ANALISIS KEWASPADAAN STANDAR DALAM PENCEGAHAN INFEKSI DI KAMAR BEDAH RUMAH SAKIT UMUM DAERAH DOLOKSANGGUL

Kewaspadaan standar dalam pencegahan infeksi sangat penting diterapkan di kamar bedah, mengingat pembedahan memiliki resiko yang besar terjadinya infeksi nasokomial sehingga dapat meningkatkan morbilitas dan mortalitas serta meningkatkan biaya kesehatan. Kejadian Infeksi Daerah Operasi (IDO) di RSUD Doloksanggul pada Tahun 2019 yaitu kasus bedah umum sebesar 10%, kasus bedah mata sebesar 10%, kasus kebidanan sebesar 2% dan kasus bedah mulut sebesar 0,5%. Penelitian ini bertujuan untuk menganalisis kewaspadaan standar dalam pencegahan infeksi di Kamar Bedah RSUD Doloksanggul. Jenis penelitian yang digunakan adalah metode penelitian kualitatif dengan pendekatan fenomenologi. Penelitian dilaksanakan di RSUD Doloksanggul. Informan dalam penelitian ini berjumlah 8 orang Pengumpulan data dengan wawancara mendalam dan observasi lapangan dan analisa data dengan mereduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa kebersihan tangan yang dilakukan oleh petugas kesehatan di kamar bedah Rumah Sakit Umum Daerah Doloksanggul kurang baik, pemakian alat pelindung diri (APD) kurang baik, dekontaminasi peralatan perawatan pasien sudah baik, pengendalian lingkungan kurang baik, pengelolaan limbah sudah baik, pengelolaan linen sudah baik, perlindungan kesehatan petugas kurang baik, Penempatan pasien kurang baik, Praktik menyuntik sudah baik, Praktik lumbal fungsi sudah baik. Disarankan kepada RSUD Doloksanggul untuk meningkatkan peran dan fungsi tim pencegahan dan pengendalian infeksi, melakukan pelatihan berkelanjutan bagi petugas kamar bedah tentang pencegahan dan pengendalian infeksi

Determinants of Satisfaction of Inpatients at Datu Beru Takengon Regional General Hospital

The Datu Beru Takengon Hospital is the location of this research, and its purpose is to investigate the factors that influence patient satisfaction. This study is a quantitative research with a cross-sectional study design, which is a measurement of the dependent variable and the independent variable (age, treatment class, and length of treatment) with the dependent variable (physical appearance, handling, responsiveness, assurance, and empathy (SERVQUAL) and making use of the survey method. According to the findings of the research, the variable guarantee with Exp (B) 25,263 has the most significant link with patient satisfaction, making it the most influential factor that determines the level of satisfaction experienced by patients. Whereas physicians and nurses who have high levels of confidence and trust are 25 times more likely to have the same level of satisfaction as their patients. In this context, "assurance" refers to the knowledge, courtesy, and capacity of corporate personnel to develop client faith in the organization, including the knowledge, abilities, politeness, and trustworthiness of the staff. It is possible to draw the conclusion from this research that insurance plays a more significant role than the other variables in determining the degree to which patients are satisfied with the care they get in the inpatient unit. It has been indicated that there is a need for assistance from the administration of the Datu Beru Takengon Hospital in order to boost patient satisfaction. Additionally, the hospital should make an effort to build patient trust in the provision of better services

Analysis of Differences in Hospital Rates and Rates Ina-CBGS Poly Urology Outpatient Services at Mitra Medika Tanjung Mulia Hospital

