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Hasil Pencarian

Ditemukan 4 dokumen yang sesuai dengan query
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Maqdhesy
"RSIA HERMINA Pasteur mempakan salah sam rumah sakit di Kota Bandung yang mengkhususkan pada pelayanan kesehatan ibu dan anak. RSIA HERMINA Pasteur memiliki fasilitas yang menjadi unggulan yaitu pelayanan Perinatologi, NICU, PICU, Fetomatemal dan Klinik Tumbuh Kembang. Seperti yang tercantum dalam Program Market Leader HERMINA Grup, Insialasi Perinatologi/NICU/PICU diharapkan menjadi pusal rujukan di wilayalmya. Hal ini menjadi peluang bagi RSIA HERMINA Pasteur untuk turut serw dalam penurunan AKB di Kota Bandung dan sekitamya. Salah saru instalasi yang menjadi unggulan RSIA HERMINA Pasteur adalah NICU yang merupakan nmng perawatan khusus bagi bayi risiko tinggi atau yang memerlukan pemantauan ketat dan membutuhkan alat bantu pemapasan khusus/ventilator.
Setelah berjalan hampir tiga tahun BOR NICU masih belum menunjukkan peningkatan dibandingkan produk unggulan lainnya yaitu PICU dan ICU. Berdasarkan hal tersebut perlu dilakukan penelitian mengenai kinenja NICU RSIA HBRMINA Pasteur. Untuk malakukan penilaian kincrja ini dipergunakan pendekatan Balanced Scorecard yang memiliki empat perspektif.
Dalam penclitian ini, peneliti ingin memperoleh gambaran kinerja NICU rumah sakit yang sesuai (appropriate) dan layak (/kasible), rnenggunakan prinsip kemngka manajemen Balanced Scorecard (BSC), sebagai alat ukur dan perangkat manajcmen untuk meningkatkan kinerja.
Penelitian ini merupakan penelitian kualitatif dengan menggunakan metode wawancara mendalam, telaah dokumcn dan observasi lapangan untuk memperoleh gambaran kinerja dan model BSC yang sesuai dengan NICU rumah sakit.
Dari penelitian ini didapatkan kinerja NICU RSIA HERMINA Pasteur berdasarkan perspcktif keuangan, perspektif pelanggan, perspelctjf bisnis internal dan perspelctif pertumbuhan dan pembelajaran, Kincrja NICU berdasarkan perspektif keuangan menunjukkan bahwa NICU merupakan unit kerja yang memerlukan biaya operasional besar tetapi tidak banyak mcnghasilkan kemmtungan bagi rumah sakit. Dengan demikian tidak dapat diharapkan untuk menj adi profit centre bagi rumah sakit. Gambaran kinerja NICU berdasarkan perspektif pelanggan menunjukkan bdrwa pada tahmm 2006 dan triwulan I tahun 2007 masih terjadi beberapa kasus penolakan pasien yang berkaitan dengan biaya. Hal ini bertolak belakang dengan perluasan pasar yang dilakukan rumah sal
Dari penelimian yang dilakukan dapat disimpulkan bahwa NICU RSIA HERMINA Pasteur walaupun merupakan produk unggulan tidak dapat dijadikan profit centre. Kinerja NICU berdasarkan perspektif pelanggan juga belum memuaskan karena masih banyaknya kasus penolakan pasien yang teljadi selama dna tahun terakhir ini hal ini bertolak belakang dengan perluasan pasar yang dilalcukan rumah sakit. Pertumbuhan BOR NICU pada dua tahun terakhir ini terlihat meningkat dan sebagian besar sarana dan prasarana yang diperlukan di NICU sudah tersedia atau dapat diupayakan. Kinelja NICU berdasarkan perspektif pertumbuhan dan pembelajaran menunjukkan bahwa SDM NICU masih belum sesuai dengan standar yang ditetapkan.
