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"Pendahuluan: IGD berperan sebagai pintu masuk pasien ke rumah sakit, yang harus selalu siap memberikan pelayanan pasien 7 hari 24 jam sesuai standar pelayananan minimum yang diatur dalam Permenkes 47 tahun 2018. Selama pandemi Covid-19, rumah sakit dan IGD terdampak langsung, terlihat pada berbagai metriks operasional IGD seperti jumlah pasien yang datang, pola penyakit dan tingkat triase pasien, admisi dan lama pelayanan di IGD, dan juga kejadian pulang paksa. Usai pandemi, perlu dikaji ulang berbagai metriks operasional itu untuk keperluan pengelolaan dan perencanaan ke depan.Metodologi: Penelitian ini sifatnya deskiptif, menggunakan sumber data primer (obervasi dan wawancara mendalam dengan informan) dan data sekunder (laporan operasional, rekam medis pasien IGD dan SPO). Data yang diteliti adalah untuk periode Januari – Desember 2019, 2022 dan 2023.Hasil: Dengan menggunakan data tahun 2019 sebagai pembanding, didapatkan bahwa di masa pandemi jumlah pasien lebih tinggi 13% dan usai pandemi masih lebih rendah 3%. Salah satu top-10 penyakit adalah infeksi corona virus di tahun 2022, namun 9 penyakit lainnya sama untuk ketiga periode yang diteliti. Konversi admisi pasien IGD ke rawat inap stabil di sekitar 30%, dan tingkat triase pasien 75% - 90% di ATS4 dan ATS5 yang tidak mengancam/berpotensi mengancam nyawa. Lama rawat memanjang saat pandemi namun usai pandemi sudah kembali normal. Ada trend kenaikan kejadian pulang paksa, yang harus diteliti lebih lanjut untuk perspektif dari pasien.Kesimpulan: Pandemi Covid-19 berdampak pada berbagai metriks operasional IGD. Teridentifikasi beberapa masukan yang dapat diterapkan oleh manajemen rumah sakit untuk perbaikan, juga beberapa rekomendasi untuk pembuat kebijakan.

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Introduction: The Emergency Department (ED) acts as the patient's entrance to the hospital, which must be ready to provide patient services 7 days 24 hours in accordance with the minimum service standards regulated in Minister of Health Regulation 47 of 2018. During the Covid-19 pandemic, hospitals and EDs were directly affected, as seen in various ED operational metrics such as the number of patients, disease patterns and patient triage levels, admissions and length of service in the ED, and the incidence of leaving against medical advice. After the pandemic, those operational metrics need to be reviewed for future management and planning purposes.

Methodology: This research is descriptive in nature, using primary data sources (observations and in-depth interviews with informants) and secondary data (operational reports, medical records of ED patients and standard operating procedure). The data studied is for the periods January – December 2019, 2022, and 2023.

Results: Using 2019 data as a comparison, it was found that during the pandemic the number of patients was 13% higher and after the pandemic it was still 3% lower. One of the top 10 diseases in 2022 is corona virus infection, but the other 9 diseases are the same for the three periods studied. The conversion rate of ED patient to inpatient is stable at around 30%, and the proportion of patient triage categorized as non-life-threatening/potentially life-threatening ATS4 and ATS5 is 75% - 90%. The length of service lengthened during the pandemic, but after the pandemic it has returned to normal. There is an increasing trend in the incidence of leaving against medical advice, which should be further investigated from the patient's perspective.

Conclusion: The Covid-19 pandemic has impacted various ED operational metrics. Several inputs were identified that could be implemented by hospital management for improvement, as well as several recommendations for policy makers."

"Latar Belakang : Pelayanan di Instalasi Gawat Darurat (IGD) adalah jantung dari sebuah pelayanan rumah sakit dan memainkan peran penting dalam menyelamatkan pasien nyawa pasien. Emergency Departement Length of Stay (ED LOS) atau yang lebih dikenal dengan waktu tunggu merupakan waktu yang diukur saat pasien diputuskan oleh dokter atau tenaga kesehatan lainnya untuk masuk ke IGD hingga pasien pulang atau pindah ke ruangan. Tujuan : Tesis ini menganalisis dan melakukan intervensi terhadap lamanya length of stay pasien IGD ke rawat inap di RSUD Kembangan dengan metode lean six sigma. Metode Penelitian : Desain penelitian yang digunakan adalah Explanatory Sequential Mixed Methods. Desain penelitian ini menggabungkan metode penelitian kuantitatif dengan penelitian kualitatif (mixed methods). Hasil Penelitian : Hasil penelitian menemukan bahwa akar masalah lamanya length of stay pasien IGD ke rawat inap adalah menunggu konsul DPJP, menunggu obat di apotik, dan menunggu hasil laboratorium. Peneliti melakukan perbaikan dengan metode lean six sigma dan didapatkan penurunan lead time aktivitas non-value added sebesar 60% dan penurunan lead time dari length of stay pasien IGD ke rawat inap sebesar 38,3%.

