Ketut Suarjana
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PROSPEK PENGEMBANGAN PELAYANAN HOME CARE RUMAH SAKIT PRIMA MEDIKA DENPASAR Suarjana, Ketut
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 03 (2012)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Background: Demographic and epidemiologic transitionscause population structure and changes in disease patterninto degenerative and chronic disease. Hospitals in Indonesiahave not developed chronic care service. Prima Medika hospitalhome care (HC) has not been developed, without assessingthe prospect of HC service development as a revenuecenter.Methods: Qualitative research using methods of participationobservation; in-depth interview with patients, personnelof HC unit, and management; close observation with checklist.Data were analyzed qualitatively using thematic content analysisResults: Based on concept of strategic management, thefollowing opportunities and potentials of HC exist: patient satisfaction,payment ability, and benefit perception, dependencesof cancer patients and elders. The hospital has the followingstrengths: personnel readiness, presence of personnel motivator,personnel commitment to work, facility and hospital equipment,commitment from directors. However, their weaknessesand barriers are: limited human resources, marketing, and tariffcalculation. Challenges and expectations of patients are:diversification of service types, use of tools, visit frequencies,and personnel qualification.Conclusion: The prospect of HC service development washigh. Alternatives strategy proposed are: specific administrationfor HC selection and offer to patients, HC tariff makingaccording to unit cost, provision or coordination of personnel,rental and sales of tools, and focus for cancer patients andelders.Keywords: home care, prospect, strategy
GAMBARAN KINERJA KARYAWAN DI RUMAH SAKIT SWASTA X DI DENPASAR TAHUN 2016 Widanianti, I Gusti Putu Ayun; Suarjana, Ketut
ARCHIVE OF COMMUNITY HEALTH Vol 4 No 2 (2017): Desember (2017)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (520.941 KB) | DOI: 10.24843/ACH.2017.v04.i02.p05

Abstract

ABSTRAKTujuan dari penelitian ini adalah untuk memahami kinerja karyawan di salah satu rumah sakit swasta pada tahun 2016. Penelitian ini adalah penelitian kuantitatif deskriptif dengan desain cross sectional. Teknik pengambilan sampel menggunakan random sampling (probability sampling), dengan menggunakan teknik proportional stratified random sampling dengan jumlah sampel 86 orang. Data dianalisis dengan analisis bivariat menggunakan chi-square dengan ? = 0,05. Hasil penelitian ini mengungkap sekitar 51,16% (44 orang) memiliki kualitas kerja minor dari 86 responden. Responden dengan kualitas kerja yang baik adalah 51,16% (44 orang). Efektivitas minor responden adalah 65,12% (56 orang). 51,16% (44 orang) memiliki kebiasaan tepat waktu yang buruk, dan responden dengan independensi rendah adalah 62,79% (54 orang). Perbedaan proporsi hasil yang bermakna secara statistik status pekerjaan responden dengan kualitas karyawan adalah (p = 0,013). Ada perbedaan proporsi yang bermakna secara statistik antara latar belakang pendidikan responden dan efektivitas (p = 0,044), hasil uji analisis dalam proporsi yang berbeda antara latar belakang pendidikan responden dan tepat waktu adalah (p = 0,10). Hasil analisis uji coba pada proporsi umur responden yang berbeda dengan independensi kerja adalah (p = 0,047). Kesimpulan dari penelitian ini adalah setiap hasil penelitian ini terhadap kinerja sub-variabel, ini menunjukkan total dari hasil kinerja karyawan secara umum, yaitu 52,33% (45 orang) dari 86 responden yang berarti kinerja karyawan dapat dikategorikan baik. Beberapa saran yang disarankan dalam penelitian ini, mereka meningkatkan kualitas kerja dan menggunakan teknologi, dana, dan semua peralatan di rumah sakit diperlukan untuk menyelesaikan pekerjaan.Kata Kunci : Performa, karyawan, rumah sakit ABSTRACTThe purpose of this research is to understand the employees’ performance at private hospital in 2016. This research is a descriptive quantitative studies with cross sectional design. The sampling technique used random sampling (probability sampling), by using proportionate stratified random sampling technique with 86 persons as the samples. Data was analised with bivariate analysis using chi-square with ?=0.05. The result of this research reveal around 51.16% (44 persons) have a minor working quality out of 86 respondents. Respondents with good working quality are 51.16% (44 persons). The minor effectiveness of respondents is 65.12% (56 persons). 51.16% (44 persons) have a bad punctual habit, and respondents with low independence are 62.79% (54 persons). The different valuable proportion result statistically employment status of respondents with employees quality is (p=0.013). There is difference valuable proportion statistically between the education background of respondents and effectiveness in (p=0.044), the result of analysis trial in different proportion between education background of respondents and punctual is (p=0.10). And the result of trial analysis in different proportion of age of the respondents with working independence is (p=0.047) The conclusion of this research is every results of this research towards sub-variable performance, it shows the total from employees performance result generally, which is 52.33% (45persons) from 86 respondents that means the employees performance can be categorized as good. Some advices are suggested in this study, they are improving the quality of work and using the technology, funding, and all of the equipments in the hospital are needed to finisih a job.Keywords: performance; employee; private hospital
ANALISIS FAKTOR – FAKTOR KONDISI KERJA YANG MELATARBELAKANGI KETERLAMBATAN PENYELESAIAN PENGISIAN DOKUMEN REKAM MEDIS OLEH DOKTER DI INSTALASI RAWAT INAP RUMAH SAKIT UMUM DAERAH KABUPATEN KLUNGKUNG Sudarsana, I Gede Diki; Suarjana, Ketut; Januraga, Pande Putu
ARCHIVE OF COMMUNITY HEALTH Vol 4 No 2 (2017): Desember (2017)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (580.277 KB) | DOI: 10.24843/ACH.2017.v04.i02.p09