Saran untuk RSIA HERMINA Pasteur: Perspektif Keuangan, untuk meningkatkan pangsa pasar perlu dilakukan kexja sama dengan ASKESKIN, ASKES PNS serta Pemerinrah Daerah diprioxitaskan untuk penanganan kasus neonatal risiko tinggi. Pada crspektif Pelanggan, untuk mencegah terjadinya kasus penolakan pasien NICU, maka sebaiknya disusun suatu kebijakan rumah sakit mengenai hal tersebut dan menjalin kexjasama dengan pihak Pemda, ASKESKIN maupun ASKES PNS untuk membantu menanggulangi biaya perawatan khusus bagi pasien NICU. Perspelctif Bisnis internal, Pada perspektif bisnis intemal untuk meningkatkan BOR perlu dilakukan pemasaran pada kalangan tertentu misalnya DSOG dan dr SpA di Bandmmg dan daerah sekitarnya Perspektif pembelajaran dan Pertumbuhan. Penambahan tenaga Dokter Spesialis Anak yang Ietap dan pcningkatan pendidikan perawat menjadi Sl Keperawatan.
......RSIA I-IERMINA Pasteur was one of the hospitals in the Bandtmg City that set aside in the health service of the mother and the child. RSIA HERMINA Pasteur had facilities that becames supreme that is the Perinatology services, NICU, PICU, Fetomaternal and Tumbuh Kembang Clinic. Like that was included in the Market Leader HERMINA Grup Program, Installation of Perinatology/NICUIPICU it was hoped became the centre of reconciliation in his territory. This became the opportunity for RSIA I-IERMINA Pasteur to join in as well as in the AKB decline in the Bandung City and surrounding area. One of the installations that became supreme RSIA I-IERMINA Pasteur was NICU that was special maintenance space for the high risk baby or that needed the tight monitoring and needed special respiratory aids/the ventilator. After going almost three NICU BORE years did still not show the increase was compared the other supreme product that is the TRIGGER and ICU. By this matter must be done by the research concerning the NICU RSIA HERMINA Pasteur achievement.
To do the assessment ol' this achievement was utilized by the Balanced Scorecard approach that had four perspectives. In this research, the researcher wanted to receive the picture of the NICU achievement the appropriate hospital (appropriate) and appropriate (feasible), used the principle of the framework of the Balanced Scorecard management (BSC), as the implement measured and management equipment to increase the achievement of this Research was the qualitative research by using the deep interview method, thc study of the document and observation ofthe field to receive the picture of the achievement and the BSC model that in accordance with NICU the hospital.
From this research was obtained by the NICU RSIA HERMINA Pasteur achievement was based on the perspective of finance, the perspective of the customer, the perspective of the intemal business and the perspective ofthe growth and learning. The NICU achievement was based on the perspective of finance showed that NICU was the work unit that needed the operational cost big but often did not produce the prolit for the hospital. Therefore could not be expected to become the pro fit centre for the hospital. The picture of the NICU achievement was based on the perspective of the customer showed that during 2006 and quarterly I in 2007 still was happening several cases of the patient?s refusal that was linked with the cost. This was the opposite of the expansion of the market that was done the hospital. That was needed by various breakthroughs to prevent this matter. The picture of the NICU achievement was based on the perspective of the Internal Business showed the increase in the NICU BORE for the last two years happened. Room facilities and NICU equipment were still being not yet complete like that was determined in the standard of NICU. Although the service could be carried out because generally specific equipment that was needed in NICU has been available. The picture of the NICU achievement was based on the perspective of the learning and growth showed did not yet have Pediatrics who was the hospital permanent employee. The level of education ofthe nurses still D3 whereas for the period that will come to be hoped for by all nurse ofNICU educated Sl Nurse.
From the research that was carried out could be concluded that NICU RSIA I-IERMINA Pasteur although being the supreme product could not be made the profit centre. The NICU achievement was based on the perspective of the customer also did not yet satisfy because still the number of cases of the patients refusal that happened during the last two year this was the opposite of the expansion of the market that was done the hospital. The growth of the NICU BORE was for the last two year seen increased and most means and the infrastructure that were needed in NICU have been available or could be striven for. The NICU achievement was based on the perspective of the growth and learning showed that NICU human resources still did not yet be in accordance with the standard that was detemiined.
