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All Journal Jurnal Administrasi Kesehatan Indonesia Journal of Indonesian Health Policy and Administration Jurnal ARSI (Administrasi Rumah Sakit Indonesia) Poltekita : Jurnal Ilmu Kesehatan Jurnal Medika Hutama Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Jurnal Health Sains Interdiciplinary Journal and Hummanity Jurnal Indonesia Sosial Teknologi JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)

Basabih, Masyitoh

Fakultas Kesehatan Masyarakat, Universitas Indonesia

Author-ID : 911044

Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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HEALTHCARE FAILURE MODE AND EFFECT ANALYSIS DESIGN FOR INDONESIA HOSPITAL LABORATORIES: A LITERATURE REVIEW Zhafirah Salsabila; Masyitoh Masyitoh; Amal Chalik Sjaaf; Lia Gardenia Partakusuma
Indonesian Journal of Health Administration Vol. 9 No. 1 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i1.2021.33-54

Background: Error rate in medical laboratories is very low. Only one error is identified every 330–1,000 events. The goal of laboratory services should outweigh patient safety in a well-structured manner. Healthcare Failure Mode and Effect Analysis (HFMEA) is a proactive preventive method for identifying and evaluating potential failure.Aims: This study identified factors affecting patient safety in hospital laboratories and described potential risk identification process using the HFMEA.Methods: This study was conducted between March-July 2020 and retrieved data from PubMed, Scopus, and Google Scholar. The data were generalized and extracted into Table 2 based on factors dealing with patient safety in hospital laboratories. This study performed a risk identification design based on the steps of HFMEA.Results: Out of 4,062 articles collected, only 8 articles between 2013–2020 were included for analysis. The highest error rate in laboratories occurred in the pre-analytic phase (49.2%–84.5%). The errors included clotted and inadequate specimen volume, and thus the specimens were rejected. Factors related to patient safety in laboratories were patient condition, laboratory staff performance (including training, negligence, and burnout), facilities, and accreditation.Conclusion: The HFMEA process used the result of hazard analysis with severity and probability criteria categorized into health sector. Decision tree analysis could determine the next step of the work process. The HFMEA must be adjusted to the equipment and technologies in each hospital laboratory. Leader’s commitment in monitoring and evaluation is required to maintain patient safety culture. More comprehensive data from Indonesian hospital laboratories are needed to generate more representative and applicable results.Keywords: error, HFMEA, laboratory, patient safety

AN ANALYSIS ON NON-SPECIALIST OUTPATIENT REFERRALS AT BEJI AND DEPOK JAYA HEALTH CENTERS IN 2018 Tasya Caesarena Pertiwi; Masyitoh Masyitoh
Journal of Indonesian Health Policy and Administration Vol 3, No 2 (2018)
Publisher : Faculty of Public Health Universitas Indonesia

Abstract. The Health Social Security Agency (BPJS kesehatan) is one of the government’s efforts to provide quality healthcare for the people. To guarantee its quality and maintain efficiency, a tiered referral system is used. However, there were many problems in its implementation. One of the ways to investigate is to evaluate the non-specialist outpatient referrals (RRNS). Therefore, in March-July 2018, this research was performed in order to analyze whether the system was implemented at Beji and Depok Jaya Health Center. The method used was the qualitative research method, with primary data from in-depth interviews and secondary data from documents. It was discovered that both Centers had optimal RRNS ratios (0%). This was because the doctors at both Centers has provided referrals as indicated and there was feedback on the RRNS total. The civil servant (PNS) doctors at both centers were experienced and skillful, but the number of doctors was insufficient compared to their workload. The non-PNS doctors also were not sufficiently trained. Other problems include insufficient equipment and medication provision. Abstrak. Badan penyelenggara jaminan sosial (BPJS) kesehatan adalah salah satu upaya pemerintah untuk memberikan pelayanan kesehatan yang bermutu bagi rakyatnya. Untuk menjamin kualitas pelayanan yang diberikan sekaligus menjaga efisiensi, maka diterapkan sistem rujukan berjenjang. Tetapi ini mengalami berbagai permasalahan dalam penerapannya. Untuk melihat apa permasalahannya dapat dilihat dari rasio rujukan rawat jalan non-spesialistik (RRNS). Oleh karena itu, penelitian ini dilaksanakan untuk menganalisis apakah sistem tersebut berjalan di Puskesmas Beji dan Puskesmas Depok Jaya pada bulan Maret-Juli 2018. Penelitian ini menggunakan metode kualitatif, dengan data primer berupa wawancara mendalam dan data sekunder berupa telaah dokumen. Hasil penelitian menunjukkan bahwa di Puskesmas Beji dan Puskesmas Depok Jaya memiliki rasio RRNS yang optimal (0%). Hal ini disebabkan karena dokter di kedua puskesmas memberikan rujukan sesuai indikasi dan terdapat feedback mengenai capaian RRNS. Selain itu, dokter PNS di Puskesmas Beji dan Puskesmas Depok Jaya merupakan dokter yang cukup berpengalaman dan terampil, walaupun jumlah dokter di kedua Puskesmas tidak sesuai dengan beban kerjanya. Dokter non PNS juga belum menerima pelatihan yang memadai. Selain itu, peralatan yang tersedia masih kurang lengkap. Obat di kedua puskesmas cukup lengkap namun terkadang terjadi kekosongan obat.

