Indonesia Conference Directory

Corresponding Author
Yahya Thamrin

Institutions
Department of Occupational Health and Safety, Faculty of Public Health, Hasanuddin University

Abstract
OHS and risk management system is obligated to be implemented in hospital. The management is a proactive approach for identifying, assessing, and prioritizing risks in order to minimize or eliminate impacts. This research aims to explore the current situation regarding OHS and the effects of risk management training among nurses regarding their knowledge and attitude toward OHS. This study used the mixed method design which combined qualitative and quantitative research. For qualitative data collection, in-depth interviews was performed. Content analysis method was conducted to analyse the obtained data. Quantitative data was collected using observational sheets and questionnaire. One group pretest and post test design was occupied to examine the effectiveness of training and the resulted data were analyzed by paired t test. 35 nurses were involved in this experimental study. The result of current situation analysis regarding the identification of hazards indicates that nurses generally recognize the potential of biological, physical, chemical, and ergonomics hazards. Risk assessment using the risk grading matrix and root cause analysis resulted that in general, utilizing Personal Protective Equipment (PPE) and engineering controls are applying for risk control. The paired t test results obtained knowledge (p-value = 0.000) and attitude (p-value = 0.029) and the result signified that risk management training affected on nurses- knowledge and attitude on OHS, prior and after intervention. This research recommends the hospital management to conduct the training in regular basis as an effort to increase nurses- knowledge and attitude towards OHS.

Keywords
Risk Management, OHS, Knowledge, Attitude, Nurse

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/HWgTCvcDZF9q

Corresponding Author
Haerawati Idris

Institutions
a),b),c) Faculty of Public Health, Universitas Sriwijaya, South Sumatera
*haera[at]fkm.unsri.ac.id

Abstract
Quality health services have a very important role in improving the degree of public health. The result of survey by BPJS at the Regional General Hospital of Banyuasin District showed that the degree of patient-s satisfaction was the lowest (53%). This study aimed to analyze the health service quality of BPJS participants of the Regional General Hospital of Banyuasin District. The study used a cross sectional design with the samples taken from the outpatients and inpatients of BPJS with each participants (n=90). The data were analyzed using the method of Quality Function Deployment (QFD) to measure the service quality and the results were interpreted using matrix of House of Quality (HOQ). Supporting data collected by Interview by health workers, and hospital officials. The results of the study showed that according to the patients there were five important dimensions, namely technical competency, effectiveness, comfort, punctuality, and human relationship. The average result of each dimension was still negative, that is technical competency (-0.53), effectiveness (-0.59), comfort (0.58), punctuality (0.87), and human relationship (0.98). The attribute of “the nurses come and leave on time” had the highest gap (-1.39) and the biggest target value (2.39) that the time punctuality of the staff was the priority for the service improvement. The health service quality of this hospital was not yet optimal because the average of the whole gaps was negative (-0.7). It is recommended that the hospital reinforce the punishment for late employees, optimize regularly the activity of service quality evaluation such as periodically measuring the degree of patients- satisfaction

Keywords
House of Quality, Satisfaction, Health Service Quality, Quality Function Deployment

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/DXC7wvNWMzpu

Corresponding Author
Julia Indriaty

Institutions
Universitas Esa Unggul

Abstract
Background: The high number of patients falling for a year in a hospital is a serious problem in the hospital because the incidence of falling patients is one indicator of patient safety. The purpose of this study was to analyze the effect of the application of fall risk prevention management and training on the implementation of patient safety with the leadership role of the head of the room as an intervening variable. The research uses quantitative research methods with questionnaires survey and Structural Equation Model (SEM) analysis methods, Amos version 23. Research samples are 178 nurses who have received patient safety training. The test result on the model has met the Goodness of fit criteria. The results of this study indicates that the risk reduction prevention management variable has a positive effect on patient safety. Training has a positive effect on patient safety management. The implementation of falling risk management has a positive effect on the leadership role of the head of room, training has a positive effect on patient safety management, training has a positive effect on risk management the leadership role of the head of the room has a positive effect on patient safety. The direct coefficient of patient risk falls on patient safety is greater than the indirect coefficient which shows there is an indirect effect of the patients risk of falling on the implementation of patient safety through the leadership role of the head of the room. The coefficient of directors training on patient safety is greater than the indirect coefficient which indicates there is an indirect effect of patient safety training on the implementation of patient safety through the leadership role of the head of the room.

