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Active Cycle Breathing Exercise (ACBE) is an effective therapeutic method for managing asthma symptoms, particularly in improving lung function and reducing the frequency of attacks. The role of physiotherapists as parental companions in implementing ACBE is crucial, especially at Medan Selayang Community Health Center. This study aims to analyze the contribution of physiotherapists in assisting parents of children with asthma to perform ACBE correctly and consistently. A descriptive research method was used, collecting data through interviews, observations, and questionnaires administered to parents and physiotherapists. The results indicate that physiotherapist involvement not only enhances parents' understanding of ACBE techniques but also improves adherence to regular practice at home. Furthermore, there was a significant reduction in asthma symptoms among children following consistent therapy. The physiotherapists' roles include education, demonstration, supervision, and evaluation of patient progress. Through this assistance, parents gain confidence in helping their children manage asthma, leading to an overall improvement in the quality of life for both children and families. This study recommends strengthening training programs for parents and integrating ACBE into physiotherapy services at the community health center level to ensure sustainable therapy.

User satisfaction in a health system is defined as the way the person perceived the service and its judgements about the care received. In Indonesia, health provider who could give dental treatments are Dentist, Dental Specialist, and Dental Co-ass Students under the supervision of Dentist in Charge of Service (DPJP) and under applicable laws and regulations. The objective of this research was to analyze whether there was a significant difference between patient’s satisfaction towards dental and oral treatment by dental co-ass students and dentist practitioner on RSGMP Jendreral Soedirman University, and measured using the Patient Satisfaction Questionnaire-18 (PSQ-18) that was modified according to field condition. Hypothesis of this research was there was a significant difference between patient satisfaction who received dental and oral treatment by co-ass students and dentist practitioner on RSGMP Jenderal Soedirman University. Result show that patient received treatment from general dentist showed higher level of satisfaction compared to patient received treatment from dental co-ass. The management of RSGMP Universitas jenderal Soedirman as a service provider needs to evaluate aspects which are still lacking in order to improve the quality of health services. Further research is needed to compare between patient satisfaction at RSGMP Universitas Jenderal Soedirman and patient satisfaction at other hospitals.

The development of information technology has a significant impact on data management in the health sector, including clinics. This study aims to analyse the benefits of implementing a health information system in patient data processing in a clinic. The method used was literature review by collecting national research articles published between 2016 and 2024 and relevant to the topic under study. The results showed that the application of information systems in clinics can improve the efficiency of the patient registration process, accuracy and security of data storage, and improve the quality of health services. The system also facilitates report generation and data analysis that supports managerial decision-making and minimises errors in data processing. Thus, the implementation of an integrated information system can improve service quality and patient satisfaction at the clinic.

Increasingly tight hospital competition forces hospital management to continue to improve the quality of service, inpatient installation is a facility used by patients for more than 24 hours, so it will greatly affect patient satisfaction, therefore it is important for hospitals to ensure that nurse competence, and Nurse Quality who get work motivation can help hospitals to improve the quality of service. This study aims to analyze the effect of competence, work motivation and Nurse Quality partially and simultaneously on the quality of service. This study uses a quantitative analysis method conducted on 74 nurses at the Inpatient Installation of Advent Hospital Bandung in September 2024, data was collected using a questionnaire that had been tested for validity and reliability which was then processed using SPSS software. The results of this study indicate that partially and simultaneously nurse competence, work motivation and Nurse Quality have a significant and positive effect on the quality of service at the Inpatient Installation of Advent Hospital Bandung.      

Incidents and patient safety in hospitals are very important things in the service system. Based on data from the World Health Organization (WHO), in 2020, every year there were 134 million reports related to patient safety incidents and caused 2.6 million patient deaths in hospitals. This study aims to determine the relationship between patient safety standards and patient safety incidents at the Pertamedika Ummi Rosnati Hospital, Banda Aceh. This type of research is a descriptive analytical research with a cross sectional study design. The population used in this study were all nurses, totaling 138 nurses. Sampling in this study was carried out by random sampling (random probability) with a purposive sampling technique with a total of 58 respondents. For patient safety standards, 43 people (74.1%) stated that patient safety standards had been implemented in accordance with hospital operational service standards, and only 15 people (25.9%) said they had not. 38 people (65.5%) stated that patient safety incidents were a standard priority for the hospital and only 20 people (34.5%) stated that this did not mean that patient safety incidents were less of a priority for nurses. The results of the bivariate test prove that there is a significant relationship between patient safety standards and patient safety incidents with a P-value = 0.019. The conclusion is that there is a relationship between patient safety standards and patient safety incidents.

