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Patient safety is a global issue. The losses caused by neglecting patient safety are substantial. Many patients experience unintended harmful events during care at healthcare facilities. Nurses, as one of the frontline professions, are responsible for patient safety. Therefore, it is necessary to address this issue, one of which is through education. The purpose of this community service is to provide education on patient safety within the hospital environment, for both patients and their families. The methods used include lectures, discussions, and evaluations. The results obtained after the education were that all participants understood patient safety within the hospital environment. It is recommended that this education be conducted consistently, so it can reduce adverse events for patients and families.

Excessive workload can cause work stress among nurses, impacting their performance and the quality of healthcare services. Nurses in inpatient wards often experience this due to high job demands and a large number of patients. This study aims to analyze the relationship between workload and work stress levels among nurses in the inpatient ward of RSI Sultan Agung Semarang. This quantitative research employed a correlational design. A total of 100 nurses from the inpatient ward of RSI Sultan Agung Semarang were selected using total sampling. Data were obtained from a questionnaire measuring physical and psychological workload aspects and work stress indicators such as emotional exhaustion and decreased personal accomplishment. Data were analyzed using the Chi-Square test. The majority of respondents (82.8%) had a moderate workload, while most (76.8%) experienced moderate work stress. Bivariate analysis indicated a significant relationship between workload and work stress levels (< 0.05). A high workload significantly contributes to boost work stress levels among nurses in the inpatient ward of RSI Sultan Agung Semarang. Effective workload management strategies, such as adjusting nurse-to-patient ratios and providing stress management programs, are necessary to improve nurse well-being and enhance the quality of healthcare services

The background of this research is relevant to evaluate and improve services in Mayapada Hospital Kuningan , especially in the obstetrics polyclinic. By understanding the relationship between family support and medical personnel, medical personnel competence, patient experience to the obstetrics polyclinic as an intervening variable, and the decision of the birth plan. In addition, there is also a need to evaluate the factors that influence the decision of the birth plan. The purpose of the study is to analyze influence family support and medical personnel, the competence of medical personnel simultaneously with patient experience at the obstetrics polyclinic regarding the decision to plan childbirth at Mayapada Hospital Kuningan. Method Study, this is study associative causality with cross sectional design. This study aims to determine the influence of family support and medical personnel (X1), the competence of medical personnel (X2) on the decision of birth plan (Y) with the patient's experience to the obstetric polyclinic as an intervening variable (Z). The findings of this study are from the statistical test analysis we can find that the most influential variables on the decision of birth plan are family support and medical personnel. The results of the study say that the patient's experience to the polyclinic as an intervening variable does not affect the decision of birth plan. The implications of this study can help management in improving the system for family support and medical personnel, the competence of medical personnel and the patient's experience to the obstetric polyclinic so that it is expected to improve the decision of birth plan to the hospital.

From Swanson’s Caring theory, one of the caring indicators can be taken, namely knowing, which is an effort to know and understand events in needs and expectations but focuses on patients. Not only knowing needs and expectations but also focusing on efficient and effective care and treatment. Poor knowing of patient care can cause infection transmission. Therefore, nurses are required to have knowledge and be able to prevent the risk of infection. From poor nurse caring, it is possible for nurses to be affected which can be detrimental to nurses. If nurses carry out service tasks in accordance with SOP, they can reduce the risk of infection at the standard level set in hospitals. The purpose of this study was to determine caring bahavior with preventing the risk of infection in hospitals. This study used a sampling technique using a total sampling of 100 respondents using the spearman rank test. The results of this study were that most nurses were female, 79 people (79%), 51 nurses (51%) had good caring behavior, 97 nurses (97%), and 98 nurses (98%) were high in preventing the risk of infection. Conclusion, there is a relationship between caring behavior and prevention of infection risk at Sultan Agung Islamic Hospital Semarang by looking at the p-value of 0,000 the spearman rank correlation value is r 0,344 which indicates that the level of correlation strength is moderate with a positive correlation direction.

