Mukhamad Fathoni
Jurusan Administrasi Publik, Fakultas Ilmu Administrasi, Universitas Brawijaya, Malang

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ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME PASIEN CEDERA KEPALA DI IGD RSUD Prof. Dr. MARGONO SOEKARDJO PURWOKERTO Suwaryo, Putra Agina Widyaswara; Wihastuti, Titin Andri; Fathoni, Mukhamad
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 3 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (74.188 KB) | DOI: 10.26753/jikk.v12i3.164

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Trauma is one of the biggest causes of death in the world. Thousands of people died from trauma each years. Many trauma occur in developing countries or countries with low incomes. The survey carried out showed 90% of trauma occur in developing countries. Outcome head injury patients determined from the initial condition when the patient entered in the ER (Emergency Room). Analysis of the patient's condition will determine the appropriate nursing actions that affect patient outcome. The purpose of this study was to analyze factors associated with outcome head injury patients in ER Prof. Dr. Margono Soekardjo Purwokerto Hospital. This study is a prospective with observational analytic design. The sample in this study amounted to 56 people.The results of Spearman and coefficient contingency indicates that there is a relationship between initial GCS score (p = 0.000) and systolic blood pressure (p = 0.000)with a outcomes of head injury patient. There is no correlation between age (p = 0.478)respiratory rate (p = 0.956) and pulse (.318) with a outcomes of head injury patient. Analysis of logistic regression shows that systolic blood pressure (RR = 6.768) is the dominant factor associated with outcomes of head injury patient. Therefore, the need to improve the management hemodynamic of the patient's, especially blood pressure to prevent bad outcomes. Keywords: outcome, head injury, Emergency Room
Relationships between Triage Knowledge, Training, Working Experiences and Triage Skills among Emergency Nurses in East Java, Indonesia Fathoni, Mukhamad; Sangchan, Hathairat; Songwathana, Praneed
Nurse Media Journal of Nursing Vol 3, No 1 (2013): (JUNE 2013)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.676 KB) | DOI: 10.14710/nmjn.v3i1.4466

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Background: Since there are increased numbers of clients with traumatic injuries and non-traumatic cases in the emergency department in Indonesia, triage skill is an essential competency required for the emergency nurses.Purposes: This study aimed to examine the level of perceived triage skills and the relationship between knowledge, training, working experience and perceived triage skills among emergency nurses.Method: Two hundred and sixty six emergency room (ER) nurses working in two secondary and two tertiary public hospitals in East Java Province, Indonesia, were recruited by purposive sampling. Data were collected using a set of questionnaires which included the Demographic Data including training and working experiences, Triage Knowledge Questionnaire (TKQ) and Triage Skill Questionnaire (TSQ). The contents of questionnaires were validated by three experts and tested for reliability. The correlation coefficient for the TKQ was 0.99 and Cronbach’s alpha coefficient of the TSQ was 0.93. The collected data were analyzed using descriptive statistics including Pearson’s product-moment correlation to examine the relationship.Result: The results showed that the majority of subjects were female (71.4%) with aged of 22 – 40 years (79.3%), educated to diploma level (94.4%). All subjects had attended Basic Life Support (BLS) and Advanced Life Support (ACLS), and about half of them had greater than 5 years working experiences in ED. Overall perceived triage skill was at a moderate level with the mean score of 75.12 (SD = 11.23). There were significantly positive correlations between triage skill and working experience (r = .27, p < .01), training experience (r = .37, p < .01), and triage knowledge (r = .38, p < .01).Conclusion: The findings provide a better understanding of triage skills among ER nurses and suggest that the continuing education and training courses related to triage and advanced management of medical emergencies for ER nurses are required in order to increase and update the triage skills in enhancing the quality of emergency care and patient safety.Key Words :Triage knowledge, triage skills, training, working experience, emergency nurse
THE FACTORS ASSOCIATED WITH THE TRIAGE IMPLEMENTATION IN EMERGENCY DEPARTMENT Ainiyah, Nur; Ahsan, Ahsan; Fathoni, Mukhamad
Jurnal Ners Vol 10, No 1 (2015): April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.919 KB) | DOI: 10.20473/jn.V10I12015.147-157

