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"Paramedis dalam bekerja sehari-hari menghadapi risiko LTJS dan dapat berdampak infeksi. RUMKITAL Dr. Midiyato S berkedudukan di Kota Tanjugpinang Ibu Kota Provinsi Kepulauan Riau yang mempunyai prevalensi HIV tinggi, menggunakan jarum suntik rata rata 200 buah per hari. Kejadian LTJS dan faktor faktor yang mempengaruhinya belum terdata baik. Telah dilakukan penelitian cross sectional di RUMKITAL Dr. Midiyato S dan didapatkan insiden LTJS pada tahun 2012 sebesar 80% di mana faktor persepsi terhadap risiko LTJS, faktor reinforcing, dan faktor enabling berhubungan signifikan dengan kepatuhan paramedis dalam melakasanakan kewaspadaan universal. Faktor enbaling juga berhubungan signifikan dengan keamanan menyuntik. Kepatuhan dan keamanan menyuntik selanjutnya berhubungan signifikan dengan kejadian LTJS. Faktor yang paling dominan berhubungan dengan kepatuhan secara berurutan adalah faktor reinforcing (p = 0.000; α = 0,05, OR = 99,000), faktor enabling (p= 0,000, α = 0,05, OR =11,160), dan faktor persepsi (p = 0,00; α = 0,05, OR = 4,677). Faktor yang paling dominan berhubungan dengan LTJS secara berurutan adalah faktor keamanan menyuntik (p = 0,000; α = 0,05, OR = 63,000) dan faktor kepatuhan (p = 0,000; α = 0,05, OR = 42,429).

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Paramedics on carry out duties are contracting the risk of needle stick injuries (NSI) and possible infections. Dr. Midiyato S Naval Hospital is located in Tanjungpinang The Capital City of Kepulauan Riau Province where high prevalance of HIV infection takes place. Dr. Midiyato S Naval Hospital (DMSNH) utilizes an average of 200 needles per day. Incidence and factors correlating to NSI are unidentified.

A cross sectional study is completed at DMSNH in year 2012. The incidence of NSI was 80%, whereas factors correlated to paramedics’ compliance to universal precaution practice are perception, reinforcing factors, and enabling factors. Enabling factors are also correlated to injection safety. Paramedics’ compliance and injection safety are in turn correlated to NSI incidence.

Factors ranging from most correlated to compliance are reinforcing factors (p = 0.000, α = 0,05, OR = 99,000), enabling factors (p = 0,000, α = 0,05, OR =11,160), and perception (p = 0,00, α = 0,05, OR = 4,677). Factors ranging from most correlated to NSI are injection safety (p value = 0,000; α = 0,05, OR = 63,000) dan paramedics’ compliance (p value = 0,000; α = 0,05, OR = 42,429)."

"Aplikasi SatuSehat Mobile atau yang sebelumnya dikenal sebagai PeduliLindungi merupakan aplikasi yang diinisiasi oleh pemerintah dalam melakukan pelacakan digital guna menghentikan penyebaran COVID-19. Pemerintah mewajibkan penggunaan aplikasi PeduliLindungi. Sejak tanggal 1 Maret 2023, PeduliLindungi resmi bertransformasi menjadi SatuSehat Mobile. Penelitian ini bertujuan untuk menganalisis penerimaan aplikasi SatuSehat Mobile oleh masyarakat di DKI Jakarta usia 20-29 tahun. Penelitian ini dilakukan dengan pengaplikasian Technology Acceptance Model (TAM). Jenis penelitian yang digunakan adalah kuantitatif. Penelitian ini dilakukan pada pengguna aplikasi SatuSehat Mobile di DKI Jakarta usia 20-29 tahun, sebanyak 420 responden. Penelitian dilaksanakan selama bulan Mei-Juni 2023. Hasil analisis univariat menunjukkan pandangan yang baik terhadap aplikasi SatuSehat Mobile. Hasil analisis bivariat menunjukkan bahwa perceived ease of used berpengaruh terhadap perceived usefulness, perceived usefulness berpengaruh terhadap attitude toward using, perceived usefulness berpengaruh terhadap attitude toward using, attitude toward using berpengaruh terhadap behavioral intention to use, dan behavioral intention to use berpengaruh terhadap actual system use. Pada analisis multivariat terhadap variabel attitude toward using, menunjukkan bahwa perceived ease of used merupakan variabel yang paling berpengaruh yang menentukan sikap pengguna dalam menggunakan aplikasi SatuSehat Mobile. Penerimaan aplikasi SatuSehat Mobile oleh pengguna sudah cukup baik, serta perlu dilanjutkan untuk meningkatkan fitur-fitur, keamanan data, dan maintenance pada aplikasi untuk meminimalisir potensi eror dan meningkatkan penerimaan pada pengguna.