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Background: Emergency Department (ED) services are at the heart of hospital services and play an important role in saving patients' lives. Emergency Department Length of Stay (ED LOS) or better known as waiting time is the time measured when the patient is decided by a doctor or other health worker to enter the emergency room until the patient goes home or moves to the room.

Objective: This thesis analyzes and intervenes in the length of stay of ED patients to inpatients at Kembangan Hospital using the lean six sigma method.

Research Methods: The research design used is Explanatory Sequential Mixed Methods. This research design combines quantitative research methods with qualitative research (mixed methods).

Research Results: The results of the study found that the root cause of the length of stay of emergency room patients to hospitalization was waiting for DPJP consul, waiting for drugs at the pharmacy, and waiting for laboratory results. Researchers made improvements using the lean six sigma method and obtained a decrease in non-value added activity lead time by 60% and a decrease in lead time from the length of stay of emergency room patients to hospitalization by 38.3%."

"Pertumbuhan industri manufaktur dan konstruksi dapat meningkatkan potensi kecelakaan dan kejadian darurat yang perlu dipertimbangkan. Diperlukan sistem tanggap darurat untuk mengurangi dan meminimalkan dampak dan kerugian yang bisa disebabkan oleh peristiwa darurat. Tujuan dari penelitian ini adalah untuk menganalisis kesesuaian implementasi sistem tanggap darurat di pabrik fabrikasi baja PT Wijaya Karya pada tahun 2019 berdasarkan National Fire Protection Association 1600 (NFPA 1600) 2016 edisi untuk menangani peristiwa darurat/bencana. Penelitian ini adalah desain penelitian deskriptif kualitatif yang menggunakan dua jenis data-ata primer diperoleh melalui wawancara dan observasi lapangan, sedangkan data sekunder adalah melalui tinjauan dokumen. Dari penelitian ini, dapat disimpulkan bahwa kesesuaian implementasi sistem tanggap darurat berbasis NFPA 1600 di pabrik fabrikasi baja PT Wijaya Karya adalah 74%, sedangkan ketidaksesuaian adalah 26%. Meskipun hasilnya dapat diterima, perusahaan dituntut untuk meningkatkan perencanaan dan implementasi sistem tanggap darurat agar lebih komprehensif.

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The growth of the manufacturing and construction industry can increase the potential for accidents and emergencies that need to be considered. Emergency response systems are needed to reduce and minimize the impact and losses that can be caused by emergency events. The purpose of this study is to analyze the suitability of the implementation of the emergency response system at PT Wijaya Karya steel fabrication plant in 2019 based on the 2016 National Fire Protection Association (NFPA 1600) edition to handle emergency/disaster events. This research is a descriptive qualitative research design that uses two types of data; Primary data obtained through interviews and field observations, while secondary data is through a document review. From this study, it can be concluded that the suitability of the implementation of the NFPA 1600-based emergency response system at PT Wijaya Karya steel fabrication plant is 74%, while the non-conformity is 26%. Although the results are acceptable, companies are required to improve the planning and implementation of emergency response systems to be more comprehensive."