Abstract

ABSTRAKRSUD Kabupaten Klungkung merupakan salah satu rumah sakit yang belum dapat mencapai indikator mutu kelengkapan rekam medis 24 jam setelah selesai pelayanan. Kelengkapan, keakuratan, dan ketepatan rekam medis merupakan tanggungjawab utama dokter. Perilaku dokter dalam penyelesaian pengisian rekam medis salah satunya dapat dipengaruhi oleh kondisi kerja tempatnya bertugas. Penelitian ini bertujuan untuk mengetahui faktor-faktor kondisi kerja yang melatarbelakangi keterlambatan penyelesaian pengisian dokumen rekam medis oleh dokter di Instalasi Rawat Inap RSUD Kabupaten Klungkung. Penelitian ini menggunakan metode deskriptif kualitatif. Pengumpulan data menggunakan metode wawancara mendalam dan studi dokumentasi yang dilakukan di instalasi rawat inap RSUD Kabupaten Klungkung pada bulan April-Mei 2017. Informan pberjumlah delapan orang yang terdiri dari dokter spesialis dan manajemen rumah sakit. Hasil penelitian ini menunjukan bahwa beban kerja yang cukup tinggi, belum efektifnya supervisi, belum maksimal pengetahuan dokter terkait rekam medis, belum terbiasanya dokter menggunakan formulir rekam medis yang baru, serta belum efektifnya pelaksanaan sosialisasi melatarbelakangi keterlambatan penyelesaian pengisian rekam medis oleh dokter. Selain itu, faktor diluar kondisi kerja yang melatarbelakangi keterlambatan penyelesaian pengisian yaitu kebijakan hari libur dan kepulangan pasien diluar jam kerja dokter spesialis. Simpulan penelitian ini diketahui bahwa faktor kondisi kerja yang belum optimal di RSUD Kabupaten Klungkung melatarbelakangi terjadinya keterlambatan penyelesaian pengisian dokumen rekam medis oleh dokter spesialis di instalasi rawat inap. Maka perlu adanya perbaikan pada faktor kondisi kerja yang ada di RSUD Kabupaten Klungkung.Kata Kunci : Dokter, Kondisi Kerja, Rekam Medis. ABSTRACTKlungkung Public General Hospital has not able to achieve one of the quality indicators namely completeness of patients’ medical records after 24 hours of the patient care is finalized. The completeness and validity of the medical record is the responsibility of the physician. This study aimed at identifying factors related to the physicians’ performance in filling up the medical records. This study used a qualitative method with in-depth interviews conducted among eight specialized physician and administrative staff working at in-patient wards of Klungkung Public General Hospital from April to May 2017. The study results showed two groups of factors influencing the performance of physicians in filling up the medical records. The first was internal working condition factors consist of a high work-load, lack of socialization and supervision, lack of knowledge related to the medical records management, and problems with the new forms. The second was external factors such as off-day policy as well as the time difference between patients’ discharge and physician working hours. The study conclusion is that suboptimal working conditions influence the completeness of patients’ medical records. A human resources strategy to optimize working condition particularly for physicians, is needed.Keywords: Doctor, Work Condition, Medical Record
HUBUNGAN MOTIVASI DAN KOMITMEN KERJA PERAWAT DENGAN PENERAPAN KESELAMATAN PASIEN DI RUANG INTENSIF RSUP SANGLAH DENPASAR Krisnawati, Komang Menik Sri; Wijaya, I Putu Ganda; Suarjana, Ketut
Coping: Community of Publishing in Nursing Vol 4 No 3 (2016): Desember 2016
Publisher : Program Studi Sarjana Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Background and purpose: The application of patient safety in hospitals is influenced role of HR service providers. HR has the largest population of nearly 40% compared to other workers and have a period of direct contact with patients is a nurse. This study aims to determine the relationship between nurse motivation and commitment to work with the application of patient safety.Methods: This research is observational study with cross sectional approach. The sample consisted of 112 nurse selected by total sampling.Results: Based on the Chi-Square Tests, correlation nurse motivation and nurse commitment to work with implementation of patient safety obtained p value of 0.000 means there is a relationship between nurse motivation and nurse commitment to work with implementation of patient safety. Conclusion:Motivation and commitment to work and nurse characteristics (age, education, marital status, employment status, length of employment) is jointly associated with the implementation of patient safety. Factors working commitment of the most dominant influence on the application of patient safety compared with the motivational factors of nurses and nurse characteristics, so the need for efforts to increase the commitment of nurses through socialization associated with understanding the vision and mission of the hospital as well as the achievement of the performance indicators of good nurses by increasing the quality of nursing through education formal or informal ongoing basis, increased motivation of nurses, especially in terms of adjustment of incentives, leadership and commitment to create a situation conducive work. Keywords: Commitment, Implementation of Patient Safety, Motivation
ELECTRONIC PRESCRIBING REDUCES PRESCRIPTION ERRORS IN SANGLAH GENERAL HOSPITAL DENPASAR Nurhaeni, N.L.P.; Suarjana, Ketut; Ady Wirawan, I Made
Public Health and Preventive Medicine Archive Vol 5 No 2 (2017): Public Health And Preventive Medicine Archive
Publisher : Program Magister Ilmu Kesehatan Masyarakat Universitas Udayana