Quality is not easy to define but easy to feel, its form is the service of unfriendly officers, queues of visitors at the counter, long waiting times for service. This will be complained of as a service that is not in accordance with expectations, services that are of less quality so that patients feel less satisfied after getting the services provided. The formulation of the problem in this study is how is the relationship between the quality of nursing services and satisfaction of inpatients at the hospital. Mitra Sejati Medan in 2024? This research uses quantitative research using analytic survey and cross sectional approach. The population in this study were all hemodialysis outpatients, the sample of this study used accidental sampling as many as 64 people. The results of this study using the chi square statistical test, the results obtained are Responsiveness (pvalue = 0.021), Reliability (pvalue = 0.018), Assurance (pvalue = 0.030), Empathy (pvalue = 0.025), direct evidence (pvalue = 0.004), which shows that there is a relationship between The significant variables are responsiveness, reliability, assurance, empathy and direct evidence with satisfaction of inpatients at Mitra Sejati Medan hospital, and by using logistic regression test, the most dominant variable is responsiveness. This can be seen from the EXP(B) value of 4.766 times, which means that direct evidence has a relationship of 4.7 times with inpatients at Mitra Sejati Medan hospital. With suggestions to create a conducive atmosphere to improve the quality of professional health services so that patient satisfaction can be maintained as expected.

ABSTRACT The implementation of Information Technology at XYZ Hospital serves as a key driver in enhancing the efficiency of healthcare services, but it also raises the organization’s vulnerability to significant operational risks. The primary risks identified involve inaccurate data resulting from human mistakes, breakdowns in system interoperability, and the deterioration of hardware infrastructure that may interfere with patient care. This research seeks to assess the governance of IT risk management and determine the organization’s capability level using the COBIT 5.0 framework, focusing on the APO12 (Manage Risk) domain. The study employs qualitative methods, gathering information through interviews and direct observations, and then conducts a gap analysis to compare the current state (As-Is) with the desired future state (To-Be). Findings show that the organization’s capability is currently at Level 2 (Managed Process) with a score of 1.87, which is still below the intended maturity level of 3 (Established Process) at 2.94. These results indicate that risk management activities are still largely reactive and rely on intuition, with no standardized procedures embedded within the institution. Ultimately, the study suggests formalizing a Risk Register, standardizing mitigation procedures through established SOPs, and developing a Disaster Recovery Plan to strengthen risk governance into a more systematic, preventive, and resilient framework.

Rheumatoid arthritis (RA), a chronic inflammatory autoimmune disorder, is characterized by persistent synovial inflammation, erosion of bone and cartilage, leading to joint destruction. It can attack the joints and other parts of the body such as tendons, ligaments, and bones.  In serious cases, it can affect other organs such as the lungs, heart, nervous system, and eyes. Foot massage is effective to reduce pain. Before implementation of foot massage, the average pain scale was 6 (moderate pain). After implementation of foot massage  the pain scale decreased to 2 (mild pain). Through empowering the elderly, the elderly are taught and assisted in performing safe and effective foot massage techniques to reduce pain, improve blood circulation, and reduce joint stiffness due to rheumatoid arthritis. The conclusion of this community service activity shows that the use of foot massage is effective for patients with rheumatoid arthritis who experience pain.

In health care, the interaction between nurses and patients is essential to build good relationships, increase trust, and meet patient needs and expectations. The success of nursing services depends on the ability of nurses to communicate effectively. One of the causes of unexpected events (KTD) is due to communication errors both verbally and in writing between multidisciplinary and between shifts. Bedside handover can reduce patient safety incidents caused by miscommunication and strengthen employment relations between nurses, thus creating a more collaborative work environment. The purpose of this community service activity in this study is to improve the interaction of nurses when handover to the management of patient-centered care. Data collection techniques are carried out using questionnaires, interviews and direct observations in the treatment room of Karunia Kasih Hospital. In analysing the problems of the data obtained in this study, researchers used Fishbone Analysis which outlined existing problems and analysed using the method of USG (urgency, seriousness, growth) to determine the priority of the problem. The implementation carried out was changing the traditional handover method to bedside handover with the SBAR technique, revising the SOP, conducting socialisation about bedside handover conducting supervision and auditing the implementation of bedside handover. From the data analysis on observations, it can be concluded that bedside handover is an effective strategy to improve interaction between nurses and patients. The results of the analysis of the observation data can conclude that bedside handover is an effective strategy to improve the interaction between nurses and patients in patient-centred care. 