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The SatuSehat Mobile application, previously known as PeduliLindungi, is an application initiated by the government to carry out digital tracking to stop the spread of COVID-19. The government requires the use of the PeduliLindungi application. Since March 1st 2023, PeduliLindungi has officially transformed into SatuSehat Mobile.

This research aims to analyze the acceptance of the SatuSehat Mobile application by the people in DKI Jakarta aged 20-29 years. This research was conducted by applying the Technology Acceptance Model (TAM). The type of research used is quantitative. This research was conducted on SatuSehat Mobile application users in DKI Jakarta aged 20-29 years, for total 420 respondents. The research was conducted during May-June 2023.

The results of the univariate analysis show a good perception of the SatuSehat Mobile. The results of bivariate analysis show that perceived ease of use take effect to perceived usefulness, perceived usefulness take effect to attitude toward using, perceived usefulness take effect to attitude toward using, attitude toward using take effect to behavioral intention to use, and behavioral intention to use take effect to actual system use.

In the multivariate analysis of the attitude toward using variable, show that perceived ease of use is the most take effect variable that determines user attitudes in using the SatuSehat Mobile application. The acceptance of the SatuSehat Mobile application by users is quite good, and it is necessary to continue to improve features, data security, and maintenance of the application to minimize potential errors and increase user acceptance."

"Bahan Medis Habis Pakai (BMHP) adalah alat kesehatan sekali pakai yang mendukung pelayanan di rumah sakit. Persediaan BMHP di Rumah Sakit Universitas Indonesia memiliki permasalahan ketidaksesuaian antara persediaan dengan pemakaian sehingga terjadi overstock atau deadstock di Unit Farmasi RSUI. Studi perencanaan dengan metode Always, Better, Control (ABC) dan Minimum Maximum Stock Level (MMSL) perlu dilakukan untuk menentukan prioritas serta jumlah persediaan minimum dan maksimum BMHP. Penelitian dilakukan secara observasional dengan menggunakan data retrospketif berupa data pengadaan dan pemakaian Unit Farmasi RSUI periode 2021—2022. Penelitian ini bertujuan mengetahui perubahan pola persediaan BMHP serta menganalisis pengelolaan BMHP di Unit Farmasi. Hasil dari penelitian menunjukkan bahwa terdapat perbedaan jumlah pemakaian BMHP pada 2021 dan 2022. Selanjutnya untuk mengevaluasi pengelolaan, dari 930 item BMHP dapat dikelompokkan prioritasnya dengan metode ABC menjadi kelompok A (74 item), kelompok B (184 item), dan kelompok C (672 item). Kemudian, dari perhitungan MMSL didapatkan stok minimal dengan rentang 0,9—35.690 unit dan stok maksimal dengan rentang 0,18—98.007 unit. MMSL juga bisa menurunkan nilai investasi dari stok akhir tahun hingga 77% sehingga kemungkinan terjadinya overstock dan deadstock bisa dikurangi. Hal ini membuktikan bahwa analisis dengan ABC dan MMSL bisa membantu rumah sakit menentukan prioritas dan melakukan pemesanan sesuai perhitungan.

