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Background: The application of patient safety goals is an effort made by hospitals to improve the quality of health services. Handover activities that are not accompanied by effective communication can cause errors that can harm the patient. Recommendations from WHO require nurses to improve communication patterns, especially when carrying out handovers, namely by using SBAR communication which consists of Situation, Background, Assessment and Recommendation. Based on the data summary of reported incidents that occurred in the hospital as many as 20 incident cases in the past year, including cases of KTD, KNC, KTC and KPCS. From these incidents, there were 6 cases related to miscommunication during handovers. Some nurses still do not apply the SBAR communication method when carrying out handovers, resulting in cutting/lagging of the information provided and resulting in incidents. Objective:to determine the reltionshipbetween SBAR Communication during handover and the implementation of patient safety at Bakti Timah Karimun Hospital. Methods: This research is quantitative with a cross-sectional approach. The population of this study were all inpatient nurses at Bakti Timah Karimun Hospital with total sampling, which consisted of 63 respondents. Results: showed that 41 respondents (65%) used SBAR communication during handovers in the good category and implemented patient safety. Conclusion:This means that the implementation of SBAR communication during the handover is good but not optimal because there are still 35% who have not implemented it. Based on the chi square test, there is a relationship between SBAR communication during handover and the application of patient safety (p=0.000 <0.05). Suggestion:, it is expected that nurses can carry out SBAR communication during handovers effectively so that they can implement patient safety optimallyKeywords : Newbron, Skin wrap, hypothermia.

Service quality can be measured by comparing the perceptions between expected services and services received and felt by patients. Patient satisfaction is the level of patient feelings after comparing with his expectations. A patient if he is satisfied with the value provided by a product or service then it is very likely to become a customer for a long time. The purpose of this study was to analyze the relationship between service quality in the registration section and patient satisfaction for pregnant women at the highlands sub-district, Binjai sub-district health center, Kota Binjai in 2023. The type of research used in this study was analytic with a cross-sectional approach. Cross sectional is a research approach that emphasizes the time of measurement/observation of independent variable data and depends only once at a time. The chi-square test results obtained a p value of 0.0050.005. This means that there is a significant relationship between the quality of the registration section and the satisfaction of pregnant women. Reliability where the p value = 0.000. Responsiveness with p value = 0.000. Assurance with a p value = 0.000. Empaty with p value = 0.002.

Traditional health services are expected to be implemented in health care facilities. Puskesmas had a traditional health clinic that has been running since 2019, but there is no evaluation on that program. This study aims to identify the implementation that has been carried out, in order to find out which aspects still need improvement. The research method used is descriptive qualitative research. Researchers collect data by interview, observation and secondary data. The results of the study show that traditional health services at the puskesmas have been implemented fairly well. In 2022 there were 20 visitors with the majority of visitors aged 31-45 years (50%), female (90%), all coming from the Javanese and Muslim religions. Meanwhile, the average number of visits was 1 time (55%) and 5% of visitors made 4 repeat visits. The most frequently treated complaints were dizziness/headaches (35%) and other pain complaints (45%). Treatment in traditional health polyclinics is provided with oral medication as much as 40% and 60% without drug administration. The traditional treatment given is acupressure (65%), cupping (15%) and a combination of both as much as 20%. Officers who provide traditional health services at the Palm Health Center are nurses with acupressure training. The implementation that has been carried out still requires various improvements in order to increase the number of patient visits. Further research is needed to find the right implementation model so that traditional health services at puskesmas are widely utilized by the community.

The number of complaints from patients who are being treated at the hospital has become evidence that the management of the service system has not paid enough attention to it. So it is necessary to examine in depth the causes of these problems. That is what underlies the researcher wants to find out whether hospital facilities and services have an effect on patient satisfaction with hospital image as an intervening variable at the Haji Abdul Manan Regional General Hospital. This type of research uses causal research which aims to test hypotheses on a causal relationship between one variable and another. The study sample consisted of 315 patients. The results of the study show that hospital facilities have a significant influence on patient satisfaction. Because with the appropriate facilities, patients will feel comfortable visiting the hospital. Likewise, hospital services also have a very large influence on the level of patient satisfaction. With good and comfortable service. Then the patient will get calm and will speed up the healing process for the patient. So it was concluded that quality and service greatly influence patient satisfaction at Umun Regional Haji Abdul Manan Simatupang Hospital.