"Bangunan bertingkat tinggi seperti gedung perkantoran yang berlokasi di wilayah padat penduduk dengan aktivitas tinggi seperti DKI Jakarta rentan dan berisiko tinggi terhadap bahaya kebakaran. Penelitian ini bertujuan untuk menganalisis penerapan sistem tanggap darurat kebakaran di gedung kantor PT X berdasarkan elemen dalam NFPA 1600 edisi 2019: Standard on Continuity, Emergency, and Crisis Management dan Peraturan Menteri Pekerjaan Umum Nomor 20/PRT/M/2009. Desain penelitian ini menggunakan pendekatan kualitatif dengan desain deskriptif. Data yang digunakan adalah data primer dan sekunder yang dikumpulkan melalui wawancara, observasi langsung, serta telaah dokumen perusahaan. Data yang terkumpul dianalisis kesesuaiannya terhadap standar NFPA 1600 edisi 2019 dan Permen PU No. 20/PRT/M/2009. Hasil penelitian menunjukkan bahwa total persentase elemen NFPA 1600 edisi 2019 yang terpenuhi sebesar 91,58%, terpenuhi sebagian sebesar 4,49%, tidak terpenuhi sebesar 1,68%, dan tidak dapat diaplikasikan sebesar 2,24%. Sedangkan total persentase elemen Permen PU No. 20/PRT/M/2009 yang terpenuhi sebesar 87,50% dan terpenuhi sebagian sebesar 12,50%. Secara keseluruhan, penerapan sistem tanggap darurat terhadap bahaya kebakaran di gedung kantor PT X sudah baik, namun terdapat beberapa aspek yang perlu dievaluasi kembali oleh perusahaan seperti struktur tim tanggap darurat, penilaian risiko gedung terhadap bahaya kebakaran, serta prosedur pemulihan dari insiden kebakaran.

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High-rise buildings such as office buildings located in densely populated areas with high activity such as DKI Jakarta are vulnerable and have a high risk of fire hazard. This study aims to analyze the emergency response preparedness for fire hazards in the PT X office building based on the elements in the 2019 edition of NFPA 1600: Standard on Continuity, Emergency, and Crisis Management and Permen PU Nomor 20/PRT/M/2009. This research design uses a qualitative approach with a descriptive design. The data used are primary and secondary data collected through interviews, direct observation, and review of company documents. The collected data was analyzed by comparing it with the 2019 edition of the NFPA 1600 standard and Permen PU No. 20/PRT/M/2009. The study results showed that the total percentage of elements of the 2019 edition of NFPA 1600 that were fulfilled was 91.58%, partially fulfilled was 4.49%, not fulfilled was 1.68%, and not applicable was 2.24%. Meanwhile, the total percentage of elements of Permen PU No. 20/PRT/M/2009 that were fulfilled was 87.50% and partially fulfilled was 12.50%. Overall, the implementation of emergency response preparedness for fire hazards in PT X's office building is good, but there are several aspects that need to be re-evaluated by the company such as the structure of the emergency response team, building risk assessment for fire hazards, and recovery procedures from fire incidents."

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Unit Gawat Darurat pada RS X berfungsi untuk melayani pemeriksaan selama 24 jam yang diklasifikasikan sebagai zona kuning (infeksius) dan merah (berisiko terjadi kebakaran dan ledakan). Pada unit tersebut, tenaga kesehatan terpajan oleh berbagai bahaya. Skripsi ini menilai risiko keselamatan dan kesehatan kerja di Unit Gawat Darurat Rumah Sakit X Tahun 2019. Identifikasi bahaya menggunakan Job Safety Analysis (JSA) dan analisis risiko menggunakan standar semikuantitatif W.T Fine, pengumpulan data dilakukan dengan pendekatan observasi langsung dan wawancara kepada tenaga kesehatan terkait. Penilaian risiko dilakukan dengan menghitung risiko residual dan risiko prediktif sehingga diketahui tingkat risiko pada setiap penilaian tersebut dengan mempertimbangkan pengendalian yang sudah ada selanjutnya diberikan rekomendasi pengendalian. Hasil telitian mendapatkan 60 tugas kerja memiliki bahaya fisik, kimia, biologi, ergonomi, dan psikososial dengan jumlah risiko sebanyak 175 risiko. Nilai risiko residual kategori very high, priority 1, substantial, priority 3, dan acceptable masing-masing sebanyak 1, 6, 33, 80, dan 55. Hasil juga menunjukkan perlu adanya perhatian lebih pada bahaya ergonomi karena masih didapatkan tingkat risiko very high dan priority 1.

