scholarly journals Sistem Penjadwalan Poliklinik Rawat Jalan Berbasis Manajemen Lean di RSUD Kota Padang

2020 ◽  
Vol 27 (4) ◽  
pp. 235-244
Author(s):  
Adila Kasni Astiena ◽  
Rika Ampuh Hadiguna ◽  
Acim Heri Iswanto ◽  
Hardisman Hardisman ◽  
Dedy Irfan ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Medical Record ◽  
Model Building ◽  
Lean Management ◽  
Outpatient Services ◽  
Input Process ◽  
General Hospitals ◽  
Increase Patient Satisfaction ◽  
Process Output

Waiting is a waste that is common in outpatient services, especially at Regional General Hospitals, thus reducing the quality of service. The results of the 2018 and 2019 service studies at Rasidin Hospital, the waiting time for outpatient services was 239 and 122 minutes (standard ≤60 minutes). The queuing process started at night and the queue was overflowing in the morning which resulted in late medical record processing, less seating, and low patient satisfaction. The purpose of this service is to design a queue for outpatient services based on Lean Management. The service was carried out in February-July 2020. Lean Management reduces waste on everything involved in the service process, namely Supply, Input, Process, Output and Customer (SIPOC). The service target is the management, head of installation, registration officer, medical record, doctor and nurse and patient. Approaches in the form of surveys, brainstorming, trainning and FGDs for model building. The resulting model is written in a mobile-based application to facilitate queuing patients. The resulting model is an application for booking registration and consultation. Applications can be downloaded on the Googleplay Store. It takes 1 operator to run the application. This application is expected to decipher long queues, provide certainty of time and increase patient satisfaction. It takes commitment and discipline from all parties to carry out services that are on time as promised so that they run on target.

scholarly journals Analisa Waktu Tunggu Pelayanan Rawat Jalan di RS Universitas Brawijaya

2021 ◽  
Vol 5 (4) ◽  
pp. 447
Author(s):  
Wahyu Purnomo ◽  
Tita Hariyanti ◽  
Wening Prastowo
Keyword(s):  
Patient Satisfaction ◽  
Focus Group ◽  
Medical Record ◽  
Waiting Time ◽  
Order System ◽  
Outpatient Services ◽  
Time And Motion Study ◽  
Time And Motion ◽  
Motion Study

Waiting time for patient services is one indicator of patient satisfaction and quality of service in a hospital. The length of time a patient is waiting is one of the important things in determining the quality of health services. Based on the results of preliminary studies that have been carried out at Universitas Brawijaya Hospital in Malang, the implementation of outpatient services is still not running optimally. During the study the waiting time for outpatient services was more than 143 minutes (minimum service standard <60 minutes). The purpose of this study was to determine the factors that influence the length of waiting time for outpatient services and solution solutions. Researchers used qualitative methods, data collection was done by unstructured interviews, Focus Group Discussions, and observations with time and motion study. The number of participants was 30 people. The final results of the study, are the factors that influence the waiting time of outpatient visitors are the queuing number collection system and the medical record file ordering system. Solutions for long waiting times for patients in outpatient services that affect patient satisfaction by changing the Medical Record file order system and changing the queue number group. Waktu tunggu pelayanan pasien merupakan salah satu indikator kepuasaan pasien dan mutu pelayanan di rumah sakit. Lamanya waktu tunggu pasien merupakan salah satu hal penting dalam menentukan kualitas pelayanan kesehatan. Berdasarkan hasil studi pendahuluan yang telah dilakukan di RS Universitas Brawijaya di kota Malang pelaksanaan pelayanan pasien di rawat jalan masih belum berjalan optimal. Saat penelitian waktu tunggu pelayanan rawat jalan lebih dari 143 menit (setandar pelayanan minimal < 60 menit). Tujuan penelitian untuk mengetahui faktor yang mempengaruhi lama waktu tunggu pelayanan rawat jalan dan solusi pemecahan. Peneliti menggunakan metode kualitatif, pengumpulan data dilakukan dengan wawancara tidak terstruktur, Focus Group Discussion, dan observasi dengan time and motion study. Jumlah participan 30 orang. Hasil akhir penelitian, adalah faktor yang mempengaruhi lama waktu tunggu pengunjung rawat jalan adalah sistem pengambilan nomor antrian dan sistem pemesanan berkas rekam medis. Solusi untuk lama waktu tunggu pasien di pelayanan rawat jalan yang mempengaruhi kepuasan pasien dengan merubah sistem pemesanan berkas Rekam Medis dan merubah kelompok nomor antrian.

