Pub Date : 2022-07-15DOI: 10.21776/ub.jkb.2021.031.02.14s
Ni Nyoman Dian Tri Utami, Devita Rahmani Ratri, Merry Nuthea
Hospital pharmacy service is a supporting service as well as a revenue center in a hospital. More than 90% of hospital services utilize pharmaceutical supplies, and 50% of hospital revenues originate from pharmaceutical supply management. In the Covid-19 pandemic situation, the pharmacy installation must calculate the logistics management of the medicine correctly. However, based on stocktaking in May-July at Puri Bunda Mother and Child Hospital, there were stock-outs (4.06%) and drug stagnation (2.44%) due to poor drug procurement, causing declining drug sales. This study analyzed the factors causing stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital. This study uses a descriptive approach with data collection methods using observations, Focus Group Discussion (FGD), and Likert-scale questionnaires to find the roots of the problems. The data were analyzed using the Fishbone Diagram and Pareto Diagram. The research subjects based on total sampling were all 12 staff of the Pharmacy Installation. The results obtained through the Fishbone Diagram were 13 root causes covering the aspects of Man, Money, Method, Machine, Material, and Environment. The priority of the root cause of stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital Malang is the suboptimal use of the Hospital Management Information System (HMIS). The possible solutions are conducting intensive training for Pharmacy Installation staff in using HMIS, developing HMIS related to drug procurement, as well as repairing warehouse and pharmacy installation facilities and infrastructure.
{"title":"Factors Causing Stock-Outs and Drug Stagnation at Pharmacy Installation of Puri Bunda Mother and Child Hospital Malang","authors":"Ni Nyoman Dian Tri Utami, Devita Rahmani Ratri, Merry Nuthea","doi":"10.21776/ub.jkb.2021.031.02.14s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.14s","url":null,"abstract":"Hospital pharmacy service is a supporting service as well as a revenue center in a hospital. More than 90% of hospital services utilize pharmaceutical supplies, and 50% of hospital revenues originate from pharmaceutical supply management. In the Covid-19 pandemic situation, the pharmacy installation must calculate the logistics management of the medicine correctly. However, based on stocktaking in May-July at Puri Bunda Mother and Child Hospital, there were stock-outs (4.06%) and drug stagnation (2.44%) due to poor drug procurement, causing declining drug sales. This study analyzed the factors causing stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital. This study uses a descriptive approach with data collection methods using observations, Focus Group Discussion (FGD), and Likert-scale questionnaires to find the roots of the problems. The data were analyzed using the Fishbone Diagram and Pareto Diagram. The research subjects based on total sampling were all 12 staff of the Pharmacy Installation. The results obtained through the Fishbone Diagram were 13 root causes covering the aspects of Man, Money, Method, Machine, Material, and Environment. The priority of the root cause of stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital Malang is the suboptimal use of the Hospital Management Information System (HMIS). The possible solutions are conducting intensive training for Pharmacy Installation staff in using HMIS, developing HMIS related to drug procurement, as well as repairing warehouse and pharmacy installation facilities and infrastructure.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86134571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-15DOI: 10.21776/ub.jkb.2021.031.02.1s
Gladys Kurniawan, Lukman Hakim, Harun Al Rasyid, Thontowi Djauhari
This research was conducted to find the root of the problem and the solution to the inactivity of X Hospital Dental Clinic since the Covid-19 pandemic. The findings from the study are expected to be an input for the hospital to be able to immediately reopen Dental Clinic services. The research design used descriptive analysis of observation data, interviews, and literature study. The Fishbone Diagram combined with 5 WHYs is used to find the root of the problem. Determination of problem solutions using the CARL method (Capability, Accessibility, Readiness, and Leverage) through the Forum Group Discussion (FGD). The results showed that the root cause of the inactivity of X Hospital Dental Clinic since the Covid-19 pandemic was the unavailability of infrastructure in accordance with the minimum standards. Therefore, X Hospital needs to procure appropriate infrastructure and support the X Hospital Dental Clinic facilities in providing services during the Covid-19 pandemic. This procurement must be adjusted to the conditions of the space and environment around the Dental Clinic and the capabilities of the hospital. The proposed adjustment is a modification to the infrastructure that will be provided and the existing Dental Clinic facilities. The infrastructure that must be provided is related to air circulation, practice room management, and patient procedures.