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Introduction: Triage is defi ned as a process to sort patients based on the severity and emergency situation. In fact, Emergency Department (ED) in several hospitals in Indonesia do not implement it, so not all patients come to Emergency Department due to a true emergency case but there are also a false emergency. Implementing triage is important in order to decrease false emergency case and also increase ED service quality. The research goal was to analyze factors associated with the triage implementation in Emergency Department in Hospitals (type A and B).  Methods: The research design was a cross sectional with corrrelative analysis. The research population was emergency department nurses and patients. Samples were taken by total sampling for the nurses (54 respondents) and accidental sampling for patients (54 respondents). The research instruments were questionnaire and direct observation. The research datas were analized using multivariat logistic regression by backward LR.Results: The result showed that the dominant factors correlated with the implementation of the triage was the performance factor (p value. 0,002), the patient factor (p value = 0.011), and the staffing factor (p value. 0.017).Conclusion: The hospital management can increase the work motivation,then optimize the nurses by giving a job description clearly and improve nursing service quality through Triage Offi cer Course.
PENGARUH PENERAPAN MODEL PEMBELAJARAN INDIVIDUAL TERHADAP HASIL BELAJAR PENDIDIKAN AGAMA ISLAM SISWA KELAS X SMK NURUL HUDA BUAY MADANG OKU TIMUR Fathoni, Mukhamad; Marlina, Marlina
JURNAL PENDIDIKAN ISLAM AL Iâ??TIBAR Vol 5 No 2 (2018): Jurnal Pendidikan Islam Al I'tibar
Publisher : Program Studi Pendidikan Agama Islam STKIP Nurul Huda

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.445 KB) | DOI: 10.30599/jpia.v5i2.515

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Selama proses pembelajaran Pendidikan Agama Islam di kelas X SMK Nurul Huda Buay Madang OKU Timur,sebagian siswa masih terlihat mengalami kesulitan dalam menyelesaikan berbagai tugas yang diberikan oleh guru, sehingga menyebabkan hasil belajar siswa belum mencapai kriteria ketuntasan minimal mata pelajaran. Oleh karena itu, harus dilakukan langkah-langkah strategis agar siswa dapat berperan aktif dalam proses pembelajaran. Langkah tersebut dapat dilakukan melalui pemilihan model pembelajaran yang sesuai dengan karakteristik materi yang diajarkan. Salah satu model pembelajaran yang dapat diterapkan adalah model pembelajaran individual. Penelitian ini dilakukan untuk mengetahui pengaruh penerapan model pembelajaran individual terhadap hasil belajar Pendidikan Agama Islam siswa kelas X SMK Nurul Huda Buay Madang OKU Timur. Penelitian ini termasuk penelitian eksperimen komparasional menggunakan desain quasi eksperiment. Populasi penelitian ini adalah seluruh siswa kelas X SMK Nurul Huda Buay Madang OKU TImur yang berjumlah 80 siswa terbagi dalam 3 rombongan belajar. Sampel penelitian ini adalah siswa kelas X/Multimediaberjumlah 30 orang dan siswa kelas X/Administrasi Perkantoran berjumlah 27 orang.Teknik pengumpulan data menggunakan tessedangkan uji hipotesis dilakukan menggunakan uji t. Simpulan hasil penelitian adalah hasil belajar mata pelajaran Pendidikan Agama Islam siswa yang pembelajarannya menerapkan model pembelajaran individual di kelas X/Multimedia SMK Nurul Huda Buay Madang OKU Timur adalah sedang dengan nilai rata-rata sebesar 78,57. Hasil belajar mata pelajaran Pendidikan Agama Islam siswa yang pembelajarannya menerapkan model pembelajaran klasikal di kelas X/Administrasi Perkantoran adalah sedang dengan nilai rata-ratanya 68,15. Terdapat pengaruh penerapan model pembelajaran individual terhadal hasil belajar mata pelajaran Pendidikan Agama Islam siswa kelas XSMK Nurul Huda Buay MadangOKU Timur dengan nilai thitung7,89 sedangkan ttabel 2,00. Karena thitung7,89 lebih besar dari harga ttabel = 2,00 pada taraf signifikan 5% maka&nbsp; H0 ditolak sedangkan Ha diterima
EFEKTIFITAS VITALPAC EARLY WARNING SCORING SEBAGAI DETEKSI DINI PERBURUKAN PASIEN ACCESS BLOCK DI IGD dr. ISKAK TULUNGAGUNG Ahmad, Zaky Soewandi; Soeharto, Setyowati; Fathoni, Mukhamad
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Jurnal Kesehatan Mesencephalon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.805 KB)