Keywords
falling risk prevention management, training, Implementation of patient safety, role of leadership of room heads

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/en23YMK9JQt6

Corresponding Author
NUR ARIFAH ARIEF

Institutions
Universitas Hasanuddin

Abstract
Lean hospital is a method that aims to continuously increasing value-added activities compared to non-value added activities and waste (the value to waste-ratio). The average waiting time in providing outpatient medical records in RSUD Kota Makassar was 28.39 minutes. This result is still below the Minimum Service Standard (SPM) for the time of providing medical record files that is 10 minutes. The purpose of this study is to analyze the process of providing medical records for outpatients by using lean approach in RSUD Kota Makassar. This research was a mixed method study with Sequential Explanatory study design. Sequential Explanatory is characterized by collecting and analyzing quantitative data in the first stage (i.e. average, highest, and lowest time of each activity), then followed by collecting and analyzing qualitative data in the second stage (i.e. kind of activity, waste identification, and input aspects). 30 respondents of outpatient were chosen for quantitative data and 6 informants for qualitative data. The finding shows that only 22% value-added activities and remained 78% non-value added activities in the process of providing medical record files. Four of eight types of waste were found in the process of providing medical record files, namely; overproduction, waiting, extra-processing, and defects. Fishbone diagram was employed for the root cause analysis. Aspects that affects are men, method, machine, and environment. For improvement suggestions, lean tools were included such as seiri, seiton, shitsuke, visual management, kaizen, and error proofing. The conclusion of this study is that the process of providing medical records for outpatients in RSUD Kota Makassar was still considered in Un-Lean Enterprise. It is recommended to reduce waiting time by conducting more stringent supervision of arrival time of officers and renew the Hospital Management Information System in order to fully integrate among units or counters. Keywords: Lean Hospitals, Value-added, waste

Keywords
Lean Hospitals, Value-added, waste

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/ZRdW9PBtkfM2

Corresponding Author
Syamsiar S. Russeng

Institutions
Occupational Safety and Health Departement, Public Health Faculty Hasanuddin University

Abstract
The diseases that related to diving among the divers require special attention. Incorrect diving is not only caused a short-term risk but also a long-term risk. The aim of this study is to descriptively analyze the knowledge of fishermen due to work-related diseases, analyze the factors of work-related diseases and provide training of standard diving techniques in Lumu-Lumu Island Makassar. The type of research is observational analytic with the cross-sectional study. The population of this study are all fishermen in Lumu-Lumu Island, the sample was taken using simple random sampling techniques. This was conducted on March-August 2019 in Lumu-Lumu Island, Makassar. Primary data collected from the interview using a questionnaire with the fisherman. Secondary data were collected from Puskesmas and Polindes. The result shows that the knowledge, attitude, and act of the divers are increased after the socialization that conducts in Lumu-Lumu Island. This provides the result of a statistical test that shows Asymp sig. (2-tailed) from knowledge, attitude and the action of divers 0,001<0,05 for each variable which mean there are an increase of knowledge, attitude and the action after the socialization and training for divers in Lumu-Lumu Island.

Keywords
Barotrauma, traditional divers, knowledge, attitude, practice

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/PDEZy9FMp8hL

Corresponding Author
Masyitha Muis

Institutions
Occupational Health and safety Faculty of Public Health, Hasanuddin University

Abstract
The main factors that determine the success of a hospital disaster alert team are the ability to communicate, coordinate and work effectively as a team, ability to deliver commands quickly and effectively during catastrophic events using the unified command structure, maximizing coordination role with related agencies is the key to successful handling of any emergency condition This research aims to determine the communication and coordination system in hospital X during catastrophic events. A qualitative study uses a descriptive approach to the design of Phenyomology. Data obtained through in-depth interview, focused observation, document review, as many as 11 informants are determined by using purposive and Snowball Sampling, 9 informants from hospital are director, officer who served as disaster Commander, team member, public relations and 2 informants from (Badan Penanggulangan Bencana Daerah) BPBD and coordinator of Call Centre unit 112. Data processed with QSR NVivo 12 Plus. The communication system includes the command centre has not been determined, the placement of officers on communication systems in the ER planning does not exist, there has been no placement of radio operator officers, a Visitor control centre planning around the ER does not exist, communication plan with the media does not exist, a special telephone line planning (involving local ORARI) does not exist, the number of HT are still limited (4 pcs), while the coordination with MOU other agency/stakeholder with BPBD and Call Centre 112 already exists. Coordination meeting has been conducted in 2018. The management suggested making a Hospital Disaster Plan which contains integrated communication and coordination system planning for external and internal disasters and applies with disaster simulation immediately.

Keywords
Command centre, hospital disaster plan, nvivo

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/98a2JKwptMDy

Corresponding Author
Kurnia Widyaningrum

Institutions
Postgraduate Program in Hospital Management, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.