The purpose of setting up SIMRS is to improve efficiency, effectiveness, professionalism, performance, and access and services in hospitals. In the preparation of this paper, data was collected through observation methods, interviews, literature studies, and the application of software development models using the waterfall method. The result is the design of a web-based patient registration information system using Laravel and MySQL as a database. Hospitals face several problems, including data redundancy in the input process and less than optimal data presentation, making it difficult to manipulate, change, and delete data. The author hopes that the development of a new information system can simplify and speed up the data input process. The information system designed is expected to make it easier for patients to register online as well as assist admins in the patient registration process, making it easier to make registration reports.    

Background: Workplace stress affects 20% of nurses at RSUD Pringsewu, even though nurses are medical professionals who have continuous direct contact with patients. Perception of workload, perceived urgency, poor supervision, toxic work environment, lack of authority, conflict, and value differences between management and staff are all factors that can cause workplace stress. Of the fifteen nurses surveyed for the preliminary study at RSUD Pringsewu, seventy-three percent said they were bored and tired of their daily routines. Of the fifteen nurses surveyed, 66.7% said that mental burdens such as punctuality were a result of the hospital's work culture. In addition, more than three-quarters of these nurses have been working in the field for at least ten years. Knowing what makes nurses at RSUD Pringsewu anxious in their work in 2024 is the main driving force behind this research. Research method: Research method: quantitative research with a cross-sectional design. A total of 219 individuals, including all nurses working in the inpatient wards of RSUD Pringsewu, formed the population used for this study. The purposive sampling technique was used to select 156 respondents. Surveys were used to collect data, which were then analyzed using bivariate (chi-square test) and univariate methods. (frequency distribution). Research results: Research results: Nursing stress at Pringsewu Regional General Hospital in 2024 correlates with factors such as workload (p-value = 0.000), organizational culture (p-value = 0.010), length of service (p-value = 0.000), and relationship with superiors (p-value = 0.010). On the other hand, dual roles do not correlate with nursing stress at Pringsewu Regional General Hospital in 2024 (p-value = 0.941). The issue of nurses being overworked should be addressed by upper management, who should recruit more nurses or improve the hospital's infrastructure and facilities.

Satisfaction is very important in assessing service quality, especially in health services. Physiotherapy services are one of the medical rehabilitation services in hospitals aimed at individuals to restore movement and body functions are required to provide the best service. Dr. Hafiz Hospital (RSDH) Cianjur is the first private hospital in Cianjur, which strives to improve the quality of services in all types of services including physiotherapy services. However, the data on quality indicators of the Physiotherapy Unit showed a decrease in visits. The complaint data that is often received is about administration, service procedures, communication and attitude of officers and others. This study aims to find out the picture of patient satisfaction with physiotherapy services at Dr. Hafiz Cianjur Hospital . This type of research is quantitative with a descriptive method, the population in this study is 87 physiotherapy patients obtained using purposive sampling techniques. Data was obtained using a questionnaire, then the data was processed and univariate analysis. The results showed that satisfaction based on physical evidence (tangible) included high (41.4%), reliability had high satisfaction (41.4%), accuracy (resvonsiveness) had high satisfaction (43.7%), assurance had moderate satisfaction (44.8%), and care (empathy) have moderate satisfaction (47.1%). The hospital is advised to evaluate the quality of service to meet patient satisfaction, so that it can determine the next steps to be taken in measuring wisdom in the future.

Professional ethics is not only a moral guideline for health workers, but is also an integral part of the legal system that regulates the relationship between health workers, patients and society. In a legal context, professional ethics is the foundation that guarantees that every action of health workers is carried out in accordance with professional standards and aims to protect patient rights. The aim of this research is to analyze the obstacles and impact of obstacles faced in law enforcement on violations of professional ethics for health workers in Indonesia. The research method used is normative research, using secondary data. The research results show that obstacles to law enforcement against violations of professional ethics for health workers in Indonesia stem from various factors, such as weak regulations, lack of coordination between institutions, slow and complicated legal processes, and minimal understanding of ethics and law among health workers. Furthermore, there is a significant impact on the protection of patient rights and the professionalism of health workers in Indonesia. On the one hand, patients become vulnerable to violations of their rights, such as the right to safe and quality medical services.

