10 research outputs found
Hubungan Faktor Pelayanan Internal Kefarmasian dengan Tingkat Kepuasan Pasien Rawat Jalan Di Rumah Sakit PKU Muhammadiyah Surabaya
Pendahuluan : Rumah sakit adalah Institusi pelayanan kesehatan yang menyelenggarakan pelayanan kesehatan perorangan secara paripurna yang menyediakan pelayanan rawat inap, rawat jalan, dan gawat darurat. Pelayanan kefarmasian di rumah sakit merupakan bagian yang tidak terpisahkan dari sistem pelayanan kesehatan rumah sakit yang berorientasi kepada pelayanan pasien. Kepuasan pasien merupakan tingkat perasaan pasien yang timbul akibat dari kinerja layanan kesehatan yang diperoleh setelah pasien membandingkan dengan apa yang dirasakan. Tujuan : Mengetahui hubungan faktor pelayanan internal kefarmasian dengan tingkat kepuasan pasien rawat jalan di instalasi farmasi Rumah Sakit PKU Muhammadiyah Surabaya. Metode : Penelitian ini menggunakan metode kuantitatif, desain penelitian analitik cross sectional study. Populasi dalam penelitian ini adalah pasien rawat jalan di Rumah Sakit PKU Muhammadiyah Surabaya. Instrumen yang digunakan adalah pengambilan data primer yaitu menyebar lembar kuesioner pada responden dan pegawai instalasi farmasi .Data yang didapat pada penelitian ini dianalisis dengan korelasi pearson. Hasil : Terdapat hubungan antara faktor pelayanan internal kefarmasian dengan tingkat kepuasan pasien rawat jalan di instalasi farmasi Rumah Sakit PKU Muhammadiyah Surabaya dimana nilai p-value (0,05) tidak lebih dari α (0,05). Kesimpulan : Responden dari pasien rawat jalan yang mengambil obat di instalasi farmasi mayoritas wanita berusia 20-30 tahun, dengan latar belakang pendidikan terakhir SMA, menggunakan pembiayaan umum, serta mendapatkan jenis obat jadi dan racikan. Pada analisis korelasi, didapatkan hubungan faktor internal kefarmasian dengan tingkat kepuasan pasien rawat jalan di instalasi farmasi Rumah Sakit PKU Muhammadiyah Surabaya. Faktor pelayanan internal kefarmasian yang memiliki nilai paling tinggi yaitu sarana prasaran
PENGARUH PENGELASAN PADA LUNAS TERHADAP KESELAMATAN JIWA DAN KELANCARAN PENGOPERASIAN KAPAL PADA MV. KT 05
ABSTRAKSI
Achmad Sholihul Faiz, “Pengaruh pengelasan pada lunas terhadap keselamatan jiwa dan kelancaran pengoperasian kapal pada MV. KT 05”. Skripsi. Pembimbing 1 Achmad Wahyu Diono, M.M. ,Pembimbing 2 Capt. I Kadek Laju, S.H.,M.M. Jurusan Teknika D IV. Politeknik Ilmu Pelayaran Semarang.
Pada dasarnya prinsip kerja pengelasan adalah penyambungan dua buah logam atau lebih yang sejenis maupun tidak sejenis dengan menggunakan panas mendekati titik lebur yang dihasilkan oleh arus listrik maupun dari proses pembakaran gas dengan bahan tambahan.Dalam pengelasan baik listrik maupun dengan gas pasti menimbulkan panas dan jika pekerjaan tersebut dilakukan serta dikerjakan secara benar maka pekerjaan tersebut aman, namun jika sebaliknya akan dapat mengakibatkan bahaya lain yang mengancam keselamatan kapal dan awak kapal.
