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HIS Implementation in Small Hospital Resia Perwirani
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 7, No 1 (2022)
Publisher : Minat Sistem Informasi Manajemen Kesehatan Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jisph.71310

Abstract

Background: Budi Rahayu Hospital at Magelang City has implemented HIS in partnership with the SIMKES FKKMK laboratory of Gadjah Mada University since April 2021. During the initial four months of implementation, Budi Rahayu Hospital experienced various challenges. For understanding and overcome the challenges, it is necessary to construct a strategy of HIS implementation, and then offer a proper recommendation based on study.Methods: This study is a descriptive qualitative with action research design that describe four stages of action research i.e Diagnosing, Planning, Action, and Evaluation. On the Diagnosing stage, Author arrange an interview and discussion with Hospital Team. Next, Author plan a strategy to generate suitable recommendations for the successful implementation of HIS. In the Action stage, author conduct an implementation review and assistance. Author also manage an UAT as a evaluation stage distributed to respondents using a questionnaire. The study is performed by observing of HIS implementation from September – December 2021. The subject of this study is chosen purposively from departments involved, with total 20 end-users respondents on multiple service units to capture data in a real environtment when HIS is used for healthcare services to patients.Results: Strategic actions for smooth implementation is active involvements and collaboration from developer team and hospital team monitored by regional health services. the hospital team and developer team formed an online communication group as a place to discuss the problems encountered. There are monitoring activities that involved by regional health services, so the timeline that has been set runs according to the target and the hospital gets optimal benefits of HIS implementation. System acceptance is important for the further development of  HIS. The score of HIS acceptance at Budi Rahayu Hospital is 70% based on 85% scenario that execute successfully. Based on system performance, continues maintenance and communication among implementation team, HIS can be accepted with condition of continuous improvement and adjustment.Conclusions: Active involvements and collaboration from developer team and hospital team, performance improvement and availability of the system is very crucial for user acceptance, satisfaction and overall success of HIS implementation. Keywords: HIS, Implementation, UAT
Clinical Decision Support System (CDSS) Design for Drug Drug Interaction (DDI) on the e-Prescription Feature Resia Perwirani; Ika Puspitasari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 12, No 4 (2022)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.74506

Abstract

Not all drug side effects that occur can be avoided, but cases that caused by Drug-Drug Interactions (DDI) are among the most likely to be prevented because of their predictability. The increasing number of drugs which co-prescribed, affects the potential for drug interactions exponentially. Clinical Decision Support System (CDSS) is a promising strategy to prevent patient safety risks caused by DDI. This study aims to design a CDSS for DDI on e-prescription. This research is qualitative study with action research design which is executed in 4 stages, namely diagnosing, planning, action, and evaluation. The research was carried out at the Digital Health Innovation Studio (DHIS) of Gadjah Mada University, with an implementation time of November 2021 – April 2022. The implementation and evaluation of CDSS was performed at HIS partner hospitals issued by DHIS FKKMK UGM, namely Budi Rahayu Hospital Magelang. Result from identification of user needs assert that the CDSS can be accessed by doctors and pharmacists. The drug interaction warning display pop-up appears on one screen in the e-prescription menu with a description of drug interactions in Bahasa. Drug interaction data refers to the National Drug Information Center (PIONas) managed by the Food and Drug Supervisory Agency (BPOM). The development of the CDSS feature for DDI was carried out in collaboration with DHIS UGM programmers, then implemented in hospitals after going through socialization. Based on the evaluation results, the CDSS for DDI is considered successful in being developed to meet user needs with the principle of user centered design and optimal use to help improve the quality of hospital services.