Background: According to the Regulation of the Minister of Health of the Republic of Indonesia Number 24 of 2022 concerning Medical Records, they are documents that contain patient identity data, examinations, treatment, procedures and other services that have been provided to patients. Minimum Hospital Service Standards Completeness of filling in medical records 24 hours after completion must reach 100%. Objective: To determine the completeness factor in writing the patient's name in the patient's medical record at the hospital. Method: This research uses a literature review method. Results: The highest percentage of completeness in writing patient names was in research journals with a percentage of 98%, while the lowest percentage was 56%. Conclusion: From the results of a review of the completeness of writing patient names in hospital medical records, it was found that the completeness results were not 100% and not all hospitals had SOPs regarding procedures for writing patient names. Suggestion: Create an SPO for procedures for writing patient names that comply with standards so that officers can carry out these activities with guidelines. Background: In accordance with Republic of Indonesia Health Minister Regulation Number 24 of 2022, medical records are records that include information about a patient's identity, medical examinations, treatments, procedures, and other services rendered to them. Minimum Requirements for Hospital Services Within 24 hours of finishing, all medical records must be 100% complete. Goal: To ascertain the degree of completeness in entering the patient's name in the hospital's medical file. Method: A literature review approach is used in this study. Findings: Research journals had the highest percentage of complete patient names (98%) and the lowest percentage (56%) of complete patient names. Conclusion: A review of the completeness of writing patient names in hospital medical records revealed that not all hospitals have standard operating procedures (SOPs) pertaining to patient name writing, and the findings were not 100% complete. Recommendation: Establish a standard operating procedure (SPO) for writing patient names that adhere to standards so that officers can perform these tasks in accordance with protocols.

Tuberculosis is a disease caused by the bacterium Mycobacterium tuberculosis as an acid-resistant bacteria (BTA), which attacks the respiratory organs of the lungs and even to all parts of the body, this is what makes TB patients feel helpless, therefore it is necessary to have family support intact bio, psycho, social and spiritual are important factors for the success of TB treatment and accelerate the healing process. This study aims to identify features of family social support for pulmonary TB sufferers at Harapan Siantar Hospital in 2023. The research method used is descriptive. The research population is 65 respondents, with a total sampling technique. The instrument used is a questionnaire. The results showed that 47 people (72.3%) had good family social support, and 18 people (27.7%) had enough. It is hoped that families and health services will continue to accompany family members who have TB to speed up the healing process.

Diabetes mellitus (DM) is a chronic disease characterized by abnormal blood sugar levels whose prevalence is increasing in Indonesia, including in Tasikmalaya City. Based on the Tasikmalaya City Health Office report in 2023, there were 11,782 DM patients, with 744 cases recorded in the Tawang Health Center working area. Tawangsari Village, namely RW 01, has health problems related to DM where people are less aware of the importance of implementing a healthy lifestyle, especially doing physical activity and limited posyandu services. The purpose of this “SEMANGGI” program is to increase community knowledge and awareness about DM prevention through education and joint gymnastics. The method used was participatory-based, involving health education through lectures, questions and answers, and the completion of pre-test and post-test to measure knowledge improvement. In addition, joint exercises designed to support a healthy lifestyle were conducted. Evaluation results showed a significant increase in community knowledge scores from an average of 2.65 in the pre-test to 4.45 in the post-test (p<0.001). This program demonstrates the effectiveness of participatory-based community empowerment in improving knowledge and promoting a healthy lifestyle to prevent DM. The sustainability of activities like this is needed to optimize its positive impact on public health.

Proper wound care will accelerate wound healing. Where the impact/complications of the wound can damage the physiology of the skin in the patient. Therefore, wound care techniques are one of the supporting factors in accelerating wound healing and restoring skin physiology by using moist wound healing techniques, which can help heal wounds more effectively. In this case, nurses are required to have knowledge about wound care using the moist wound healing method in hospitals. The purpose of the study was to identify nurses' knowledge about wound care using the moist wound healing method at Elisabeth Hospital Medan in 2022. Methods: The research method used was descriptive research. The sampling technique used total sampling technique, with a total sample size of 31 respondents. Data were collected using a questionnaire of nurses' knowledge about wound care using the moist wound healing method. Results: The majority of nurses' knowledge is sufficient as many as 18 people (58.1%) but there are still as many as 7 people (22.6%) who have less knowledge about this method. Conclusion: It is hoped that nurses can better understand and apply the moist wound healing method to improve the quality of service at Elisabeth Hospital Medan.    

