Indonesia Conference Directory

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

Corresponding Author
Silvia Candradewi

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

Abstract
Emergency trolley is one of the logistic interventions to ensure the availability of essential drug in emergency situation. The study aims to review emergency trolley utilization in general ward. We evaluate the utilization (reason and drug used) in eight emergency trolley in a private hospital. Based on daily emergency trolley records we hand search the related patient medical records to identify the reason of using emergency trolley. There were 361 identified reasons for the use of trolleys in the inpatient unit and not all of it was for emergency conditions (70.64%). Study identified that 19.39% reasons were non-emergency conditions, and could not be explained (9.97%). The most common emergency conditions are cardiac arrest, hypoglycaemia, and shock. The non-emergency reason were mostly for maintenance treatment for shock. Some of the reason were unclear that falls into two situation which were opening a trolley without the use of drugs and the use of drugs that are not recorded in medical records. The drugs most often used for emergency conditions were epinephrine, dextrose 40%, and norepinephrine while for non-emergency conditions were norepinephrine, dopamine, and diphenhydramine. This study found that the use of emergency trolleys in the inpatient unit is not always for emergency purposes therefore a more clear regulation is needed and need to be well socialized and implemented.

Keywords
emergency trolley, utilization review, false emergency reason

Topic
Logistic and Medicine

Link: https://ifory.id/abstract/nEG89a3bzCuZ

Corresponding Author
Peni Mujinastiti

Institutions
(a) Fakultas Kedokteran, Program Studi Magister Manajemen Rumah Sakit, Universitas Brawijaya Malang
Jl. Veteran Malang-65145, Jawa Timur - Indonesia
*penimujinastiti[at]yahoo.co.id
(b) Fakultas Ilmu Budaya, Universitas Brawijaya Malang
Jl. Veteran malang-65145, Jawa Timur - Indonesia

Abstract
Increasing complaints makes X hospital management appoint officers to handle complaints that occur at the hospital. Human resources determine the activities of a company, and management must pay attention to human resources development. The purpose of the study was to reveal the meaning of the experience of complaints handling officers at hospital X. A phenomenological qualitative research design was conducted, and 4 participants was selected using purposive sampling. In-depth interviews toke place in February-April 2019. Data analysis using Interpretive Phenomenological Analysis (IPA). The results obtained are feelings of gratitude and sincerity in being a complaint handling officer, despite minimal experience. He felt this task was part of the destiny God gave him. The moral responsibility makes complaints handling officers struggle to carry out their roles. Feelings of discomfort (sad and bored) during work are overcome by workplace spirituality, which encourages workers to carry out the task of handling complaints as part of worshiping God. The spirituality of the complaints handling officer will form a new mentality characterized by a more holistic orientation, providing service to humans, having a commitment to truth and other forms of noble behavior and self-awareness. Characteristics of this mentality are very necessary for companies to improve performance. Spiritual psychological experience of officers is so strong that it produces deep motivation and feelings. Spirituality in work makes employee perform their roles well, and make him officers feel job satisfaction at X hospitals. Companies that emphasize spirituality will change the behavior of workers and companies and increase work productivity.

Keywords
Influence; Performance; Spirituality

Topic
Human Resources Management

Link: https://ifory.id/abstract/JWKFpm8YdQLA

Corresponding Author
Yany khoirurakhmawati nadhir

Institutions
master of hospital mangement, faculty of madicine, Brawijaya university

Abstract
Objective: : Right medication is an important procedure to prevent medication errror.The purpose of this study was to determine the effect of workshops on nurses knowledge, motivation, and attitudes towards the five right drug administration. Method : This research was quasi-experiment, pre, and post without control group design. The instruments were questionnaires distributed to 140 inpatient nurses, before, one week and four weeks after the workshop. The questionnaire consisted of 10 ( knowledge), 17 ( intrinsic and extrinsic motivations) and 20 (evaluative and belief attitudes). The workshop was conducted with lecturing session, video presentation and discussion. The differences of measured variables were analyzed using Friedman test. Results: The results indicated low mean of knowledge but high mean of motivations and attitudes. Friedman test revealed that there were significant differences in knowledge (p= 0.000), motivation (p= 0.000), and attitudes (p= 0.000) about five rights of medication administration before, one and four weeks after the workshop. Conclusion: Workshop increases nurses- knowledge, motivations and attitudes towards five rights of medication administration.

Keywords
workshop, knowledge, motivation, attitude, five right drug administration

Topic
Human Resources Management

Link: https://ifory.id/abstract/WFb3Z2UrVyT8