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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.    

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.

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.

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.

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.

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

This study aims to analyze user satisfaction with the Hospital Management Information System (SIMRS) implemented at Pelni Hospital using the SERVQUAL (Service Quality) method. The SERVQUAL method is used to measure Service Quality based on five dimensions: tangibles, reliability, responsiveness, assurance, and empathy. The research was conducted by distributing questionnaires to 31 respondents, including patients, medical staff, and administrative staff who actively use SIMRS. The results indicate that, overall, the quality of SIMRS services at Pelni Hospital is categorized as "Good" across all dimensions measured. The reliability dimension scored the highest (4.13), indicating that the system is reliable in providing services as promised. The assurance (4.06) and empathy (3.94) dimensions also received good scores, indicating that users feel safe and well-attended while using the system. However, the responsiveness (3.77) and tangibles (3.87) dimensions showed areas for improvement, such as the speed of response to user requests and improvements in the system's physical appearance, which can affect user comfort. The conclusion of this study is that SIMRS at Pelni Hospital provides adequate and satisfactory services, but improvements in the responsiveness and tangibles aspects are necessary to enhance overall user satisfaction.

Implementation of patient safety goals in hospitals is a form of hospital assessment in managing patient safety programs and the quality of services provided by hospitals to patients must ensure that patients are not involved in detrimental risks. Hospitals must implement a safety culture to make patient care safer. Attitudes and pharmacovigilance as well as the need to implement patient safety is the basis for the formation of compliance behavior in implementing patient safety goals. Based on the considerations above, it is very important to analyze the influence of attitudes and pharmacovigilance on the implementation of patient safety as well as safety culture targets as intervening variables. The research method used in this research is quantitative causality research with a cross-sectional research design approach with the aim of examining the influence of attitudes and pharmacovigilance on the implementation of patient safety goals which are mediated by patient safety and strengthened by the existence of a safety culture in the hospital. The samples used in this research were nurses, namely regular and executive inpatient units. The analysis technique used is the Structural Equation Modeling (SEM) technique where statistical data processing uses the Smart PLS program. The results of the study found that attitude and pharmacovigilance had a significant effect on the implementation of patient safety goals, indicating that there was a strong relationship between pharmacovigilance and the implementation of patient safety goals. Attitudes, pharmacovigilance, and safety culture together have a significant influence on the implementation of patient safety goals. Having a good level of understanding of pharmacovigilance and a good attitude have a good safety culture will increase the implementation of patient safety.

Installation take care road is one of facility House the most sick used by clients or patient and also is access First for every patient For get the care needed , so that very important for House Sick For ensure that every means infrastructure , and also the provision of quality human resources For ensure quality service in maintain satisfaction patient . Research This done For know influence partial and simultaneous from performance nurses , facilities , and quality service to satisfaction patient . Research This is study quantitative descriptive , for describe influence between variable X to Y, which is done against 101 patients take care Road in the House Bandung Adventist Hospital , data inside study This collected use questionnaires that have been tested for validity and reliability, which are then processed use SPSS application , and presented in form table . Found that performance nurse No own influence significant to satisfaction patient with mark significant 0.249, while facilities and quality service own influence significant with mark respectively 0.006 and 0.000. In simultaneous performance nurses , facilities and quality service own influence significant with value 0.000 with 67.9% of satisfaction patient explained by the variables discussed in study this . Satisfaction patient influenced by performance nurses , facilities , and quality service in a way together , because That important for House Sick For Keep going maintain and improve it .

