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.
This article aims to empirically test the influence of service quality on the satisfaction of the community users of Sidoarjo Regency Public Service Mall. The problem is focused on the quality of service contained in the Sidoarjo Regency Public Service Mall. To approach this problem, theories from Zeithaml, Berry, and Parasuraman are used about 5 (five) indicators of service quality, including tangible, reliability, responsiveness, assurance, and empathy that are analyzed quantitatively. The data analysis techniques applied in this study use instrument validity and reliability tests, variable descriptive statistical analysis tests, inferential statistical analysis tests, simple linear regression analysis tests, determination coefficient (R2) tests, t statistical tests. This study shows that the effect of service quality on the satisfaction of the community of users of the Sidoarjo Regency Public Service Mall gives a significance value of 0,000 and the value is smaller than 0.05. The data showed that the quality of service had a positive effect on community satisfaction, which made Ha accepted and Ho rejected. The results also showed an R Square value of 0.171 or 17.10%. This explains that the contribution of service quality related to the community satisfaction variable is worth 17.10%. While the rest of the calculation is worth 82.90% due to the influence of other factors that are not included in this study.
Kegiatan berwirausaha sangat menjanjikan karena menghasilkan keuntungan bagi pihak pemilik atau pelaku usaha. Keuntungan tersebut berupa relasi dan keuntungan finansial. Sehingga muncul banyak sekali Usaha Mikro Kecil dan Menengah (UMKM) yang mulai berdiri, salah satu contoh UMKM itu adalah Mr. Gelenk dengan usaha berupa makanan ringan popcorn dan minuman sari jeruk nipis. Kandungan angka kecukupan gizi (AKG) yang saat ini menjadi salah satu patokan besarnya minat masyarakat untuk membeli produk tersebut. Oleh karna itu untuk menggait minat dan kepercayaan masyarakat atas produk Mr. Gelenk dibutuhkan pengujian laboratorium dan penambahan AKG produk yang dihasilkan.
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