POLICY OF PATIENT SAFETY GOVERNANCE FOR HOSPITALIZED PATIENT AT THE KOJA PUBLIC HOSPITAL IN 2019 Tiara Fani Yolanda; Masyitoh Masyitoh
Journal of Indonesian Health Policy and Administration Vol 5, No 1 (2020)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/ihpa.v5i1.3243

AbstractClinical governance is a structured organizational framework to improve the quality and safety of patients in the hospital which made by the NHS into seven pillars and adjusted to RI Law No. 44 of 2009. The evaluation results from the quality and patient safety team of Koja Public Regional Hospital in 2018, showed that there is Fall Patient incidents (6 events), KTD and KNC (13 events) which is not following the 0 % of the target from Patient Safety Goals by the Ministry of Health. The study was conducted to analyze patient safety governance for hospitalized patients at the Koja Public Regional Hospital in 2019 based on 4 of the Clinical Governance theories, which are clinical leadership, clinical audit, clinical effectiveness (guidelines); and education, training, and development of conservation profession. This study is using in-depth interview methods through the Purposive Sampling method and also reviewing documents conducted from May to June 2019. The results of the study found that the implementation of Clinical Leadership in Koja Public Hospital was running quite well but not yet optimal because the leadership system, which used the Line Organization to help to faster the decision-making process, is still weak in monitoring. From the Clinical Pathway (CP) evaluation, The medical audit was done well, but the monitoring and evaluation aspects are not yet optimal. The evaluation of clinical effectiveness showed that the compliance to fill the CP form was not optimal because of the lack of CP benefit socialization. Training and courses were done pretty well but have not been evaluated yet. The management team recommends monitoring, collaborating with the medical committee to evaluate the CP usage, providing training related to CP procurement to increase understanding, and also providing necessary training and its evaluation.Abstrak Tata kelola klinis merupakan kerangka organisasi yang bertujun untuk meningkatkan mutu dan keselamatan pasien di rumah sakit yang diciptakan oleh NHS ke dalam 7 pilar dan disesuaikan kedalam UU Nomor 44 tahun 2009. Hasil evaluasi tim mutu dan keselamatan pasien RSUD Koja pada tahun 2018 menunujukan tingginya angka kejadian pasien jatuh ( 6 kejadian) , KTD dan KNC (13 kejadian) dimana hal ini tidak sesuai dengan Patient Safety Goals yang ditargetkan oleh kemenkes 0 %. Penelitian dilakukan untuk menganalisis gambaran tata kelola keselamatan pasien rawat inap di RSUD Koja berdasarkan 4 dari teori Clinical Governance yaitu kepemimpinan klinis, audit klinis, efektivitas klinis (Guideline), serta pendidikan, pelatihan dan pengembangan profesi berkelanjutan dengan menggunakan metode kualitatif melalui wawancara mendalam menggunakan Purposive Sampling , serta melakukan telaah dokumen yang dilakukan pada bulan Mei hingga Juni 2019. Hasil penelitian menemukan bahwa pelaksanaan kepemimpinan klinis di RSUD Koja berjalan cukup baik namun belum optimal karena sistem kepemimpinan menggunakan Line Organization yang membantu dalam pengambilan keputusan yang cepat namun lemah dalam pengawasan, Pelaksanaan audit medis dilaksanakan dengan baik namun monitoring dan evaluasi masih belum optimal dari hasil evaluasi Clinical Pathway (CP)., Evaluasi efektifitas klinis menunjukan kepatuhan pengisian form CP belum optimal karena kurangnya sosialisasi terhadap manfaat CP, Pelatihan dan pendidikan sudah terlaksana cukup baik namun belum adanya kegiatan evaluasi. Saran penelitian adalah pihak manajemen melakukan monitoring, melakukan kerjasama dengan tim komite medis melaksanakan evaluasi penggunaan CP dan memberikan pelatihan terkait pentingnya pengisian CP untuk meningkatkan pemahaman, serta memberikan pelatihan dasar dan mengevaluasi penerapan pelatihan pendidikan.

