scholarly journals ESSENTIAL DRUG MANAGEMENT AT RSU KARSA HUSADA BATU: POLICY IMPLEMENTATION

Author(s):  
Setya Haksama ◽  
Yeni Farida Istanti ◽  
Windhu Purnomo ◽  
Stefanus Supriyanto ◽  
Samsul Arifin ◽  
...  

Coordination in hospital is important process needed to reach the organization’s goals. One of the process that need coordination among cross-functional unit is essential drug procurement. The essential drug in Karsa Husada Batu Public Hospital (RSU Karsa Husada Batu) were often in out of stock condition in some specific kinds of drug. The average of  essential drug  out of stock between year of 2017 until the first semester of 2018 reached 33,73%. This number was far from the ideal standard of 0% out of stock condition. This research was aimed to give recommendation for a better coordination of essential drug management. The study used quantitative research. The population in this research was all hospital staff who participate in essential  drug procurement in Karsa Husada Batu. Public Hospital. There were 29 samples as the respondents in this research. The variables in this research were frequently communication, timely communication, accurately communication, problem solving communication, shared knowledge, mutual respect, and shared goals. The result from the study showed that communication reached good result consist of frequently communication is good (69,00%), timely communication is good (65,50 %), accurately communicationis good (79,30%), problem solving communication is good (69,00%), shared knowledge is good (58,62%), but the mutual respect is not good (58,60%), and shared goals is not good (65,52%).

2021 ◽  
pp. 002188632199159
Author(s):  
Rendelle Bolton ◽  
Caroline Logan ◽  
Jody Hoffer Gittell

Work is increasingly complex, specialized, and interdependent, requiring coordination across roles, disciplines, organizations, and sectors to achieve desired outcomes. Relational coordination theory proposes that relationships of shared goals, shared knowledge, and mutual respect help to support frequent, timely, accurate, problem-solving communication, and vice versa, enabling stakeholders to effectively coordinate their work across boundaries. While the theory contends that cross-cutting structures can strengthen relational coordination, and that relational coordination promotes desired outcomes for multiple stakeholders, the empirical evidence supporting the theory has not previously been synthesized. In this article, we systematically review all empirical studies assessing the predictors and outcomes of relational coordination published from 1991 to 2019. We find evidence supporting the existing theory and discuss how that evidence supports expanding the theory from a linear structure–process–outcomes model to a dynamic model of change. An agenda for researchers and practitioners is proposed.


Author(s):  
Ulfah Mahdiyani ◽  
Chairun Wiedyaningsih ◽  
Dwi Endarti

Planning and procurement which are parts of management drug supply give the biggest effect on drug inventory and hospital’s cost. This study aimed to describe planning and procurement systems in Pharmacy Department of Muntilan Regional Public Hospital in year 2015–2016. Study was conducted by comparing the real drug management supply indicators with standard indicators. This study was conducted on December 2016 untill February 2017. Data was collected using retrospective approach for secondary data including data of finance, drug procurement and use; as well as primary data collected by interview with hospital director, and heads of pharmacy and finance department. Data was analyzed using descriptive technique. The result showed that drug management had not been fully in accordance with the standards. It was indicated from 7 measured indicators, one of them had been in accordance with the standard which was percentage of available fund compared with cost planned. The other 6 indicators had not been in accordance with the standard: percentage of drug procurement with fund allocation, percentage of drug item planned compared with the using, percentage total quantities of a drug item with the using, the procurement frequency of each drug item, frequency uncompleted of orderlist/contract, frequency of delayed rate in payment by hospital, and indicators that can’t be measured are proportion of the quantities of products actually recieved out of total quantities planned, and percentage of quantities used out of total quantities available for consumption after deduction of buffer stock.


CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S49-S50
Author(s):  
E. Purdy ◽  
C. Alexander ◽  
J. Matulich ◽  
V. Brazil

Introduction: Major trauma care is complex, and requires individuals and teams to perform together in time critical, high stakes situations. Scenario based simulation is well established as a strategy for trauma teamwork improvement, but its role in the relational and cultural aspects of trauma care is less well understood. Relational Coordination theory offers a framework though which we aimed to understand the impact of an established trauma simulation program Methods: We studied simulation activities using a narrative survey of trauma providers from anaesthesia, emergency medicine, medical imaging, surgery, trauma service, intensive care and pre-hospital providers at Gold Coast University Hospital, in conjunction with data from an ethnography. Data analysis was performed using a recursive approach - a simultaneous deductive approach using the relational coordination framework and an inductive analysis. Results: 95/480 (19.8%) staff completed free text survey questions on simulation. Deductive analysis of data from this narrative survey results using the RC framework domains identified examples of shared goals, shared knowledge, communication, and mutual respect. Two major themes from the inductive analysis – “Behaviour, process and system change”, and “Culture and relationships” - aligned closely with findings from the RC analysis, with additional themes of “Personal and team learning” and the “Impact of the simulation experience” identified. Conclusion: Our findings suggest that an established trauma simulation program can have a profound impact on the relational aspects of care and the development of a collaborative culture, with perceived tangible impacts on teamwork behaviours and institutional systems and processes. The RC framework – shared knowledge, shared goals and mutual respect in the context of communication that is timely, accurate, frequent and problem-solving based – can provide a common language for simulation educators to design and debrief simulation exercises that aim to have a translational impact.