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Abstract : The prolongation of length of stay access block patients in emergency department (ED) can cause the risk of deterioration. Currently there is no study to prove the accuracy of any early warning system on a group of patient who are waiting for inpatient beds in ED. The purpose of this study was to validate the performance of detecting patient deterioration using  vitalpac early warning scoring (ViEWS) for inpatient beds in ED. This prospective, an observational study was carried out over 1 month in ED of Dr.Iskak Hospital in adult and older patient presenting to the ED. The VIEWS were calculated using the recorded physiological parameters of patient. Deterioration  were used as the primary outcomes. Out of a total of 75 access block patients, 24% of them had deterioration in ED. Result analysis from Test of Contingency Coefficient in this research represented that significant correlation between ViEWS value with deterioration of access block patients which is p-value <0,05. Comparative results in AUC represented that ViEWS had AUC value (0,967), sensitivity (0,889), specificity (0,965). The conclusion is the composite ViEWS was perform well in detection of early deterioration in ED.Keyword : vitalpac early warning scoring, deterioration, access block Abstrak : Memanjangnya lama waktu tinggal pasien access blockdi IGD dapat menyebabkan resiko perburukan. Saat ini belum ada penelitian yang dapat membuktikan efektifitas dari deteksi dini pada pasien yang menunggu rawat inap di instalasi gawat darurat (IGD). Tujuan penelitian ini adalah untuk mengetahui efektifitas vitalpac early warning scoring (ViEWS)sebagai deteksi dini pasien access blockdi IGD. Penelitian ini adalah penelitian observasional analitik dengan desain studi prospektif yang dilakukan selama 1 bulan di IGD RSUD Dr. Iskak Tulungagung.Skoring VIEWSmenggunakan parameter fisiologis pasien.Outcome utama dari penelitian ini adalah perburukan pasien access block dalam 24 jam.Dari 75 pasien access block, 24% diantaranya mengalami perburukan di IGD. Hasil analisis Uji Koefisien Kontigensi penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai VIEWS dengan perburukan pasien access block dengan p-value< 0,05. Hasil komparatif AUC menunjukkan bahwa ViEWS memiliki nilai AUC (0,967), sensitivitas (0,889), spesifitas (0,965) Oleh karena itu ViEWS efektif sebagai deteksi dini perburukan pasien di IGD.Kata Kunci : vitalpac early warning scoring, perburukan, access block
NILAI SKOR GLASGOW COMA SCALE, AGE, SYSTOLIC BLOOD PRESSURE (GAP SCORE) DAN SATURASI OKSIGEN SEBAGAI PREDIKTOR MORTALITAS PASIEN CIDERA KEPALA DI RUMAH SAKIT SAIFUL ANWAR MALANG Eka Putra, Dadang Surpiady; Indra, M Rasjad; Sargowo, Djanggan; Fathoni, Mukhamad
Jurnal Kesehatan Hesti Wira Sakti Vol. 4 No. 2 (2016)
Publisher : Poltekkes RS dr. Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRAK Pendahuluaan: Cidera kepala menjadi masalah bagi kesehatan masyarakat karena dapat menyebabkan kematian, kecacatan, dan mengurangi waktu produktif. Cidera kepala memiliki tingkat mortalitas yang tinggi, sehingga dibutuhkan metode prognosis cidera kepala dengan penilaian awal yang akurat dengan harapan dapat memprediksi keluaran dan tata laksana yang sesuai dengan kondisi pasien. GAP Score adalah salah satu skoring sistem fisiologis yang dapat digunakan sebagai prediktor mortalitas pasien cedera kepala. Sistem ini lebih mudah digunakan dan memberikan informasi prediktif yang berharga dari kondisi pasien. Tujuan penelitian ini untuk mengetahui apakah nilai GAP score dan saturasi oksigen dapat menjadi prediktor dalam memprediksi