Background: Patient safety is the main issue in healthcare services nowadays. Delaying to inform the critical value of laboratory results is a significant source of harm for the patient. The aim of this study is to compare the timeliness of laboratory critical value reporting before and after re-accreditation as one of the service quality indicators in Hospital X. Methods: This study was done by using observational cross-sectional in Hospital X on January - February 2020 with total sampling method of critical value reporting to the responsible clinician that originated from Intensive Care Unit (ICU), Verlos Kamer (VK), and inpatient ward (IW) 1-6 from January-December 2019. The timeliness of reporting was counted since the laboratory result was obtained until received by the responsible clinician within £ 30 minutes and categorized as "On time" or "Late". Results: During 2019, there were 816 reporting which has been done before re-accreditation (511) and after re-accreditation (305) with 17 kinds of tests. The most reported test was platelet with 349 (before re-accreditation) and 101 (after re-accreditation), whilst SGOT/SGPT and albumin were the fewest one. The lowest timeliness of reporting percentage was 76,00% (February), whilst the highest was 98,48% (November). The timeliness of reporting's percentage was 84,34% (before re-accreditation) and 94,43% (after re-accreditation). The statistical analysis result revealed Pearson Chi-Square correlation was 18,535 with significance 0,000 and 3,145 odds ratio which shows that re-accreditation could significantly increase the timeliness of critical value reporting three times. Conclusion: This result showed that re-accreditation could affect the timeliness of laboratory critical value reporting to the responsible clinicians. Keywords: re-accreditation, critical value, laboratory, patient safety, hospital   Abstrak Latar belakang: Keselamatan pasien merupakan isu utama dalam pelayanan kesehatan. Tertundanya komunikasi hasil nilai kritis laboratorium merupakan sumber bahaya yang signifikan terhadap pasien. Penelitian ini bertujuan untuk membandingkan ketepatan waktu pelaporan nilai kritis laboratorium sebelum dan setelah reakreditasi sebagai salah satu indikator mutu di RS X. Metode: Penelitian dilakukan dengan cara observasional dengan metode cross sectional di RS X pada Januari - Februari 2020 dengan total sampling laporan nilai kritis kepada Dokter Penanggung Jawab Pasien (DPJP) yang berasal dari ruang Intensive Care Unit (ICU), Verlos Kamer (VK), dan ruang rawat inap 1 – 6 sejak Januari – Desember 2019. Ketepatan waktu pelaporan dihitung sejak hasil pemeriksaan didapatkan hingga diterima oleh DPJP dalam waktu £ 30 menit dan dinyatakan sebagai "Tepat Waktu" atau "Terlambat". Hasil: Selama tahun 2019, terdapat 816 pelaporan yang dilakukan sebelum akreditasi (511) dan setelahnya (305) dengan 17 jenis pemeriksaan. Pemeriksaan trombosit menjadi yang paling banyak dilaporkan yaitu 349 (sebelum akreditasi) dan 101 (setelah akreditasi), sedangkan SGOT/SGPT dan albumin menjadi yang paling sedikit. Persentase ketepatan waktu pelaporan paling rendah adalah 76,00% (Februari) sedangkan yang paling tinggi adalah 98,48% (November). Persentase ketepatan waktu pelaporan didapatkan 84,34% (sebelum akreditasi) dan 94,43% (setelah akreditasi). Hasil analisis statistik didapatkan korelasi Pearson Chi-Square 18,535 dengan signifikansi 0,000 dan Odds ratio 3,145 menunjukkan re-akreditasi mampu meningkatkan kemungkinan ketepatan waktu pelaporan nilai kritis sebesar tiga kali lipat. Kesimpulan: Hal ini menunjukkan bahwa re-akreditasi mampu mempengaruhi ketepatan waktu pelaporan nilai laboratorium kritis kepada DPJP. Kata kunci: re-akreditasi, nilai kritis, laboratorium, keselamatan pasien, rumah sakit.