In the implementation of the National Health Insurance there are still many problems that arise, one of which is of concern is the tariff for Indonesian Case Based Groups (INA-CBGs). The government is very likely to realize that there is a mismatch between INA-CBGs rates and hospital real costs. The purpose of this study was to determine the difference in hospital rates and INA-CBGs rates for outpatient services at the Urology Poly at Mitra Medika Tanjung Mulia Hospital in January 2019.This type of research is cross sectional with a quantitative approach. The population in this study were all medical record files of outpatient poly urology who underwent treatment at the Mitra Medika Tanjung Mulia Hospital in January 2019. The total sample technique was 310 people.The Wilcoxon test results obtained that the A-Symp Sig (2-tailed) value was 0,000, which means that there is a significant difference between the hospital rate and the INA-CBG outpatient service Urology Poly at Mitra Medika Tanjung Mulia Hospital in January 2019. The conclusion in this study is the difference between the hospital rates and the INA-CBG package rates on the payment of outpatient JKN participant claims at Mitra Medika Hospital lies in the standard rates applied. It is expected that the hospital staff can evaluate the calculation of unit costs for each service unit service. Outpatient care, especially in the poly urology service division, which experienced a negative rate difference so that the hospital suffered a loss

Analisis Pengaruh Mutu Pelayanan IGD Terhadap Kepuasan Pasien Di RUMKIT TK II Iskandar Muda Banda Aceh

It can be said that patient satisfaction is an abstract thing and the results vary greatly because basically it really depends on each individual's perception. Patient satisfaction can be said to be fulfilled if the services provided are in accordance with their expectations. The aim of the research is to analyze the Quality of Emergency Room Services on Patient Satisfaction at RUMKIT TK II Iskandar Muda Banda Aceh. The research design used in this research is an analytical survey with a cross sectional design. The population in this study was all 2,058 emergency room patients. The number of samples to be studied is 95 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used are the chi square test and logistic regression. The results of the chi square test research show that there is an influence of 5 variables, namely reliability, responsiveness, assurance, empathy and physical evidence, which have a p-value <α 0.05, meaning that reliability, responsiveness, assurance, empathy and physical evidence influence patient satisfaction in the RUMKIT TK ER. II Iskandar Muda Banda Aceh and the multivariate test shows that the 5 variables of reliability, responsiveness, assurance, empathy and physical evidence influence the results of the multiple logistic regression test showing that the responsiveness variable is the most dominant with an odds ratio (OR) of 15,104, meaning 15 times influencing patient satisfaction. The conclusion was that the dominant responsiveness variable had the most influence on patient satisfaction at the RUMKIT TK II Iskandar Muda Banda Aceh emergency room. It is recommended for hospitals to adopt policies to increase patient responsiveness in the ER in order to produce optimal patient satisfaction.     &nbsp

Analysis of the Implementation of Patient Safety Culture with the AHRQ Model at Mitra Medika Hospital Tanjung Mulia Medan

Safety Culture is a collaborative environment where clinical staff treat one another with respect by involving or empowering patients and families so that each Professional provides patient-focused care. The purpose of this study was to determine the implementation of a patient safety culture with the AHRQ model in Mitra Medika Tanjung Mulia General Hospital Medan. This research uses a mix of methods, namely qualitative and quantitative. The population of this study were all staff on duty in each hospital unit associated with 450 patients at MItra Medika Hospital, so the sample was 75 people using simple random sampling technique. The main research informants were one officer each in each installation.Unit Mitra Medika Tanjung Mulia General Hospital Medan, namely 10 people, one key informant, and one triangulation informant.The results of the study show that the description of expectations and managerial actions of patient safety is 68%, organizational learning is 100%, cooperation in units is 76%, communication open by 80%, feedback about the error of 75%, the dimension of non-punitive response to errors is 55%,Staffing 51%, management support for patient safety efforts by 77%, cooperation between units of 61%, handsoff work and changing patients was 71%,the overall perception of hospital staff about patient safety was 63%, reporting frequency was 63%. With the research results, it is expected that Mitra Media Tanjung Mulia General Hospital Medan is expected to be able to initiate, maintain, and develop an ongoing patient safety program and implement the existing safety culture

Analysis of Factors Affecting Waiting Time for Results of Clinical Laboratory Examinations at Medan Haji General Hospital