mortalitas pasien cidera kepala di Rumah Sakit Saiful Anwar Malang. Metode: Jenis penelitian ini adalah observasional analitik dengan pendekatan studi retrospektif. Sampel dalam penelitian ini berjumlah 96 orang yang didapatkan dari data rekam medis pasien cedera kepala yang masuk pada periode Januari hingga Desember 2015 di RSSA Malang. Sampel yang digunakan sebanyak 96 sampel sesuai dengan kriteria inklusi dan eksklusi. Hasil dan analisis : Uji Mann-Whitney pada penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai GAP Score, dan saturasi oksigen dengan mortalitas pasien cidera kepala dalam 7 hari perawatan dengan p value dari semua variabel independen < 0,05. Hasil Uji regresi logistik menunjukkan bahwa persamaan GAP Score memiliki nilai p value Uji Hosmer and Lemeshow = 0,938 dengan AUC = 0,921 yang dapat memprediksi mortalitas 92,1% pasien cidera kepala. Persamaan saturasi Oksigen memiliki nilai p value Uji Hosmer and Lemeshow = 0,870 dengan AUC = 0.880 dapat memprediksi mortalitas sebesar 88%, dan persamaan GAP score dan saturasi Oksigen memiliki nilai p value Uji Hosmer and Lemeshow = 0,967 dengan AUC = 0.965 dapat memprediksi mortalitas sebesar 96,5%. Diskusi dan kesimpulan: Secara statistik terdapat perbedaan AUC antara persamaan tersebut, dengan kesimpulan bahwa gabungan antara akurasi skoring GAP dan akurasi saturasi oksigen secara statistik dapat meningkatkan akurasi dalam memprediksi kematian. Gabungan antara akurasi skoring GAP dan akurasi saturasi oksigen secara statistik dapat meningkatkan akurasi dalam memprediksi mortalitas pada pasien cidera kepala. Kata kunci : GAP Score, Saturasi Oksigen, Mortalitas, Cedera Kepala. ABSTRACT Background: Head injury is a problem for public health because it can cause death, disability, and reduce a person's productive time. Head injuries have high mortality, requiring a method of head injury prognosis with early and accurate assessment in the hope of predicting outcomes and governance in accordance with the patient's condition. GAP Score is one of physiological scoring system that can be used as predictors of mortality of patients with head injury. This system is easier to use and provide valuable predictive information of the patient's condition. Patients who suffered a head injury requiring adequate oxygen supply to meet the needs of brain metabolism that required ongoing monitoring of the oxygen saturation in order to prevent the occurrence of secondary trauma that can worsen the condition of patients with head injury. The purpose of this study to determine whether the value GAP scores and oxygen saturation can be a predictor for predicting mortality in patients with head injury Saiful Anwar Hospital in Malang. Method: This type of research is observational analytic retrospective study. The sample in this study amounted to 96 people were obtained from medical records head injury patients who entered the period January to December 2015 in RSSA Malang. The samples used were 96 samples in accordance with the inclusion and exclusion criteria. Result and Analysis : The results of the Mann-Whitney test analysis showed that there was significant relationship between the value of GAP Score, and oxygen saturation of patients with head injury mortality within 7 days of treatment with p value of all the independent variables
EFEKTIFITAS VITALPAC EARLY WARNING SCORING SEBAGAI DETEKSI DINI PERBURUKAN PASIEN ACCESS BLOCK DI IGD dr. ISKAK TULUNGAGUNG Ahmad, Zaky Soewandi; Soeharto, Setyowati; Fathoni, Mukhamad
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Jurnal Kesehatan Mesencephalon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.805 KB)