Health services in hospitals must be able to manage risks to patients and have the ability to learn how to follow up on incidents or injuries that occur and be able to implement solutions to reduce the risk of patient safety incidents occurring. Therefore, through hospital accreditation, service quality must be carried out in accordance with predetermined patient safety standards. This study aims to determine the experience of implementing nurses in carrying out patient safety at dr. Bratanata in 2022.

Nowadays, in health care facilities, whether in hospitals, health centres, or clinics, there is often a large number of patient visits that can cause delays in operational activities. Delays are caused by a lot of waste in patient flow activities in health facilities. Therefore, the application of Lean six sigma in improving patient flow is needed to overcome this. This research uses the Literature Review method where data collection and processing by referring to previously existing research in the last 5 years, namely 2019-2023. The literature was obtained through Google Scholar and journal databases using the keywords Lean Six Sigma, patient flow, and health service facilities. The number of journals used as a reference for previous related research in compiling this research is 6 journals. The results obtained from the six articles state that the application of lean six sigma in healthcare facilities has proven effective in improving patient flow. And this way is very effective of course to do.

Interprofessional Collaboration (IPC) is professional collaboration with different educational backgrounds and collaborates to improve service quality. The purpose of this study was to explore SBAR communication carried out by nurses and doctors in IPC at the Hospital X. The research method is qualitative. The research participants were 10 health workers (5 nurses and 5 doctors). Data analysis was carried out by processing and preparing data, reading data, coding, coding interpretation, presenting themes, and interpreting data. The results showed that there were three themes produced: 1) A thorough assessment by nurses and doctors; 2) Collaboration between nurses and doctors to patients; 3) Barriers communication between nurses and doctors. The form of communication that is applied between doctors and nurses in the emergency room at the hospital x is SBAR communication that has been implemented well. The main barriers to SBAR communication are the shortage of staff and the increase in the number of patients. And the obstacle from the doctor's side is the new nurse personnel who do not really understand their duties. The conclusion of this study is that the application of SBAR communication in the Interprofessional Collaboration (IPC) relationship between nurses and emergency room doctors at the hospital x is good, but there are still barriers to SBAR communication when there is an increase in the number of patients due to lack of staff in the hospital.

Pulmonary Hospital dr. Ario Wirawan Salatiga is a health service institution that organizes plenary health. In the era of the Covid-19 pandemic, dr. Ario Wirawan experienced a significant increase so that during administration the patient experienced a long waiting time. The preparation of this research aims to develop an independent registration system so that it can manage long and ineffective queues. This self-registration platform system uses a web-based FIFO (First in First Out) algorithm. The system development stage is the analysis, design, design and testing stage. The method for developing an independent registration platform system uses the prototype method according to needs. While the coding stage of this system was built using the Python programming language with the PostgreSQL database. With the existence of an independent registration platform system, it is hoped that the hospital and patients can be facilitated in the examination registration process and managing patient data at the Pulmonary Hospital dr. Ario Wirawan Salatiga.  Keywords: FIFO, Automated Pavement System

Background: Jobs related to hospitals or health are often exposed to high work stress, namely nurses. Nurses who experience work stress show negative emotional responses. The negative impact of increased work stress and low emotional intelligence on nurses has an impact on the quality of health services. Therefore, when a nurse is exposed to work stress and low emotional intelligence, her performance in providing nursing services will decrease, which in turn will get complaints from patients. Prolonged job stress can contribute to nurse burnout, increased dropout rates, and decreased job satisfaction. In the long term, this can affect nurse retention and reduce the availability and quality of the nursing workforce. Methods: Quantitative research with a correlational type of research using Cross Sectional. Sampling using the Total Sampling approach totaling 46 nurses. Data analysis using Univariate Analysis and Bivariate Analysis. Results: 1) 56.52% emotional intelligence in nurses at Dr. Hospital. Bratanata Kota Jambi is categorized as low and 43.48% is categorized as high; 2) 54.35% work stress on nurses at Dr. Hospital. Bratanata Kota Jambi is categorized as high and 45.65% is categorized as low; 3) There is a relationship between emotional intelligence and work stress on nurses in the inpatient rooms of Akasia, Cemara and Cendana at Dr. Hospital. Bratanata Jambi City in 2022 with a Spearman correlation value of -0.869. That is, high emotional intelligence, the work stress experienced by nurses will be low. Conclusion: There is a relationship between emotional intelligence and work stress of nurses in the Inpatient Room of Akasia, Cemara and Cendana Dr. Jambi City Bratanata Hospital. It is hoped that the hospital can provide various programs for nurses not to experience high stress, and can increase the emotional intelligence of nurses to reduce work stress with training for nurses such as Gathering which can reduce nurse work stress.