Metode yang digunakan dalam penelitian ini adalah kualitatif. Dalam skripsi ini penulis menggunakan teknik analisa data SHEL dan USG. SHEL digunakan untuk menentukan kemungkinan faktor masalah berdasarkan software, hardware, environment, lifeware, dan kemudian dianalisis menggunakan teknik analisis data USG (urgency, seriousness, growth) untuk menentukan faktor masalah yang menjadi prioritas utama. Teknik pengumpulan data berupa pendekatan terhadap obyek melalui observasi, wawancara serta studi pustaka.
Berdasarkan hasil penelitian yang telah dilakukan penulis, dapat disimpulkan bahwa kurang tepatnya pengaturan amper pada mesin las dapat berdampak pada kesulitan dalam melakukan pekerjaan pengelasan, dan akan mengakibatkan cacat pengelasan sehingga tidak maksimalnya pekerjaan pengelasan, maka untuk upaya adalah dengan melakukan pengecekan,perbaikan dan penggantian jarum pengaturan amper pada mesin pengelasan.
ABSTRACT
Achmad Sholihul Faiz, "The effect of welding on keel on life safety and the smooth operation of ships in MV. KT 05 ". Essay. Advisor 1 Achmad Wahyu Diono, M.M. , Advisor 2 Capt. I Kadek Laju, S.H., M.M. Department of Engineering D IV. Semarang Shipping Science Polytechnic.
Basically the welding principle is the connection of two or more similar metals or not by using heat near the melting point produced by the electric current or from the combustion process of gas with additional materials. In welding both electricity and gas it must cause heat and if work this is done and done correctly, the work is safe, but if it is otherwise it can cause other hazards that threaten the safety of the ship and crew.
The method used in this study is qualitative. In this thesis the writer uses SHEL and USG data analysis techniques. SHEL is used to determine the possible problem factors based on software, hardware, environment, lifeware, and then analyzed using USG data analysis techniques (urgency, seriousness, growth) to determine the problem factors that are the top priority. Data collection techniques in the form of approaches to objects through observation, interviews and literature.
Based on the results of the research conducted by the author, it can be concluded that the inappropriate setting of the amperage in the welding machine can have difficulty in performing welding work, and will cause welding defects so that the welding work is not optimal, so the effort is to check, repair and replace the needle amperage settings on the welding machine
F Studi Deskriptif: "Analisis Efisiensi Instalasi Rawat Inap di Rumah Sakit Islam Surabaya Tahun 2022-2023 dengan Pendekatan Barber Johnson”: Analisis Efisiensi Instalasi Rawat Inap di Rumah Sakit Islam Surabaya Tahun 2022-2023 dengan Pendekatan Barber Johnson
Efficiency is used as an indicator of hospital performance, including the overall performance of hospital health services. The effectiveness of services related to hospital bed management is assessed using the metrics Bed Occupancy Rate (BOR), Average Length of Stay (ALOS), Turnover Interval (TOI), and Bed Turnover (BTO) on the Barachman-Johnson graph. The construction of a new building resulted in an increase in the number of patients and beds from 2022 to 2023, according to medical record data from the Islamic Hospital (RSI) Surabaya inpatient ward. The availability of community services may be affected by changes in bed availability. This study aimed to evaluate the efficiency of inpatient services at RSI Surabaya in 2022–2023 using bed utilization indicators (BOR, ALOS, TOI, and BTO) and the Barber–Johnson graphical approach. This study used an observational analytical design with a quantitative approach. Descriptive and comparative analyses were conducted to evaluate inpatient bed management indicators (BOR, ALOS, TOI, and BTO) at RSI Surabaya in 2022–2023 using the Barber–Johnson method, based on aggregate secondary hospital data. The RSI Surabaya inpatient ward's Barber Johnson graph for 2022 and 2023 shows that the BOR value has decreased, the ALOS is low, the TOI has reached an optimal value, and the BTO is high. The Barber Johnson efficiency area is not where the four parameter points