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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : -
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) is peer reviewed journal published by Universitas Muhammadiyah Yogyakarta in collaboration with The Muhammadiyah Lecturer of Hospital Management Graduate Program Association (ADMMIRASI). ISSN: 2541-6715 (online) and 2088-2831 (print). JMMR focuses on the research and research review related to hospital management that is relevant for the development of the theory and practice of hospital management in Indonesia and southeast asia. JMMR is indexed by Directory Open Access Journal (DOAJ), Google Scholar, and Crossref (DOI), and neliti. JMMR covered various of research approach, namely: quantitative, qualitative and mixed method. JMMR focuses related on various themes, topics and aspects of accounting and investment.
Arjuna Subject : -
Articles 19 Documents
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Search results for , issue "Vol 7, No 1 (2018): April" : 19 Documents clear
The Differences Of Doctor Adherence And Medical Record Completeness In Accredited And Unaccredited Primary Health Care Nisa, Aisyah Shofiatun
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7154

Abstract

In the field of medical and dentistry, medical records is one of authentic evidence a service provided by doctor and dentist, which contain clinical record of a patient. Accreditation is one of method made by government to control and maintain the quality of public health service. The purpose of this study is to analyze the differences in the completeness medical records at primary health care that have been accredited and haven’t. Quantitative descriptive method which observes the field condition is used in this research. Approximately the knowledge of a doctor on accredited Primary Health Care is 69.4% while 65.27% for unaccredited Primary health care. As for the assessment for adherence a doctor on accredited Primary Health Care is 87.64% while 73.52% for unaccredited. The completeness medical records from (n: 300 medical records at 6 Primary health care) accredited Primary health care is on 80.33% while unaccredited Primary health care is on 68%. Based on the analysis using paired t-test to assess the differences between the completeness medical records at accredited and unaccredited Primary health care obtained sig value 0.0001. There is a difference in the completeness the medical record between accredited Primary health care and unaccredited Primary health care.
“ABED TANGI” As a Solution for Time Inaccuracy in Returning Medical Record at X Hospital Susanti, Ika Rahayu; Hamzah, Andriyani; Anggraeni, Siti Asiyah; Widyaningrum, Kurnia
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7152

Abstract

This study aims to determine the root of problem and alternative solutions of inaccuracy return medical record inpatient files. The research was conducted through qualitative descriptive approach in RSUD Blambangan from September until October 2017. Data was collected by  document review, field observation and unstructured interview with Head of Services, Head of Nursing Services, 1 doctor, 2 head of ward, Head of Medical Record Installation, Head of Nutrition Installation and Head of Pharmacy Installation. Root of problem was analyzed with fishbone diagram, focus group discussion (FGD) method and urgency, seriousness, growth (USG) method. Priority determination solution is carried out using filter analysis method with CARL (Capability Accessibility Readiness Leverage). The results show that factor inaccuracy return inpatient medical records file because are incomplete of medical record file, absence of standard operating procedure and unavailability of monitoring and evaluation, and the increasing number of medical record form according to hospital quality standard. The root  problem is not optimally main task and function of professional care giver when filling medical record. Alternative proposed solutions is socialization to professional care giver, revised standard of operational procedure, and monitoring evaluation of the completeness and timeliness of medical record file returns with innovation "ABED TANGI".
Disaster Risk Reduction and Emergency Preparedness for Children With Autism in Facing Earthquake Disaster in Yogyakarta Indriasari, Fika Nur; Widyarani, Linda; K, Prima Daniyati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7156

Abstract

Special Needs Children (ABK) is one of the vulnerable groups in times of disaster. Some of them have mobility hindrance even to perform a defence and personal escape independently, therefore, information is needed on what procedures or plans to take to rescue ABKs who need help from people around them (e.g. teachers, classmates, school staffs). Objectives: To determine the preparedness of children with special needs in dealing with earthquake disasters in Yogyakarta. This research uses a observational descriptive design. The samples are selected using a purposive sampling technique, while the data are collected by means of observation sheets. The respondents for this research are special needs children with autism at ‘SLB N Pembina’, Yogyakarta. Data analysis is performed using a descriptive qualitative analysis. Disaster awareness trainings give a positive influence in reducing disaster risks and in increasing the disaster preparedness of special needs children with autism. Special needs children with autism show ability and participation after performing 5 times simulation. The preparedness increase of special needs children after training is 39%.
Daily Work Load Distribution to Increase Time Quality of Inpatients’ Medical Record Document Procurement In X Hospital Harjanti, Harjanti; Yuliansyah, Navis; Widyaningrum, Kurnia
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7160