Outpatient services are an important part of health services provided by hospitals. However, some BPJS hospitals experience obstacles in providing efficient and quality outpatient services, such as long queues, long waiting times, and lack of a good management system. the application of Lean Management to the outpatient services of BPJS patients in hospitals can help hospitals improve operational performance, so as to increase public trust in BPJS Health. This study aims to analyze the application of Lean Management to the outpatient services of BPJS patients in hospitals. This research uses a literature study method or Systematic Literature Review using the Google Scholar search engine and journal databases, such as Researchgate. The results showed that most outpatient service activities for BPJS patients still have patient waiting times below the established service standards. In analyzing the flow that patients go through, each activity is identified into two groups, namely Value Added (VA) as an activity that is considered necessary and profitable and Non Value Added (NVA) as an activity that is considered unnecessary. Based on the percentage of waste in the form of the largest waiting time can be described, namely, 35.1% in the registration process, 30.2% in the poly examination process, and 20.7% in the process of receiving drugs in the pharmaceutical installation

Lean is a concept and technique for systems that optimizes patient benefit by decreasing waste and waiting time. The literature review approach is used in this study to acquire research data, with internet searches serving as a supplementary tool while looking for relevant papers. According to the study findings, mean hospital length of stay (LOS) fell by 24% throughout the intervention period in 259 patients with PMV (131 pre-intervention; 128 post-intervention) (29 vs. 22 days, p 0.001). This demonstrates that clinical redesign based on Lean Six Sigma decreases LOS in intensive care units. Other studies show that utilizing Lean Six Sigma has resulted in a 57% reduction in length of stay and an 88% reduction in the identification of non-value added tasks. Lean management in hospitals is a step toward greater service efficiency that has been shown to outperform Total Quality Management (TQM) and Plan, Do, Check, Action (PDCA) improvements. Customers and their families gain from shorter wait times, as do healthcare employees (medical, emergency, and non-medical) and hospital administration. The use of the lean six sigma approach in conjunction with the DMAIC cycle effects LOS reduction, indicating that lean six sigma can reduce LOS in hospitals.

Healthcare professionals play a crucial role in enhancing the quality of healthcare services provided to the community. It is essential for healthcare workers to be familiar with the available internet, intranet, and extranet access within hospitals. The significance of such access for healthcare professionals lies in their ability to exercise caution and maintain the confidentiality of patient information in the digital era. The purpose of having this access for healthcare workers is to understand the utilization and differentiate between applications available in hospitals that fall under internet, intranet, and extranet access. Additionally, it allows them to delve deeper into subjects in theory or research and assist readers in better understanding them, along with their implications. This article discusses the definition, differences, and examples of applications available in hospitals with internet, intranet, and extranet access.

One of the main activities of hospital nutrition services is the provision of meals for patients in the hospital. The goal is to provide quality food in accordance with the nutritional needs, cost, safety and acceptance of the patient to achieve optimal nutritional status The food management information system currently used in the Nutrition Installation of Rsud Prof. DR H M Anwar Makkatutu Bantaeng is still using a manual (conventional) system, starting from calculating the need for foodstuffs to ordering foodstuffs. This is due to the unavailability of applications that can more efficiently save energy and time. So far, calculating food needs requires a long time and energy is needed by more than one person. The type of research method used in this research is a quantitative quasi-experimental research method which aims to show a causal relationship and to investigate the relationship and clarify the causes of events, where in this study it focuses on the use of energy and the duration of time used before and after using the application. computers for food management activities in the Nutrition Installation, in this case the calculation of food needs. Based on the results of the research, before and after using a computer-based management information system application to improve the efficiency of food administration at the Rsud nutrition installation, Prof. DR. HM Anwar Makkatutu Bantaeng (SPMIG), there was a difference in time duration, where the time used in calculating the need for foodstuffs was shorter or shorter. Food administration at the Nutrition Installation of Prof. DR H Makkatutu Bantaeng Hospital before using the SPMIG application software an average of 180 minutes - 210 minutes and after using the SPMIG application software the average was 1 - 10 minutes, so the time difference used was 170 minutes.

