scholarly journals PENGETAHUAN DAN SIKAP TENAGA KESEHATAN TERHADAP PELAPORAN DAN SISTEM PELAPORAN MEDICATION ERROR DI RSU MONOMPIA GMIBM KOTA KOTAMOBAGU

PHARMACON ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 360
Author(s):  
Dwi Baluntu ◽  
Weny I. Wiyono ◽  
Marina Mamarimbing

ABSTRACT This research to determine the knowledge and attitudes of health workers regarding reporting and reporting systems of medication errors has been carried out. Medication errors is any event that can cause or resulted  in improper health services or harm to patients that actually can be avoided. This research is a qualitative descriptive study using in-depth interviews with data analysis conducted using thematic analysis. The results showed that the health workers at Monompia General Hospital GMIBM Kotamobagu did not understand the reporting of medication errors, decision making to report medication errors was determined by the severity of the result of errors and lack of reporting due to fear of disciplinary action and fear of losing their jobs. Monompia General Hospital GMIBM Kotamobagu City continues to strive to improve the quality of health services, but the limitations of facilities and infrastructure as well as human resources were the obsracles. Keywords : Knowledge, Medication Errors, Reporting System ABSTRAK Telah dilakukan penelitian untuk mengetahui pengetahuan dan sikap tenaga kesehatan mengenai pelaporan dan sistem pelaporan medication error. Medication error merupakan setiap kejadian yang dapat menyebabkan atau berakibat pada  pelayanan kesehatan yang tidak tepat atau membahayakan pasien yang sebenarnya dapat dihindari. Penelitian ini merupakan penelitian yang bersifat deskriptif kualitatif menggunakan wawancara mendalam dengan analisis data yang dilakukan menggunakan tematik analisis. Hasil penelitian menunjukan bahwa tenaga kesehatan  di RSU Monompia GMIBM Kota Kotamobagu belum memahami mengenai pelaporan medication error, pengambilan keputusan untuk melaporkan kesalahan pengobatan ditentukan oleh tingkat keparahan hasil dari kesalahan dan minimnya tingkat pelaporan disebabkan karena tenaga kesehatan takut tindakan disiplin serta takut kehilangan pekerjaan. RSU Monompia GMIBM Kota Kotamobagu terus berupaya untuk meningkatkan mutu pelayanan kesehatan, tetapi keterbatasan sarana dan prasarana serta sumber daya manusia menjadi kendala tesendiri. Kata kunci : Pengetahuan, Medication error, sistem pelaporan

2020 ◽  
Vol 8 (3) ◽  
pp. 328
Author(s):  
Daniswara Setiarta ◽  
Titih Huriah

Patient safety is the key to maintain the quality of health services. One of the most important things to achieve patient safety is to identify medication errors and its causes. Most cases of medication errors are reported by nurses, because nurses are the therapeutic team. The purpose of this study is to determine factors affecting medication error by nurse in giving parenteral therapy at Government Hospital in Magelang. A cross-sectional analytic study was carried out on 67 nurses working in hospital wards. The data were collected using a questionnaire filled by respondents to see medication errors within 3 months. The final number of medication errors were  91 incidents in 3 months. The most frequent errors were wrong time (51.7%), wrong dose (14.2%), wrong document and wrong drug (9.9%), wrong route (8.8%), and the least was wrong patient (5%). Although the medication error incidences were not sentinel events and didn’t affect to SNARs criteria, but it still affecting on the quality of health services in the hospital. The significant independent determinant of medication errors is working experience at Government Hospital in Magelang (p 0,001), while the other determinants are not. Conclusion in this study was significant correlation between work experience in hospital and medication error, where respondents with work experience at Government Hospital in Magelangless than 5 years tend to be at higher risk doing medication errors than those who having worked more or equivalent to 5 years. 