are located. In conclusion, inpatient bed utilization at RSI Surabaya in 2022 and 2023 did not achieve optimal performance.Latar Belakang: Efisiensi digunakan sebagai indikator untuk mengukur kinerja rumah sakit, yang mencakup seluruh kinerja pelayanan kesehatan di rumah sakit. Efisiensi pelayanan dinilai menggunakan parameter Bed Occupancy Rate (BOR), Average Lenght of Stay (ALOS), Turn Over Interval (TOI), dan Bed Turn Over (BTO) pada grafik Barber Johnson, yang berkaitan dengan pengelolaan tempat tidur (TT) di rumah sakit. Data rekam medis Instalasi Rawat Inap Rumah Sakit Islam (RSI) Surabaya menunjukkan peningkatan jumlah pasien dan TT dari tahun 2022 ke 2023 karena pembangunan gedung baru. Fenomena perubahan ketersediaan TT berpotensi mempengaruhi ketersediaan layanan bagi masyarakat. Tujuan: Mendeskripsikan dan menganalisis efisiensi Instalasi Rawat Inap di RSI Surabaya tahun 2022-2023 dengan pendekatan Barber Johnson. Metode: Penelitian kuantitatif dengan desain observasional analitik menggunakan pendekatan kohort retrospektif serta analisis uji deskriptif dengan metode total sampling. Penelitian bersumber dari data sekunder rekam medis pasien rawat inap yang dianalisis menggunakan Microsoft Excel. Hasil: Grafik Barber Johnson Instalasi Rawat Inap RSI Surabaya tahun 2022 dan 2023 menunjukkan nilai BOR turun, ALOS rendah, TOI telah memenuhi nilai ideal, dan BTO tinggi. Posisi titik keempat parameter berada di luar area efisiensi Barber Johnson. Kesimpulan: Pemanfaatan TT Instalasi Rawat Inap RSI Surabaya pada periode tahun 2022 dan 2023 masih belum optimal
THE TRENDS IN BED OCCUPANCY RATE (BOR) AT SITI AISYAH ISLAMIC HOSPITAL MADIUN 2022-2024: A CRITICAL ANALYSIS OF HOSPITAL SERVICE EFFICIENCY
Objective: This study aims to analyze the BOR trend at Siti Aisyah Islamic Hospital Madiun from 2022 to 2024, compare it with international benchmarks and theoretical standards such as the Barber Johnson theory, and identify internal factors contributing to suboptimal BOR levels.
Methods: This research employed a descriptive quantitative approach using secondary data from internal hospital reports over a three-year period.
Results: BOR values showed a progressive increase: 65.24% in 2022, 66.33% in 2023, and 69.00% in 2024. However, they remained below the Barber Johnson efficiency standard range of 75–85%. Various influencing factors were identified, including nursing service quality, inadequate promotion strategies, and inefficient bed management.
Conclusion: Although an upward trend is evident, BOR at Siti Aisyah Islamic Hospital remains below the ideal level. Strategic interventions are needed to improve inpatient service efficiency
Hubungan Tingkat Pendidikan dengan Kepatuhan Berobat Penderita TB Paru di Wilayah Kabupaten Lamongan pada Januari 2016 – Desember 2018
AbstrakLatar Belakang: Indonesia menduduki peringkat ke-3 jumlah penderita Tuberkulosis (TB) terbanyak di dunia, serta angka kematian TB setiap tahunnya sekitar 20% dari jumlah penderita TB baru. Pengobatan pada TB paru rentan untuk terjadi putus berobat (drop out) yang bisa disebabkan oleh beberapa faktor, salah satunya adalah kepatuhan dalam berobat. Ketidakpatuhan terhadap pengobatan dapat disebabkan oleh berbagai faktor meliputi faktor predisposisi (Usia, jenis kelamin, tingkat pendidikan, dan pekerjaan), faktor pendorong (efek dari OAT), dan faktor penguat (dukungan keluarga, petugas kesehatan dan pelayanan kesehatan).Tujuan: Studi ini dilakukan untuk mengetahui adanya hubungan antara tingkat pendidikan dengan kepatuhan berobat penderita TB paru di Wilayah Kabupaten Lamongan.Metode: Studi ini menggunakan desain cross sectional dengan teknik pengambilan sampel yaitu simple random sampling pada 55 pasien TB paru drop out serta 55 pasien TB paru sembuh dari tahun 2016-2018 di Wilayah Kabupaten Lamongan. Pengambilan data menggunakan rekam medis dari Dinas Kesehatan.Hasil: Hasil uji statistik menggunakan Koefisien Kontingensi terhadap hubungan tingkat pendidikan dan kepatuhan berobat pada pasien TB menunjukkan nilai yang signifikan p: 0,026 (p<0,05)Kesimpulan: Hasil penelitian ini menunjukkan adanya hubungan antara tingkat pendidikan