The suggestion for RSIA I-IERMINA Pasteur: Perspective F inancial, to increase the market share must be carried out by the work was the same as ASKESKIN, ASKES PNS as well as the Regional Government was given priority to For the handling of the case neonatal the high risk. Perspective customer, for prevented the occurrence of the ease of the patient's refusal NICU, then better be compiled by a policy of the hospital concerning this matter and establish the co-operation with the Regional Government's side, ASKESKIN and the health insurance for PNS to help dealt with the special maintenance cost for the patient NICU. The perspective of the business internal, in the perspective of business internal to increase the BORE must be carried out by the marketing in the certain circle for example DSOG and Pediatrics in Bandung and the area of surrounding area. The perspective learning and the growth the increase in the Specialist Doctors power the Child that continue to and the increase in the nurse's education became Sl Nurse. References: 31 ranging from the year of 1994 to 2007."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2007
T34546
UI - Tesis Membership  Universitas Indonesia Library
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Antonny Halim Gunawan
"Perawat sebagai SDM tenaga kesehatan memberikan kontribusi besar terhadappelayanan kesehatan di rumah sakit dalam hal pelayanan langsung kepada pasien Pelayanan keperawatan Unit Pelayanan Intensif merupakan pelayanan keperawatanyang saat ini perlu untuk dikembangkan di Indonesia sejalan denganperkembangan teknologi dibidang perawatan intensif Oleh karena itu demiefisiensi kebutuhan tenaga dan kompetensi perawat Unit Pelayanan Intensif perludikonsentrasikan Penelitian ini membahas tentang analisa kebutuhan tenagakeperawatan di Unit Pelayanan Intensif RS dr Oen Solo Baru berdasarkan bebankerja.
......Nurses as human resources for health also contribute greatly to the health servicesin hospitals and to provide services directly to patients Nursing services atIntensive Care Unit has to be developed along with the technology development Therefore there is a need to concern the effieciency of nurses in term of quantityand competencies This research discussed about the needs analysis nursing staffin the Intensive Care Unit of dr Oen Solo Baru Hospital based on workload."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2015
T43667
UI - Tesis Membership  Universitas Indonesia Library
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Sanyadwia Ghinasnizen
"Keterlambatan deteksi kesehatan pasien Intensive Care Unit (ICU) yang memburuk dapat menyebabkan kecacatan permanen atau bahkan kematian. Oleh karena itu, pemantauan pasien adalah proses terpenting di ICU. Pemantauan manual oleh manusia adalah sering kali menyebabkan keterlambatan deteksi kondisi pasien ICU yang memburuk. Beban kerja yang lebih tinggi di ICU menyebabkan pekerja kesehatan kelelahan dan dapat mengakibatkan kualitas perawatan kesehatan yang buruk. Penerapan Internet of Things (IoT) dalam proses pemantauan ICU diharapkan dapat mengurangi beban kerja tenaga kesehatan dan waktu proses pemantauan pasien. Penilitian ini bertujuan untuk memperbaiki proses operasional pemantauan ICU melalui implementasi IoT dengan pendekatan Business Process Reengineering (BPR) di salah satu rumah sakit swasta Jakarta. Metode Complex Proportional Assessment (COPRAS) digunakan untuk memprioritaskan risiko dari proses pemantauan saat ini untuk memilih IoT yang sesuai. Penelitian ini mengusulkan tiga model proses bisnis yang memanfaatkan pemantauan pasien berbasis IoT, Intelligent Monitoring Analytics, dan kombinasi keduanya. Kombinasi pemantauan pasien berbasis IoT dan Intelligent Monitoring Analytics menghasilkan pengurangan waktu proses terbesar yaitu 37.10%. Intelligent Monitoring Analytics menghasilkan pengurangan waktu proses terkecil sebesar 11.56%
......A small delay of the Intensive Care Unit (ICU) patient deterioration recognition can cause a permanent disability or even death. Therefore, patient monitoring is the most critical process in ICU. Human-related monitoring failures mostly cause delayed recognition of ICU patients. A higher workload in ICU leads to health professional burnout that could result in lousy healthcare quality. Internet of Things (IoT) implementation in the ICU monitoring process is expected to reduce the health workforce’s workload and patient monitoring process time. This paper aims to improve the operational process of ICU monitoring through IoT implementation with the Business Process Reengineering (BPR) approach in one of Jakarta’s private hospitals. The Complex Proportional Assessment (COPRAS) method is used to prioritize the risks of the current monitoring process to select the suitable IoT. This research proposes three business process models that utilize IoT-Based Patient Monitoring, Intelligent Monitoring Analytics, and a combination of both. A combination of IoT-Based Patient Monitoring and Intelligent Monitoring Analytics results the greatest process time reduction at 37.10%. Intelligent Monitoring Analytics results the smallest process time reduction at 11.56%"
Depok: Fakultas Teknik Universitas Indonesia, 2021
S-pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Ditha Adhiaty Ratna Pratiwi
"Penyakit infeksi masih menjadi masalah serius pada seperempat populasi manusia di seluruh dunia. Berbagai mikroorganisme penyebab infeksi berperan meningkatkan angka morbiditas dan mortalitas pada pasien berisiko tinggi diantaranya pasien dengan gangguan imunitas dan atau kondisi sakit berat. Jamur merupakan mikroorganisme penyebab berbagai penyakit mulai dari alergi, hipersensitivitas saluran napas atau asma, maupun infeksi sistemik yang mengancam jiwa, misalnya kandidiasis sistemik, aspergilosis sistemik, serta infeksi jamur lain. Transmisi infeksi jamur sistemik biasanya melalui inhalasi spora maupun kontaminasi elemen jamur di lingkungan sekitar pasien. Keberadaan jamur di lingkungan sekitar pasien penting mendapat perhatian mengingat potensinya sebagai sumber infeksi, termasuk di lingkungan rumah sakit.
