Jurnal Kedokteran Brawijaya 2024-05-21T00:00:00+00:00 Prof. Dr. dr. Sri Andarini, M.Kes Open Journal Systems <p>Jurnal Kedokteran Brawijaya, ISSN (online): 2338-0772, is a communication media and a scientific publication in the field of medical science published by Faculty of Medicine, Universitas Brawijaya.</p> <p>Jurnal Kedokteran Brawijaya is a <strong>B accredited national journal</strong> based on the Decree of the Directorate General of Strengthening Research and Development of the Ministry of Research, Technology, and Higher Education Republic of Indonesia No. <strong>040/P/2014 dated February 14, 2014. </strong></p> <p>The accreditation status has been renewed base on the Decree of Director General on Strengthening Research and Development of the Ministry of Research, Technology, and Higher Education Republic of Indonesia <strong>23/E/KPT/2019, August 8, 2019</strong>, accredited as <strong>SINTA 2.</strong></p> <p>Jurnal Kedokteran Brawijaya contains articles from research focused on basic medicine, clinical medicine, epidemiology, and preventive medicine (social medicine).</p> <p>Jurnal Kedokteran Brawijaya is regularly published twice in one year (at the end of February and at the end of August). Jurnal Kedokteran Brawijaya was first published in April 1984.</p> <p>Brawijaya Medical Journal has been indexed in <a title="Google Scholar" href=",%20at%20the%20end%20of%20February%20and%20at%20the%20end%20of%20August.%20Jurnal%20Kedokteran%20Brawijaya%20was%20first%20published%20in%20April%201984.%20ISSN%20(print)%200216-9347,%20ISSN%20(online)%202338-0772.">Google Scholar</a>, <a title="Portal Garuda/Inonesian Publication Index (IPI)" href=";mod=viewjournal&amp;journal=4387">Portal Garuda / Indonesian Publication Index (IPI)</a>, <a title="SINTA" href="">SINTA Science and Technology Index</a>, and <a title="CrossReff" href="">CossReff</a>.</p> <p> </p> Paramedic Mental Workload in Pandemic Covid-19 Era 2021-06-11T14:12:10+00:00 Dedy Arifianto Nikma Fitriasari Ni Luh Putu Herli Mastuti <p>The number of Covid-19 patients hospitalized continues to increase in line with the increase in Covid-19 cases in Indonesia. The increasing number of Covid-19 patients in hospitals is increasing the workload of paramedics. High workloads will cause saturation and fatigue. In addition, an increase in the number of Covid-19 patients increases anxiety and depression will be infected when treating patients. Paramedics should also use personal protective equipment during shift guards which causes dehydration and discomfort. This situation can degrade the quality of service to patients. The study aims to measure the mental workload of paramedics by NASA-TLX (National Aeronautics and Space Administration Task Load Index) method and find out the factors that affect mental workload levels. This research is a quantitative research with a cross sectional approach. The research was conducted at Hospital X type C in Malang Regency in October 2020. The samples used were all 100 Hospital X paramedics. Research instruments in the form of questionnaires shared through Google Form. Data analysis is done with descriptive analysis and Chi-Square analysis with p value &lt;0.05. The results found paramedics had a low mental workload of 1%, a moderate mental load of 3%, a high mental workload of 47%, and a very high mental workload of 49%. The Chi-Square test results found that age factors had an effect on the mental workload level of paramedics.</p> 2024-05-21T00:00:00+00:00 Copyright (c) 2024 Jurnal Kedokteran Brawijaya Solutions to Overcome Burnout Symptoms in Nurses in the Covid-19 Isolation Room 2022-06-07T23:51:52+00:00 Sylvia Jessy Kurniawan I Gusti Agung Gede Utara Hartawan Kuswantoro Rusca Putra <p>The Covid-19 pandemic has left healthcare workers working in uncertain and stressful situations to care for all patients with disabilities. The second wave of the Covid-19 pandemic that swept across the world caused many nurses in health facilities to experience fatigue in carrying out their duties. This study aims to determine the cause of burnout symptoms in isolation room nurses in the Covid-19 pandemic. The study was conducted at X Hospital in September-October 2021. The design of this study was descriptive analysis. Observations were made on the service system, data, and environment of the Covid-19 isolation room at X Hospital. Interviews and discussions were conducted with the head nurse, the head of the occupational safety and health committee, and the head of nursing medical services related to nurse burnout in the isolation room. 67.74% experienced emotional exhaustion in the medium and high categories in isolation room nurses in the second wave of the Covid-19 pandemic caused by a lack of staffing. The solution to detect and overcome burnout is to conduct mental health checks and regular medical check-up programs for further treatment by considering the comfort factor and high functional value.