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FACTORS RELATED TO THE REDUCTION OF MEDICATION DISCREPANCIES AT TRANSITION OF CARE: A SYSTEMATIC REVIEW Ida Bagus Nyoman Maharjana; Adik Wibowo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Adverse drug events (ADE) are a leading cause of injury and death within health care systems around the world. Up to 67% of patients’ prescription medication histories recorded on admission to hospital have one or more errors and 30 – 80% of patients have a discrepancy between the medicines ordered in hospital and those they were taking at home. This study aims to systematically evaluate the available literature on the medication history records as a quality improvement in reducing medication discrepancies during the transition of care. Methods: This study was used systematic review which performed according to the PRISMA method. The search included articles were obtained through databases: MEDLINE (1946), EMBASE (1966), CINAHL (1937) and PubMed (1946). Some of the key words or Medical Subject Heading (MeSH) terms used in the search were: “transition of care,” “medication discrepancies,” “medication errors,” “patient safety,” “medication history,” “patient admission,” “patient discharge,” “patient transfer,” and “hospital”. Only studies published in English were included. Exploring literature was focused on the articles published from 2009 to 2019. Results: Initially, a total of 162 potentially relevant articles were obtained. After screening tittle and reviewing abstracts, 14 full text were assessed for eligibility. Of the 10 articles met all inclusion criteria, 5 studies were randomized controlled trials, 2 quasi-experimental studies, 1 cohort study, and 2 qualitative studies with quantitative approaches. All studies found that involving best possible medication history in identifying medication discrepancies and communicating this information affected medication discrepancies in the medical record. Conclusions: The available literature such as lack of well-designed studies precluded us from concluding that no effect exists. Medication reconciliation supported by information technology was an important tool for minimizing the percentage of medications with unintentional discrepancies

THE INFLUENCE OF MARKETING MIX TO PATIENT SATISFACTION IN HOSPITALS: NARRATIVE REVIEW Nurul Qosimah Batubara; Adik Wibowo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Hospitals, as service providers, have a large role in meeting people's needs regarding their health. The increasing growth of hospitals adds to the menu of choices for people to utilize health services according to their needs. This competition has changed the mechanism by which customers are not only users of health services but as determinants of the future and the continuity of a hospital. Marketing activities can help hospitals improve and win the competition. Marketing managers must be able to combine the marketing mix variables appropriately so that all variables can increase consumer's decision and patient satisfaction. Aims. The purpose of this study was to determine the effect of mix marketing on patient satisfaction at the hospital. Method: This study was conducted in a literature review by searching for articles and journals related to hospital mix marketing. Search journal articles are done through Google Scholar database with the search year 2010 until 2018. The keywords used are "marketing mix and "hospital." So that six articles will be reviewed. Results: In the six studies reviewed there was one study that showed that all the mix marketing variables namely product, price, people, place, promotion, process, and the physical evidence had a significant influence on patient satisfaction and the hospital for medical treatment. The significant results are known from the results of statistical tests showing that p-value <0.05. In several other studies, it shows that there are significant variables and some that are not significant for consumer decision and patient satisfaction. Conclusion: The Marketing mix has an important cost for the decision to choose a hospital. The mix marketing has varied significant influence on consumers’ decision and satisfaction to choose the hospital for medical treatment. By knowing the mix marketing variable that affects customer satisfaction, hospital management, namely the marketing department, can optimize and develop marketing types that can increase public interest so that the target profit of the hospital is achieved.

DELAY OF ELECTIVE OPERATIONS IN AWAL BROS PANAM PEKANBARU HOSPITAL JANUARI-APRIL 2018 Muhammad Eriex Fornando Suka; Adik Wibowo
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Competition between hospitals is increasing, for thathospital should maintain the quality of service and patient satisfaction. Hospitals should have innovation targets for cost effectiveness and productivity without compromising patient safety and quality of care. Operation delays are one barrier to optimal patient flow, increasing patient anxiety, affecting interprofessional teamwork across the medical discipline and ultimately putting patients at risk of safety. Methods: This research is descriptive research with a quantitative approach, data obtained from the surgery room register and interview which then grouped and analyzed. Results: There was an elective delay in surgery of 38%, with the highest cause being the staffing factor of 81%, the highest percentage of delays was plastic surgery 61% of total surgery performed, The highest number of delays occurred in Urology that is 213 cases. Conclusions: To reduce the delay required clear rules in the event of delays and rules of payment based on performance services, which is timeliness of attendance elective operation schedule is one of the assessment tools, and scheduling operations outside the time outpatient service.

The Barriers in Implementing Electronic Prescribing in The Health Care: a Systematic Review Leawaty Leawaty; Adik Wibowo
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians' needs for the features in the e-prescription.