Perlukah Keselamatan Pasien Menjadi Indikator Kinerja RS BLU? Masyitoh Basabih
Jurnal Administrasi Rumah Sakit Indonesia Vol 3, No 2 (2017)
Publisher : Faculty of Public Health Universitas Indonesia

ABSTRAK Pemerintah dalam hal ini Kementerian Kesehatan melalui peraturannya mengamanahkan pentingnya keselamatan pasien. Hal ini dapat dilihat dari disebutkannnya keselamatan pasien dalam empat pasal di Undang-Undang Nomor 44 Tahun 2009 tentang Rumah Sakit dan secara khusus dalam Peraturan Menteri Kesehatan. Pentingnya isu kesela-matan pasien di rumah sakit tidak berbanding lurus dengan indikator kinerja Rumah Sakit BLU yang tertulis dalam Peraturan Direktur Jenderal Perbendaharaan Nomor 34 Tahun 2014 Tentang Pedoman Penilaian Kinerja Badan Layanan Umum Bidang Layanan Kesehatan. Dalam Perdirjen ini, dapat dilihat bahwa penilaian kinerja RS BLU terdiri dari aspek keuangan dan aspek pelayanan. Keselamatan pasien dapat dilihat pada aspek pelayanan lebih khu-susnya dapat dilihat pada kelompok indikator mutu klinik yang memiliki skor maksimal 12 dari 100. Mutu klinik di ukur dengan lima indikator yang empat di antaranya adalah angka kematian. Jika merujuk kepada besarnya penekanan terhadap keselamatan pasien dan definisi keselamatan pasien, maka pertanyaannya adalah apakah indi-kator berupa angka kematian cukup merepresentasikan pentingnya keselamatan pasien dirumah sakit? Penulisan ini bertujuan untuk memberikan gambaran peranan keselamatan pasien dalam tatanan indikator kinerja Rumah Sakit BLU. Penulisan ini menggunakan metode literatur review. Hasil dari telaah ini menunjukkan bahwa upaya kesela-matan pasien belum sepenuhnya menjadi tolak ukur kinerja Rumah Sakit BLU. ABSTRACT The government which is the Ministry of Health through its regulations mandates the importance of patient safety. This can be seen from the mention of patient safety in the four articles in Undang-Undang Number 44 Year 2009 about Hospital and specifically in the Minister of Health Regulation. The importance of patient safety issues in hos-pitals is not directly proportional to the performance indicators of the BLU Hospital written inPeraturan Direktur Jenderal Pembendaharaan Number 34 Year 2014 about the Guidelines for Performance Appraisal of Public Ser-vice Bodies for Health Services. In this regulation, it can be seen that the performance assessment of BLU Hospital consists of financial aspect and service aspect. Patient safety can be seen in service aspect more specially can be seen in group of clinical quality indicator which have maximum score 12 from 100. Clinic quality is measured with five indicator which four of them is death rate. If it refers to the magnitude of the emphasis on patient safety and the definition of patient safety, then the question is whether the indicator of mortality adequately represents the im-portance of patient safety in the hospital? This article aimed to provide an overview of the role of patient safety in the performance indicators of hospital performance BLU. This study was conducted by using the literature review method. The results of this study indicate that the patient's safety efforts have not fully become the benchmark of BLU Hospital performance.