A Recent Systematic Review on Simulation Modeling and Emergency Departments

2019 ◽  
pp. 1232-1264
Author(s):  
Soraia Oueida ◽  
Seifedine Kadry ◽  
Pierre Abi Char
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Simulation Modeling ◽  
Recommended Care ◽  
Recent Systematic Review ◽  
Increase Patient Satisfaction ◽  
System Review

Healthcare, being a complex and huge system, suffers from low quality of care delivered to arriving patients. The quality of care depends on the patient's condition and the availability of hospital's resources. Therefore, many authors have studied the problems faced by such systems and emphasized in their articles the importance of a system review for better performance. In healthcare, different departments interact with each other in order to deliver a certain service to arriving patients and provide the recommended care. In particular, the emergency department (ED) is proven to be the busiest unit of the hospital; thus, the exiting problems and recommended solutions are highlighted in this study by a literature systematic review. The main goal of this article is to study the problems that EDs face nowadays and how simulation modeling can interfere in order to alleviate these problems, propose corresponding solutions and increase patient satisfaction.

scholarly journals Determinants that Influence the Quality of Outstanding Services on Patient Satisfaction in dr. H. Moh. Anwar General Hospital Sumenep District

2021 ◽  
Vol 5 (1) ◽  
pp. 185-194
Author(s):  
Susiyati Susiyati ◽  
Katmini Katmini
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Service Quality ◽  
Response Time ◽  
General Hospital ◽  
Linear Regression Analysis ◽  
P Value ◽  
Outpatient Services ◽  
Cross Sectional

Quality hospital services are always a hope for every user of health services and along with the development of science and technology, people are increasingly critical in assessing health services. The purpose of this study was to analyze the effect of loyalty and response time on the quality of outpatient services and patient satisfaction in General Hospital dr. H. Moh. Anwar, Sumenep Regency. The design of this research is an observational quantitative study with a cross sectional approach with the focus of the research directed at analyzing the effect of loyalty and response time on the quality of outpatient services and patient satisfaction in General Hospital dr. H. Moh. Anwar, Sumenep Regency. The total population is 271 respondents and a sample of 109 respondents is taken by the Accidental Sampling technique. The findings showed that most of the respondents had sufficient category loyalty as many as 56 respondents (51.4%). Most of the respondents rated the response time in the medium category as many as 56 respondents (51.4%). Most of the respondents have a moderate category of service quality as many as 55 respondents (50.5%). Most respondentssatisfied as many as 65 respondents (59.6%). Based on the results of the Linear Regression analysis of the service quality variable on utilization, it shows that the p-value <0.05 then H0 is rejected and H1 is accepted, so it can be concluded that there is an influence of loyalty and response time on the quality of outpatient services and patient satisfaction in General Hospital dr. H. Moh. Anwar, Sumenep Regency. It is expected that respondents can provide constructive input and criticism so that the services provided can be in accordance with what is expected.

scholarly journals Accounting Information System for Non-Subsidized Fertilizer Sales at PT Petrokimia Gresik

2021 ◽  
Vol 39 (12) ◽  
Author(s):  
Anak Agung Gde Satia Utama ◽  
Hadiyan Azmi Hussein
Keyword(s):  
Information System ◽  
Qualitative Method ◽  
Systematic Approach ◽  
Human Life ◽  
Accounting Information ◽  
Input Process ◽  
Accounting Information System ◽  
Field Surveys ◽  
Process Output

Nowadays, knowledge is essential in all aspects of human life. Decisions need to consider information. The higher the quality of knowledge, the more effective the decision-making. The objectives this study are to analyze the accounting information system of on-subsidized fertilizer sales Petrokimia Gresik. This study uses a qualitative method, and the scope of analysis focuses on the non-subsidized fertilizer sales accounting information system. The data acquired from observation and documentation. The data collection from preliminary surveys, literature studies, and field surveys, then analyzed using flowcharts. The results of this research propose a new flowchart that uses an input-process-output method for the non-subsidized fertilizer sales accounting information system. This research shows that in other organizations with unique characteristics, the suggested systematic approach can be applied.

scholarly journals Analisis Mutu Pendidikan Islam (Input, Proses & Output) (Studi di MI Unggulan Ash-Shiddiqiyyah-3 Purworejo)

2020 ◽  
Vol 1 (1) ◽  
pp. 24-32
Author(s):  
Syaefudin Syaefudin
Keyword(s):  
Data Analysis ◽  
Islamic Education ◽  
Education Quality ◽  
Data Display ◽  
Input Process ◽  
Educational Sociology ◽  
Analysis Techniques ◽  
Process Output ◽  
Object Of Study

The purpose of this study is to analyze the quality of Islamic education which includes: input, process, output. Specifically on the object of study in this study, namely in SD/MI Unggulan Ash-Shiddiqiyyah-3 di Purworejo. This type of research is qualitative. Using an educational sociology approach. Data collection was obtained directly from informants through interviews, observations, and documentation. Data analysis techniques used are data reduction, data display, data verification, and affirmation of conclusions. An important finding in this study is that SD/MI Unggulan Ash-Shiddiqiyyah-3 di Purworejo cannot be said to be a quality school. Because, the three components of education quality have not been fulfilled, namely: overall input, process, and output.