{"title":"Hospital's Dental Clinic Service Readiness in Facing Covid-19","authors":"Gladys Kurniawan, Lukman Hakim, Harun Al Rasyid, Thontowi Djauhari","doi":"10.21776/ub.jkb.2021.031.02.1s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.1s","url":null,"abstract":"This research was conducted to find the root of the problem and the solution to the inactivity of X Hospital Dental Clinic since the Covid-19 pandemic. The findings from the study are expected to be an input for the hospital to be able to immediately reopen Dental Clinic services. The research design used descriptive analysis of observation data, interviews, and literature study. The Fishbone Diagram combined with 5 WHYs is used to find the root of the problem. Determination of problem solutions using the CARL method (Capability, Accessibility, Readiness, and Leverage) through the Forum Group Discussion (FGD). The results showed that the root cause of the inactivity of X Hospital Dental Clinic since the Covid-19 pandemic was the unavailability of infrastructure in accordance with the minimum standards. Therefore, X Hospital needs to procure appropriate infrastructure and support the X Hospital Dental Clinic facilities in providing services during the Covid-19 pandemic. This procurement must be adjusted to the conditions of the space and environment around the Dental Clinic and the capabilities of the hospital. The proposed adjustment is a modification to the infrastructure that will be provided and the existing Dental Clinic facilities. The infrastructure that must be provided is related to air circulation, practice room management, and patient procedures.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75418997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-15DOI: 10.21776/ub.jkb.2021.031.02.9s
S. Puspitasari, A. Dewanto, H. Holipah, Arrasyid Indra Muliawan
Medication error becomes one of the main concerns in ensuring patient safety. In 2020, X Hospital reported medication error incidents. Although categorized near miss, the incidents should have been prevented. One of the methods to prevent medication errors is by applying the seven rights of medication administration. This study aimed to identify the inhibiting factors in the implementation of the seven rights of medication administration in X Hospital and obtain alternative solutions to those obstacles. This study used an analytic observational design with a cross-sectional design. Data were collected from observations and a survey. Observations and a survey through questionnaires to 20 nurses at X Hospital were made to see the implementation of the procedure. At the end of the data collection, interviews were conducted to find out the obstacles in the inpatient installation in applying the seven rights of medication administration. The results show that the main root causes of medication administration errors were the standard operating procedure (SOP) that has not been standardized and nurses' non-compliance behavior on the seven rights procedure. To resolve medication administration errors, the hospital manager should revise the SOP, conduct internal workshops, and perform scheduled supervision to the nurses.