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Hospital X emergency unit functions to serve 24 hour check up that is classified as yellow zone (infectious) and red zone (probable risk of fire and explosion). In that unit, health workers are exposed to varieties of hazards. This thesis evaluates occupational safety and health risk assessment of Hospital X emergency unit in 2019. Risk identification was conducted using Job Safety Analysis (JSA) and risk analysis using W.T Fine semi-quantitative standard. The data was collected through direct observation and interview to the health workers. The assessment of risk is conducted by counting residual and predicted risks so that the risk level of every evaluation is known as referring to the already existing and recommended control and then to be given recomendation control. The results identified that 60 job duties have physical, chemical, biological, ergonomical, and psychosocial risks with 175 risks in total. Residual risk assessment includes categories of very high, priority 1, substantial, priority 3, and acceptable, each as many as 1, 6, 33, 81, and 56 respectively. The results also show the need of extra attention in the area of ergonomic risk as very high and priority 1 risks are still found in this area.

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"[Instalasi gawat darurat (IGD) rumah sakit adalah bagian dari rumah sakit yang memberikan layanan terdepan. Di Rumah Sakit dr. Mohammad Hoesin (RSMH) Palembang sudah terdapat IGD berdasarkan SK Direktur Utama Rumah Sakit yang menetapkan struktur organisasi, tugas dan tanggung jawab, visi dan misi, dan prosedur tetap pelayanan gawat darurat. IGD RSMH Palembang dikepalai oleh seorang dokter spesialis bedah urologi dibantu oleh dua orang kepala ruangan.Standar pelayanan di IGD sudah menerapkan standar layanan sesuai dengan standar akreditasi KARS 2012. IGD keberadaannya di rumah sakit diatur oleh Kepmenkes RI No. 856/Menkes/SK/IX/2009 tentang Standar IGD. Kepemenkes ini mengatur tentang standarisasi pelayanan gawat darurat di rumah sakit, dalam Kepmenkes tersebutdiatur standar organisasi, sumber daya manusia, pelayanan, kelengkapan sarana prasarana di IGD. Di RSMH Palembang telah dilaksanakan dokter spesialis jaga on site di IGD sejak 30 Januari 2014 sebagai tindak lanjut Kepmenkes RI tersebut. Sejak dilaksanakan kebijakan dokter spesialis jaga on site di IGD masih dijumpai kepatuhan para dokter masih belum optimal dan walaupun mutu layananan semakin membaik sejalan dengan telah terakreditasi paripurna rumah sakit versi KARS 2012. Penelitian ini bertujuan untuk mengetahui bagaimana implementasi kebijakan dokter spesialis jaga on site di IGD sudah dilaksanakan sesuai dengan tujuan yang diharapkan sesuai dengan Kepmenkes. Penelitian dilakukan dengan metode kualitatif melalui wawancara mendalam pada informan. Informan yang diwawancarai adalah jajaran Direktur RSMH Palembang, Ketua Komite Medik, Kabag. Keuangan, Kepala ruangan IGD dan para dokter spesialis. Penilaian hasil wawancara menggunakan kerangka fikir model implementasi kebijakan George Edward III dengan variabelsumber daya, komunikasi, disposisi dan struktur organisasi.Dari hasil penelitian ini didapatkan implementasi kebijakan dokter spesialis jaga on site belum berjalan dengan baik, disebabkan karena faktor komunikasi, disposisi dan struktur organisasi belum berjalan baik dan masih banyak perlu dukungan sumber daya. Usulan yang diberikan adalah penambahan dan kompetensi tenaga sesuai standar, revisi SOP, penyediaan media komunikasi, perbaikan fasilitas,meningkatkan koordinasi dan fungsi pengawasan secara berkala, advokasi ke Kemenkes RI.;Emergency department (ED) is a part of hospital which giving advanced services. In dr. Mohammad Hoesin (RSMH) Palembang hospital already own an emergency department based on SK director of the hospital whom establishes the organizational structure, duties and responsibilities, vision and mission, and standard operating procedures emergency services. ED RSMH Palembang is lead by a specialist urology and assisted by two heads of the room. Standard service of ED has implementing service standards according to accreditation standards KARS 2012. ED in the hospital arranged Indonesian health minister No. 865/Menkes/SK/IX/2009 about ED standards. The head of health minister regulates the standardization of emergency services at the hospital, which managing standard organizations, human resources, services, completeness infrastructure in ED. RSMH Palembang has been implemented specialist doctors duty on site in the ER since January, 30th 2014 as a follow-up of the head of the Indonesian health minister. Ever since implemented a policy specialist on duty in the ER site still found the compliance of the doctors are still not optimal and although the quality of service has improved in line with acreditation hospital KARS version 2012. This research aims to determine how the implementation of policy specialists doctors on site in the ER has been implemented in accordance with the expected goals in accordance with the head of health minister. Research done with qualitative method by performing in-depth interviews on informants. Informants interviewed are RSMH Palembang board of directors, chairman of the medical committee, chief financial officer, head of the ED room and specialist doctors. Assessment interview results are using logical framework policy implementation model George Edward III with variable resources, communications, disposition and organizational structure. From the results of this study, the implementation of policy specialist doctorson site guard has not run well, due to the communication factor, disposition and organizational structure has not been going well and much needed resource support. The given proposal is the addition of appropriate power and competence standards, the revised SOP, provision of communication media, improvement of facilities,improving the coordination and monitoring functions regularly, advocacy to the head of the Indonesian health minister, Emergency department (ED) is a part of hospital which giving advancedservices. In dr. Mohammad Hoesin (RSMH) Palembang hospital already own anemergency department based on SK director of the hospital whom establishes theorganizational structure, duties and responsibilities, vision and mission, and standardoperating procedures emergency services. ED RSMH Palembang is lead by aspecialist urology and assisted by two heads of the room. Standard service of ED hasimplementing service standards according to accreditation standards KARS 2012.ED in the hospital arranged Indonesian health minister No.865/Menkes/SK/IX/2009 about ED standards. The head of health minister regulatesthe standardization of emergency services at the hospital, which managing standardorganizations, human resources, services, completeness infrastructure in ED. RSMHPalembang has been implemented specialist doctors duty on site in the ER sinceJanuary, 30th 2014 as a follow-up of the head of the Indonesian health minister. Eversince implemented a policy specialist on duty in the ER site still found thecompliance of the doctors are still not optimal and although the quality of service hasimproved in line with acreditation hospital KARS version 2012.This research aims to determine how the implementation of policy specialistsdoctors on site in the ER has been implemented in accordance with the expectedgoals in accordance with the head of health minister. Research done with qualitativemethod by performing in-depth interviews on informants. Informants interviewed areRSMH Palembang board of directors, chairman of the medical committee, chieffinancial officer, head of the ED room and specialist doctors. Assessment interviewresults are using logical framework policy implementation model George Edward IIIwith variable resources, communications, disposition and organizational structure.From the results of this study, the implementation of policy specialist doctorson site guard has not run well, due to the communication factor, disposition andorganizational structure has not been going well and much needed resource support.The given proposal is the addition of appropriate power and competence standards,the revised SOP, provision of communication media, improvement of facilities,improving the coordination and monitoring functions regularly, advocacy to the headof the Indonesian health minister]"