dengan kepatuhan berobat penderita TB paru.Kata Kunci : Tuberkulosis paru, Tingkat pendidikan, Kepatuhan berobat Abstract: Background: Indonesia ranks 3rd in the number of tuberculosis (TB) cases in the world, and the annual TB mortality rate is around 20% of the number of new TB cases. Treatment of pulmonary TB is prone to drop out, which can be caused by several factors, one of which is adherence to treatment. Non-adherence to treatment can be caused by various factors, including predisposing factors (age, gender, education level, and occupation), driving factors (effects of OAT), and reinforcing factors (family support, health workers and health services).Aim: This study was conducted to determine the relationship between education level and compliance with pulmonary tuberculosis treatment in Lamongan Regency.Methods: This study used a cross sectional design with a simple random sampling technique of 55 pulmonary TB patients dropping out and 55 pulmonary TB patients recovering from 2016-2018 in Lamongan Regency. Retrieving data using medical records from the Health Office.Results: The results of statistical tests using the Contingency Coefficient on the relationship between education level and treatment compliance in TB patients showed a significant value of p: 0.026 (p <0.05).Conclusion: The results of this study indicate a relationship between the level of education and adherence to treatment of pulmonary TB patients
HUBUNGAN PERILAKU HIDUP BERSIH DAN SEHAT TERHADAP ANGKA KEJADIAN PNEUMONIA PADA BALITA DI RUMAH SAKIT SITI KHODIJAH SEPANJANG SIDOARJO TAHUN 2019
Pneumonia is still the leading cause of death in children under five with four million deaths in developing countries. In Indonesia, the incidence in infants and toddlers ranges from 10 - 20% per year (Maryunani, 2010). In Indonesia alone, the incidence of pneumonia in children under five in 2016 reached 568,146 cases (4.0%) out of a total number of 13,960,310 children under five in Indonesia, which ranked first on the list of deadly diseases in toddlers (Kemenkes RI, 2017; Ellita, 2013). To analyze the relationship between Clean and Healthy Living Behavior (CHLB) on the incidence of pneumonia in children under five at Siti Khodijah Hospital Sepanjang Sidoarjo. This study used a retrospective design with a total sampling technique of pneumonia in children under five years old at Siti Khodijah Muhammadiyah Hospital Sepanjang Branch in March 2020 – May 2021. Data sampling using patient medical records and questionnaires. The analysis using univariate test, bivariate with chi square and multivariate with logistic regression. From the 48 respondents after being tested on univariate analysis, it was found that the univariate indicators of doing physical activity every day category achieved the highest as many as 43 people (89.6%) and the least in the category of eradicating larvae at home as many as 21 people (43%). Bivariate using the chi square test stated that there were significant indicators of a relationship, including exclusive breastfeeding (p = 0.000), not smoking in the house (p = 0.000), using clean water (p = 0.004), eradicating larvae at home (p = 0.000) and consumption of fruits and vegetables every day (p=0.000), washing hands with clean water and soap (p=0.001) and there was no significant relationship between pneumonia in children under five at Siti Khodijah Hospital Sepanjang Sidoarjo because the symp value was not valid. Sig (2-sided) and shows p>0.05, namely CHLB delivery assisted by health workers (p=0.746), weighing infants and toddlers (p=0.266), using healthy latrines (p=0.241) and doing physical activity every day. days (p=0.111). The CHLB indicator has a p value (sig) of 0.000 <0.05, which means that the CHL variable is related to the incidence of pneumonia in children under five at Siti Khodijah Hospital Sepanjang Sidoarjo. The highest OR value is on the indicator of not smoking in the house, which means that smoking in the house is at risk of 5,849 times higher. In the multivariate test using logistic regression, there was no effect on each indicator the value of p value (sig) > 0.05 because the logistic regression