Abstract
Medication errors in hospital are problematic worldwide. Before seeking the solution, hospital managers should have the data about patient-s knowledge about their medication. This study aims to determine the extent of patient-s knowledge on medication safety implementation in the hospital. This study was conducted as an observational analytic study with a cross-sectional approach. Data were collected using a questionnaire from 748 patients in 15 hospitals in Malang Indonesia. The instrument measures patient perception on five moments for medication safety using a 5-point Likert scale. The result showed that in five moments for medication safety stages, in the starting medicine stage of 748 respondents, 65.2% were asked about the history of allergies, 52.7% asked about pregnancy and breastfeeding conditions, 40.9% informed about drug function and 39.9% informed about drug side effects. In taking medicine stage, the respondents stated that they had already gained information about the medication plan (54.8%), about the time of drug administration (55.5%), and the drug dose (41.5%). In adding medicine stage, 51.6% of the respondents stated that they were asked about the history of the drugs they had taken and were informed about drug changes (44.6%). In the reviewing medicine stage, the result showed that 41.9% was informed about the length of time in taking the drug. Lastly, in stopping medicine stage, the result showed that some respondents experienced drug allergic reactions (43%) and side effects (46.7%). In conclusion, the lowest level of patient-s perception on medication safety implementation is in the starting medicine stage about the drug side effects, while the highest level of patient-s perception is about the history of allergies. Keywords: Medication safety, implementation, patient perception

Keywords
medication safety, implementation, patient perception

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/mRAQpYJxb7XF

Corresponding Author
Zulkarnain Abubakar

Institutions
Department of Hospital Management, Faculty of Public Health, Hasanuddin University

Abstract
Objective: The study aimed at evaluating effect of patient-centered care application on inpatient outcomes, notably patient satisfaction and the clinical outcomes after emergency cesarean section surgery. Methods: The study design was cross-sectional. A sample of 71 patients were determined proportionally, and selected with the inclusion criteria. Data was collected using measuring tools consisting of patient-centered care questionnaires, patient satisfaction questionnaires, and patient medical record to evaluate the clinical outcomes of inpatient. Multivariate analysis was carried out to correlate the effect of the patient centered-care on patient satisfaction, and the clinical outcomes of inpatient. Result: There was effect of patient-centered care on patient satisfaction (p = 0,000), but there was no effect show to the clinical outcomes (p = 0.440). Conclusion: The application of patient-centered care attributed to the patient satisfaction, but did not affect the clinical outcomes of inpatient after emergency cesarean section surgery.

Keywords
Patient-Centered Care, Patient Satisfaction, Clinical Outcomes

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/rtCh9xWazZFg

Corresponding Author
Nasaruddin Nawir

Institutions
Department of Hospital Management, Public Health Faculty, Hasanuddin University,Indonesia
*nawir_nasaruddin[at]yahoo.com

Abstract
Patient experience has been recognized as one of important outcome measure for healthcare organization. This study aimed to measure patient experience and identify patient experience dimensions that needed to be prioritized for quality improvement in Sawerigading Hospital. A descriptive-analytic study, using a cross-sectional method in the inpatient unit of Sawerigading Hospital, was implemented on June, 2019. Using proportional stratified random sampling, 137 patients were selected. Data were collected using an importance-performance analysis (IPA) questionnaire, which measures current performance and determines each item-s importance from the patients- perspectives. Based on IPA analysis, we highlighted important patient experiences attributes for improvements and categorized it into four categories: (1) Concentrate Here; (2) Keep Up the Good Work; (3) Low Priority; and (4) Possible Overkill. The results revealed that 38 attributes from 12 patient experience dimensions were differently allocated into each of categories. Quadrant II (keep up the good work) was quadrant with the largest attributes included (18 attributes). Quadrant I (concentrate here) and quadrant III (low priority) had 6 and 13 attributes, respectively. The fewest number of attributes was in Quadrant IV (Possible overkill) with only 1 attributes. The attributes of patient experience that became main priority in Quadrant 1 were information about patient-s rights and obligations, hygiene of inpatient ward, hygiene of toilet, drug information, and food serving. Patient experience attributes were mainly in “keep up the good work” category, it is necessary to maintain those attributes and hospital managers could consider “concentrate here” cattegory to improve quality of inpatient services.