The purpose of this study was to analyze the factors that affect the waiting time for clinical laboratory examinations at RSU Haji Medan in 2021. This study is a mixed method. Using a total sampling of 17 people, namely all laboratory workers, the main informants in this study were clinical pathology doctors, room coordinators, clinical laboratory analysts at Haji Medan General Hospital (RSU) totaling 3 people and patients totaling 3 people. 1 additional informant, namely the Management section at RSU Haji Medan. The quantitative results are that there is a relationship between the qualifications of laboratory personnel having a value of p = 0.000, at the facility p = 0.044, there is no relationship between the transportation of specimens, the value of p = 0.099, there is a relationship between pre-analytical, analytical and pre-analytical problems. post analytic p value = 0.022, there is no electrical stability relationship p value = 0.235. Based on the results of research according to information and informants about the qualifications of officers running smoothly. have to send the sample to a private laboratory. Based on these results, it was concluded that the waiting time for laboratory results at RSU Haji has reached the standard that is in accordance with the minimum service standards at the Haji General Hospital in Medan City

Pengaruh Mutu Pelayanan Terhadap Kepuasan Pasien Poliklinik Umum Di RSU Bethesda Gunung Sitoli

Quality is one of the important elements in every health service. Therefore, in providing health services for the community, health service providers must always maintain the quality of services provided. The purpose to be achieved in this study is to analyze the factors that affect the quality of health services on patient satisfaction of the General Polyclinic at Bethesda Gunungsitoli General Hospital. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study was all patients who came for outpatient treatment at the General Polyclinic at Bethesda General Hospital Gunungsitoli approximately 2235 visits to take smpel using the Accidental sampling method.While the sample amounted to 100 people. Data analysis was carried out by univariate, bivariate and multivariate analysis. Based on the results of  the chi-square  test, it is known that the incidence of hypotension affects  Tangible, Responsiveness, Reliability, Assurance and Empahaty  p = 0.000, meaning that there is Tangible, Responsiveness, Reliability, Assurance and Empahaty to patient satisfaction. From the results of multivariate analysis, it is known that the most influential variable in this study is the Responsiveness variable with an OR value of 15,104. The conclusion in this study is that responsiveness is the dominant factor affecting patient satisfaction at the General Polyclinic at Bethesda General Hospital Gunungsitoli. To be able to improve the quality of services that must be improved, especially security and comfort guarantees for patients such as: completing patient administration, responding quickly to patient complaints, providing drugs quickly and precisely, providing information and quick response in handling patients to be improved to create a patient satisfaction that becomes patient satisfaction at the General Polyclinic at Bethesda General Hospital Gunungsitoli.   &nbsp

Faktor Yang Memengaruhi Kinerja Perawat di UPTD RSUD Datu Beru Takengon Aceh Tengah

Pelayanan kesehatan merupakan suatu produk, berupa jasa kepada pasien, aktifitas ini tidak bisa dimiliki namun bisa dirasakan oleh pasien. Indikator yang ingin dicapai pada produk jasa ini adalah kepuasan pasien terhadap pelayanan kesehatan. Untuk mencapai produk jasa yang sesuai dengan standar maka diperlukan kinerja maksimal dari pelaku jasa yaitu perawat. Kinerja perawat merupakan ujung tombak dari keberhasilan jasa pelayanan kesehatan yang jika perawat mengurangi perannya maka kepuasan pasien tidak akan tercapai. Tujuan penelitian untuk menganalisis faktor yang mempengaruhi kinerja perawat di UPTD RSUD Datu Beru Takengon Aceh Tengah. Metode penelitian yang digunakan adalah survey analitik dengan rancangan cross sectional. Uji statistik yang digunakan adalah uji chi square dan regresi logistik. Populasi adalah seluruh perawat sebanyak 236 orang. Tehnik pengambilan sampel menggunakan accidental sampling yang diperkuat dengan rumus slovin didapatkan sampel 148 orang. Hasil penelitian menunjukan bahwa variabel kepemimpinan (P-value 0,001), motivasi (P-value 0,002), Kedisiplinan (P-value 0,001) dan lingkungan kerja (P-value 0,001). Hasil uji regresi logistik berganda menunjukkan bahwa variabel kepemimpinan (OR=1.718), kedisiplinan (OR=3.684) dan lingkungan kerja (OR=1.104) artinya bahwa variabel kedisiplinan mempunyai pengaruh 3 kali lipat mempengaruhi kinerja perawat. Kesimpulan didapatkan bahwa kepemimpinan, motivasi, kedisiplinan dan lingkungan kerja mempengaruhi kinerja perawat di UPTD RSUD Datu Beru, Takengon, Aceh Tengah