{"title":"Seven Rights of Medication Administration: Nurses' Knowledge, Attitude, and Compliance","authors":"S. Puspitasari, A. Dewanto, H. Holipah, Arrasyid Indra Muliawan","doi":"10.21776/ub.jkb.2021.031.02.9s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.9s","url":null,"abstract":"Medication error becomes one of the main concerns in ensuring patient safety. In 2020, X Hospital reported medication error incidents. Although categorized near miss, the incidents should have been prevented. One of the methods to prevent medication errors is by applying the seven rights of medication administration. This study aimed to identify the inhibiting factors in the implementation of the seven rights of medication administration in X Hospital and obtain alternative solutions to those obstacles. This study used an analytic observational design with a cross-sectional design. Data were collected from observations and a survey. Observations and a survey through questionnaires to 20 nurses at X Hospital were made to see the implementation of the procedure. At the end of the data collection, interviews were conducted to find out the obstacles in the inpatient installation in applying the seven rights of medication administration. The results show that the main root causes of medication administration errors were the standard operating procedure (SOP) that has not been standardized and nurses' non-compliance behavior on the seven rights procedure. To resolve medication administration errors, the hospital manager should revise the SOP, conduct internal workshops, and perform scheduled supervision to the nurses.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81117922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-12DOI: 10.21776/ub.jkb.2021.031.02.11s
Orin Annahriyah Syukria, V. Wardhani
The delay in returning inpatients' medical record documents (MRDs) to the medical records subdivision can cause some effects. This study was conducted to explore MRD completeness and the factors causing the delays in returning the document. This study used a descriptive observational method. Exploration was carried out on 21 MRDs using a checklist as an instrument. Besides, data were obtained through interviews involving the heads of related subdivisions and surveys on 52 nurses. Data were collected using an interview guide and a nursing work index-revised (NWI-R) instrument adapted into Indonesian. MRDs returned on time were complete in content and form than documents returned late to the medical records subdivision. One of the root causes of this problem is the officer factor, in this case is the nurse. The result of the NWI-R assessment is 3.15 (a maximum score of 4), meaning that the work environment in X Hospital supports nurses in carrying out their duties well. The highest score, 3.31, is the nurse-doctor relationship factor. The lowest value, 2.93, is the factor of resources adequacy to provide quality services. The possible solutions are to carry out routine briefings related to filling in and returning DRM followed by training.
{"title":"Completeness of Medical Record Documents: Exploration on Causes and Solutions","authors":"Orin Annahriyah Syukria, V. Wardhani","doi":"10.21776/ub.jkb.2021.031.02.11s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.11s","url":null,"abstract":"The delay in returning inpatients' medical record documents (MRDs) to the medical records subdivision can cause some effects. This study was conducted to explore MRD completeness and the factors causing the delays in returning the document. This study used a descriptive observational method. Exploration was carried out on 21 MRDs using a checklist as an instrument. Besides, data were obtained through interviews involving the heads of related subdivisions and surveys on 52 nurses. Data were collected using an interview guide and a nursing work index-revised (NWI-R) instrument adapted into Indonesian. MRDs returned on time were complete in content and form than documents returned late to the medical records subdivision. One of the root causes of this problem is the officer factor, in this case is the nurse. The result of the NWI-R assessment is 3.15 (a maximum score of 4), meaning that the work environment in X Hospital supports nurses in carrying out their duties well. The highest score, 3.31, is the nurse-doctor relationship factor. The lowest value, 2.93, is the factor of resources adequacy to provide quality services. The possible solutions are to carry out routine briefings related to filling in and returning DRM followed by training.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80322236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-12DOI: 10.21776/ub.jkb.2021.031.02.12s
Ratna Suryati Halim, N. Fitriasari
One of the most important managerial activities for hospitals is an internal control activity for drug supplies, including during the Covid-19 pandemic. A preliminary study at Graha Sehat Medika hospital (GSM hospital) showed that the inaccuracy of stocktaking results in the last six months was 40% -70%. The solution taken is the use of "SO PINTAR RS" application with barcode scanning. The purpose of this study was to determine the effectiveness of "SO PINTAR RS" application with barcode scanning in improving the accuracy of the stocktaking results at GSM hospital. The method used in this research is quasi-experimental. The data used is primary data from stocktaking activities in July-November 2020. A total of 162 drug items were used as research samples taken from the purposive sampling technique. The discrepancy between drug items in the hospital management information system (HIS) and the physical count results before and after using the application was measured in this study. The analysis of the results was carried out through nonparametric statistical tests with the Wilcoxon test. The results showed a significant difference in the results of stocktaking activities before and after using "SO PINTAR RS" application (p <0.001). The difference between the calculation results of the stocktaking with the data in the HIS decreased significantly. In addition, using this application can reduce the number of staff involved and reduce the loss of uncounted medicine items. This application is still not linked to HIS, so it is necessary to manually merge the results into HIS.