</p> 2024-05-21T00:00:00+00:00 Copyright (c) 2024 Jurnal Kedokteran Brawijaya Factors Causing Outpatient Long Waiting Time at Outpatient Polyclinic of X Hospital 2022-06-19T23:00:30+00:00 Achmad Rizki Prasetyo Anggun Wicaksono Aryani Vindhya Putri Asti Melani <p style="font-weight: 400;">The long waiting time at the outpatient polyclinic is challenging at various hospitals. Waiting too long at the outpatient polyclinic will decrease patient satisfaction, so hospitals must continue improving quality service. Therefore, this study aimed to discover the causes of outpatient prolonged waiting time and solutions to these problems. This research was qualitative research conducted at X Hospital in Malang. The research sample was five participants. In this study, direct interviews, FGDs, and questionnaires were used. Factors causing prolonged waiting time for outpatient services at X Hospital that were not yet effective or still exceeded the minimum standard of hospital services were obtained through observation and Focus Group Discussions (FGDs); and the three root causes compiled using a fish diagram were no online registration and online queues, no Standard Operating Procedure regulating delays in the arrival of specialists for outpatient care, and a limited number of human resources. An alternative solution to the root of the problem was the creation of a Standard Operating Procedure that specifically regulates delays in specialist doctors at the outpatient polyclinic, creating WhatsApp online registration, and increasing the number of human resources in the outpatient polyclinic registration desk.</p> 2024-05-21T00:00:00+00:00 Copyright (c) 2024 Jurnal Kedokteran Brawijaya Factors of Incomplete Inpatient Medical Records Filling at Dr. H. Slamet Martodirdjo Regional General Hospital Pamekasan 2022-06-09T07:47:47+00:00 Achmad Fajar Holipah Holipah Ike Handayani <p class="Englishversionofabstract">Hospitals have an important role in improving health status by providing quality services, including complete medical record data and information. Complete and accurate medical records can be used for health care and patient treatment, evidence in law enforcement, medical discipline and medical ethics, educational and research purposes, basis of payment for health care costs, and health statistical data. This study aimed to identify the factors causing the incomplete filling of inpatient medical records at Dr. H. Slamet Martodirdjo Regional General Hospital Pamekasan. This research applied the descriptive observational method, with data collected through secondary data analysis using document studies and problem exploration using focus group discussions (FGD). The document study was conducted on 80 samples of inpatient medical records, while the FGD was conducted by inviting the head of the planning department, medical records officer, and 8 heads of inpatient wards to find out the causes and solutions for incomplete medical record files. The study results found that the number of incomplete medical records was 76.25%, with the highest percentage of incompleteness due to doctors, pharmacists, and nurses. The main problem causing the incompleteness of medical records was professional caregivers (PPA) who lacked discipline. The solutions obtained were management meetings and evaluations to professional caregivers, constructing policies that regulate reward and punishment systems, monitoring the checklists of medical record completeness, and routine evaluation of medical record files.</p> 2024-05-21T00:00:00+00:00 Copyright (c) 2024 Jurnal Kedokteran Brawijaya Root Cause Identification of Incomplete Medical Records Filing in Outpatient Clinic at Hospital X Malang City 2022-06-09T07:49:41+00:00 Yudha Perdana Cecilia Widijati Imam Harun Al Rasyid <p>Completeness of medical records is one indicator of the quality of health services in hospitals. The completeness of medical records at X Hospital still does not meet the national standards that have been set. The purpose of this study was to identify the root cause of the incompleteness of the outpatient medical record document at Hospital X Malang City. This study used a descriptive research design by reviewing medical record documents and FGDs. Document review was conducted on 111 medical records taken by random sampling. Identification of the root of the problem is carried out through FGD activities by applying the 5 Why's. The results of the FGD showed that there were three factors that contributed to the incompleteness of medical records at X Hospital, namely humans, machines, and methods. The root of the problems identified were not having electronic medical records, the number of patients was not proportional to the allocation of time for doctor's services, medical and nursing assessment sheets were combined into 1 sheet, lack of knowledge of doctor assistants, and quality indicators and telemedicine SOPs that were still not differentiated from outpatient clinics.