2020 ◽  
Vol 7 (2) ◽  
pp. 166
Author(s):  
Kesty Aprini ◽  
Nurlely Nurlely ◽  
Nani Kartinah

Petugas kesehatan mempunyai pengaruh terhadap kualitas pelayanan kesehatan, termasuk pelayanan kesehatan terhadap pasien TB yang akan berpengaruh terhadap kepatuhan berobat.  Tujuan penelitian ini menentukan persentase petugas kesehatan kategori baik, cukup, kurang dalam memberikan informasi dan tindakan terhadap pasien tuberkulosisdi Kabupaten Banjar. Penelitian ini dilakukan terhadap 97 petugas kesehatan dengan pendekatan cross sectional menggunakan kuesioner. Subjek pada penelitian ini yaitu tim program TB (Dokter, Perawat, Petugas lab) dan Apoteker/AA. Penilaian dilakukan terhadap karakteristik petugas, informasi dan tindakan yang diberikan petugas kesehatan terhadap kepatuhan berobat pasien TB yaitu dikategorikan baik, cukup dan kurang. Hasil penelitian pada karakteristik petugas kesehatan yaitu jenis kelamin perempuan sebanyak 68 orang, kategori umur >30 tahun sebanyak 57 orang, pendidikan terakhir yang paling banyak yaitu D3 sebanyak 47 orang, masa jabatan sebagai petugas TB (perawat) yang paling banyak yaitu selama <5 tahun sebanyak 20 orang. Informasi yang diberikan oleh petugas kesehatan terhadap kepatuhan berobat pasien TB dalam kategori baik yaitu 61 (62,88%)  petugas kesehatan dan tindakan petugas TB sebanyak 47 (48,46%) petugas kesehatan. Oleh karena itu petugas kesehatan perlu memperhatikan lagi terkait kinerja pelayanan kesehatan agar informasi dan tindakan terhadap kepatuhan berobat pasien TB jauh lebih baik Health workers have an influence on the quality of health services, including health services for TB patients which will affect treatment compliance. The purpose of this study was to determine percentage of health workers in good, sufficient, and inadequate categories in providing information and action on tuberculosis patients in Banjar District. This research was conducted on 97 health workers with a cross sectional approach using a questionnaire. The subjects in this study were TB team programs which consist of Doctors, Nurses, Lab Officers and Pharmacists/Pharmacist assistant. An assessment was made of  staff characteristics, information and actions given by health workers to TB patient treatment was categorized as good, sufficient and lacking. Thye result of this study characteristics on health workers are female sex which were  68 people, age categories>30 years as many as 57 people, the most recent education is D3 which were 47 people, while the longest term as TB officers (nurses) was for less than 5 years which were 20 people. Information provided by health workers on TB patient compliance in the good category was 61 (62.88%) health workers and the actions of TB workers were 47 (48.46%) health workers. Therefore, it is necessary to pay more attention to the performance of health services so that information and actions on TB patient compliance more better Keywords: TB Health care workers, Tuberculosis, Information, Action


Author(s):  
Monica Putri ◽  
Ermi Girsang ◽  
Linda Chiuman ◽  
Ulina Karo Karo

Background: Currently, health services have very important demands, including services in hospitals that must be professional with international standards. Health services no longer only focus on patient satisfaction but also focus more on patient safety (patient safety). The aim of the study was to determine the strategy for improving the quality of service and patient safety at the Imelda General Hospital in 2020.  Methods: This research used descriptive qualitative research with an inductive approach. The data used in this study came from in-depth interviews with respondents. The population was drawn from organizational staff at the Imelda Hospital Medan, namely the medical committee, nursing committee, PMKP committee, PPI committee and materials. The sample method used is exhaustive sampling.Results: Based on the research results obtained, the Imelda Hospital Medan is included in a hospital that is able to compete in a competitive market, especially in urban areas. Based on the SWOT analysis, the Imelda Medan General Hospital is able to take advantage of the existing strengths and opportunities with the results of IFE= 2.52 and EFE= 2.50 and are in cell V in the IE matrix.Conclusions: So, the strategy used in determining the strategy for improving quality and patient safety at the Imelda Hospital, Medan in 2020 is hold and maintain, which means maintaining and maintaining existing policies but does not rule out the possibility to improve for the better.