{"title":"Role of Stocktaking Application using Barcode Scanning in Improving Stock Conformity in Hospital Pharmacy Installation","authors":"Ratna Suryati Halim, N. Fitriasari","doi":"10.21776/ub.jkb.2021.031.02.12s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.12s","url":null,"abstract":"One of the most important managerial activities for hospitals is an internal control activity for drug supplies, including during the Covid-19 pandemic. A preliminary study at Graha Sehat Medika hospital (GSM hospital) showed that the inaccuracy of stocktaking results in the last six months was 40% -70%. The solution taken is the use of \"SO PINTAR RS\" application with barcode scanning. The purpose of this study was to determine the effectiveness of \"SO PINTAR RS\" application with barcode scanning in improving the accuracy of the stocktaking results at GSM hospital. The method used in this research is quasi-experimental. The data used is primary data from stocktaking activities in July-November 2020. A total of 162 drug items were used as research samples taken from the purposive sampling technique. The discrepancy between drug items in the hospital management information system (HIS) and the physical count results before and after using the application was measured in this study. The analysis of the results was carried out through nonparametric statistical tests with the Wilcoxon test. The results showed a significant difference in the results of stocktaking activities before and after using \"SO PINTAR RS\" application (p <0.001). The difference between the calculation results of the stocktaking with the data in the HIS decreased significantly. In addition, using this application can reduce the number of staff involved and reduce the loss of uncounted medicine items. This application is still not linked to HIS, so it is necessary to manually merge the results into HIS.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76577167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-12DOI: 10.21776/ub.jkb.2021.031.02.2s
Devvy Megawati, Devita Rahmani Ratri, A. Erzi
The problem of decreasing bed utilization resulted in a decrease in hospital income during the Covid-19 pandemic, including in a class D private hospital, Tulungagung, that experienced a 32.5% decrease in revenue. The decrease in hospital income has made the hospital suffer losses and, at the same time, threatened the cash flow, the operating expenses, and the continuity of service operations. The study was conducted to identify the root cause of the decreasing patient visits at the hospital. The research was conducted with a case study approach at a private hospital in Tulungagung in September and October 2020. The data were collected using a Focus Group Discussion (FGD) with eight respondents who were determined based on purposive sampling. Data were analyzed using Fishbone diagrams and priorities were set based on cumulative percentages. The public's stigma about hospitals during the Covid-19 pandemic and the cost of rapid tests are the two root causes that are suspected of contributing to the decline in patient visits at the hospital.
{"title":"Causes of Decreasing Hospital Visit during the Covid-19 Pandemic","authors":"Devvy Megawati, Devita Rahmani Ratri, A. Erzi","doi":"10.21776/ub.jkb.2021.031.02.2s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.2s","url":null,"abstract":"The problem of decreasing bed utilization resulted in a decrease in hospital income during the Covid-19 pandemic, including in a class D private hospital, Tulungagung, that experienced a 32.5% decrease in revenue. The decrease in hospital income has made the hospital suffer losses and, at the same time, threatened the cash flow, the operating expenses, and the continuity of service operations. The study was conducted to identify the root cause of the decreasing patient visits at the hospital. The research was conducted with a case study approach at a private hospital in Tulungagung in September and October 2020. The data were collected using a Focus Group Discussion (FGD) with eight respondents who were determined based on purposive sampling. Data were analyzed using Fishbone diagrams and priorities were set based on cumulative percentages. The public's stigma about hospitals during the Covid-19 pandemic and the cost of rapid tests are the two root causes that are suspected of contributing to the decline in patient visits at the hospital.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84620628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-11DOI: 10.21776/ub.jkb.2021.031.02.15s
Yudi Setyawan, V. Wardhani
The accuracy of the blood glucose test results is an essential measurement for hospital quality since it affects the plan, decision, and outcome of the treatment. This study aimed to develop a checklists model to improve the laboratory results accuracy. The checklist development is based on the laboratory services processes covering pre-analytic, analytic, and post-analytic stages, which are implemented in all blood glucose test requests during the study period (65 examinations), the first week of October 2020. The implementation resulted in no incidence of test inaccuracy when conformed with patient clinical information. The staff expressed that completing the checklist is quick and easy to complete (3-5 minutes) and beneficial. The problem occurs when staff works alone, causing delays in completing the checklist. Therefore, regular monitoring and evaluation are suggested to ensure compliance and divide the checklist into two stages. The pre-analytic stage is first carried out for all patients, followed by the analytical and post-analytic stages because the last two activities were located on different floors. In short, checklists are effective as preventive measures to increase the conformity of laboratory examination results with patient clinical information.