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Consumable medical materials (CMM) are single-use medical devices that support healthcare services in hospitals. The stock of consumable medical materials at RSUI have problem of discrepancy between the inventory and usage leading to overstock or deadstock in the hospital's Pharmacy Unit. A planning study using the Always Better Control (ABC) method and Minimum Maximum Stock Level (MMSL) needs to be conducted to determine priorities and the minimum and maximum stock quantities. This research conducted on observational basis using retrospective data on procurement and usage from the RSUI Pharmacy Unit for the period of 2021—2022. This study aimed to understand the changes in CMM inventory patterns and to analyze the management of CMM in the Pharmacy Unit. The results of the research show that there were differences in the amount of CMM usage between 2021 and 2022. Furthermore, to evaluate the management out of 930 CMM items, their priorities were classified using the ABC method into Group A (74 items), Group B (184 items), and Group C (672 items). Subsequently from the MMSL calculation, the minimum stock level ranged from 0.9—35.690 units, and the maximum stock level ranged from 0.18—98.007 units. MMSL also reduced the year-end stock investment value by up to 77%, thereby decreasing the likelihood of overstock and deadstock. This demonstrates that the ABC and MMSL analysis can assist hospitals in setting priorities and placing orders based on calculations."

"Rumah sakit membutuhkan logistik dalam pelaksanaan kegiatannya. Sama seperti pengelolaan obat di Instalasi Farmasi, pengelolaan bahan medis habis pakai yang tersedia di ruang rawat perlu juga dilakukan monitoring dan evaluasi agar pengelolaan BMHP di ruang rawat dapat dipertanggungjawabkan penggunaannya. Penelitian bertujuan untuk mengevaluasi penggunaan BMHP floor stock untuk sepuluh tindakan keperawatan dan menemukan permasalahannya di Unit Rawat Inap Gedung A. Metode yang digunakan adalah metode penelitian kuantitatif dan kualitatif dengan teknik pengumpulan data triangulasi antara telaah dokumen, Focus Group Discussion (FGD) dan wawancara mendalam. Hasil penelitian menunjukkan bahwa secara umum, tidak ada perbedaan yang signifikan antara penggunaan BMHP Floor Stock untuk sembilan tindakan keperawatan di Lantai 4 dan 7. Satu tindakan keperawatan tidak dapat dibandingkan karena keterbatasan data. Ada perbedaan yang signifikan pada aspek kode CMG, Shift kerja, pendidikan terakhir, jabatan, serta level kompetensi untuk tindakan tertentu. Sedangkan untuk lama kerja, jenis kelamin dan usia tidak ada perbedaan yang signifikan. Terdapat pengaruh Input Man (sumber daya manusia), Money (Pendanaan), Machine, Methode serta fungsi pelaksanaan dan pengawasan terhadap penggunaan dan pendokumentasian BMHP Floor Stock untuk tindakan keperawatan.

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Hospitals need logistics in the implementation of their activities. Just like drug management in Pharmacy Installation, management of consumable medical materials (BMHP) available at the ward should also be monitored and evaluated so that BMHP at the inpatient ward can be accounted for its use. The study aimed to evaluate the use of BMHP floor stock for the ten nursing practice and found problems in the Inpatient Unit of Public Wing. The methods used were quantitative and qualitative research methods with triangulation data collecting techniques between document review, Focus Group Discussion (FGD) and in-depth interview. In general, there is no significant difference between the use of the BMHP Floor Stock for nine nursing practice on 4th and 7th Floor. One of nursing practice can't be compared because of data limitations. There are significant differences in aspects of CMG codes, work shifts, recent education, positions, and competency levels of certain nursing practice. As for the length of work, gender and age, there is no significant difference. There is an influence of Input man (human resources), Money (Funding), Machine, Methode as well as function of implementation and supervision to use and documentation of BMHP Floor Stock for nursing practice."

"The article talks about four principles of biomedical ethics, respect for autonomy, non-maleficence, beneficence, and justice. The methodology which was a critique against the present biomedical ethics, was formulated in 1979 by Tom Beauchamp and James Childress. By applying principlism, the paramedics have to constantly understand three components: application, balancing efforts, and specification. The four fundamental principles of biomedical ethics (autonomy, non-maleficence, beneficence, and justice) have proposed a useful methodology to deal with cases, such as the doctor-patient relations, the use of life support systems, or any research using man as subject."