Hubungan Implementasi Patient-Centered Care (PCC) dengan Kepuasaan Pasien Rawat Inap di RSU Martha Friska Brayan Medan

ABSTRACT The preliminary survey revealed that 60% of patients still feel that they are not fully involved in the care process, possibly due to factors such as lack of information provided to the patients, limited time available for healthcare providers, and insufficient therapeutic communication. Moreover, 70% of patients feel that their care is not smoothly coordinated, possibly due to lack of coordination among healthcare providers, inadequate documentation (medical records), and insufficient patient information.  The research utilized a quantitative research design, based on the positivist philosophy, to examine a specific population at Martha Friska Hospital in Medan. The population size was unknown, and the sample size was determined using the Lemeshow formula, resulting in 96 individuals. Data collection involved distributing questionnaires to inpatients to assess the impact of patient-centered care on satisfaction levels. Bivariate analysis, specifically the Chi Square test. The study conducted at RSU Martha Friska Brayan Medan in 2024 assessed the implementation of patient-centered care and its impact on inpatient satisfaction. The analysis revealed significant relationships between various aspects of patient-centered care and patient satisfaction. These findings highlight the importance of specific elements of patient-centered care in enhancing overall patient satisfaction. The research findings show that the aspects of patient-centered care (PCC) related to inpatient satisfaction at RSU Martha Friska Brayan Medan are respecting patient choices and judgment, emotional support, physical comfort, and information and education. However, factors such as continuity and transition, service coordination, and involvement of family and friends are not associated with patient satisfaction. Recommendations for RSU Martha Friska Brayan Medan to improve inpatient services include respecting patients' choices, providing physical comfort, emotional support, and health education to patients. Keywords: Implementation, PCC, Patient Satisfaction, Hospital  ABSTRAK Survei pendahuluan mengungkapkan bahwa 60% pasien masih merasa bahwa mereka tidak sepenuhnya terlibat dalam proses perawatan, mungkin karena faktor-faktor seperti kurangnya informasi yang diberikan kepada pasien, terbatasnya waktu yang tersedia untuk penyedia layanan kesehatan, dan komunikasi terapeutik yang tidak memadai. Selain itu, 70% pasien merasa bahwa perawatan mereka tidak terkoordinasi dengan lancar, mungkin karena kurangnya koordinasi di antara penyedia layanan kesehatan, dokumentasi (rekam medis) yang tidak memadai, dan informasi pasien yang tidak memadai.  Penelitian ini menggunakan desain penelitian kuantitatif, berdasarkan filosofi positivis, untuk memeriksa populasi tertentu di Rumah Sakit Martha Friska di Medan. Ukuran populasi tidak diketahui, dan ukuran sampel ditentukan menggunakan rumus Lemeshow, menghasilkan 96 individu. Pengumpulan data melibatkan penyebaran kuesioner kepada pasien rawat inap untuk menilai dampak perawatan yang berpusat pada pasien pada tingkat kepuasan. Analisis bivariat, khususnya uji Chi Square. Studi yang dilakukan di RSU Martha Friska Brayan Medan pada tahun 2024 menilai implementasi perawatan yang berpusat pada pasien dan dampaknya terhadap kepuasan rawat inap. Hasil penelitian menunjukkan bahwa aspek patient-centered care (PCC) terkait kepuasan rawat inap di RSU Martha Friska Brayan Medan adalah menghargai pilihan dan penilaian pasien, dukungan emosional, kenyamanan fisik, serta informasi dan edukasi. Namun, faktor-faktor seperti kontinuitas dan transisi, koordinasi layanan, dan keterlibatan keluarga dan teman-teman tidak terkait dengan kepuasan pasien. Rekomendasi RSU Martha Friska Brayan Medan untuk meningkatkan pelayanan rawat inap antara lain menghormati pilihan pasien, memberikan kenyamanan fisik, dukungan emosional, dan edukasi kesehatan kepada pasien. Kata Kunci: Implementasi, PCC, Kepuasaan Pasien, Rumah Sakit