PALAPA ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 50-68
Author(s):  
Arif Budiwibowo

The era of globalization brings the very rapid effects in the development of cutting-edge medical technology. These conditions have an impact on medical services is very complex and very potentially cause errors, so that the necessary improvement of the quality of health services. Patient safety is one important component in the quality of health services. Improving patient safety measures needed to prevent and minimize unexpected events (KTD). Nurses are one of the health workers who are at the front of health services have a very important role in improving patient safety. The aim of this research to assess patient safety analysis on the Attitudes of ward nurses in public district general hospital Bima and in particular to know the components of patient safety climate Attitudes include teamwork, job conditions, employment decisions, factors that support and hinder patient safety Attitudes. The study was descriptive qualitative. Subjects were nurses of three subjects and patients with interviews. Data collection techniques in this study are the tape recorder. Qualitative data analysis technique that was using descriptive analysis techniques to describe the data in the field were analyzed and concluded. Attitudes of patient safety component of work climate Attitudes patient safety team showed low, job satisfaction shows high patient safety Attitudes at the components of job satisfaction, working conditions showed low Attitudes patient safety, because of logistical and laboratory support is still lacking. Components of patient safety high Attitudes namely job satisfaction component of patient safety is low Attitudes climate of teamwork and conditions of employment because of logistical and laboratory support is still lacking.


2017 ◽  
Vol 1 (1) ◽  
pp. 30
Author(s):  
Supriadi Supriadi

Background: The era of globalization requires hospitals to improve the quality of health services. Efforts to improve the quality of health services can not be separated from efforts to improve the quality of nursing services because nurses are the most numerous health workers in hospitals that provide continuous service for 24 hours. The quality of nursing services describes the performance of nurses. The performance of a nurse can be judged by the quality of nursing care given to the patient. The performance of nurses can be influenced by various factors such as motivation, work ethic, work environment, competence, job satisfaction. Objective: The general objective of this research is to know factors related to Nurse Performance at Yogyakarta Islamic Hospital PDHI. And the specific objective of this research is to know the relationship motivation, work ethic, work environment, competence, job satisfaction with performance Nurse at Yogyakarta Islamic Hospital PDHI. Method: The research design  in this research is descriptive correlation research with cross sectional approach. Population in this research is Nurses at Yogyakarta Islamic Hospital PDHI amounted to 128 people. Sampling technique used was purposive sampling with inclusion and exclusion criteria obtained by a sample of 51 respondents. Data analysis used statistical test of kendall’s tau and multiple linear regression with significance level 5%. Result : Result of research got all variable that is motivation, work ethic, work environment, competence and job satisfaction influence nurse performance with p value 0,011, 0.000, 0,018, 0.000, 0.000 (P <0.05). Multivariate test obtained sig value. 0.000, which means simultaneously independent variables associated with the performance of nurses.


2021 ◽  
Vol 4 (2) ◽  
pp. 232-238
Author(s):  
Andi Nailah Amirullah ◽  
Yuliani ◽  
Nurhidayat

Health care facilities are expected to provide satisfactory services in hospitals. Have not being able to provide the maximum service expected by service users is the problem often faced by hospitals. Where the main assessment of the quality of health services is patient satisfaction. Based on a preliminary study at the RS Hikmah Makassar, it was found that more people were dissatisfied with health services. The purpose of this study was to find out the factors related to BPJS service satisfaction in BPJS Health participants at Hospital Hikmah of Makassar. The research design used Cross-Sectional. The population is 426 people. The sample in this study were some participants who used BPJS cards in Hospital Hikmah Of Makassar as many as 81 people, taking samples by purposive sampling technique. This research was conducted in May - June 2019. Data was collected with Questioner and analysed with the Chi-Square test. The results showed that there was a relationship between BPJS administration services, doctors and nurses services, supporting examination services and drug services with the satisfaction of BPJS services for BPJS Health participants in Hospital Hikmah of Makassar. The study suggested to health workers provide patients with a more friendly attitude and attention to patients recipients of health services.