"Bagian Gawat Darurat merupakan pintu gerbang dan cermirmya suatu rumah sakit yang memberikan pelayanan cepat, tepat, profesional tanpa mengabaikan keamanan pasien. Dengan kompleksnya permasalahan yang ada maka perlu diadakan penelitian untuk mengetahui gambaran pengelolaan pelayanan serta faktor input dan faktor proses yang mempengaruhi pengelolaan pelayanan di Bagian Gawat Darurat R S RK. Cbaritas Palembang. Penelitian ini merupakan penelitian kualitatif dengan pendekatan pemecahan masalah yang di!akuk.an di BGD RS RK Cbaritas pada bulan Maret sampai April 2008 melalui wawaneara mendalarn, observasi langsung, dan telaah dokumen. Hasil penelitian dengan mempergunakan problem priority matrix untuk memprioritaskan pemecahan masalah berdasarkan besarnya manfaat yang diperoleh dengan usaha yang dibutuhkan maka didapatkan lima permasalahan yang menduduki tiga rangking pertama yaitu lamanya waktu penjemputan pasien rawat inap, kualitas dokter jaga dan perawat BGD yang kurang jumlah perawat BGD kurang, pelaksanaan triase belum baik di BGD RS RK Charitas Palembang. Disarankan adanya kordinasi antara direktorat medis dan keperawatan untuk mempercepat proses penjemputan pasien rawat inap, memberikan pendidikan dan pelatihan untuk dokter jaga dan perawat BGD, menambah tenaga perawat BGD mempertegas pelaksanaan triase dan membuka poli insidentil dekat BGD pada saat poli rawat jalan tutup.

