4.68; p = 0.07). At hospital level, there was no association between mortality and critical care admission directly after surgery (p = 0.26), critical care admission to treat complications (p = 0.33), or provision of critical care beds (p = 0.70). Findings of the hospital-level analyses were not affected by national income status. A sensitivity analysis including only high-risk patients yielded similar findings. Conclusions: We did not identify any survival benefit from critical care admission following surgery

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit