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ANALISIS FAILURE MODE EFFECT (FMEA) PADA PENGADAAN OBAT DAN PERBEKALAN KESEHATAN PADA ERA JAMINAN KESEHATAN NASIONAL DI PUSKESMAS WONOKROMO SURABAYA Nuning Farida; Amelia Lorensia; Budhi Setianto; Agus Aan Adriansyah
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 5 No 1 (2021): Medical Technology and Public Health Journal March 2021
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v5i1.1636

Abstract

Drug services in Public Healthcare are an important component whose availability influences the success of health efforts. District / City Health Office is a regional government work unit in the health sector, one of the tasks and authorities of which is to provide and manage public medicines for the district/city area. Effective pharmaceutical management in health service facilities is very important for patient welfare so risks must be identified and controlled. One of the efforts made by the City Health Office is to procure drugs using other methods that are legal according to government procurement of goods/services besides e-purchasing, which is called non-e-purchasing of drugs. Risks in the pharmaceutical supply chain are related to product discontinuity, product shortages, poor performance, patient safety, expense errors, and technological errors, all of which can result in system disruption. This study aims to determine the suitability of the plan with the realization of e- purchasing of drugs, identify problems that hamper the implementation of e-purchasing of drugs, determine the impact of obstacles on procurement, cost efficiency of drug procurement and determine the potential savings of drug procurement by e-purchasing for the period 2015 to 2019 by using the FMEA method, the e-purchasing data was collected at the Wonokromo Public Health Center in Surabaya. Study Failure Mode Effect (FMEA) in the procurement of drugs and UHC health supplies in Surabaya Wonokromo Health Center for the period of 2015-2019, it can be concluded that the absorption of capitation funds is more considered using the availability variable compared to the uptake of funds based on the rupiah value because the availability of more guarantees the need for treatment in the sustainable health centre. In this case, the perception of procurement actors in the analysis of UHC procurement process obstacles there are 41 obstacles, the role of E-purchasing is a very helpful system even though the implementation has not been perfect.
IMPLEMENTATION OF OCCUPATIONAL SAFETY AND HEALTH RISK MANAGEMENT IN ISLAMIC HOSPITAL SURABAYA A. YANI Muhammad Huda Firmansyah; Moch. Sahri; Budhi Setianto
Jurnal Ilmu Kesehatan dan Kesehatan Vol 5 No 2 (2021): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v5i2.2179

Abstract

Background: Risk management is a preventive effort for a company, especially those engaged in the service sector, which is very prone to errors and complaints. For this reason, it is necessary to map the risks that occur in accordance with the work unit in it which is expected to minimize the number of accidents or errors in both patients, visitors and employees in the hospital. In the 2019 patient safety incident report data at the Surabaya A. Yani Islamic Hospital, it was found that there were incidents which included near miss 93%, not injured 4%, unexpected events 3% and Sentinel 0%. The purpose of this study was to identify and identify the application of occupational safety and health risk management at the A. Yani Islamic Hospital in Surabaya. Methods: This thesis is a qualitative research with a case study method with the aim of fully describing the implementation of K3 risk management at Surabaya A. Yani Hospital based on observation, survey and documentation data on 37 units and hospital workplaces by identifying risks. , analyze and find risk control measures. Results: The results showed that the implementation of K3 risk management in the Islamic Hospital of Surabaya A. Yani based on the results of risk identification obtained as many as 25 risks in the graha building and the old building which were further analyzed by finding 15 moderate risks and 10 high risks. can be done is by repairing damaged infrastructure and improving the existing security system at the A. Yani Islamic Hospital in Surabaya. Conclusion: The conclusion in this study is the implementation of K3 risk management at the Islamic Hospital of Surabaya A. Yani based on the process of risk identification and risk analysis, there are 25 potential risks, of which there are 15 moderate risks and 10 high risks that can potentially cause accidents to employees, visitors and patients. In this case, control efforts are made to minimize the number of incidents and accidents.
ANALYSIS OF NURSE'S JOB SATISFACTION BASED ON INTERNAL SERVICE QUALITY MEASUREMENT Agus Aan Adriansyah; Budhi Setianto; Wiwik Afridah; Akas Yekti Pulih Asih; Stefanus Supriyanto; Venia Ilma Dwi Prastika; Amanatul Istifaiyah
Jurnal Riset Kesehatan Vol 9, No 2 (2020): NOVEMBER 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.143 KB) | DOI: 10.31983/jrk.v9i2.6444

Abstract

Nurses who are considered by the hospital to be able to provide maximum health services to patients so that they can increase patient satisfaction. This research was conducted to analyze the job satisfaction of nurses based on Internal Service Quality in the inpatient installation of RSI A. Yani Surabaya. The study was conducted with an observational analytic design and cross-sectional approach. The study population was the nurses in the inpatient installation of RSI A. Yani Surabaya, a total of 104 nurses. The sample size was 78 nurses who were spread in each inpatient room of RSI A. Yani Surabaya. The method of sampling using simple random sampling. Data analysis was performed using binary logistic regression test. The results showed that 98.7% of nurses rated internal service quality as good and 64.1% of nurses said they were satisfied. Based on the statistical test, it was found that the value of p = 0.999 (more than 0.05), which means that internal service quality has no significant effect on job satisfaction of nurses. However, based on the aspect of internal service quality, the aspects of tools and reward and recognition can provide an almost significant effect on job satisfaction of nurses. Provision of tools has 9.23 times less risk of dissatisfying nurses than providing good tools. Likewise, giving rewards and recognition that was less likely to have a 3.34 times risk of making nurses dissatisfied compared to giving good recognition.
Analisis Insiden Keselamatan Pasien di Rumah Sakit Berdasarkan Pendekatan Beban Kerja dan Komunikasi Agus Aan Adriansyah, S.KM., M.Kes.; Budhi Setianto; Nikmatus Sa'adah; Pinky Ayu Marsela Arindis; Wahyu Eka Kurniawan; Indah Lestari
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 3 (2021): Desember 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.3.2021.183-190

Abstract

Patient safety incidents at Ahmad Yani Islamic Hospital Surabaya increased by 0.3% in 2019. If not addressed immediately, these problems can give a negative image to hospitals and patients. An error that appears and has an impact on increasing patient safety incidents, stems from a high workload and poor communication. The purpose of this study was to analyze the role of workload and communication on the occurrence of patient safety incidents in hospitals. This study uses a unit of analysis as many as 18 work units that directly provide services to patients. Participants include the head of the work unit, the person in charge of the work unit and the person in charge of the quality of the work unit with a total of 90 people. The data was obtained primarily using the instrument contained in the google form. The communication measurement tool uses the Communication Openness Measurement (COM) and the workload uses the WISN calculation. Patient safety incident data was obtained from the PMKP RS team. The analysis was carried out by means of a simple cross tabulation with interpretation using the Pareto concept. The results showed that most work units (83.3%) had a low workload, most of the work unit communication (61.1%) was not good and 33.3% of work units had a high patient safety incident rate. In the Pareto concept, the results showed that workload had no effect on patient safety incidents, while communication influenced the number of patient safety incidents. Therefore, hospitals need to fix the pattern and flow of communication as well as the need for information disclosure so that the flow of information becomes more adequate, transfer of knowledge becomes better and employee understanding of the importance of patient safety in hospitals becomes better.
Implementasi Manajemen Lean di Unit Farmasi Rumah Sakit Islam Surabaya A. Yani Budhi Setianto; Agus Aan Adriansyah; Akas Yekti Pulih Asih
Jurnal Manajemen Kesehatan Indonesia Vol 8, No 2 (2020): Agustus 2020
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.8.2.2020.81-87

Abstract

Dampak era uncertainty ini membuat rumah sakit harus cepat dalam mengambil keputusan dan melakukan efisiensi diberbagai sumber pembiayaan. Saat ini, selisih biaya operasional dengan pendapatan di RSI Surabaya A. Yani hanya 15%-17%, sedangkan kebijakan direksi menginginkan selisih bisa mencapai 30%. Untuk mewujudkan hal tersebut, efisiensi harus dilakukan diberbagai sumber pembiayaan, salah satunya di unit farmasi. Salah satu metode memperbaiki proses efisiensi pelayanan adalah manajemen lean. Tujuan penelitian adalah melakukan implementasi manaje-men lean di unit farmasi RS Islam Surabaya A. Yani. Desain peneltiian adalah studi observasional dengan pendekatan exiperimental melalui 2 tahapan. Tahap pertama dilakukan identifikasi masalah, dan tahap kedua dilakukan implementasi manajemen lean per tahap pelayanan farmasi yakni perencanaan, pengadaan dan pembelian, penyimpanan, penyiapan dan distribusi dan pengembalian. Selanjutnya menyusun hasil monitoring dan evaluasi implement-tasi manajeman lean serta mengukur secara kuantitatif dan kualitatif hasil implementasi manajeman lean per tahap pelayanan. Hasil yang diperoleh adalah implementasi manajemen lean di unit farmasi RS Islam Surabaya A Yani dapat dilakukan mulai tahap perencanaan, pengadaan dan pembelian, penyimpanan, penyiapan serta distribusi dan pengem-balian. Saran yang diberikan adalah implementasi manajemen lean dapat dilakukan secara berkelanjutan dan diterapkan di unit lain serta diikuti dengan pembenahan SIMRS dalam menunjang proses efisiensi pelayanan, melakukan monitoring pelaksanaan perencanaan perbekalan, meningkatkan peran manaje-men dalam penyusunan kontrak, evaluasi kerjasama, evaluasi kepatuhan pelabelan, menghitung cost benefit peresepan elektronik, menerapkan resep elektronik, melakukan komunikasi mendalam dan terus menerus, meningkatkan peran Komite Medis dalam evaluasi dan peningkatan mutu clinical pathway serta  memberi motivasi staf dalam implementasi metode distribusi Unit Dose Dispensing
Hubungan Iklim Organisasi terhadap Intention to Leave Perawat di Rumah Sakit Islam Surabaya – A. Yani Budhi Setianto; Agus Aan Adriansyah; Akas Yekti Pulih Asih
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.148-154

Abstract

Niat untuk pergi (Intention to leave) adalah niat karyawan untuk meninggalkan organisasi/ rencana karyawan untuk berniat keluar kerja dari pekerjaan yang sekarang dan berusaha menemukan pekerjaan lain dalam waktu dekat. Niat untuk pergi perawat menjadi tantangan yang serius terhadap efisien dan efektivitas pelayanan kesehatan. Terdapat beberapa faktor yang mempengaruhi terjadinya Intention to leave pada perawat salah satunya adalah iklim organisasi. iklim organisasi mencerminkan kondisi internal suatu organisasi karena iklim hanya dapat dirasakan oleh anggota organisasi tersebut, dan iklim dapat menjadi sarana untuk mencari penyebab perilaku negatif yang muncul pada karyawan.Penelitian ini bertujuan untuk menganalisis dan menjelaskan pengaruh iklim organisasi terhadap intention to leave perawat Rumah Sakit Islam Surabaya – A. Yani. Jenis dan rancangan penelitian yang digunakan dalam penelitian ini bersifat analitik. Penelitian ini dilakukan di Rumah Sakit Islam Surabaya – A. Yani dengan mengambil subjek perawat sebanyak 70 perawat/orang. Data dikumpulkan dengan menyebar kuesioner dan data  yang telah dikumpulkan dianalisis menggunakan Statistical Package for the Social Sciences (SPSS) ver.16 dengan metode Chi Square.Hasil penelitian menunjukkan bahwa dari 6 variabel iklim organisasi yang terdiri dari struktur, standar, tanggung jawab, penghargaan, dukungan, dan komitmen. Hanya variabel komitmen yang tidak berhubungan dengan intention to leave pada perawat di RSI A. Yani karena hasil uji statistik didapatkan nilai p 0.197 (>0,05), sedangkan 5 variabel lainnya didapatkan hasil terdapat hubungan antara 5 variabel tersebut dengan intention to leave pada perawat di RSI A.Yani
Pandemi Covid-19 terhadap Kondisi Psikologis Petugas Kesehatan Lilik Wijayati; Djazuly Chalidyanto; Budhi Setianto
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.648 KB) | DOI: 10.31539/jks.v4i2.1632

Abstract

This study aims to examine the effect of the COVID-19 pandemic on the psychological condition of health workers. The research design used is a systematic search on several databases, including DOAJ, Sage, Proquest, Medline, Google Scholar, Science Direct, from February to June 2020. There is Rational pre-clinical evidence regarding mental or psychological health risks from several articles as a result of Covid-19. Feelings of anxiety, stress, depression or fear, and even panic due to Covid-19 trigger increased psychological or mental health risks faced by health workers so that therapy or group or individual activities need to be carried out. In conclusion, there is reasonable pre-clinical evidence regarding the mental or psychological health risks due to corona. Anxiety, stress or depression or fear, and even panic due to this corona case trigger increased psychological or mental health risks faced by health workers so that therapy or group or individual activities need to be applied. Keywords: Covid-19, Pandemic, Health Services, Health Officers, Psychological
Studi Kelayakan Produksi Wedang Jahe Senja Padam dan Sedayu Manja Agus Aan Adriansyah; Budhi Setianto; Akas Yekti Pulih Asih; Maya Purnia Sari; Nailah Tri Iswira; Aizatun Nisa; Difran Nobel Bistara; Eppy Setiyowati; Nikmatus Sa’adah; Muhammad Fifin Kombih
Wisanggeni : Jurnal Pengabdian Masyarakat Vol. 2 No. 1 Juni (2022) Wisanggeni : Jurnal Pengabdian Masyarakat
Publisher : Institut Agama Islam Ma’arif NU (IAIMNU) Metro Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (838.293 KB) | DOI: 10.25217/wisanggeni.v2i1.2233