The reliability of sterilization equipment, such as autoclaves, is essential to ensure patient safety, infection control, and operational continuity in healthcare facilities. Damage or malfunction of autoclaves may disrupt sterilization processes and pose significant risks to medical services. This study aims to develop an expert system for autoclave damage detection using the fuzzy logic method to support faster and more accurate diagnostic decision-making. The proposed system applies fuzzy inference to evaluate the level of damage based on input symptoms provided by users. By handling uncertainty and varying symptom intensities, the fuzzy logic approach enables proportional assessment rather than rigid rule-based classification. The system was designed through knowledge acquisition from technical experts and implemented using fuzzy membership functions and inference rules to determine damage severity levels. Experimental testing was conducted to evaluate system performance and diagnostic accuracy. The results indicate that the expert system successfully generated diagnosis outputs for all tested scenarios, achieving functional diagnostic accuracy within the defined test cases. The system was also able to calculate a quantified damage severity value of 11.6235981% based on the given symptoms, demonstrating its capability to assess damage levels numerically and objectively. Furthermore, the developed system significantly reduces the time required for damage detection compared to manual diagnostic procedures. Automating the evaluation process, it assists electromedical technicians in identifying faults more efficiently and taking preventive or corrective actions promptly. Overall, the implementation of a fuzzy logic-based expert system provides an effective, accurate, and practical solution for improving autoclave maintenance management and supporting healthcare service reliability.

The purpose of developing an outpatient management information system at Waikabubak Regional Hospital is to improve the efficacy and efficiency of the outpatient health service process. The system created will facilitate recording, managing, and monitoring patient health status in real-time. Current manual procedures often result in inaccurate recording, slow administration, and substandard medical data management. This information system is expected to facilitate medical decision-making and smooth the flow of information from patient registration and health checks to treatment and follow-up.

Waiting time for healthcare services is a key indicator of quality, particularly for BPJS patients in outpatient settings. This study aims to examine the waiting time for BPJS patient services at Siti Khadijah Islamic Hospital Palembang and identify factors contributing to delays. A quantitative descriptive method was employed, with data collected through observation, questionnaires, and checklists. The sample consisted of 97 BPJS outpatient respondents. Findings revealed that 68% of patients experienced waiting times exceeding 60 minutes, surpassing the established standard. Key factors contributing to delays included inconsistent doctor schedules and high patient volumes in specific clinics, such as geriatrics. The study concludes that waiting times need improvement through the implementation of written Standard Operating Procedures (SOPs), increased medical staff, and optimized service schedules. The findings emphasize the importance of effective time management in enhancing service quality and patient satisfaction.

This Electronic Medical Record is a digital version of a medical record, the same as a paper-based manual medical record, this electronic medical record also contains information regarding health history, diagnoses, laboratory results, examination notes, medications given, medical procedures, and other data. relevant to the patient's health condition. It is hoped that the implementation of Electronic Medical Records can increase the efficiency of BPJS claims and improve the quality of service. Therefore, this study aims to analyze the use of RME using the Delone and Mclean method. The Delone and Mclean method is an information system quality evaluation framework that includes six dimensions, namely information system quality, information quality, service quality, use quality, user satisfaction, and user impact. In this study, we apply this method to analyze the quality of RME management. This research uses a quantitative approach by collecting data through questionnaires distributed to RME users in hospitals. The questionnaire measures user perceptions of information system quality, information quality, service quality, use quality, user satisfaction, and impact of using RME. The results of this research are expected to provide better insight into the use of RME in the context of work efficiency. The findings of this research will provide input for RME developers to improve the quality of information systems, the quality of information, and the quality of services provided to users. Apart from that, this research also contributes to theory and research in the field of information systems by applying the Delone and Mclean method in the context of RME management.

Good communication between midwives and pregnant women greatly influences maternal satisfaction in receiving health services from midwives, so that a sense of mutual trust is built between midwives and pregnant women. This mutual trust will have an impact on changes in attitudes for both service providers and service recipients. the proportion of pregnancy checks in North Sumatra Province was 92.4%, while those who did not have pregnancy checks was 7.6%. The ANC K1 coverage rate in North Sumatra Province was 90.0%, while ANC K4 was 85.9%. This shows that ANC coverage in North Sumatra Province is still low because the national ANC target is 95%. The general aim of this research is to analyze the relationship between midwife communication and the level of satisfaction of pregnant women with ANC services at the Gebang Community Health Center, Langkat Regency in 2024. The research method used is quantitative, information about what you want to know is examined using numerical data through a retrospective survey. Conducting a retrospective survey is one method of collecting historical data. This research uses a cross-sectional strategy. The sample for this in-depth research was all midwives in the Gebang Health Center working area, totaling 40 people. Data analysis uses univariate and bivariate analysis. From the statistical test results, it was obtained that p.value = 0.004 and ? = 0.05, where the value of P.value (0.004) < ? (0.05), so it can be concluded that there is a relationship between midwife communication and pregnant women's satisfaction with antenatal care services in Health Center. Gebang Langkat Regency in 2024. Midwives are expected to further improve their good communication skills with patients by participating in training on effective communication methods so that patients feel satisfied with the services provided.