This study aims to find out and analyze legal protection for patients in health services in Sabu Raijua Regency. This research is an empirical  research supported by  an empirical legal approach using primary data in the form of interviews with related parties and secondary data in the form of literature books, research journals, laws and regulations, the internet, dictionaries of articles or newspapers. which was obtained using interview methods and document studies and processed and analyzed in several stages, namely editing, data systematization, verification and interpretation and analyzed in a qualitative descriptive manner. The results of the study show that (1) Legal protection for patients in health services in Sabu Raijua Regency is contained in Law Number 17 of 2023 concerning Health, Law Number 73 of 1958 concerning Criminal Law Regulations for All Regions of the Republic of Indonesia and Amending the Criminal Code (KUHP), Law Number 1 of 2023 concerning the Criminal Code (KUHP),  Burgelijk wetboek voor innesie (Civil Code). (2) Implementation of Legal Protection for Patients in Health Services in Sabu Raijua Regency Although it has been protected, in reality there are still shortcomings, namely it has not been implemented.

Dental and oral health is a vital aspect of overall health that supports functions such as digestion, speech, chewing, and enhancing an individual's self-esteem and quality of life. Currently, the rate of follow-up visits by elementary school students in the Lawanggintung Health Center area remains low, leading to unmet indicators for dental services. The main issue is that students do not adhere to their scheduled dental care appointments and are permitted to seek treatment at other healthcare facilities. This study aims to analyze the role of the health center in addressing dental health issues among children in schools and to investigate the efforts made by the health center for elementary school students who have not received dental treatment. The research method employed is qualitative with a descriptive approach, utilizing interviews, observations, and documentation. The findings indicate that the health center's role in managing children's dental health issues at schools is reasonably effective through promotive, preventive, and curative efforts. The initiatives for elementary school students who have not received dental treatment mainly include referrals, providing feedback to parents and school authorities, as well as health education.    

Background: The process of managing medical records at Dharma Yadnya General Hospital is not in accordance with the work procedures and organization of health service facilities. This can be seen from incomplete medical records, doctor writing is not specific in diagnosis and human error which results in errors in taking medical records. Purpose: This study aim to evaluate the process of managing patient medical records at Dharma Yadnya General Hospital. Method: This research is descriptive qualitative using in-depth interviews. The sampling technique used purposive sampling method with a sample of 6 people. Results: Based on the analysis results, 5 themes were discussed, namely assembling, filling, coding, indexing, filling and retention activities. Overall, the management of patient medical records at Dharma Yadnya Hospital has not been able to run optimally, namely the filling of incomplete medical record documents, namely patient identity, diagnosis, medical resume, signature of the doctor in charge of the service and there are still errors in placing medical records (missfiles) so that the management of medical records takes a long time so that the assembling, coding, indexing, filling and retention processes are hampered. Conclusion: The management system of patient medical records at RSU Dharma Yadnya starting from assembling, coding, indexing, filling and retention have not been run optimally.

Background: The prevalence of Diabetes Mellitus is based on all provinces in Indonesia, especially in the province of North Sumatra 1.39%. The prevalence of DM in Pematangsiantar is 1.68%. Prevalence by Gender, males are 1.34% while females are mostly 1.45%. The habit of eating sugary foods excessively and not adhering to the dietary recommendations of diabetes mellitus is not good for health. Dietary adherence is one of the keys to success in managing DM. Objective: To find out the overview of dietary adherence of patients with diabetes mellitus at Harapan Pematangsiantar Hospital. Method: Descriptive research design using a cross sectional approach. The sampling technique was accidental sampling with a total of 95 respondents. The research instrument used a Diabetes Mellitus diet adherence questionnaire. Results: The results showed that the majority of respondents obeyed as many as 61 respondents (64%) and the non-compliant minority 34 respondents (36%). Conclusion: Family support greatly impacts the patient's health, with support from the family the patient understands and is more obedient in undergoing the diabetes mellitus diet, family support needs to be increased so that the patient can feel better and can also follow the diet obediently, service facilities, consultation on lifestyle DM patients need to be improved.