Penelitian ini bertujuan untuk mengidentifikasi keragaman spesies jamur yang diisolasi dari lingkungan rumah sakit, dan merupakan bagian dari penelitian multisenter aspergilosis invasif pada pasien sakit berat di beberapa rumah sakit di Jakarta. Mengingat neonatus merupakan salah satu kelompok pasien berisiko tinggi mengalami infeksi jamur sistemik di rumah sakit, maka lokasi penelitian ini difokuskan pada lingkungan ruang perawatan intensif neonatus NICU. Pengambilan sampel dilakukan secara konsekutif pada lingkungan NICU di dua rumah sakit, baik di bagian dalam maupun luar NICU. Sampel udara diambil menggunakan cawan petri berisi agar Saboraud dekstrosa selama 15 menit pada ketinggian 100-150 cm, setelah itu dilakukan inkubasi dan pengamatan selama tujuh hari di laboratorium.
Hasil penelitian menunjukkan terdapat delapan jenis jamur yang diisolasi dari lingkungan NICU, yaitu Aspergillus flavus, Aspergillus fumigatus, Candida sp., Dematiceae sp., Mycelia sterilia, Paecilomyces sp., Penicillium sp., and Trichosporon sp. Spesies jamur yang paling sering ditemukan adalah Mycelia sterilia dan Aspergillus fumigatus.
......Infectious diseases are still a serious problem affecting a quarter of the human population worldwide. Numerous microorganisms causing infection served to increase morbidity and mortality rate in high risk patients, including immunocompromised and or critically ill patients. Fungi are microorganisms that cause a variety of diseases ranging from allergies, hypersensitivity respiratory or asthma, as well as life threatening systemic infections, such as systemic candidiasis, systemic aspergillosis, and other fungal infections. Transmission of systemic fungal infection is usually through inhalation of the spores or fungal elements contamination in the environment around the patient. The presence of fungi in the environment around the patient extremely needs attention considering its potency as a source of infection, including in a hospital environment.
This study aims to identify the diversity of fungal species isolated from the hospital environment, and is part of a multicentre study of invasive aspergillosis in patients with serious illness at several hospitals in Jakarta. Considering neonate is one group of patients at high risk of systemic fungal infections in the hospital, subsequently the location of this research is focused on the environment of neonatal intensive care unit NICU . The sample was taken consecutively in the NICU environment at two hospitals, both indoor and outdoor of the NICU. Air samples were taken using a petri dish containing Saboroud rsquo s dextrose agar for 15 minutes at a height of 100 150 cm, after it conducted incubation and observation for seven days in the laboratory.
The results showed there are eight types of fungi isolated from the NICU environment, including Aspergillus flavus, Aspergillus fumigatus, Candida sp., Dematiceae sp., Mycelia sterilia, Paecilomyces sp., Penicillium sp., and Trichosporon sp. The most commonly fungal species found are Mycelia sterilia and Aspergillus fumigatus."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
S70422
UI - Skripsi Membership  Universitas Indonesia Library