scholarly journals Pelayanan Jasa Keperawatan: Tingkat Kepuasan Pasien pada Unit Rawat Inap Rumah Sakit Umum “dr. Slamet” Garut

2019 ◽  
Vol 1 (2) ◽  
pp. 93-97
Author(s):  
Lindayani Lindayani
Keyword(s):  
Patient Satisfaction ◽  
Regular Education ◽  
Public Hospital ◽  
Improve Patient Safety ◽  
Medical Personnel ◽  
Diagnostic Tools ◽  
Nursing Service ◽  
Descriptive Approach ◽  
Improve Patient ◽  
And Training

The present study looks at in-patient nursing service at Garut Regional Public Hospital dr. Slamet and patient satisfaction as viewed from the gap between service performance and patient expectations. Using a descriptive approach, the influence of in-patient nursing service on patient satisfaction was analyzed. Research data were collected through observation and questionnaires addressed to the patients. The results of the study lead to a conclusion that patients were satisfied with the in-patient nursing care they received. It is suggested that the hospital improve their responsiveness to patient complaints, provide information in simple and easy to understand language, improve the skills of medical personnel by providing regular education and training, improve patient safety and trust, improve service personnel skills such as knowledge in using disease diagnostic tools, hospitality skills, and communication skills.

scholarly journals The feasibility of implementing an electronic prescribing decision support system: a case study of an Australian public hospital

2006 ◽  
Vol 30 (3) ◽  
pp. 380 ◽  
Author(s):  
David Bomba ◽  
Tim Land
Keyword(s):  
Decision Support ◽  
Public Hospital ◽  
Improve Patient Safety ◽  
Public Hospitals ◽  
Electronic Prescribing ◽  
System A ◽  
South Wales ◽  
Area Health ◽  
Improve Patient

Medication errors are common in public hospitals, with the majority at the prescribing stage of the medication pathway. Electronic prescribing decision support (EPDS) is a rules-based computer system that can be used by clinicians to warn against such errors to improve patient safety and support staff workflows. Despite its apparent advantages, this technology has not been widely adopted in Australian public hospitals for inpatient prescribing. A case study using Sauer?s (1993) Triangle of Dependencies Model was conducted in 2003 into the feasibility of implementing an EPDS system at an Australian public hospital in New South Wales. It was found not feasible to implement an EPDS at the hospital studied due to the legacy patient administration system, low availability of information technology on the wards, differing stakeholder views, legislation, and the Independent Pricing and Regulatory Tribunal of NSW report recommendations. A statewide standard was preferred, with an agreed specification framework identifying basic core data items and functions that an EPDS must meet which can then be used by area health services to: (i) choose a solution which best meets their contextual needs; and (ii) engage vendors to tender for building an open source (non-proprietary) system based on the specification framework.

scholarly journals Comparison of 3 Dilation and Evacuation Technical Skills Models

2013 ◽  
Vol 5 (4) ◽  
pp. 662-664 ◽  
Author(s):  
Maureen K. Baldwin ◽  
Julie Chor ◽  
Beatrice A. Chen ◽  
Alison B. Edelman ◽  
Jennefer Russo
Keyword(s):  
Patient Safety ◽  
Family Medicine ◽  
Simulation Training ◽  
Improve Patient Safety ◽  
Technical Skills ◽  
Training Model ◽  
Second Trimester ◽  
Fidelity Model ◽  
Improve Patient ◽  
And Training

Abstract Background Simulation training may improve patient safety, decrease trainer and trainee anxiety, and reduce the number of cases needed for competency. Complications associated with dilation and evacuation (D&E) have been directly related to provider skill level, yet no low-fidelity model has been formally described or evaluated in the literature for second-trimester D&E training. Objective We report physicians' assessments of the realism of 3 D&E models to establish a composite training model. Methods We surveyed experienced providers at 2 national conferences to evaluate 3 D&E models and rate each model's components on a Likert scale. Results Fifty-five obstetrics-gynecology and family medicine physicians completed the survey. Most respondents rated 4 components of 1 model as somewhat realistic or very realistic. The components rated highest were the fetal parts (82% [45 of 55]) and placenta (60% [30 of 50]). This model was rated as more likely to be used in training by 80% (43 of 54) of participants than the 2 other models, as rated by 28% (15 of 54) and 9% (5 of 54) of participants. Conclusions A model made from a plastic bottle containing a stuffed fabric form with detachable parts has tactile similarity to a D&E procedure and should be further developed for testing and training.

Contrasting discourse styles and barriers to patient participation in bedside nursing handovers

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Suzanne Eggins ◽  
Diana Slade
Keyword(s):  
Discourse Analysis ◽  
Public Hospital ◽  
Systemic Functional Linguistics ◽  
Improve Patient Safety ◽  
Clinical Information ◽  
Communication Training ◽  
Communicative Practice ◽  
Bedside Nursing ◽  
Improve Patient ◽  
Shift Change

This paper applies qualitative discourse analysis to ‘shift-change handovers’, events in which nurses hand over care for their patients to their colleagues. To improve patient safety, satisfaction and inclusion, hospitals increasingly require nursing staff to hand over at the patient’s bedside, rather than in staff-only areas. However, bedside handover is for many a new and challenging communicative practice. To evaluate how effectively nurses achieve bedside handover, we observed, audio-recorded and transcribed nursing shift-change handovers in a short stay medical ward at an Australian public hospital. Drawing on discourse analysis influenced by systemic functional linguistics we identify four handover styles: exclusive vs inclusive and objectifying vs agentive. The styles capture interactional/interpersonal meaning choices associated with whether and how nurses include patients during handover, and informational/ideational meaning choices associated with whether or not nurses select and organise clinical information in ways that recognise patients’ agency. We argue that the co-occurrence of inclusive with agentive and exclusive with objectifying styles demonstrates that how nurses talk about their patients is powerfully influenced by whether and how they also talk to them. In noting the continued dominance of exclusive objectifying styles in handover interactions, we suggest that institutional change needs to be supported by communication training.

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