Keywords
Patient Experience, Importance Performance Analysis

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/TA7tHPLUzdpe

Corresponding Author
Ira Prasanti

Institutions
Postgraduate Program in Hospital Management, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia

Abstract
The impact of accreditation on patient outcome need to go through organizational and clinical process level. This research aimed to explore the level of quality management system (QMS) implementation across hospital accreditation status. Sixteen hospitals in three districts Malang Raya, east Java, with varied characteristics and accreditation status, agree to participate in this study. The respondents of this study were nurses who asked to give their responses in five scales for each component of QMS that represent the maturity levels. A cross-tabulation was created to describe the QMS maturity across hospitals accreditation status. The results show shows that in general, regardless of accreditation status, documentation, and credential mechanism for nurses are the QMS components that mostly perceived already in mature level (has been fully implemented with evidence of improvement). The accredited hospital still has a problem in continuously measure and use professional opinion for continuous quality improvement, while non accredited mainly still not have approved quality improvement plans. Hospitals with higher accreditation status (madya or paripurna) has more QMS components that mostly perceived as having mature stage compared to non-accredited and hospital with initial accreditation stage. It should be noted that even for hospitals with full accreditation stage, not all QMS components had been in mature levels, most components already have a plan and documented procedures but lack of continuous implementation and evidence improvement. It can be concluded that based on nurse perception the accreditation program has induced the implementation of QMS but still limited in planning and procedural documentation, therefore much effort is needed to leverage its level into continuous quality improvement.

Keywords
hospital accreditation, quality management system implementation, continuous quality improvement

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/vZNVFhkQYUpR

Corresponding Author
Nining Ade Ningsih

Institutions
STIK Tamalatea Makassar

Abstract
The quality of service in Indonesia is still lagging behind other countries. Excellent service is the best or very good service in meeting the expectations and needs of customers or patients. The study aims to determine factors associated with excellent service of health personnel in the Demon Pagong Health Center, Demon Pagong Sub-District, East Flores District, East Nusa Tenggara Province. This research used quantitative research with cross sectional study approach. This research was conducted on all health personnel with a total population of 48 people with total sampling technique. Data analysis was performed by univariate and bivariate analysis using the chi square test with ρ=0.05. The results of research in the Demon Pagong Health Center, Demon Pagong Sub-District are there is a significant relationship between the task identity and the excellent service of health personnel based on statistical test (chi-square) value of p=0.033, there is a significant relationship between the relationship of co-workers and excellent service with a value of p=0.025, there is a significant relationship between leadership and excellent service with a value of p=0.022. Demon Pagong Health Center needs to provide training on the culture of excellent service to health personnel so that the health services provided are constantly effective, very good and excellent in satisfying patient (community) expectations.

Keywords
Excellent Service, Task Identity, Co-workers Relationship, Leadership

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/tzjUfpJae6yX

Corresponding Author
Rita Dian Pratiwi

Institutions
a)Department of health services and information management, Sekolah Vokasi, Universitas Gadjah Mada, Indonesia
b)Doctoral program of medical faculty, Universitas Gadjah Mada, Indonesia

Abstract
Abstract Objective: This study aims to forecasting the incidence of patient safety to improve the quality of hospital services Methods: This research is an analytic observational study with a cross-sectional design. The sample of this study is all reports of patient safety incidents in 2016-2018 which consist of five types there are potential injury events, near-injury events, non-injury events, unexpected events, sentinel events, and risk grading at one of the hospital in special region of Yogyakarta Results: Based on the five types of patient safety incidents it was known that there was a decline approximately 73% in the incidence of near-injury conditions from 2016 to 2018, whereas in 2019 there were no estimated incidents. Overall forecasts in 2019 on safety incidents based on patient safety goals, type of incidents, types of services and risk grading of green and yellow have decreased Conclusion: The incidence of patient safety tends to decrease; this indicates that patient safety culture has been applied.

Keywords
patient safety, incident, forecasting

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/c92FCP4x6qLX

Corresponding Author
Syahrir A. Pasinringi

Institutions
Departement of Hospital Management, Faculty of Public Health, Hasanuddin University. Makassar, Indonesia

Abstract
Health care quality gained global concern for decades. A qualified and safe service quality has been expected and become the main purpose of the community, health practioners, health facilities, owners and regulators. One of external strategies which is used generally, is in the form of acknowledgement of implemented quality management system, namely, certification and accreditation. The study aimed to analyze the correlation between the hospital levels of accreditation with the service quality towards several aspects, access,service flow, and hospital-s staff in several hospital in Makassar city in 2018. This study was quantitative research with cross sectional study design. The population was all patient in inpatient of hospitals in Makassar city. Sampling technique was stratified random sampling with total respondents was 1.876 gained from 13 hospitals in Makassar city. Results shown hospitals with middle level (madya) accreditation and those at basic level whether government and private hospital have differences in terms of patien satisfaction toward access, service flow and staff (p=0.000). However, for hospitals with the level of accreditation was paripurna and utama there was no differences for the patient satisfaction in the aspects of access (p=0,076), but there was a different at service flow (p=0.000) and staff (p=0.001) for both government and private hospitals.