test did not meet the requirements sample. The indicator of doing physical activity every day category achieved the highest as many as 43 people (89.6%). There are significant indicators through the chi square test, namely providing exclusive breastfeeding (p = 0.000), not smoking in the house (p = 0.000), using clean water (p = 0.004), eradicating larvae at home (p = 0.000) and consuming fruit and vegetables every day (p=0.000), washing hands with clean water and soap (p=0.001). Indicators of Clean and Healthy Living Behavior have a p value (sig) of 0.000 < 0.05, which means that the variable of Clean and Healthy Living Behavior is related to the incidence of pneumonia in children under five at Siti Khodijah Hospital Sepanjang Sidoarjo. The logistic regression test did not meet the sample requirements.Keywords: Pneumonia, Clean and Healthy Living Behavior, Pneumonia in Toddler
Analysis of the Relationship Between Hospital Ownership and Google Maps Star Ratings: A Case Study of Regional General Hospitals (RSUD), Private Hospitals, and Muhammadiyah Hospitals (RSM) in East Java
The Muhammadiyah Hospital network (RSM) is a religious non-profit oriented facilities in Indonesia which emphasizing ethical or faith-based considerations, in approach to providing services. RSM faces the challenge of excelling compared to its competitors, including Regional General Hospitals (RSUD) and other private competitor hospitals. This study aims to examine the relationship between hospital ownership status and Google star ratings among hospitals in East Java. A cross-sectional study was conducted involving 31 RSM, 19 RSUD, and 20 private competitor hospitals, which were compared in their respective cities. Kruskal-Wallis test was performed to compare the Google rating between each ownership, and simple logistic regression was performed to examine the association between hospital ownership and Google star rating. Of 31 regions, private hospitals (both competitor and RSM) had the highest rating in 22 regions when compared in their respective region. Private competitor hospital had the highest median (4.2 (3.9-4.7)), followed by RSM (4.1 (3.1-4.7)) and RSUD (4.0 (2.8-4.8)). Generally, a significant difference was found between RSUD and private competitor hospital (p<0.05), while between RSM and private competitor or RSUD were not significant. Logistic regression showed a significant association between hospital ownership and Google rating, with being a private competitor being likely to have a higher rating compared to RSUD (OR (95% CI): 8.10 (1.46-45.06)). In conclusion, our findings suggest hospital ownership had significant association with Google ratings, specifically between private competitor and public hospitals. While RSM didn’t have any significant association although they tend to have higher ratings to RSUD
Hubungan Antara Kepatuhan Antenatal Care (ANC) dengan Kejadian Kekurangan Energi Kronis (KEK) di Puskesmas Prambontergayang Kabupaten Tuban
Latar Belakang: Ketidakpatuhan kunjungan antenatal care (ANC) merupakan faktor
risiko kekurangan energi kronis (KEK). Di Kabupaten Tuban pada tahun 2023, KEK
mencapai 7,8% dan AKI terdapat 6 kasus. KEK pada ibu hamil perlu mendapat
perhatian karena menyebabkan komplikasi seperti perdarahan, infeksi, hingga
kematian. Tujuan: Mengetahui hubungan antara kepatuhan kunjungan antenatal care
(ANC) dengan kejadian kekurangan energi kronis (KEK) di Puskesmas
Prambontergayang Kabupaten Tuban. Metode: Penelitian ini menggunakan jenis
penelitian kuantitatif analitik observasional dengan desain cross-sectional. Populasi
penelitian ini adalah ibu hamil yang berkunjung antenatal care periode Januari –
Desember 2023. Besar sampel penelitian ini berjumlah 319 ibu hamil dan diambil
dengan cara stratified random sampling. Data berupa data sekunder yang diambil dari
pihak rekam medis Puskesmas Prambontergayang. Hasil: Uji korelasi chi-square
menunjukkan nilai p 0.002 < 0.05 pada kepatuhan antenatal care dengan kekurangan
energi kronis. Kesimpulan: Terdapat hubungan antara kepatuhan antenatal care
dengan kejadian kekurangan energi kronis di Puskesmas Prambontergayang Kabupaten
Tuban.