SERVICE OF PEOPLE WITH PSYCHIATRIC PROBLEMS (ODMK) AT THE PASAR BARU HEALTH CENTER AND PABUARAN TUMPENG HEALTH CENTER IN TANGERANG CITY IN 2022: A COMPARATIVE STUDY Mentari Kirana Firdaus; Masyitoh Basabih
Journal of Indonesian Health Policy and Administration Vol 7, No 3 (2022)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/ihpa.v7i3.6110

Mental health is one of the global health issues with cases that continue to increase every year. In 2019, psychiatric problems were the second leading cause of disability worldwide with a total of 970 million cases. This research is a comparative study that aims to determine the difference between ODMK services at Pasar Baru Health Center and Pabuaran Tumpeng Health Center. This research uses a qualitative approach with a case study method, data collection is done through in-depth interviews and document review. The variables analyzed include input, process, and output. The results of the study found that in the input variable, health human resources at Pabuaran Tumpeng Health Center had a higher workload than health human resources at Pasar Baru Health Center. In the process variable, Pasar Baru Health Center is able to carry out innovative activities to improve ODMK services during the pandemic. In the output variable, it was found that the quality of service at the Pasar Baru Health Center was better than the Pabuaran Tumpeng Health Center, besides that the coverage of ODMK services at the Pasar Baru Health Center in 2021 reached 128% while at the Pabuaran Tumpeng Health Center it only reached 77%. This study concludes that the health center that have adequate human resources and able to carry out services according to the existing situation, can produce higher quality services and achieve service coverage targets.

POTRAIT OF PUBLIC PRIVATE PARTNERSHIP POLICY SUBSTANCES IN REGIONAL HOSPITALS IN INDONESIA Masyitoh Basabih
Journal of Indonesian Health Policy and Administration Vol 8, No 1 (2023)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/ihpa.v8i1.6570

Public Private Partnership (PPP) is a strategy of the Indonesian Government to deal with budget constraints and overcome gaps in infrastructure, access, and quality of health services. PPP on the operational cooperation (KSO) model is the oldest and most widely applied practice by regional hospitals in Indonesia. The implementation of KSO must refer to government policies in the form of laws and regulations. Since its initial implementation until today, the Ministry of Home Affairs, as the body that oversees the local government, has not carried out a comprehensive evaluation of the KSO policy. This study was carried out by conducting document analysis related to the operational cooperation policies of regional hospitals and reviewing the substance of operational cooperation policies at the national and regional levels. Study found that there are no articles governing service level agreements; no performance indicators of cooperation in monitoring and evaluation, limited autonomy; several regional head regulations are not accompanied by technical guidelines; and there are variations in the substance of the regional head regulations. This study concludes that the KSO policy framework for regional hospitals is inadequate, incomplete, and limits the autonomy of regional hospitals.

ANALYSIS OF THE ANNUAL PLANNING PROCESS IN DINAS KESEHATAN PROVINSI DKI JAKARTA ON THE YEAR OF 2019 Septia Rahmalina; Masyitoh basabih
Journal of Indonesian Health Policy and Administration Vol 6, No 3 (2021)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/ihpa.v6i3.3753

Planning is important in setting the basis for regulating and controlling the goals to be achieved from a system. The purpose of this research is to understand the annual planning process in government office, specifically in Dinas Kesehatan Provinsi DKI Jakarta in the year 2019. The research is a descriptive study with qualitative methods. The collection of data or information is supported by using several instruments, including a list of interview guidelines and a checklist. This research found that the human resources (HR) of the existing planning staff were not in accordance with the needs. There was also no standard operational procedure (SOP) that regulates both in terms of planning HR needs and a more detailed planning process that could be used as a reference for planning staff in planning preparation. In the process stage,this research found that Dinas Kesehatan Provinsi DKI Jakarta has carried this out in analyzing the situation by seeing if there are situational matters by looking at the data obtained from the Data and Information section (Datin) and also following directions from the Head of Dinas Kesehatan. The researcher suggests that the planner's quality needs to be improved again, given adequate facilities and more detailed SOP development.

OVERVIEW OF MEDICATION ERROR INCIDENCE IN HOSPITALS IN VARIOUS COUNTRIES: LITERATURE REVIEW Anisa Eka Amalia; Masyitoh Basabih
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.145-153

Background: Medication error is one of the most common types of errors contributing to patient safety incidents in hospitals. In addition to their numerous cases and high costs, medication errors also contribute to deaths in various countries. Aims: This study describes the incidence of medication errors in hospitals in various countries, determines the phase of errors that occurred the most, and describes preventive strategies for medication errors in hospitals. Methods: This study was conducted between April 2021-July 2021 using the literature review method. Data were retrieved from ProQuest, ScienceDirect, PubMed, Google Scholar, and Garuda RistekBRIN. The data are generalized and extracted in a table based on the incidence of medication errors and preventive strategies. Results: Of the eleven included studies, the incidence of medication errors in one study conducted in Nigeria was the highest (80%). Four of the eleven studies were conducted in India with varying incidence rates. Most errors occurred during the prescribing stage. The number of reports and the number of events actually have no relevance. It can be said that countries with a high number of reporting have good reporting indicators. Strategies for preventing medication errors include the implementation of an information system in the CPOE (Computerized Physician Order Entry) form and providing training for staff. Conclusion: The difference in the incidence of medication errors in developing and developed economies can be attributed to factors in the healthcare system and the lower prescribing ratio and nurse ratio in developing countries. Keywords: literature review, medication errors, patient safety