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The Emergency Department (ED) has already known as the gateway and the reflection of services given by the hospital which is suppose to be fast accurate and qualified without neglecting the pntient's safety. As the problem is more and more complicated regarding to services at the ED, therefore, a study is needed in order to explore how the quality of the service management is, as well as the input and process factors influenced at the ED of RK Charitas Hospital of Palembang. The research is a qualitative study with the Problem Solving Approach as the strategy of the study. The study is carried out at the ED of RK Charitas Hospital from March to April 2008 with an in-depth interview, direct observation and documents assessment (secondary data exploration), as the method of infonnation eolleetion.

The study is using the Problem Priority Matrix in order to find the problem solving prioritizing base on the magnitude of benefit yielded from effort required. There are five problems in the three first order, namely ; time for picking-up inpatient care at the ED still too long, inadequate quality of doctor and nurse at the ED, in adequate amount of nurses, and inadequancy on triase implementation at the ED of RK Charitas Hospital of Palembang.

It was suggested the existence of coordination between medical directorates and nursing to minimize time of patient?s transfer from ED to inpatient care unit, giving education and training for doctor and nurse at ED, adding nurse worker at ED, assuring triase implementation and opening an incidental unit near ED at the time of outpatient unit is closed."

"Waktu transfer merupakan salah satu indikator kepuasaan pasien dan mutu pelayanan rumah sakit. Waktu transfer pasien adalah waktu yang dibutuhkan untuk memindahkan pasien dari satu ruangan ke ruang perawatan/ruang tindakan lain di dalam rumah sakit atau antar rumah sakit. Dalam kasus IGD, waktu transfer pasien adalah waktu yang dibutuhkan untuk memindahkan pasien dari IGD ke Ruang Rawat Inap. Diketahui waktu transfer pasien IGD ke Ruang Rawat Inap di RS Hermina Ciputat masih melebihi Standar Pelayanan Mutu RS Hermina Ciputat Tahun 2018 dimana seharusnya waktu transfer pasien adalah ≤30 menit sejak keputusan Dokter Penanggung Jawab Pasien (DPJP) sampai pasien tiba di Ruang Rawat Inap. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor penyebab lama waktu transfer pasien IGD ke Ruang Rawat Inap di RS Hermina Ciputat sehingga dapat dirumuskan saran untuk meningkatkan mutu pelayanan IGD RS Hermina Ciputat. Penelitian ini merupakan jenis penelitian kualitatif dengan menggunakan motion study. Metode yang digunakan adalah observasi, wawancara mendalam, dan telaah dokumen. Hasil penelitian menunjukkan bahwa faktor penyebab lama waktu transfer pasien IGD ke Ruang Rawat Inap di RS Hermina Ciputat antara lain keterbatasan jumlah staf IGD, shifting staf IGD, keterbatasan jumlah bed Ruang Rawat Inap, access block, usia pasien, dan kegawatdaruratan pasien.

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Transfer time is one indicator of patient satisfaction and hospitals quality. Patient transfer time is the time needed to move patients from one room to another within the hospital or between hospitals. ED patients transfer time is the time needed to move the patient from the ED to the inpatient room. Transfer time of ED patients at the Hermina Ciputat Hospital still exceeds the Quality Service Standards of the Hermina Ciputat Hospital in 2018 where the patient transfer time is ≤30 minutes since Patient Responsible Doctor decision was made until the patient arrived in the Inpatient Room. The purpose of this study is to analyze the causes of the length of time for transferring ED patients to the inpatient room at Hermina Ciputat Hospital so that suggestions could be formulated. This research is a type of qualitative research using motion study. The method used is observation, in-depth interviews, and document review. The results showed that the causes of the length of time for transferring ED patients to inpatient room at Hermina Ciputat Hospital are a limited number of emergency room staff, shifting of emergency room staff, a limited number of inpatient beds, access block, patient age, and emergency patients condition."