Pharmaceutical services are carried out to achieve definite results in improving the quality of life of patients in the form of direct and resposibels services related to pharmaceutical preparations. In implementing pharmaceutical services, health centers already have a standard that is used as a guideline in its implementation. The consequences of implementing pharmaceutical services that do not comply with standards are medication errors and inappropriate use of drugs, there are expired drugs and overlapping budgets. The purpose of this study was to analyze the implementation of pharmaceutical service standards in health centers, BMHP and clinical pharmacy services based on PMK No. 74 of 2016 at the Paduraksa Health Center, Pemalang District. This study is a non-experimental study with a descriptive design that will provide an analytical description of the implementation of pharmaceutical service standards at the Paduraksa Health Center, Pemalang District based on the guidelines in the Minister of Health Regulation Number 74 of 2016. The population and sample in this study were all pharmaceutical personnel who were responsible for managing pharmaceutical service standards at the Paduraksa Health Center, by conducting interviews in the form of questions and answers by giving questions verbally to pharmacists or pharmaceutical personnel at the Paduraksa Health Center, Pemalang Regency. The data in the variable analysis looked at the percentage of compliance with standards based on the Minister of Health Regulation No. 74 of 2016.  

Informed consent is an essential element in health services, including in the field of anesthesiology and intensive care, which have high risks and involve critical medical decisions. This study aims to analyze the procedures and implementation of informed consent for patients in the anesthesia and intensive care unit, highlighting the legal and ethical aspects of decision-making. A qualitative approach was used to evaluate patients' and families' understanding of the medical information provided, their rights in agreeing to or refusing medical treatment, and the role of doctors in ensuring that consent is given voluntarily and informatively. Data were obtained through in-depth interviews with health practitioners and a review of related legal and medical ethics literature. The results of the study indicate that the implementation of informed consent in the intensive care unit and anesthesiology unit often faces challenges due to the critical condition of the patient, time constraints, and the complexity of communication. Therefore, this study recommends strengthening communication policies and training for medical personnel to ensure that patient rights are met and medical actions can be carried out in accordance with applicable ethical and legal principles.

School Health Business (UKS) is a program that aims to promote a healthy lifestyle among students. Health services at UKS include providing medicine for students who experience minor illnesses. However, a shortage of pharmacists in schools can increase the risk of errors in medication management and threaten patient safety. Teachers play an important role in providing first aid and coordinating medical emergencies at school. Teachers also play a role in providing education about health to students, including correct medication management. This activity aims to increase the understanding and awareness of UKS managers about the importance of correct medication management, as well as encouraging behavioral changes in obtaining, using, storing and disposing of medication (DAGUSIBU) correctly. The activities were carried out using counseling, outreach and mentoring methods for Teachers and students at SD Muhammadiyah 16 and 52.The results of the activity showed that there was an increase in teachers' and students' understanding of drug management, especially drug storage.

During the field work practice, the author observed that there were obstacles in placing pedis examinations on non-cooperative patients so that the examination was not optimal. This obstacle resulted in radiologists not being able to carry out their expertise properly. In addition, if the referring doctor asks for a repeat photo, it will give the patient an excessive radiation dose. With such patient conditions, a fixation device is needed so that the examination produced optimal results. Innovation efforts are needed to overcome this in order to improve services and prioritize patient safety. In addition, according to Lampignano & Kendrick, (2018), it is not permissible to force injured limbs or body parts into a certain position, the position must be adjusted according to needs. So that patients with multiple fractures require special treatment that is different from patients in general. The researcher designed a fixation device that can be used in the patient's supine and sitting positions without having to lift the patient's thigh, genu, and cruris bones and also without looking at the size of the patient's feet.