{"title":"Laboratory Service Process Checklist: Preventive Measures to Increase Blood Glucose Test Accuracy","authors":"Yudi Setyawan, V. Wardhani","doi":"10.21776/ub.jkb.2021.031.02.15s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.15s","url":null,"abstract":"The accuracy of the blood glucose test results is an essential measurement for hospital quality since it affects the plan, decision, and outcome of the treatment. This study aimed to develop a checklists model to improve the laboratory results accuracy. The checklist development is based on the laboratory services processes covering pre-analytic, analytic, and post-analytic stages, which are implemented in all blood glucose test requests during the study period (65 examinations), the first week of October 2020. The implementation resulted in no incidence of test inaccuracy when conformed with patient clinical information. The staff expressed that completing the checklist is quick and easy to complete (3-5 minutes) and beneficial. The problem occurs when staff works alone, causing delays in completing the checklist. Therefore, regular monitoring and evaluation are suggested to ensure compliance and divide the checklist into two stages. The pre-analytic stage is first carried out for all patients, followed by the analytical and post-analytic stages because the last two activities were located on different floors. In short, checklists are effective as preventive measures to increase the conformity of laboratory examination results with patient clinical information.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87016078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-11DOI: 10.21776/ub.jkb.2021.031.02.5s
Anita Kusumawati, Kurnia Widyaningrum
During the 2020 Covid-19 pandemic, emergency department experienced a drastic decreasing visit that could disrupt hospital financing. This study was conducted to identify the root cause of the declining ED visit. The study was conducted descriptively from FGD involving eight selected respondents, surveys on 83 patients regarding service perceptions and satisfaction, as well as secondary data on visits and requests of discharge against medical advice. The results showed that the decreasing visit was due to the patient's refusal on treatment in the isolation room, the staff's skills to provide communication and education, and the potential of cooperation termination from partners. Those refusals were due to the patient's perception of hospital services and the differences in patient needs on health protocols resulted from the lack of individual and organizational communication. Hospitals need to build staff's skills in communication and education as well as intensive communication strategies with partners to communicate policies and service system changes so that trust and a positive image are built.
{"title":"Why the Emergency Department Visit Decreased during the Covid-19 Pandemic? Case Study in Hospital, Malang Regency","authors":"Anita Kusumawati, Kurnia Widyaningrum","doi":"10.21776/ub.jkb.2021.031.02.5s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.5s","url":null,"abstract":"During the 2020 Covid-19 pandemic, emergency department experienced a drastic decreasing visit that could disrupt hospital financing. This study was conducted to identify the root cause of the declining ED visit. The study was conducted descriptively from FGD involving eight selected respondents, surveys on 83 patients regarding service perceptions and satisfaction, as well as secondary data on visits and requests of discharge against medical advice. The results showed that the decreasing visit was due to the patient's refusal on treatment in the isolation room, the staff's skills to provide communication and education, and the potential of cooperation termination from partners. Those refusals were due to the patient's perception of hospital services and the differences in patient needs on health protocols resulted from the lack of individual and organizational communication. Hospitals need to build staff's skills in communication and education as well as intensive communication strategies with partners to communicate policies and service system changes so that trust and a positive image are built.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88059827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-11DOI: 10.21776/ub.jkb.2021.031.02.16s
Ivan Drie, Devita Rahmani Ratri, Merry Nuthea
An insufficient number of linens, lack of linen cleanliness, and untimely linen provision will affect patient satisfaction, service quality, and hospital financing. Data at Puri Bunda Mother and Child Hospital Malang showed 108 linen loss incidents from the initial stock of 792 linens. This study was conducted to identify the factors that influence linen loss at Puri Bunda Mother and Child Hospital Malang. The root of the problems was identified through observations, interviews, and Focus Group Discussion (FGD) with the laundry staff, followed by analysis using a fishbone diagram and creating a Pareto diagram to select the main root of the problems. The study results indicate the absence of hospital policies that regulate the technical management of linen, weak evaluation monitoring, and inadequate linen management planning that contribute to the incidence of linen loss.