Keywords
Accreditation, service quality, satisfaction, hospital

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/NebXcQR9kzqr

Corresponding Author
Gerardin Ranind Kirana

Institutions
1S1 Kesehatan Masyarakat, IIK Bhakti Wiyata Kediri
2D3 Rekam Medis dan Informasi Kesehatan, IIK Bhakti Wiyata Kediri
gerardin.ranind.kirana[at]iik.ac.id

Abstract
Filing is an activity of storing medical records aimed at protecting it from physical damage and the contents of the document. Medical record file storage room at RSUD Dr. Iskak Tulungagung was still insufficient to store existing medical record files. It can affect the quality of service in the medical record management system in the filing room caused by several things in terms of management elements which include man, materials, machines, money, methods. The purpose of this study was to identify service quality in the medical record management system based on management elements in Dr. Hospital. Iskak Tulungagung. This study was descriptive research evaluation. The subjects were the elements of management (5M). Sixteen medical record filing officers were the respondents. Collecting information through interviews and observation. The results of this study were that the medical record file storage room was still insufficient to store the existing medical record file, therefore a portion of the active medical record file was stored in a cardboard box and was not neatly arranged. Judging from the management elements: man, materials, machines, money, methods, this was still not in accordance with the -material- elements, namely the lack of a medical record file storage racks, so it was recommended that the medical record work together with the IT department of RSUD Dr. Iskak Tulungagung to optimize the hospital management information system with the transfer of manual medical records to electronic medical records in the filing section.

Keywords
Hospital, Medical Record, Service Quality, Management System, 5M

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/87VKxty4FgE9

Corresponding Author
Elsye Maria Rosa

Institutions
a) Universitas Muhammadiyah Yogyakarta, Jl. Brawijaya, Geblagan, Tamantirto, Kec. Kasihan, Bantul, Daerah Istimewa Yogyakarta 55183
*elsyemariarosa[at]gmail.com
b) Akademi Kebidanan Bunga Kalimantan Banjarmasin, Jl. Btig Jend. Hasan Basri, Alalok Utara, Kec. Banjarmasin Utara, Kota Banjarmasin, Kalimantan Selatan 70124
c) Univeritas Aisyiyah Yogyakarta, Jalan Ringroad Barat No.63, Mlangi Nogotirto, Gamping, Area Sawah, Nogotitro, Kec. Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55592

Abstract
Objective: The objective of this research is to create Innovation in midwifery practices as an alternative to estimate postpartum blood loss. Method: This research is a DRM (Design Research Methodology) of creating Innovation in midwifery practices (A method to measure postpartum blood loss) followed by step two, which is a Clinical Trial through alpha and beta testing (implementation of the instrument on III childbirth as well as a surveyor data gathering). The population of this research is 700 midwives in the city of Banjarmasin with a sample of 46 midwives and 30 patients taken with Random Sampling method. Result: Innovation in midwifery practices is safe for the skins of new mothers (no skin irritation was observed), capable of storing blood up to 1.800 ml, easy to use, has a multitude of uses (can determine the amount of blood loss, increases midwife productivity, increases midwife work quality, and help with documentation), as well as economical. Conclusion: Innovation in midwifery practices can be used to detect postpartum bleeding early, which will lead to a decrease in the death rate caused by postpartum bleeding.

Keywords
Midwifery professional issue, patient safety, postpartum

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/Bpbg2DZTdF38

Corresponding Author
Else Agustina

Institutions
1 Rumah Sakit Umum Universitas Muhammadiyah Malang East Java, Indonesia
2 Post Graduate Program in Hospital Management, Faculty of Medicine Universitas Brawijaya, Malang East Java, Indonesia
3 School of Nursing Faculty of Medicine Universitas Brawijaya, Malang East Java, Indonesia

Abstract
Pre-anaesthesia assessment has a pivotal role to ensure safe surgery which needs a strong interprofessional collaborative practice among care providers. This research aims to explore the interprofessional collaboration knowledge, attitude, and behaviour among care providers when performing pre-anaesthesia assessment. A survey using closed-ended questionnaires was carried out with 80 respondents (67 nurses, and 13 specialist physicians) in a private hospital with 130 beds. A descriptive and path analysis was performed. In general care providers showed a relative good interprofessional collaboration attitude (75.45), and behaviours (77.92) but a lack understanding of pre-anaesthesia assessment (50.95) and interprofessional collaboration (68.17) was revealed. While the overall attitude score was good, a weakness was noted in the physician-s autonomy dimension (50.88). The lowest score of behaviours was found in isolation dimension (73.00). The path analysis found no significant correlation between knowledge and behaviours but has a low negative correlation with attitude. The attitude itself has a significant negative association with behaviours even though the models only explain 22% variation in interprofessional collaboration. Care providers need to have better understanding related to interprofessional collaboration in pre-anaesthesia assessment, even though knowledge and attitude do not show a significant correlation to the interprofessional collaboration behaviours.