Kata Kunci : Kehamilan, kepatuhan antenatal care, kekurangan energi kronis
Pengaruh Kualitas Pelayanan Rawat Inap terhadap Kepuasan Pasien di Rumah Sakit Muhammadiyah Lamongan
Latar Belakang: Pelayanan kesehatan merupakan salah satu bentuk pelayanan yang paling banyak dibutuhkan masyarakat. Salah satu upaya untuk mempertahankan kualitas pelayanan rumah sakit adalah dengan meningkatkan kepuasan pasien, karena kepuasan tersebut menjadi faktor penentu keberhasilan bagi rumah sakit. Namun, masih terdapat aspek kualitas pelayanan yang belum optimal. Salah satu penyebabnya adalah adanya kesenjangan dalam pelayanan pasien Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS). Hal ini menyebabkan banyak pasien rawat inap BPJS merasa kurang puas terhadap pelayanan yang diberikan. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh kualitas pelayanan rawat inap terhadap kepuasan pasien di Rumah Sakit Muhammadiyah Lamongan (RSML). Metode: Penelitian ini menggunakan metode kuantitatif dengan desain penelitian analitik cross-sectional. Data dikumpulkan melalui kuesioner yang disebarkan kepada 65 pasien rawat inap di RSML. Analisis data dilakukan menggunakan regresi linear sederhana dengan bantuan software SPSS untuk melihat pengaruh masing-masing dimensi terhadap kepuasan pasien. Hasil: Berdasarkan hasil uji statistik baik secara parsial maupun secara simultan didapatkan hasil penelitian menunjukkan bahwa kualitas pelayanan memiliki pengaruh signifikan terhadap kepuasan pasien (0,000 < 0,05). Kesimpulan: Terdapat pengaruh kualitas pelayanan rawat inap terhadap kepuasan pasien di Rumah Sakit Muhammadiyah Lamonga
KREDIBILITAS MEDIA SOSIAL INSTAGRAM @SEMUATENTANGBATAM PADA PEMENUHAN INFORMASI FOLLOWERS
@semuatentangbatam is an Instagram social media account that contains information about Batam City. This account make it easier for the public to find information about what is happening in Batam City. The author is interested in knowing the credibility of @semuatentangbatam social media account in terms of following Followers information. The research was classified as a quantitative descriptive. The sampling technique of this research was Isaac and Michael with 348 respondents of sample value. The research data were collected from questionnaire and the method that used is share link of the questionnaire to @semuatentangbatam followers.The research found that: a) The results of the data validity test, the data that has been tested on the x and y variables is declared valid. b) The results of the data reliability test using Conbrach's Alpha the value obtained is 0.844 for the credibility variable and the value is 0.874 for the results of the information fulfillment variable, it can be concluded that each variable is considered reliable. c). The results of the normality test, each variable is normally distributed. d) It is known that the credibility variable has a positive and significant effect on the information fulfillment variable. The results of several tests carried out on the x variable against the y variable show that the hypothesis in this study is that the credibility of Instagram social media has an influence on its followers to meet the information they need.
Keywords: Credibility, fulfillment of information, instagra