Although clinical pathway (CP) is aimed to ensure quality and cost, the development of CP at hospitals is primarily for administrative purposes as it is required by accreditation standards, thus causing high variations in its implementation. This study aimed to develop a clinical pathway for caesarean section and explore the problem during development and implementation test. The selection of caesarean section was based on high volume, risk, and cost. Using participatory action research, the researcher started the program by performing an implementation evaluation, literature review, and regulatory development. The evaluation identified implementation discrepancies and prolonged length of stay. Based on the evaluation and literature review results, the Professional Care Provider (PCP) in the hospital conducted discussions and made suggestions by considering available resources, current practices, and behavior. The main differences of the new clinical pathway are: 1) it is developed based on literature and current practice, and 2) it should be added with notification, explanation, inclusion and exclusion criteria, and references. Before the implementation test, the hospital provide resources, develops a standard operational procedure followed by monitoring and evaluation. Differences in the type of medication and documentation method were found, which then further discussed with all involved PCP to define the agreed solutions. Professional engagement and openness culture that embraces along the process are the main key lesson learned in addition to the understanding that CP development and implementation is a continuous learning process.

The purpose of this study was to determine the influence of marketing strategies, product quality and service quality on consumer purchasing decisions in Bali gift villages. The population in this study are Desas Gift Bali consumers in 2021. The sample for this research is 60 respondents. The sampling technique used in this study used the slovin formula. Data collection procedures in this study used documentation, interviews and questionnaires using a Likert scale. The data analysis technique uses multiple linear regression analysis. Multiple Linear Regression Analysis means that the t-count value of the independent variables consists of marketing strategy, product quality and service quality, respectively, 28.781, 15.586 and 20.505. By testing the hypothesis using the t test, the result is that the marketing strategy (x1) has a positive and significant effect with a t count of 28.781 and a significant value of 0.05 on consumer purchase satisfaction (Y). Service Quality (X2) has a positive and significant effect with a t-count of 15.586 and a significance value of 0.05 on consumer purchasing decisions (Y). the influence of marketing strategy, product quality and service quality which are significantly significant together (simultaneously) with an F-count of 555.848 with a sig of 0.000 on consumer purchasing decisions. Keywords: Marketing Strategy, Product Quality, and Service Quality on Consumer Purchasing Decisions. ABSTRAKTujuan penelitian ini adalah untuk mengetahui pengaruh strategi pemasaran, kualitas produk dan kualitas pelayanan terhadap keputusan pembelian konsumen pada Desas Gift Bali . Populasi pada dalam penelitian ini adalah konsumen Desas Gift Bali tahun 2021. Sampel dari penelitian ini adalah sebanyak 60 responden. Teknik penarikan sampel yang digunakan dalam penelitian ini menggunakan rumus slovin. Prosedur pengumpulan data dalam penelitian ini menggunakan teknik dokumentasi,wawancara dan kuesioner dengan menggunakan skala likert. Teknik analisis data menggunakan analisis regresi linier berganda. Analisis Regresi Linier berganda maka nilai t-hitung variabel bebas terdiri dari strategi pemasaran, kualitas produk dan Kualitas pelayanan masing-masing antara lain 28,781 15,586 dan 20.505. Dengan menguji hipotesis menggunakan uji t, dengan hasil bahwa Strategi pemasaran(x1) berpengaruh positif dan signifikan dengan hasil t- hitung sebesar 28,781 dan nilai signifikan 0.05 terhadap kepuasan pembelian konsumen (Y). Kualitas Pelayanan (X2) berpengaruh positif dan signifikan dengan hasil t-hitung sebesar 15,586 dan nilai signifikansi sebesar 0,05 terhadap Keputusan pembelian konsumen (Y). Pengaruh strategi pemasaran, kualitas produk dan kualitas pelayanan yang  signifikan signifikan secara bersama-sama (simultan) dengan hasil F-hitung sebesar 555,848 dengan sig 0,000 terhadap keputusan pembelian konsumen. Kata kunci : Strategi Pemasaran, Kualitas Produk, dan Kulitas Pelayanan Terhadap Keputusan Pembelian Konsumen