Keywords
pre-anaesthesia assessment, interprofessional collaboration, knowledge, attitude, behaviour

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/wpj7bnKZq8G9

Corresponding Author
Qurratul Aini

Institutions
Master of Hospital Management, Universitas Muhammadiyah Yogyakarta, Jl. Brawijaya, Tamantirto Kasihan Bantul, Daerah IStimewah Yogyakarta 55183, Indonesia

Abstract
Patient safety is an important issue in hospital services. Appropriateness in health services, speed (timeliness), and freedom from danger and error (free from harm and error) are the three main elements of patient safety (patient safety). To realize hospital services that emphasize aspects of patient safety need to be built patient culture safety and patient safety attitudes from medical personnel, nurses and doctors to realize patient safety behavior. The purpose of this study is to model patient safety behavior which is influenced by patient culture safety and patient safety attitudes. This research was conducted at PKU Muhammadiyah Hospital Bantul with a sample of clinical practitioners, namely doctors and nurses. Data analysis was performed using PLS-SEM to analyze patient safety behavior models as well as the influence of patient safety culture and patient safety attitudes. The results show that the patient safety behavior model has a good level of goodness of fit. The culture of patient safety was found to have a positive influence on patient safety behavior. Patient safety attitude was also found to have a positive influence on patient safety behavior. These results confirm that patient safety behavior can be improved by enhancing patient safety culture and the attitude of patient safety from nurses and doctors in providing health services in hospitals.

Keywords
Patient Safety Culture; Patient Safety Attitude; Patient Safety Behavior

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/K8YtA4bvxDau

Corresponding Author
Siti Fatmala Rezeki

Institutions
Faculty of Public Health, Hasanuddin University

Abstract
Interpersonal communication in nursing profession is a supporting factor for professional nursing services carried out to assist the healing process of patients. The purpose of this study is to determine the description of interpersonal communication between nurses and patients in inpatient installation at RSUD H. A. Sulthan Daeng Radja Bulukumba. This study was an observational research with a descriptive design and quantitative approach. The sampling method in this study was proportional random sampling technique obtained within 94 respondents. Furthermore, univariate analysis was used to analyzed the data by using SPSS to determine the frequency distribution of each dimension in research variable. The results showed that the interpersonal communication between nurses and patients in inpatient installation at RSUD H. A. Sulthan Daeng Radja Bulukumba on the openness dimension is 88.3% categorized in good category, empathy dimension is 51.1% categorized in good category, supportive attitude dimension is 67% categorized in poor category, positive attitude dimension is 84% categorized in good category, and equality dimension is 86.2% categorized in good category. Thus, it can be concluded that interpersonal communication between nurses and patients in inpatient installation at RSUD H. A. Sulthan Daeng Radja Bulukumba can be categorized as good. However, study suggest the hospital to improve interpersonal communication between nurses and patients and the hospital should conduct an effective communication training for all nurses.

Keywords
Keywords : interpersonal communication, nurse, patient

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/TH3BN6g4MJwx

Corresponding Author
Peter Rusli

Institutions
Hospital Administration Programme, Public Health Faculty, Universitas Indonesia; Health Administration and Policy, Public Health Faculty, Universitas Indonesia

Abstract
Objective: The hospital as an advanced health facility is expected to provide complete services. In the process it is in line with the objectives of Hospital Accreditation in order to get quality recognition and prioritize Patient Safety. The purpose of this study was to determine the readiness to fulfill Infection Prevention and Control standards according to SNARS first edition in Mitra Jambi Hospital in terms of problem solving cycle. Method: The research method used is qualitative research where the data collection is done by in-depth interviews and document review. Results: The research results show that in terms of input to human resources, facilities and infrastructure, budgeting and instruments have been maximized despite various limitations and conditions of hospitals that are still operating. In terms of the process for fulfilling human resources qualifications, it is sufficient even though training on training is still minimal and limited to internal training or comparative studies to other hospitals. Procurement of infrastructure is also still using priority directly related to services such as the procurement of hand rubs and hand soap hand washing programs and Central Sterile Supply Department (CSSD) units, laundry and nutrition for equipment and rooms that comply with Infection Prevention and Control standards. Financing is still constrained due to the limited availability of funds but can be optimized. The implementation of the instrument which includes monitoring evaluation is considered to be still not maximal but has gone well. As an output, the achievement of meeting Infection Prevention and Control standards through self-assessment from all parts of the input is considered sufficient and able to deal with the hospital accreditation process. Conclusion: the readiness of human resources, infrastructure, policies/ regulations, budgeting as well as the PPI Standard instruments have been largely fulfilled and are ready to face hospital accreditation surveys. Suggestion to Infection Prevention and Control Committee and Infection Prevention and Control Nurse (IPCN), Nurse Department, Hospital Management and also Accreditation Team to continuous coordination each other to achieve feedback, regularly socialization for educational of Infection Prevention and Control standard to staff and also patient with their family, goals to maintain and increasing hospital quality thorough Infection Prevention and Control.