Abstract

Procurement of inpatient medical record document is one of some indicators of a hospital’s minimum service standards (SPM). According to the hospital MSS, the ideal procurement of inpatient medical record document is about ≤ 15 minutes, however the procurement on the report of quality committee at the first semester on 2017 in X Hospital reaches 22,89 minutes. The study is aimed at identifying, determining the root of the problems, and trying to devise solutions to the problems. The study employs a qualitative approach by employing document analysis, in-depth interview, and ethnographic observation. The problems are identified by using three steps which are focus group discussion (FGD) by the board of directors, the head of division, and the head of unit X Hospital. The second step is time motion study at the place of inpatient registration, and the last is Urgency, seriousness, and growth (USG) in medical record unit. The study results show that the overload of inpatient admission officers’ work is known to be the root of the problem. Solution to the procurement which is not in accordance with the hospital minimum service standard is to distribute the daily workload of inpatient admission officers to related units.
Financing of Dengue Hemorrhagic Fever Control Program in Banda Aceh City Nufara, Ellia; Mukti, Ali Ghufron; Satoto Mail, Tri Baskoro T.
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7153

Abstract

Background: From January to June 2017, the number of DHF cases in Banda Aceh City reached 216 cases with the incidence Rate  of 89.5%. To suppress the increase in the cases, the Health Office of Banda Aceh and its staff has conducted control activities, but the number of DHF cases is difficult to reduce. It is therefore necessary to conduct this study to assess the relationship between the availability of DHF control programs and the number of DHF cases in Banda Aceh City. Methods: This observational was done using a case-control study design. The number of samples was 76 cases in four selected health centers  with a case-control ratio of 1:1. For data collection, it was conducted in July until August 2017. Results: The results show that the reduction in funding of DHF disease control programs was associated with an increase in the number of DHF cases in Banda Aceh City (p = 0.005, OR = 2.49 at 95% CI; 1.23 - 5.06). Conclusion: Inadequate financing can increase the number of DHF cases in Banda Aceh City.
Implementation of Interactive Nurses Effective Communication Guidelines Dewi, Pipit Puspita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/10.18196/jmmr.7157

Abstract

Patient safety is a system whereby the hospital keeps the patients care safer by preventing injuries caused by errors resulting from taking an action or not taking appropriate action. One component of patient safety is effective communication. Improving effective communication is one way of achieving patient safety according to patient safety standards. This study aims to analyze how the implementation of effective communication guidelines for nurses. This research is a mix method with a cross-sectional design. Quantitative data to see the knowledge, abilities, and compliance of nurses selected by simple random sampling. Qualitative data were obtained by conducting a deep interview to the head of the inpatient ward, emergency department supervision, and supervision of the nursing manager. The number of samples in this study was 37 in-patient nurses, 6 ward heads and 2 supervisors. The research instrument used is the questionnaire and checklist. Data analysis using Spearman test. This study found that there is a relationship between nurse knowledge, abilities, and compliance in the implementation of effective communication guidelines and there are obstacles in the process of implementing effective communication guidelines.
Evaluation of Nutritional Services for the Inpatients at X Hospital Yogyakarta Adhiyati, Rina
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7151