scholarly journals Patient Satisfaction in Obstetrics and Gynecology: Individualized Patient-centered Communication

2010 ◽  
Vol 3 ◽  
pp. CMWH.S5870 ◽  
Author(s):  
John Yeh ◽  
Eryn E. Nagel
Keyword(s):  
Patient Satisfaction ◽  
General Medicine ◽  
Current Evidence ◽  
Obstetrics And Gynecology ◽  
Patient Centered ◽  
Medical Specialties ◽  
Increase Patient Satisfaction ◽  
Physician Patient ◽  
Improve Patient

Background Patient satisfaction is becoming an increasingly prevalent topic in medicine, but little is known about patient satisfaction in women's health and other specialties. We review current methods of improving patient satisfaction in the field of obstetrics and gynecology with the intent to increase patient satisfaction even further by enhancing and combining previously used strategies. Methods A search from inception to June 2010 for electronic literature was performed using Medline. The search strategy used the medical subject heading terms “patient satisfaction”, “obstetrics”, “gynecology”, “patient-centered communication”, “communication training”, and “malpractice”. The company websites for Press Ganey Associates, Inc and Integrated Health Associates' were also reviewed. Studies in both general medicine and the field of obstetrics and gynecology were reviewed to emphasize disparities between patients' satisfaction in diverse medical specialties. Results Studies indicating the importance of patient satisfaction, the factors contributing to patient satisfaction, and an evaluation of current, evidence-based methods of increasing patient satisfaction were reviewed. The studies included suggest that current methods of assessing/improving patient satisfaction are effective, but may not be the most productive. Conclusions We expect that the combination of previously successful methods of improving patient satisfaction to allow physicians to employ individualized patient-centered communication may improve patient satisfaction even further. Studying the use of our proposed enhancements in physician-patient communication may be worthwhile tools to increase patient satisfaction and optimize the quality of women's healthcare.

scholarly journals SWK-10. TELEHEALTH IN OUTPATIENT PEDIATRIC NEURO-ONCOLOGY CARE

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii466-iii466
Author(s):  
Shannon Raber ◽  
Carly Hoffman ◽  
Carol Yarbrough ◽  
Linda Branagan ◽  
Neela Penumarthy ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Access To Care ◽  
San Francisco ◽  
Nurse Practitioners ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Patient Acceptance ◽  
Outpatient Services

Abstract BACKGROUND Telehealth is an emerging modality that can include patient evaluation, review of test results, and clinical decision-making. Access to care and quality of life are challenges for patients with pediatric brain tumors and their families. Herein we describe the introduction of video visits within our outpatient services led by nurse practitioners and nurse coordinators. METHODS The pediatric neuro-oncology program at University of California, San Francisco - Benioff Children’s Hospital (UCSF) established a robust telehealth practice to improve access to care for children and young adults with brain and spine tumors. Our nursing team identifies appropriate time points to offer video visits in lieu of in-person visits. Families are guided to connect through secure video conferencing. Data was collected retrospectively through electronic medical record schedules, billing records, and UCSF patient satisfaction surveys. RESULTS Since 2015 we have utilized telehealth for over 400 encounters. The service was limited to patients located in California. Introduction of telehealth resulted in savings of 2300 hours of travel by car, over $22,000 in gas, and over 127,000 miles traveled. Surveys indicate patient satisfaction is equal to or better than in-person experiences. Anecdotally, this service allows for face-to-face contact with patients who have significant barriers to travel. Challenges have included technology platforms, native language, provider and patient acceptance, and billing. CONCLUSION Overall, telehealth is feasible as a tool to deliver outpatient care in pediatric neuro-oncology. Implementation of video visits in clinical practice increases access to neuro-oncologic care and improves quality of life for patients and families.

scholarly journals PATIENT TRUST THROUGH THE ROLE OF MEDICAL STAFF OF GOVERNMENT-OWNED REGIONAL GENERAL HOSPITALS

TRIKONOMIKA ◽  
2019 ◽  
Keyword(s):  
Patient Satisfaction ◽  
General Hospital ◽  
Medical Staff ◽  
Quantitative Research ◽  
Positive Influence ◽  
Sem Analysis ◽  
Patient Trust ◽  
General Hospitals ◽  
Increase Patient Satisfaction

Government-owned regional general hospitals are not the only hospitals in a region. Competition with private and foreign hospitals requires government-owned hospitals toimprove. The question is whether the role of medical staff is able to increase patient satisfaction and trust. This quantitative research was conducted in M. Sani Regional General Hospital in Tanjung Balai Karimun Regency, Riau Islands Province. The data were collected using questionnaires from 100 patients or families of inpatients totaling and taken using accidental sampling. The data were analyzed quantitatively using SEM analysis tools. The results showed that the variables of responsiveness and motivation given by the medical staff to patients had a significant and positive influence on patient satisfaction and had an impact on patient trust in the services provided by the hospital.

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