Abstract

Abstract : The prolongation of length of stay access block patients in emergency department (ED) can cause the risk of deterioration. Currently there is no study to prove the accuracy of any early warning system on a group of patient who are waiting for inpatient beds in ED. The purpose of this study was to validate the performance of detecting patient deterioration using  vitalpac early warning scoring (ViEWS) for inpatient beds in ED. This prospective, an observational study was carried out over 1 month in ED of Dr.Iskak Hospital in adult and older patient presenting to the ED. The VIEWS were calculated using the recorded physiological parameters of patient. Deterioration  were used as the primary outcomes. Out of a total of 75 access block patients, 24% of them had deterioration in ED. Result analysis from Test of Contingency Coefficient in this research represented that significant correlation between ViEWS value with deterioration of access block patients which is p-value <0,05. Comparative results in AUC represented that ViEWS had AUC value (0,967), sensitivity (0,889), specificity (0,965). The conclusion is the composite ViEWS was perform well in detection of early deterioration in ED.Keyword : vitalpac early warning scoring, deterioration, access block Abstrak : Memanjangnya lama waktu tinggal pasien access blockdi IGD dapat menyebabkan resiko perburukan. Saat ini belum ada penelitian yang dapat membuktikan efektifitas dari deteksi dini pada pasien yang menunggu rawat inap di instalasi gawat darurat (IGD). Tujuan penelitian ini adalah untuk mengetahui efektifitas vitalpac early warning scoring (ViEWS)sebagai deteksi dini pasien access blockdi IGD. Penelitian ini adalah penelitian observasional analitik dengan desain studi prospektif yang dilakukan selama 1 bulan di IGD RSUD Dr. Iskak Tulungagung.Skoring VIEWSmenggunakan parameter fisiologis pasien.Outcome utama dari penelitian ini adalah perburukan pasien access block dalam 24 jam.Dari 75 pasien access block, 24% diantaranya mengalami perburukan di IGD. Hasil analisis Uji Koefisien Kontigensi penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai VIEWS dengan perburukan pasien access block dengan p-value< 0,05. Hasil komparatif AUC menunjukkan bahwa ViEWS memiliki nilai AUC (0,967), sensitivitas (0,889), spesifitas (0,965) Oleh karena itu ViEWS efektif sebagai deteksi dini perburukan pasien di IGD.Kata Kunci : vitalpac early warning scoring, perburukan, access block
FAKTOR DOMINAN DALAM MEMPREDIKSI MORTALITAS PASIEN DENGAN SEPSIS DI UNIT GAWAT DARURAT Akbar, Ilham; Widjajanto, Edi; Fathoni, Mukhamad
Jurnal Kedokteran Brawijaya Vol 30, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2018.030.02.14