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Background and purpose: Medication error is any preventable event that may lead to inappropriate medication use or patient harm. Prescription error, one component of medication error, at Sanglah General Hospital Denpasar is high. An electronic prescribing has been piloted at Angsoka Ward, Sanglah General Hospital Denpasar to reduce prescription errors. However, the evaluation of such implementation is never been conducted. This study aims to evaluate the effect of electronic prescribing on prescription errors at Sanglah General Hospital Denpasar.Methods: An evaluation study was conducted by adopting pre and post control design at Sanglah General Hospital Denpasar. Prescription errors at Angsoka Ward where the electronic prescribing is implemented, were compared to Kamboja Ward that uses manual prescribing. Heterogeneity of patients in these two wards was comparable. Prescription samples were selected using a simple random sampling. Prescription samples prior to implementation of electronic prescribing were taken from June and July 2016, while samples after implementation were taken from March and April 2017. Prescription samples from the control group were also taken from the same periods. A total of 96 prescriptions were taken from each arm ? leading to 384 prescription samples in total. Prescription error was evaluated using three requirements namely: administrative (9 components), pharmacy (5 components) and clinical (3 components).Results: Our study found that there was a significant difference of prescription errors between pre and post implementation of electronic prescribing at Angsoka Ward (p<0.05). The median values [IQR] for prescription error based on administrative requirements between pre and post intervention were 2 [3] vs. 0 [0] (p<0.001); based on pharmacy requirements were 1 [2] vs. 0 [0] (p<0.001); based on clinical requirements were 1 [2] vs 0 [0] (p<0,001). In contrast, prescription error based on administrative and pharmacy requirements in Kamboja Ward was insignificantly reduced. The median values [IQR] for prescription error based on administrative requirements between pre and post intervention were 2 [2] vs. 2 [2] (p=0.505) and based on pharmacy requirements were 1 [2] vs. 1 [1] (p=0.295). There was a significant difference of prescription errors (p<0.05) based on clinical requirements with median values [IQR] of 1 [1] vs. 1 [1]. Implementation of electronic prescribing reduced the proportion of prescription errors by 67.8%. After implementation of electronic prescribing, some errors were still apparent related to drug administration and order duplication.Conclusions: Implementation of electronic prescribing reduces prescription errors. Scaling-up of electronic prescribing followed by training on standardised prescribing practices are warranted.