Radiology services are a crucial component of the healthcare system that requires efficiency in its processes. Resource limitations and increasing demand for services underscore the importance of improving efficiency. To enhance service quality and operational efficiency, the implementation of an integrated information system has become a key focus for hospital management. Improving service quality and operational efficiency through the application of an integrated information system is also dependent on the reliability and performance of the system itself. This study aims to examine the relationship between the implementation and performance of an integrated information system with service efficiency in enhancing service quality in the radiology department of RSUD Kota Bogor. The research uses a quantitative approach with two independent variables: the implementation of the integrated information system and the reliability and quality of the integrated information system. The dependent variable is the quality of radiology services, and the intervening variable is radiology service efficiency. Data collection methods include observations, questionnaires, and documentation studies. The sample consists of 30 employees working in the radiology department of RSUD Kota Bogor and 30 patients receiving services in the radiology department. Data processing and presentation were conducted using path analysis with Structural Equation Modeling (SEM-PLS) using SmartPLS software. The results of the data analysis indicate that: (1) The implementation of the integrated information system does not have a significant relationship with radiology service efficiency; However, the reliability and performance of the system do have a strong relationship with radiology service efficiency. (2) The implementation and performance of the integrated information system do not have a significant relationship with service quality in the radiology department. (3) Radiology service efficiency has a significant relationship with service quality in the radiology department. (4) Radiology service efficiency, as a mediator, is not strong enough to enhance the relationship between the implementation and performance of the integrated information system and service quality in the radiology department. This study is expected to provide a comprehensive overview of the relationship between the implementation and performance of an integrated information system with service efficiency in enhancing service quality in the radiology department. The findings may serve as input for the management of RSUD Kota Bogor in optimizing the use of an integrated information system to improve radiology service efficiency, which is expected to impact the quality of services in the radiology department.

Umi Barokah Boyolali Hospital is a private hospital with type D which is one of the private hospitals formed to provide services to the community in the form of services that prioritize service in carrying out its activities based on customer satisfaction. Umi Barokah Boyolali Hospital is currently developing to offer health services with target service coverage in Boyolali Regency. Currently, the marketing team at Umi Barokah Boyolali Hospital is starting to develop marketing efforts which are expected to increase patient visits. High competition between hospitals is one of the factors that patient visits at Umi Barokah Boyolali Hospital tend to fluctuate. The marketing team's lack of knowledge regarding Digital Marketing, the large number of job desks for each marketing team member and the lack of supporting equipment result in digital marketing efforts being less than optimal. The marketing strategy that is currently being implemented is still not optimal considering that views on various social media for hospitals are still lacking. The solutions offered through this Community Service activity are (1) Providing education regarding the Digital Marketing Hospital Transformation Strategy (2) Providing education regarding the Digital Marketing Hospital Transformation Strategy method which can be applied in hospitals (3) Training on the Digital Marketing Hospital Transformation Strategy which combines Media Content Marketing, Collaboration Transformation, Expanding Social Media Networks, Optimizing Patient Services through digital marketing. The methods used in this community service include: (1) Increasing the marketing team's knowledge regarding the Digital Marketing Hospital Transformation Strategy to increase the number of patient visits; (2) Increasing the skills of the marketing team in implementing the Digital Marketing Hospital Transformation Strategy (3) Increasing and developing strategies to produce user interfaces for collecting customer data (4) Mentoring. The outputs of this activity are (1) Publication of service results in the Community Service Journal (2) Videos of PkM activities which can be accessed online; (3) Increasing the knowledge of the Hospital Marketing team through the Digital Marketing Hospital Transformation Strategy; (4) Integration of the results of PkM activities in the Hospital Marketing Management course; (6) Increasing students' skills in implementing the Digital Marketing Hospital Transformation Strategy in the Hospital Marketing Management course