FAKTOR PADA PERAWAT YANG BERHUBUNGAN DENGAN PERSEPSI MELAPORKAN KEJADIAN TIDAK DIHARAPKAN (KTD) DI RUMAH SAKIT PRIMA MEDIKA DENPASAR TAHUN 2020 I Putu Wirama; Adik Wibowo
Jurnal Administrasi Rumah Sakit Indonesia Vol 8, No 2 (2022)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/arsi.v8i2.4712

Rumah sakit merupakan tempat pelayanan kesehatan yang komplek dan padat resiko, keselamatan pasien sangat penting untuk meningkatan mutu rumah sakit, salah satu caranya adalah dengan melaporkan Kejadian Tidak Diharapkan (KTD). Perawat memiliki kontak paling lama dengan pasien sehingga menjadi komponen terpenting dalam pelaporan KTD. Penelitian ini bertujuan untuk mengetahui faktor yang mempengaruhi persepsi melaporan KTD di Rumah Sakit Prima Medika Denpasar tahun 2020. Rumah Sakit Prima Medika Denpasar merupakan rumah sakit swasta tipe C. Penelitian ini merupakan penelitian kuantitatif menggunakan desain penelitian cross sectional dengan sampel penelitian 140 perawat yang dilaksanakan pada bulan Juni tahun 2020. Didapatkan gambaran persepsi perawat yang tidak pernah melaporkan KTD sebesar 63.6% karena tidak pernah menemukan kejadian KTD atau mungkin pernah mendapat kejadian KTD tetapi tidak berani mealpor. Variabel yang berhubungan signifikan dengan persepsi melaporkan KTD oleh perawat adalah variabe sikap (p value = 0.002), pendidikan (p value = 0,046), porsi beban kerja berat (p value = 0,003 ) dan porsi beban kerja ringan (p value = 0,026 ). Variabel yang paling berpengaruh adalah sikap perawat ( OR 4,33 ). Saran antara lain adalah rumah sakit menumbuhkan sikap positif perawat dalam hal melaporkan KTD dengan memberikan penghargaan kepada yang melapor, rumah sakit melakukan pelatihan keselamatan pasien secara rutin dan regular, shif kerja malam selama 12 jam perlu di evaluasi.

ANALISIS RESUME MEDIS RAWAT INAP TIDAK LENGKAP DENGAN MENGGUNAKAN KONSEP MASAAKI: SORT, STRAIGHTEN, SCRUB, SYSTEMATIZE, SUSTAIN (5S) DI RSU PARAMA SIDHI SINGARAJA BALI I Desak Nyoman Yunita Pratiwi; Adik Wibowo
Jurnal Administrasi Rumah Sakit Indonesia Vol 8, No 2 (2022)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/arsi.v8i2.4706

Pelayanan dan penyelenggaraan resume medis yang berkualitas telah menjadi salah satu dari indikator muru pelayanan rumah sakit saat ini, angka ketidak lengkapan data catatan medis (KLPCM) RSU Parama Sidhi sebesar 17,1%. Tujuan dari penelitian ini adalah untuk memperbaiki kelengkapan pengisian resume medis oleh DPJP (Dokter Penanggung Jawab Pelayanan) melalui implementasi konsep Sort, Straigthen, Scrub, Systematize, dan Sustain (5S) dengan melihat adanya hubungan antara penerapan S terhadap kelengkapan pengisian resume medis dan mencari upaya perbaikan berdasarakan pada continues improvement. Penelitian ini merupakan penelitian deskriptif dengan analisa kuantitatif dan kualitatif, dengan dua sumber data yaitu data primer dan data skunder. Pada data sekunder hasil penelitian sebanyak 1362 berkas didapatkan 26,80 % berkas resume medis yang tidak lengkap. Dari analisa univariat didapatkan ketidaklengkapan pengisian resume medis rawat inap data administrasi sebesar 1,8%, dan pada data klinis didapatkan ketidak lengkapan terbanyak pada pengisian diagnosa kerja/ diagnosa awal sebesar 26% dan terkecil pada pengisian diagnosa akhir sebesar 19,2%. Data primer menggunakan instrument kuisioner implementasi 5S, data univariat komponen Scrub (S3) memiliki implemetasi tertinggi sebesar 81%, namun dalam implementasi terendah pada komponen Sytematize (S4) sebesar 19% sehingga saran yang dapat dilakukan adalah kembali melakukan evaluasi terhadap pelaksanaan SPO serta melakukan sosialisasi, melakukan perbaikan dalam pembentukan formulir dan mekanisme penataan berkas, serta membentuk kebijakan pelayanan yang berupaya dalam mengatasi keterbatasan waktu DPJP dalam pelayanan

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