Caring behavior encompasses compassion, empathy, responsibility, sensitivity, and supportive actions that shape quality nursing care. Therapeutic communication, as a structured and goal-directed interaction, is essential for facilitating patient recovery and meeting client needs. This study aimed to describe the caring behavior and therapeutic communication competencies of third-year nursing students during clinical practice. A descriptive method was applied used cross sectional design, involving all 97 students selected through a total sampling method. Data were collected using validated questionnaires on caring behavior and therapeutic communication, and analyzed bivariate using frequency and percentage distributions. Results showed that 50 students (51.5%) demonstrated very good caring behavior, whereas only 9 students (9.3%) achieved sufficient levels of therapeutic communication. These findings underscore the importance of strengthening training strategies to enhance students’ caring competencies and therapeutic communication skills, thereby improving the effectiveness and quality of nursing practice. It is hoped that strengthening these skills will help nursing students overcome challenges in clinical practice and contribute to more effective patient recovery.

Hypertension is a condition of the blood circulation system that causes an increase in blood pressure above normal values ​​or blood pressure ≥140/90 mmHg. Prolonged increase in blood pressure can trigger the risk of stroke, heart failure, and kidney failure. Community service activities are one of the efforts to implement physiotherapy services, one form of counseling is by addressing problems that are widely complained about by the community. The purpose of the counseling is to provide knowledge about hypertension and how to do exercises to reduce neck pain independently at home. The method used is in the form of education and stretching exercises using leaflets as a counseling medium. Counseling is carried out by providing pre-tests and post-tests in the form of questions to patients to assess the effectiveness of the counseling that will be given to the elderly community. The results of the counseling went smoothly and from the evaluation there was an increase in participant knowledge from 0% to 100%, which in counseling activities can increase participant knowledge about how to deal with neck pain caused by hypertension.

Low back pain (LBP) is a musculoskeletal disorder that is most often found in work activities (Anggraika et al., n.d.). The Directorate General of Health Services, Ministry of Health of the Republic of Indonesia (Kemenkes RI) reports that the prevalence of Low Back Pain (LBP) in Indonesia is 18%. This figure is based on patient visits from several hospitals, and around 3-17% of all LBP complaints occur in Indonesia (Hasby et al., n.d.). This outreach aims to increase the knowledge of Dinoyo ceramic workers about low back pain. This outreach activity includes explanation of the definition, causes, signs and symptoms, prevention, and exercises for LBP. The method of physiotherapy activities used is providing health promotion outreach and physiotherapy exercises carried out independently regarding low back pain. From the results of observations and interviews, several workers complained of lower back pain. It is hoped that this outreach activity can increase workers' knowledge regarding low back pain. The hope is that all ceramic industry workers in Malang City will gain knowledge and prevention about low back pain.

Background: The National Health Insurance Program helps patients pay for medical expenses and provides financial protection against unexpected health risks. INA-CBG system is used for healthcare payments, where the payment is determined based on type of disease the patient has. However, the rates set by INA-CBG are lower than hospital rates, causing financial losses and affecting the quality of service. Purpose: This research aims to compare rates to maintain hospital financial balance and fair access to services. Method: This study uses comparative quantitative research method with cross-sectional approach. The research was conducted at Rumah Sakit Islam Jakarta Sukapura. The sampling technique used was saturated sampling, with a sample of 374 claim data for type II diabetes mellitus patients from October to December 2023. Data were taken from Zi-Care system, which has been bridged with INA-CBG. The data collection tool used was a checklist. The analysis techniques included univariate and bivariate analysis using Wilcoxon Signed Rank Test. Results: The research results show that the total hospital cost is Rp265,805,506, with the highest value being Rp2,746,407 and the lowest value being Rp161,000. The total INA-CBG cost is Rp73,341,400. P-value of 0.0001 indicates a significant difference between both variables. Conclusion: The difference in rates resulted in the hospital experiencing a loss of IDR 192,464,106. Hospitals need to refer drug collection to external pharmacies, and BPJS must evaluate INA-CBG rates to match hospital expenditure to prevent losses.