Quality information services in hospitals is an important element in increasing patient satisfaction and the image of the institution. The Public Relations Officer (PRO) plays a strategic role in managing communication between the hospital and the public. This research aims to explore the strategies implemented by PROs in improving the quality of information services at RSUD dr. Zainoel Abidin Banda Aceh. The public relations officer (PRO) strategy used is determining problems, compiling and planning work programs, taking action and communicating as well as evaluating work programs in hospitals and reviewed through strategic planning in the field of Public Relations by Cutlip-Center-Broom. The research method used was descriptive with a qualitative approach between PROs and several hospital employees, patients and patient families. The results of the investigation revealed that the strategies used by PRO RSUDZA and health services ranged from identifying problems, planning, to compiling work programs, such as online registration, electronic pharmacies (e-pharmacies), and community complaint centers. In addition, PRO RSUDZA deployed staff from the Hospital Health Counseling Service (PKRS) to carry out outreach and communication to inform the public about RSUDZA services and the availability of the RSUDZA tabloid newspaper "Lam Haba". PRO RSUDZA evaluates the work program carried out at the hospital. Obstacles faced by PRO RSUDZA include miscommunication and residents' complaints about long queues at registration and drug distribution counters. PRO RSUDZA's efforts aim to carry out all planned work programs to improve the quality of information services at RSUDZA Banda Aceh.

Faisal Islamic Hospital Makassar currently has good service quality on the interest in repeat visits to outpatients in polyclinics with an increasing number of outpatient visits. However, there are also services that are desired by patients and families of patients so that the service is said to be bad. This is felt by patients visiting the hospital, namely the better the services provided where before the researchers conducted the research there were still many shortcomings in the form of medical devices and irregular service hours. Where the quality of service can also be said to be good if the service provided is in accordance with what the patient wants and can be said to be satisfactory service. Therefore, to increase the number of patient visits, the hospital tries to provide quality service so that patients feel satisfied. Revisit interest is the behavior that occurs in response to a service that shows the customer's desire to revisit the hospital. This study aims to determine the quality of service and its effect on outpatient revisit interest in polyclinics at Faisal Makassar Islamic Hospital. The population in this study was 750 patients and the sample size was 254 patients who made a repeat visit at the polyclinic of the Faisal Islamic Hospital Makassar. The results of this study are the level of repeat visits on an outpatient basis at the Faisal Makassar Islamic Hospital can be seen from the aspects of tangible (physical evidence) of good value, reliability (reliability) of good value, responsiveness (responsiveness) of good value, assurance (certainty) of good value, and empathy (empathy) of good value.

Infertility, according to the World Health Organization (WHO), affects approximately 8-12% of couples of reproductive age worldwide. In Indonesia, its prevalence ranges from 10-15%, meaning about 4-6 million couples require treatment to conceive. The incidence of infertility is influenced by various factors, including access to and the quality of healthcare services. Therefore, healthcare providers’ knowledge and awareness of infertility play a crucial role in its management, leading to early detection and appropriate referrals to advanced healthcare facilities. Given the limited access to information and healthcare services in remote areas, educating and promoting early detection of infertility by healthcare providers is essential to improving healthcare quality in those regions. This community service activity aims to enhance healthcare workers' understanding of diagnosing infertility, ensuring that patients are promptly referred for further treatment. The activity took place on Friday, November 15, 2024, via Zoom Meeting, in collaboration with an experienced OB/GYN doctor in Kupang. A total of 27 participants attended, consisting of 20 people from Bakunase Health Center and 7 people from Sikumana Health Center.

Nosocomial infections, acquired by patients during their stay in healthcare facilities, pose a significant challenge to service quality and cost efficiency. These infections worsen patient conditions and strain the healthcare system. In Indonesia, prevalence ranges from 10–15%, highlighting the need for effective prevention strategies. This community service program involved health education at Mitra Medika Tanjung Mulia Hospital to enhance patient and family awareness of nosocomial infection prevention. Activities included systematic planning, educational material development, and hands-on prevention training. As a result, participants' understanding increased from 45% to 85%, with compliance reaching 80%. However, challenges remain, such as limited resources and varying adherence levels. Therefore, continuous education, facility improvements, and regular evaluations are necessary to reduce nosocomial infection rates and enhance patient safety in healthcare settings.