Keywords
Infection Prevention and Control, Standard, Hospital Acreditation

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/k9cYa3RXerDz

Corresponding Author
Lalu Muhammad Saleh

Institutions
Occupational Health and safety, Faculty of Public Health Hasanuddin University

Abstract
Airplane accidents still occur frequently in Indonesia. This event can be caused by unsafe acts from humans or unsafe conditions. Air Traffic Controllers (ATCs) are stressful. The amount of responsibility carried out in controlling the aircraft becomes a heavy workload for employees. The work pressure is given that there is no room to make mistakes when controlling so that the physical and psychological conditions of the employee must always be ensured well before duty. This research to find out how the effects of relaxation on ATC occupational health after relaxation for 1 (one) month. The research was conducted at AirNav Makassar. Primary data is obtained from the results of interviews and observations, while secondary data is obtained from document review. Informants in this study were the Chairman of the Indonesian Air Traffic Controller Association (IATCA) Makassar and seven ATC employees. The results showed that there was a relaxation effect felt by informants both physically and mentally. It is recommended that this relaxation technique can continue to be carried out and familiarized with each day.

Keywords
Effect of Relaxation, AirNav, ATC, Occupational Health and Safety

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/rcqx3YgmhvKC

Corresponding Author
Fuad Husain Akbar

Institutions
a,b Department of Dental Public Health, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
b Department of Hospital Management, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
c Abdul Hair Awang, Faculty of Sosial Sciences and Humanities, Selangor, National University of Malaysia

Abstract
Objective: To know the difference of patients satisfaction level in dental department of public hospital and private hospital in Makassar Methods: This study was conducted in December 2017 - February 2018 in dental department of Labuang Baji which is a government hospital and Ibnu Sina Hospital which is a private hospital. The samples were all patients who received dental treatment. Patient satisfaction was measured using a Patient Satisfaction Questionaire (PSQ-18). Data were tested by using Independent T-Test and ANOVA. The data is processed using SPSS version 24. Results: There were significant differences in the general satisfaction, accessibility, convenience, and communication domain between public and private hospitals (p <0.05), where the mean value of patient satisfaction was higher in private hospitals Conclusion: Patients in private hospitals are more satisfied with the health services provided by health care providers, compared to patients in public hospitals.

Keywords
Keyword: Satisfaction; Government; Private; Quality; Accessibility; Indonesia

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/Jt7aAmjEGHYw

Corresponding Author
Arvidareyna panca Aprilianingtyas

Institutions
(a) RSD dr. Soebandi Jember, Jalan Patrang no 124, Jember 68122, Indonesia
(b)Hospital Management Master Study Program of Medical Faculty of Brawijaya University Malang

Abstract
Patient safety is the goal of patients service in assuring its quality. One of the strategy to design patients safety system is by recognizing potential errors, in order to take necessary measures to minimize the negative effect. Reporting system helps us to recognize and report error. The number of report for health service is still low, and it happens also in dr Soebandi Public Hospital in Jember. This study aims at determining the impact of nurses knowledge and motivation on their attitude in reporting patient safety incidents in dr Soebandi Public Hospital, Jember. This study was conducted on April – May 2018 employing quantitative research design with cross-sectional approach. Data were obtained by questionnaire given to 82 nurses working in dr. Soebandi Public Hospital in Jember. It was found out that there is a significant and positive effect of knowledge on attitude(t-statistic 3.613,koefisien direct effect 0.400), motivation on attitude(t-statistic 5.216, koefisien direct effect 0.473), knowledge on motivation(t-statistic 3.289, koefisien direct effect 0.434), knowledge on attitude through motivation (t-statistic 2.782, koefisien indirect effect 0.205). Knowledge is the most dominant factor influencing nurses attitude in reporting patients safety incidences in dr. Soebandi Public Hospital in Jember.