</p> 2024-05-21T00:00:00+00:00 Copyright (c) 2024 Jurnal Kedokteran Brawijaya Non-compliance of Hospital X Employee in Implementing Standard Operational Procedures of Instrument Decontamination and Chest X-Ray Services 2021-06-25T06:32:08+00:00 Saesar Revita Prahadiani Wahyudi Kuncoro Tita Hariyanti Lilik Zuhriyah Tri Wahyu Sarwiyata Fifin Pradina <p>Good hospital management is important to maintain the safety of patients, staff and hospital visitors. Each hospital employee responsible for patient safety by carrying out work according Standard Operating Procedure (SOP) guidelines agreed by organization. This study aims to identify the casues factors and the solution for hospital employees to not comply with the SOP. This study uses a qualitative descriptive approach. Methods of data collection by conducting direct observation and interviews. Subjects in the study were determined based on purposive sampling, as many as 8 respondents consisting of the inpatient room's head, nurses and radiology officers. It is important to apply a system approach in the management of an organization. The elements included in the systems approach are planning, organizing, actuating and controlling. From those elements, there are things that not properly carried in the hospital. The existing procedures were not followed by the employees, for example, procedures regarding instrument decontamination in the inpatient room and photo reading at the radiology service. Non-compliance with this procedure is influenced by several factors, namely the staff lack of discipline and responsibility, inappropriate procedures, facilities that are not available, and there is no socialization of the procedure to hospital employees. The non-compliance of employees at X hospital was caused by procedural factors, decontamination and radiology officer's performance factors and hospital's facilities. For this reason, it is necessary to conduct periodic outreach, monitoring and evaluation of the SOP and hospital employees to improve the quality of hospital services and customer satisfaction.</p> 2024-05-21T00:00:00+00:00 Copyright (c) 2024 Jurnal Kedokteran Brawijaya Factors Affecting Decreasing Patient Visits at Ob-Gyn Polyclinic of Outpatient Installation of “X” Hospital 2022-06-07T23:35:54+00:00 Made Ayu Cintya Suryandewi Nofita Dwi Harjayanti Nanik Seyijowati <p>In early 2020, the SARS-CoV-2 or Covid-19 outbreak resulted in decreasing number of patient visits at “X” Hospital. “X” Hospital has set a target of health services in the outpatient installation as many as 5,500 patient visits per month, but the 2020/2021 data showed a downward trend in patient visits, with the most significant decline in the Ob-Gyn polyclinic that reached 50%. Several factors could cause this decline, including the suboptimal promotion of the hospital's leading programs, a suboptimal response from the customer service officers, specialist doctors who do not only work at “X” Hospital that causes priority clashes, unclear signboards at the hospital, an uncomfortable waiting room at the outpatient polyclinic, patients who often cancel the visits, faulty online registration, and no patient satisfaction measurement in the outpatient installation. These situations will eventually cause increasing operational costs. This study aimed to determine the factors that caused decreasing patient visits at the Ob-Gyn polyclinic of “X” Hospital. This research used questionnaires distributed to patients in the Ob-Gyn polyclinic totaling 135 respondents and google forms distributed to the employees of “X” Hospital. The collected data were processed using descriptive statistics. From the study results, the three main factors that caused the decreasing patient visits are the suboptimal promotion of the hospital's leading programs, the suboptimal response of the customer service officers, and the absence of patient satisfaction measurement at the outpatient installation.</p> 2024-05-21T00:00:00+00:00 Copyright (c) 2024 Jurnal Kedokteran Brawijaya Study of Budget Efficiency Related to Covid-19 Hospitalization Claim Policy in X Hospital Malang: A Case Study 2021-07-24T16:44:39+00:00 Nikma Fitriasari Engelbert Hariyanto Lailatul Kodriyah Engelbertha Retno Suryaningati Natasya Silvaira <p class="normal">Coronavirus Disease 2019 (Covid-19) infection spread rapidly to more than 114 countries. Covid-19 spreading has a tremendous effect socially and economically, Indonesia included. Indonesian Government was issuing regulations about Technical Claim Instructions for anticipation. This Technical Claim Instruction was regulated on Keputusan Menteri Kesehatan (KMK) No HK 01.07/Menkes/238/2020, then renewed on KMK No HK.01.07/Menkes/446/2020. The purpose of this research is to analyze budget efficiency related to the change of Covid-19 hospitalization claim regulation. The research was done retrospectively, using secondary data such as claims and patient's medical records. Research conducted in October 2020 on X Hospital. The research sample used was every Covid-19 patient from March to September 2020 totaling 146. The data were analyzed using chi-square with the result showing that there is no correlation between changes of technical claim regulation with budget efficiency.</p> 2024-05-21T00:00:00+00:00 Copyright (c) 2024 Jurnal Kedokteran Brawijaya