Hospitals worldwide are increasingly concerned about the performance of outpatient services, which contribute significantly to their revenue and are projected to surpass inpatient services in importance. As the demand for medical care continues to grow, outpatient services could generate even greater financial returns for hospitals. This study aims to evaluate patient service wait times at Stella Maris Hospital Makassar's outpatient department using the lean methodology. A mixed-methods approach was employed, involving the measurement of wait times for 100 patients and interviews with eight informants, including the head of the outpatient department (1 person), admission officers (3 individuals), the hospital director (1 person), and nurses (3 individuals). The interview data were analyzed through processes of data reduction, visualization, and conclusion formulation. A patient care process flowchart was created to assess data quality. Findings indicate the absence of an integrated hospital information system (SIMRS), leading to issues such as long queues at the pick-up counter, delays in doctor availability, and inefficiencies in order processing. Recommendations include integrating SIMRS across the hospital, implementing system improvements, and quantifying outcomes for effective decision-making.  

Diabetes mellitus (DM) can cause serious complications, including impaired peripheral tissue perfusion that risks diabetic ulcers and amputation. The Self-Directed Learning (SDL) approach is an effective self-education strategy in improving the understanding and skills of DM patients in preventing these complications. This community service program aims to improve the understanding and skills of lower extremity care in DM patients through education and hands-on training. Activities include counseling, foot self-examination, and proper foot care practices. Evaluation results showed significant improvement in participants' understanding of diabetic ulcer prevention, awareness in maintaining blood sugar levels, and selection of appropriate footwear. In addition, skills in foot self-examination, proper nail trimming, and moisturizer application also improved. The SDL approach proved effective in increasing participants' engagement in the learning process, so they were more motivated to apply the knowledge gained in their daily lives. This program indicates that SDL-based education can be an effective strategy in improving the foot health of people with DM and preventing serious complications.

Background: Digitalization is fundamentally reshaping health financing, enabling more efficient management of healthcare resources, improving service delivery, and increasing accessibility. This systematic review explores the intersection of digital tools and financial health systems, examining their transformative potential.Objective: The primary aim of this review is to identify the impact of digitalization on healthcare financial management, highlighting its benefits and addressing the challenges that arise during its implementation.Methods: A systematic review of 10 studies was conducted, focusing on digital health financing and employing PRISMA guidelines to ensure rigorous selection and analysis. The data extraction process identified thematic relevance, methodological rigor, and contextual insights.Results: The findings reveal that digitalization enhances resource allocation, patient accessibility, and administrative efficiency. Technologies such as blockchain and artificial intelligence optimize transparency and predictive financial modeling. However, significant challenges include data security vulnerabilities and the integration of digital tools with legacy systems.Conclusion: Digital technologies present transformative potential for healthcare financing. However, strategic implementation, robust governance, and cross-sector collaboration are critical to overcoming challenges and maximizing the benefits of digitalization. By addressing these needs, digitalization can create sustainable, inclusive, and equitable healthcare systems for the future.

Law Number 35 of 2009 concerning Narcotics in Indonesia provides a strong legal basis for regulating the use of narcotics in the medical field. This regulation aims to ensure that the use of narcotics is carried out safely, in a controlled manner and in accordance with the interests of health services. This research aims to analyze legal aspects related to the use of illegal drugs in the medical field, identify challenges in implementing regulations, and provide policy recommendations to overcome existing obstacles. The research method used is normative juridical, with a legal approach and literature studies from various legal and health journals. The research results show that although regulations have been prepared comprehensively, their implementation in the field faces obstacles, such as complicated bureaucracy, lack of education for medical personnel, and social stigma against narcotics use. This hampers patient access to treatment, especially for palliative therapy needs and chronic pain management. The conclusions of this research emphasize the need for strategic steps to increase understanding of medical personnel, simplify administrative procedures, and educate the public to reduce stigma. Thus, existing regulations can be implemented optimally to support public health goals without ignoring aspects of supervision. It is hoped that this recommendation can strengthen the legal system and health services in Indonesia, so that patients' rights to health can be fulfilled more effectively.