"ABSTRAKRumah sakit merupakan salah satu tempat kerja dengan cedera dan penyakit terkait pekerjaan yang mengakibatkan hilangnya hari kerja. Berbagai potensi bahaya yang menimbulkan risiko keselamatan dan kesehatan kerja dapat terjadi dalam kegiatan pelayanan kesehatan. Khusus untuk unit IGD yang memiliki dinamika dan kompleksitas tertinggi dibandingkan unit lain di rumah sakit. Tujuan dari penelitian ini adalah untuk menganalisis risiko kesehatan dan keselamatan kerja dalam aktivitas kerja yang dilakukan oleh petugas IGD Rumah Sakit X. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan observasional. Penilaian risiko dilakukan berdasarkan tahapan penilaian risiko dalam proses manajemen risiko ISO 31000: 2018 menggunakan metode Job Hazard Analysis untuk identifikasi dan analisis risiko menggunakan kriteria Fine risk semi-kuantitatif (probabilitas, eksposur dan konsekuensi). Hasil penelitian menunjukkan bahwa kegiatan dengan risiko kesehatan dan keselamatan kerja tertinggi adalah kegiatan admission, manajemen pasien, dan pemeriksaan penunjang. Studi ini menyarankan Rumah Sakit X untuk memperkuat komitmen K3 baik dari manajemen puncak maupun pekerja agar unit selain K3 dapat mendukung dan memenuhi aspek K3 baik dari segi pendanaan, pengadaan, dan perlengkapan fasilitas khususnya IGD dan program K3 dapat berjalan secara optimal.ABSTRACTThe hospital is one of the workplaces with work-related injuries and illnesses that result in lost work days. Various potential hazards that give rise to occupational safety and health risks can occur in health service activities. Especially for emergency room units that have the highest dynamics and complexity compared to other units in the hospital. The purpose of this study was to analyze occupational health and safety risks in work activities carried out by emergency personnel at Hospital X. This study was a descriptive analytic study with an observational approach. Risk assessment is carried out based on the stages of risk assessment in the ISO 31000: 2018 risk management process using the Job Hazard Analysis method for risk identification and analysis using semi-quantitative Fine risk criteria (probability, exposure and consequence). The results showed that the activities with the highest occupational health and safety risks were admission, patient management, and supporting examinations. This study suggests Hospital X to strengthen K3 commitment from both top management and workers so that units other than K3 can support and fulfill K3 aspects both in terms of funding, procurement, and facilities, especially IGD and K3 programs can run optimally."

"ABSTRAKPenelitian ini membahas mengenai sistem tanggap darurat di Rumah Sakit UI pada fase sebelum, saat, dan setelah terjadi keadaan darurat. Penelitian ini bertujuan untuk menganalisis penerapan sistem tanggap darurat di Rumah Sakit UI berdasarkan WHO Hospital Emergency Response Checklist (2011). Penelitian ini menggunakan desain penelitian deskriptif dengan pendekatan kualitatif. Penulis melakukan analisis data menggunakan metode in depth analysis melalui wawancara yang dilakukan secara online dan telaah dokumen terkait Sistem Tanggap Darurat di Rumah Sakit UI. Dari hasil penelitian didapatkan bahwa presentase kesesuaian sistem tanggap darurat di Rumah Sakit UI berdasarkan WHO Hospital Emergency Response Checklist (2011) adalah sebesar 56% telah terpenuhi, 29% masih dalam proses pemenuhan (terpenuhi sebagian), dan 15% diantaranya perlu dilakukan peninjauan (tertunda). Hal ini menunjukkan bahwa Rumah Sakit UI sudah baik dalam menerapkan WHO Hospital Emergency Response Checklist (2011). Meskipun hasilnya telah baik, namun pihak rumah sakit perlu meninjau dan meningkatkan perencanaan terkait sistem tanggap darurat di rumah sakit yang lebih komprehensif.

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ABSTRACT

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This research analyzes about emergency response system at University of Indonesia Hospital in pre disaster phase, on disaster phase, and after disaster phase. The purpose of this study is to analyze the implementation of the emergency response system implementation in University of Indonesia Hospital based on WHO Hospital Emergency Response Checklist (2011). This research uses the descriptive method with a qualitative approach. The author analyzes the data using in-depth analysis by online interview and documents analysis about emergency response system at University of Indonesia Hospital. From this study, it can be concluded that the percentage conformity of the emergency response system implementation based on WHO Hospital Emergency Response Checklist (2011) is 56% completed, 29% in progress, and 15% due for review. This shows that University of Indonesia Hospital has a good implementation of WHO Hospital Emergency Response Checklist (2011). Although the result is good, but the company is required to review and improve the emergency response system planning to be more comprehensive."