2021 ◽  
Vol 11 (8) ◽  
pp. 445
Author(s):  
Cristina Checa-Morales ◽  
Carmen De-Pablos-Heredero ◽  
Angela Lorena Carreño ◽  
Sajid Haider ◽  
Antón García

The knowledge of local culture is essential to establish competitive strategies in higher education. The objective of this research was to identify the organizational differences among three universities with different international contexts and satisfaction level. An approach was made regarding Relational Coordination (RC) attributes: accurate, frequent and problem-solving communication, shared knowledge, mutual respect and shared goals, by discriminant analysis method. A random sample of 300 students, 100 belonging to each university, was surveyed on the 23 RC variables in 2017–2018. First, the RC variables were evaluated by general linear model (GLM). The three universities—Arcada University of Applied Science (ARCADA) in Finland, University of Cordoba (UCO) in Spain and Agricultural Polytechnic of Manabi “MFL” (ESPAM) in Ecuador—and the two levels of student satisfaction—Low and High—were used as fixed factors. Second, a discriminant model was built with RC variables. A higher level of RC practices concerning to accurate, frequent and problem-solving communication achieved higher levels of satisfaction, regardless of the universities’ socioeconomic context. RC differentiation among three universities showed that shared goals with lecturers and administrative officers and problem-solving communication among classmates were the variables with the highest discriminant power. Two clusters were obtained, where UCO was the most differentiated university. In conclusion, organizational practices made a difference among the three universities. Discriminant analysis can be adapted and extended to different universities to improve quality.


2017 ◽  
Vol 8 (1) ◽  
pp. 32
Author(s):  
Sri Utami ◽  
Lalu Sucipto

Abstrak - Penelitian ini bertujuan untuk mengetahui keefektifan model pembelajaran Team Assisted Individualization (TAI) terhadap kemampuan pemecahan masalah matematika siswa. Populasi dalam penelitian ini adalah siswa kelas VIII SMP Salafiyah Darul Falah Mataram yang berjumlah 153 siswa. Sampel dalam penelitian ini yaitu kelas VIII B dengan jumlah 28 siswa. Jenis penelitian yang digunakan adalah penelitian kuantitatif, dengan desain pre-eksperimen (One Group Pretest Postest Design). Teknik pengambilan sampel yaitu menggunakan teknik cluster  random sampling . Teknik analisis data menggunakan uji-t test Sampel Related. Hasil perhitungan uji-t tes Sampel Related  didapatkan  sebesar dan sebesar dengan taraf signifikan . Karena , maka menunjukkan bahwa model pembelajaran Team Assisted Individualization (TAI) efektif terhadap kemampuan pemecahan masalah matematika siswa.Abstract: This study aims to determine the effectiveness of Teachers Assisted Individualization (TAI) learning model for students' math problem solving skills. The population in this study is the students of grade VIII SMP Salafiyah Darul Falah Mataram, amounting to 153 students. The sample in this research is class VIII B with the number of 28 students. The type of research used is quantitative research, with pre-experiment design (One Group Pretest Postest Design). The sampling technique is using cluster random sampling technique. Technique of data analysis using test-t test Sampel Related. The result of t-test calculation of Sample Related test obtained t_hitung equal to 19,01 and t_table equal to 2,052 with significant level 5%. Because t_hitung≥t_tabel, then show that Team Assisted Individualization (TAI) learning model effective to student's math problem solving ability.


Author(s):  
Hanifah Hanifah ◽  
Nanang Supriadi ◽  
Rany Widyastuti

Mathematical problem solving is a problem solving that uses mathematical problem solving. Students in the problem solving did not use the polya method so that students succeeded in difficulties. Educators still use conventional learning models so that students become bored, passive and reluctant to ask whether going forward working on the questions given by the educator, so that new learning models need to be applied. The e-learning learning model assisted with Edmodo learning media is an online presentation material on an Edmodo account using the mobile phone of students. PAM is the knowledge learned by students before getting learning material. This study aims to study the interaction of e-learning learning models assisted by Edmodo learning media to solve mathematical problems. This study is quantitative research. Data collection used with tests, interviews, collection and collection. The data analysis technique uses two-way anava test with cells that are not the same. From the results of the analysis, the influence of the e-learning learning model on mathematical problem solving abilities. It is necessary to question the high, medium, and low mathematical initial knowledge of Great mathematical problem solving ability, then there is no difference between assisted e-learning learning models edmodo, mathematical initial knowledge of mathematical problem solving abilities.


2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Irene Malcolm ◽  
Lydia Plowman

A study of the software localisation industry examines learning in digital society by describing localisers’ knowledge practices. The shortcomings of stand- ard models of professional learning that assume shared goals, codified knowledge and workers’ co-location are considered, along with the problem of learning in distributed and technologically mediated work contexts. The paper uses Knorr Cetina’s concept of macro-epistemics to highlight the need for theoretical develop- ment in relation to two questions: i) How do ways of organising localisers' work constitute opportunities and constraints for shared knowledge practices? ii) How does technology disrupt macro-epistemic potential and personal learning trajectories?


2020 ◽  
Vol 48 (1-2) ◽  
pp. 92-114 ◽  
Author(s):  
Shahaduz Zaman ◽  
Sjaak van der Geest

Abstract This paper is based on an ethnographic study conducted in a public hospital in Bangladesh. The study shows how the social dynamics necessary to deal with the structural realities of the hospital give this cosmopolitan institution a local character. In this paper, we describe this local character by focusing on the lower-level hospital staff, such as ward boys, cleaners, and gatemen. Social inequality and exclusion are rampant in Bangladeshi public hospitals. Doctors and nurses are unwilling to communicate with patients and their relatives, while the latter are unable to approach the former for specific help or information. Our research, shows how low-level support workers fill the void between the two “factions” and act as brokers transporting information and activities between these factions. By doing so they do not only make a crucial contribution to the functioning of the ward, but also gain considerable influence in spite of their low position.


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