Abstract

Nutritional services management contributes to the acceleration of healing process, health maintenance and nutritional status improvement. Poor nutritional service management leads to a high risk of patients’ health degradation, and it even can lead to death. This study aims to evaluate the implementation of three aspects of nutritional service management, namely human resources, method, and equipment in the third-class ward of X Hospital. The methods used in the research were mix research methods which involved descriptive observational design. Data collection was conducted in a cross-sectional manner. Respondents selected included 30 nurses and 2 nutritionists while informants consisted of 5 nurses and 2 nutritionists. The data collection used questionnaires, checklists and interview guides. Observation of patients’ medical records was done retrospectively in 3 months, involving 30 files. The quantitative analysis used descriptive-inferential statistics and correlation test. The qualitative data were analysed on the basis of codes of themes and sub themes. The results of the study found that the management of human resources in regard to nurses and nutritionists was not yet good, management of nutritional service management performed by the nurses was good but was in contrast to the management performed by the nutritionists, which was not good, and equipment management was good. To improve the performance of nutritional services management, it is necessary to adjust the management in accordance with the existing rules and guidelines, implementation of socialization, supervision, monitoring and evaluation on a regular basis.
The Analysis Of Workload And Need Of Nurse With Wisn Method In Inpatient Room In Hospital X In Yogyakarta Ekawati, Alon
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7158

Abstract

The success of nursing service standard of inpatient care in Hospital X is supported by the availability of human resources. Therefore, the need analysis of performer nurses based on the workload should be done. The aim of the research was to find out the workload and the need for performer nurses using the WISN method. The research was qualitative in nature and the collecting technique of the number of the informant was with total sampling. The method of primary data collection was through observation and interview as well as secondary data like document study and the data of employee affair. The result of the research had WISN ration of 0.7. It showed that if the WISN ratio was <1, it meant that human resource in the unit has not met and did not correspond with the workload. Now, the number of human resource in the inpatient room of Al-Kausar was 15 nurses whereas the need according to the WISN method was 21 nurses. So, the total shortage was 6 nurses.
Evaluating Clinical Pathway Typhoid Fever Monitoring at ABC Hospital Malang Rosalina, Ika Shanti; Mansur, Muhammad; Hidayat, M. Kuntadi Syamsul; Widyaningrum, Kurnia
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7155

Abstract

ABC Hospital has implemented 15 Clinical Pathway, and Typhoid Fever is the most cases that can be served. The inaccuracy of the monitoring report on the implementation of Clinical Pathway has prevented the hospital from taking appropriate actions to improve the implementation of Clinical Pathway Typhoid Fever. This study aims to determine the obstacles of monitoring implementation of Clinical Pathway Typhoid Fever in ABC Hospital. This research is a case study and descriptive-explorative research, using document review, field observation, interview, and questionnaire for data collection. The research was conducted in the in-patient wards and medical records room of ABC Hospital during September 2017. The respondents of the research include room physicians, head of inpatient rooms, pediatric, internist, pharmacist, nutritionist, and medical record staff. The result show that factors which impeded implementation of Clinical Pathway monitoring in ABC Hospital were the absence of Clinical Pathway team, the incompatibility of the Clinical Pathway Guide content, the absence of SOP of Clinical Pathway filling form, and the lack of socialization. Suggestion for improving monitoring of Clinical Pathway Typhoid Fever are establish a Clinical Pathway team, revise the Guidance of Clinical Pathway, compile SOP of Clinical Pathway filling form, and do socialization.
Preparation of financial policy to increase timing of inpatient billing information of hospital “X” Youandi, Abdi Agus; Widyaningrum, Kurnia; Yuliansyah, Navis
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 1 (2018): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7159

Abstract

Background: One of the main problems encountered in RS X is the timing of inpatient billing information that has not been ≤ 2 hours. The focus of the study was to begin when the DPJP said the patient was allowed to go home until the patient received inpatient billing information. This study aims to explore the root of the problem has not reached the standard speed of inpatient billing information. Method: This research method is qualitative research. The study was conducted at hospital X from September to October 2017. Data were collected using literature study method, document review, unit observation, in-depth interview, focus group discussion (FGD). Result: Delay of billing information due to slow recording and recording differences. Differences in recording arise due to duplicate work of nurses who have other activities. Duties nurses not only provide patient care but have the administrative task. Conclusion: The speed of inpatient billing information information has not been standardized ≤ 2 hours due to duplicate of work of nurse having other activity. The solution to the problem is the need for revised policies and SOPs that regulate the duties, authority and responsibilities of each staff in more detail.

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