{"title":"Loss of Linen Stock at Puri Bunda Mother and Child Hospital: What Affects This?","authors":"Ivan Drie, Devita Rahmani Ratri, Merry Nuthea","doi":"10.21776/ub.jkb.2021.031.02.16s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.16s","url":null,"abstract":"An insufficient number of linens, lack of linen cleanliness, and untimely linen provision will affect patient satisfaction, service quality, and hospital financing. Data at Puri Bunda Mother and Child Hospital Malang showed 108 linen loss incidents from the initial stock of 792 linens. This study was conducted to identify the factors that influence linen loss at Puri Bunda Mother and Child Hospital Malang. The root of the problems was identified through observations, interviews, and Focus Group Discussion (FGD) with the laundry staff, followed by analysis using a fishbone diagram and creating a Pareto diagram to select the main root of the problems. The study results indicate the absence of hospital policies that regulate the technical management of linen, weak evaluation monitoring, and inadequate linen management planning that contribute to the incidence of linen loss.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80878324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-11DOI: 10.21776/ub.jkb.2021.031.02.4s
Sylvia Kitty Simanungkalit, H. Holipah, A. Dewanto, David David
Extended length of stay (LOS) in the Emergency Department (ED) results in crowding, potentially causing adverse events and patient dissatisfaction. The Covid-19 pandemic has forced hospitals to implement screening procedures that can extend the LOS of patients in the ED. This study aimed to provide an overview of changes in ED LOS during the pandemic and its contributing factors. This study used a descriptive approach through observation and interviews. LOS observations were conducted using the time & motion study method to determine the average time in each ED stage. The observation results identified the differences in the average LOS during the Covid-19 pandemic, which was 2 hours 39 minutes 52 seconds, and the longest time was on laboratory examination (2 hours 59 minutes 27 seconds). A lengthy laboratory examination duration is due to the additional laboratory examination procedure (serology) for SARS COV-2, suboptimal screening team, and the absence of notification in the hospital information system.
{"title":"Factors Contributing to Length of Stay Prolongation among Emergency Room Patients during the Covid-19 Pandemic: A Study at Persada Hospital","authors":"Sylvia Kitty Simanungkalit, H. Holipah, A. Dewanto, David David","doi":"10.21776/ub.jkb.2021.031.02.4s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.4s","url":null,"abstract":"Extended length of stay (LOS) in the Emergency Department (ED) results in crowding, potentially causing adverse events and patient dissatisfaction. The Covid-19 pandemic has forced hospitals to implement screening procedures that can extend the LOS of patients in the ED. This study aimed to provide an overview of changes in ED LOS during the pandemic and its contributing factors. This study used a descriptive approach through observation and interviews. LOS observations were conducted using the time & motion study method to determine the average time in each ED stage. The observation results identified the differences in the average LOS during the Covid-19 pandemic, which was 2 hours 39 minutes 52 seconds, and the longest time was on laboratory examination (2 hours 59 minutes 27 seconds). A lengthy laboratory examination duration is due to the additional laboratory examination procedure (serology) for SARS COV-2, suboptimal screening team, and the absence of notification in the hospital information system.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83856052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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