Abstract

Ginger as a herbal plant is widely used as a drink and a cooking ingredient, Wedang Senja Padam and Sedayu Manja are drinks served to Covid 19 patients at the Surabaya Islamic Hospital. To increase production capacity as an additional source of income, it is necessary to calculate a feasibility study on the manufacture of Senja Padam and Sedayu Manja drinks. This service begins with conducting a study of the materials to be used in the literature, the amount, and the composition of the ingredients following the drink. Conduct market research related to the results of testing the composition of ingredients on customers. From this service, produce a composition of beverage ingredients following customer desires and produce a feasibility study that provides a positive value of the initial investment value of 2,500,000 resulting in a net cash flow of 6,187,500 with an IRR value of 21% and a B/C of 1.3 showing fit for production.
Dietary Habits and Physical Activity Affect Random Blood Sugar Levels In Outpatients Effendi Effendi; Budhi Setianto; Agus Aan Adriansyah; Akas Yekti Pulih Asih; Difran Nobel Bistara
Jurnal Ilmiah Kesehatan Vol 14 No 3 (2021): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.935 KB) | DOI: 10.33086/jhs.v14i3.2070

Abstract

Background: Diabetes is caused by several etiology resulting in the body not using glucose into the cells, so glucose accumulates in the blood. The pancreas cannot produce the particular hormone in type 1 diabetes. Meanwhile, type 2 diabetes is caused by the inefficient use or deficiency of certain hormones relative to blood glucose levels.  Purpose: This study analyzes the correlation between dietary regulation and physical activity and blood sugar levels in outpatients Methods: This paper was a cross-sectional analytic study. The population was all outpatients who checked their blood sugar levels at the Internal Medicine Specialist Clinic of Islamic Hospital Surabaya from January to February 2021. Meanwhile, there were 115 respondents with total random sampling. The independent variable was random blood sugar (RBS) levels, while the dependent variables were dietary habits and physical activity. Data collection used medical records at the Internal Medicine Specialist Clinic of Islamic Hospital Surabaya. Then, data analysis utilized Fisher's Exact Test with a significance of 0.05  Results: Most respondents had regular dietary habits (53%) and normal random blood sugar levels (54%). In addition, they had regular physical activity (80%), with frequency once a week (34.8%), and most types of physical activity were gymnastics (34.8%). The Fisher's Exact Test obtained p=0.000 in analyzing between dietary habits and RBG levels. In addition, p=0.000 in evaluating between physical activity and RBG levels. Conclusion: Dietary habits and physical exercise affect random blood sugar levels in outpatients. Further study should evaluate other factors associated with blood sugar levels.
Foot Exercise Movement Activities as Efforts to Lower Blood Sugar Levels in Diabetes Mellitus Patients Akas Yekti Pulih Asih; Budhi Setianto; Agus Aan Adriansyah; Iftitahurrohmah Iftitahurrohmah; Sofia Nur Islami; Ahla Tamaro
Indonesian Journal of Cultural and Community Development Vol 8 (2021): March
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (23.458 KB) | DOI: 10.21070/ijccd2021691

Abstract

Based on Riskesdas in 2018, the prevalence of diabetes mellitus in Indonesia based on interviews showed an increase from 1.1 percent (2007) to 2.1 percent in 2019. The International Diabetes Federation (IDF) estimates that DM sufferers in Indonesia in 2020 will amount to 178 million people aged over 20 years and assuming a DM prevalence of 4.6%, 8.2 million DM patients will be obtained. The most data on visits from internal medicine policymakers at the outpatient clinic of Islamic Hospital in Surabaya were diabetes militus. One of the most common complications of diabetes mellitus is diabetic foot, which can manifest as ulcers, infections and gangrene and Charcot's arthropathy. The method used in this community service activity is carried out to increase knowledge and understanding of public awareness by doing foot exercises to reduce sugar levels. This community service activity is carried out by educating patients with diabetes at the Internal Medicine Department of the Islamic Hospital Surabaya. Diabetes exercise carried out by the GLC group which was carried out independently by the participants showed an average decrease in sugar levels with an average of 12.5 points with participants who routinely did regular exercise 4 times a week showing the largest number of points of decline. Sig. (2-tailed): Probability value / p value Paired T test: Result = 0.000 shows that there is a difference between before and after treatment. Implementation of diabetic foot exercises which were carried out independently at home by GLC patient at Surabaya Islamic Hospital A Yani