2019 ◽  
Vol 3 (3) ◽  
pp. 113-120
Author(s):  
Nuraeni ◽  
Aszrul AB ◽  
Haerani

Patient satisfaction is a patient's level of feeling that arises as a result of the performance of health services obtained after the patient compares with what he expected so that patient satisfaction is needed quality service. The purpose of this study is to determine the relationship between the quality of health services and the level of patient satisfaction. This study uses an analytical research design with a cross-sectional approach. The sample in this study were 47 respondents. The study was analyzed using chi-square test results of the study showed that the independent variable that is the perception of the quality of health services consisting of five dimensions has a relationship with patient satisfaction is reliability with p = 0.000, responsiveness with p = 0.000, guarantee with p = 0.002, empathy with p = 0,000 and physical evidence with p = 0,000. The conclusion of this study is the relationship between the quality of service reliability with patient satisfaction, there is a responsive relationship with patient satisfaction, there is a guaranteed relationship with patient satisfaction, there is an empathy relationship with patient satisfaction and there is a relationship of physical evidence with patient satisfaction. The advice is expected to health workers to continue to improve the quality of health services in order to achieve patient satisfaction.


2020 ◽  
Vol 6 (1) ◽  
pp. 50
Author(s):  
Komala Sari ◽  
Mitra Mitra ◽  
Jasrida Yunita ◽  
Budi Hartono ◽  
Dedi Afandi

Law Republic Indonesia Number 44 of 2009 on Hospitals states health care institutions must improve higher quality and affordable services to highest health level. Quality leadership is continuous work method and process improve service quality, competitiveness and productivity. Health services quality is reference to the ideal level of health services. Hospitals health services quality will be good if the leadership carried out properly. In general hospital there was an absence Performance Report, disintegration and not sinergy between stakeholders in terms of health services quality. There was nothing of a Minimum Services Standards measurement, has not implemented a customer satisfaction based service pattern, service quality has not met national standards, which indicates that service quality is not optimum. Quality control activities not yet implemented, Standard Operational Procedure was also not optimal. Research objective was to know the effect of quality leadership on the quality of health services. Quantitative research type with analytic cross-sectional design. The study conducted in July 2017 in the Outpatient Installation. The population were all medical personnel and health workers with a sample of 100 people. Techniques for collected data using a questionnaire. The variables in this study were exogenous variables of quality leadership and endogenous variables of health services quality. Data analysis used Structural Equation Modeling - Partial Least Square. The results of the study obtained Values, Vision, Inspiration, Innovative, Systems View, Empowering, Customer Focus, were predictors of quality leadership. Professional standards, service standards, codes of ethics and standard operating procedures were predictors of health services quality. The value of T-Statistic 0.669 with a statistical value of 1.96 there was no significant effect of quality leadership on the health services quality.


2020 ◽  
Vol 7 (3) ◽  
pp. 469
Author(s):  
Nicodias Palasara ◽  
Diah Ayu Anggraeni ◽  
M Qomaruddin

Performance appraisal that still uses manual calculations and paper media, will use a lot of paper and archiving stacked files and often there are errors or unclear writing so that they do not get the right assessment results on target. As one of the means of public health service providers are required to improve the quality and professionalism in terms of health services, one of which is in the scope of health workers such as paramedics. Overcoming this, a significant increase in the number of paramedics in hospitals must be in line with good management by human resources officers, in order to improve the quality of health services. Then the implementation of the paramedic performance appraisal website at the hospital is one good solution to make it easier to overcome the problem. In this study created a website to support the paramedic performance evaluation. In making a website using the waterfall method, whose function can accelerate the results and quality of the website. Computerized performance appraisal systems run better and more efficiently than manual systems and can minimize paper usage and data accuracy


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