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Mortalitas pasien dengan sepsis meningkat secara drastis dengan tingkat keparahannya. Ada banyak faktor yang yang menjadi pertanda perburukan kondisi maupun kematian pasien dengan sepsis. Seorang perawat diharapkan dapat menjadi lini terdepan di unit gawat darurat untuk dapat memprediksi mortalitas pasien dengan sepsis untuk menentukan tindakan definitif dengan segera tanpa melakukan pemeriksaan laboratorium. Tujuan penelitian yaitu menganalisis faktor dominan yang berhubungan dengan mortalitas pasien dengan sepsis. Penelitian kuantitatif ini menggunakan desain observasi analitik dengan pendekatan retrospektif. Sampel menggunakan rekam medis pasien dengan sepsis disesuaikan dengan kriteria inklusi dan ekslusi dan ditentukan dengan teknik consecutive sampling yaitu sebanyak 75 responden. Analisis bivariat yang dilakukan pada penelitian ini menggunakan kontigensi lambda dan chi square, sedangkan analisis multivariat menggunakan regresi logistik. Hasil uji bivariat menunjukkan bahwa usia (r=0,305, p=0,030), nilai qSOFA (r=0,678, p=0,000), dan penyakit komorbid (r=0,243, p=0,030) masing-masing memiliki arah hubungan positif dengan mortalitas pasien sepsis. Hasil regresi logistik menunjukkan penyakit komorbid meningkatkan 6,6 kali mortalitas pada pasien sepsis (OR=7,000, p=0,016). Penyakit komorbid dan nilai qSOFA adalah faktor yang dapat mempredikisi mortalitas pasien sepsis namun penyakit komorbid merupakan faktor yang paling dominan. 
RELATIONSHIP BETWEEN PERSONAL SELF-EFFICACY AND FLOOD DISASTER PREPAREDNESS OF INDONESIAN NURSES Wurjatmiko, Adi Try; Zuhriyah, Lilik; Fathoni, Mukhamad
Public Health of Indonesia Vol 4, No 1 (2018): January - March 2018
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.298 KB) | DOI: 10.36685/phi.v4i1.161

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Background: Indonesia is one of the countries that is prone to natural disaster. There are between 1,500-2,000 cases of natural disasters annually and most of the cases are related to hydro meteorological activities such as flood. Preparedness is a critical phase in disaster management as it is able to decrease or prevent negative effects of natural disasters for example negative effects of natural disaster in health sector. Nurse preparedness is one of the determining factors in describing how severe effects of natural disasters are in health sector.Objective: To identify and analyze relationship between personal self-efficacy and flood disaster preparedness of Indonesian nurses.Method: The study used analytical observational design with cross sectional approach. The population was 191 nurses and the samples were 160 nurses working in public health centers. The sampling method was purposive sampling. The setting on the study was 5 public health services located in areas prone to flood in Kendari, Southeast Sulawesi, Indonesia. Spearman rank correlational test was used for data analysis with significant level (?) =0.05.Results: Spearman Rank correlational test showed a significant relationship between self-efficacy and flood disaster preparedness of nurses (p =0.00 and r =0.63).Conclusion: Personal factor such as nurses? self-efficacy in dealing with flood is related to their flood disaster preparedness in Kendari, Southeast Sulawesi, Indonesia.
HEALTH DISASTER PREPAREDNESS USING ANDROID MOBILE BASED APPLICATION CASE MOUNT BROMO ERUPTION Fathoni, Mukhamad; Usman, Fadly; Hariyani, Septiana; Kurniawan, Eddi Basuki; Yusuh, Ah; Waloejo, Christrijogo Soemartono
Jurnal Ners Vol 15, No 2 (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i2.19005

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Introduction: In the last 10 years, Mount Bromo has erupted four times; 2004, 2010, 2015 and 2019. However, it is unique that people at Tengger are reluctant to evacuate even though Mount Bromo is erupting and releasing volcanic material such as stones and dust.Methods: This research is a quantitative study, using correlative analytic observational design and cross sectional approach with pourposife sample of 120 taken from online questionare results of bivariate analysis using gamma correlation test obtained the results of knowledge factors (p=0.005; r=0.27) attitude (p=0.000; r=0.45), means of infrastructure (p=0.000; r=0.58), and android application (p=0.000; r=0.59) for health preparedness. Results: Knowledge, attitude, infrastructure and android application factors can influence health preparedness in disaster risk reduction in Bromo area.Using the smartphone application as the Mount Bromo information facilities are one of an effort so that people and tourists can activate if an eruption occurs. There is important health preparedness about features made in the application such as distribution shelters, evacuation routes, health centres, photos, videos, and primary health care information.Conclusion: Assessment results to the application interface, the information conveyed, and the features offered showed that the application was very useful and gives a new perspective in conveying accurate information to the public and also tourists. The health preparedness community level is also quite good with the services provided by the Bromo alert application.