Keywords
patient safety incidence report, knowledge in reporting safety incidence patients, attitudes in reporting patients safety incidence

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/p8TrPmGzYf3W

Corresponding Author
Fridawaty Rivai

Institutions
Hospital Management Departement of Public Health Faculty, Hasanuddin University

Abstract
This study aimed to compare the patient experiences of inpatient unit at Makassar District Hospital and Haji Regional Hospital. This research was a cross sectional study with descriptive approach. The study involved 118 respondents in Makassar General Hospital and 120 respondents in Haji Regional Hospital. The results showed that among 12 dimensions of patient experience, patients in Makassar district hospital had good experiences in 6 dimensions (information and communication, convenient environmental, medicine management, employee availability, respecting patient-s experience, and service assistance) and patients in Haji regional hospital experienced good service in 6 dimensions of patient experience (waiting time, emotional support, pain management, trust inservice providers, perceived nutrition care, and family and friend involvement). Both of the hospitals have the same number of good experience dimensions. The study recommended the hospital to make improvements in terms of the quality of service by paying attention to other dimensions.

Keywords
Inpatient Unit; Patient experience; Public Hospital

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/3WmcXfxRV7tr

Corresponding Author
Andi Wetenri Padauleng

Institutions
Department Of Hospital Administration and Management, Faculty of Public Health, Hasanuddin University

Abstract
Objective : To identify the dominant leadership style and to analyze the relationship between leadership style and nurse-s work motivation with the application of patient safety culture of the inpatient installation in the c class hospital of Bone regency. Methods : This research is a cross sectional study which involved 104 nurses in total sampling. Data were analyzed using the chi-square test (k x k). Result : The dominant leadership style of the inpatient nurse managers is transactional with a percentage of 69.2%. There was a significant relationship between leadership style (p<0.05) and nurse-s work motivation (p <0.05) with the application of patient safety culture, respectively. Conclusion : The transactional leadership has an impact on independent culture and the combination of extrinsic and intrinsic motivation has an impact on creating public service motivation which is good to build reporting and learning culture.

Keywords
Leadership, work motivation, patient safety culture

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/By7U3hw2ezna

Corresponding Author
Diah Ayu Kusumawardani

Institutions
Magister of Hospital Management Medical Faculty Universitas Brawijaya

Abstract
Hospitals in Indonesia face a competitive global situation in the era of Jaminan Kesehatan Nasional (JKN) and the Asean Economic Community (AEC). Hospitals are required to maintain services for increasing patient satisfaction and adaptin to the changing market. Service satisfaction that needs to be improved includes satisfaction with service products, service processes, and aftersale service. The aim of the research is knowing the influence of satisfaction on product service, service process, and aftersale service to patient loyalty. The study was conducted at the RSIA Melati Husada in December 2018 - January 2019. The research sample used was 82 inpatients who were obtained by consecutive sampling technique. Data were collected by distributing questionnaires, then the data were analyzed by using Partial Least Square (PLS). The result of PLS shows a positive and significant influence on satisfaction with service products, service processes, and aftersale service to patient loyalty. Satisfaction in service products is the most dominant satisfaction in forming patient loyalty.

Keywords
product satisfaction, process satisfaction, aftersale satisfaction, loyalty, hospitalization

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/dEG7TU2eHbkp

Corresponding Author
Nikma Fitriasari

Institutions
Postgraduate Program in Hospital Management, Faculty of Medicine, Universitas Brawijaya
Jalan Veteran Malang
nikma.fitriasari[at]gmail.com

Abstract
Background: Medical errors is the first (24.8%) rank of the 10 reported incidents as a result of high prescription frequency in health care. Lean and Safety Project (L&S Project), a combination of Health Lean Management and Clinical Risk Management, is one of the promising tools to improve safety. Objective: This study aimed at identifying the problem of medication error and proposing improvement through L&S Project. Methods: The study was performed in a class B teaching hospital with 410 beds. We implement the five steps of L&S project in Pharmacy unit. The five steps are determination of triggers and objectives, organizational aspects, phases, outcomes and sustainability, enabels and obstacels. Results: The main problem found in medication errors is the rate of drug administration error by 6%. The results of the L&S Project approach are produced a special pharmaceutical safety guidance system consist of policies, standards operating procedures, and service flowchart. We proposed a new steps with the seven safety in clinical pharmacy, which are safe prescription data, patient bill category, 7 right medication, drug label, dispensing, distribution, and information. Conclusion: Identification of the main problem is drug administration error. Proposed improvement carried out through L&S Project with seven safety in clinical pharmacy.

Keywords
medication error, health lean management, clinical risk management, safe medication

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/FdukR43bp2mt