Dental Radiation Safety In Radiography Policies: Scoping Review And Findings In Indonesia Himma Illiyana; Masyitoh Basabih
Interdiciplinary Journal and Hummanity (INJURITY) Vol. 2 No. 7 (2023): Injurity : Interdiciplinary Journal and Humanity
Publisher : Pusat Publikasi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58631/injurity.v2i7.98

Radiation safety is important to prevent deterministic and stochastic effects on patients. The aims of this review are to summarize and provide an overview of radiography policies on dental radiation safety and to identify the gaps between Indonesia’s radiography policies with worldwide best practices. The review is based on the PRISMA-ScR. Articles are searched through Embase, Pubmed and Scopus. Articles focused on dental radiation safety are included with addition of policy documents found by manual searching. Results are summarized in a table and in-text and analyzed by comparing with policies in Indonesia.Ten articles are collected and identified as policy statement (n = 2), guideline (n = 2), and recommendation (n = 6). Three themes are used to summarize the findings: (1) target, (2) qualified expert, and (3) best practice. The result shows that all policies have incorporated safety radiation principles. Radiography policies regulates: dental practitioners and trained operators as personnel qualified to conduct radiography examination; appropriate technique and practical measures; x-ray maintenance and radiological testing. The scope of radiography policies in Indonesia is extensive, with health facilities and service providers as the primary policy targets

Compliance Analysis Of Hand Hygiene Regulation Implementation At Dr. M. Goenawan Partowidigdo Pulmonary Hospital Based On Who Multimodal Hand Hygiene Improvement Strategy Mila Fitriana; Anhari Achadi; Masyitoh Bashabih; Ede Surya Darmawan; Ida Bagus Sila Wiweka
Jurnal Indonesia Sosial Teknologi Vol. 4 No. 9 (2023): Jurnal Indonesia Sosial Teknologi
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jist.v4i9.726

The Hospital Infection Prevention and Control Program (HIPCP) is an effort to reduce the risk of Healthcare-Associated Infections (HAIs), including hand hygiene compliance. WHO issued the Multimodal Hand Hygiene Improvement Strategy as one of the strategies to tackle low hand hygiene compliance. Dr. M. Goenawan Partowidigdo Pulmonary Hospital (RSPG) has implemented hand hygiene regulations referring to the current policies, but it has not met the target over the last three years. This study aims to analyze the implementation of the regulation of hand hygiene compliance at RSPG according to the WHO Multimodal Hand Hygiene Improvement Strategy, using an analytical descriptive qualitative approach with a case study method. The analysis uses the combination of the theory of George Edward III, Weaver, and the WHO Multimodal Hand Hygiene Improvement Strategy. WHO Multimodal Hand Hygiene Improvement Strategy assessment was conducted by scoring the Hand Hygiene Self-Assessment Framework (HHSAF). The results showed the lowest percentage of HHSAF scores on the bureaucratic structure variable, but the most important variable was the resource variable, namely human resources, related to activeness and behavior issues. These issues were obtained from in-depth interviews developed from structured questions on HHSAF. Hand Hygiene of RSPG is at an intermediate level. Researchers recommend behavioral enforcement with appreciative inquiry in addition to reward and punishment as an effort to improve compliance with the implementation of hand hygiene regulations at RSPG.

Co-Authors Amal Chalik Sjaaf Anggika Yelzi Pratiwi Anhari Achadi Anisa Eka Amalia Ede Surya Darmawan Hilda Melissa Himma Illiyana Ida Bagus Sila Wiweka Jimmy Sakti Nanda Berguna Lia Gardenia Partakusuma Mentari Kirana Firdaus Mila Fitriana Monalisa Simbolon Rifa Fauziyyah Septia Rahmalina Tasya Caesarena Pertiwi Tiara Fani Yolanda Valencia Imelda Triastuti Zhafirah Salsabila

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