Puskesmas as one of the most important health services infrastructure has a task for give health services to the whole of society. Puskesmas is accused to always keep patient’s trust and satisfaction by give quality services. Quality services in the context of the services at Puskesmas mean give services to the patient based on standard quality for fill up necessary and anxiety of the society, so that they can get satisfaction which finally can increase patient’s trust to Puskesmas. This study aims to determine the quality of health services, the causal factors, and the demands and needs of the community. Measurements from service quality using the SERQUAL method and data extraction is done either quantitatively or qualitatively.

The quality of service at hospitals must always be improved to provide the best service to people in Indonesia. In accordance with Permenkes Number 82 of 2013 it states that every hospital is required to implement and develop a Hospital Management Information System (SIMRS). The Hospital Management Information System (SIMRS) is very important to do to support the efficiency of the management process in hospitals starting from information to patients, data, data processing and all activities in the hospital. By implementing a Hospital Management Information System, it is necessary to know how it is applied in improving the quality of health services in Indonesia. This research was conducted with literature reviews and journal searches using Google Scholar. The research results show that the implementation of the Hospital Management Information System (SIMRS) can improve the quality of health services because it facilitates the management activities of health service institutions.

Muhammadiyah Ponorogo General Hospital is one of the private hospitals in Ponorogo Regency. At this time the Muhammadiyah Ponorogo General Hospital has received Plenary accreditation from the Indonesian Hospital Accreditation Institute (LARSI). The problem that is often faced by hospitals is that there is a lot of waste that occurs in the service process at the Eye Polyclinic of RSU Muhammadiyah Ponorogo. The most critical level of waste for eye polyclinic services is waiting with a weighting value of 4.00, waste inventory with a value of 3.16, waste overproduction with a weighting value of 3.00, waste defects with a weighting value of 2.91 , waste inappropriate processing with a weight value of 2.66, waste unnecessary motion with a weight value of 2.58, waste transportation with a weight value of 1.41, and waste underutilized abilities of people with a weight value of 2.25. The initial activity time before the repair was 14,677 seconds or 244 minutes (4 hours) and after the repair was reduced to 6,577 seconds or 109 minutes (1 hour 61 minutes). The highest waste is waiting, namely doctors often do not come on time and there is a lack of nurses or pharmacists in the pharmacy with a Risk Priority Number (RPN) score of 252 and 224. Recommendations for improvement that can be proposed are adding doctors to the eye poly department to reduce doctor delays because there are surgery schedules that often collide with the schedule for opening eye poly services and adding medical personnel to the pharmacy department, to reduce queues you can use a drug delivery application that can be accessed by patients without having to queue again at the hospital.

The health industry in the Depo City area experiences continuous development from year to year, this causes competition to maintain and increase patient trust to become increasingly difficult. Setya Bakti Mother and Child Hospital as one of the industries engaged in health services feels the impact of competition in the health service industry. Retaining patients is the main thing that must be done. to increase patient satisfaction can be pursued in various ways including by improving the quality of service. A service is said to be satisfied by the patient if the service provided is in accordance with expectations and does not cause dissatisfaction. In this study aims to determine how much influence the quality of service on patient satisfaction. This type of research is quantitative with a cross-sectional design. The technique used in this study is probability sampling with an accidental sampling approach with a total of 93 respondents. It is known that simple linear regression analysis in this study is obtained. Based on the results of the research, the simple linear regression equation is obtained as follows Y = 3.854 + 0.092 X calculated t value of 2.119. at Degree of Freedom (df) = n-2, df = 93-2 = 91, then a t table of 1,984 is found. Then it can be seen that t count > t table (2.119> 1.984). So it can be concluded that Service Quality (X) can have a positive effect on patient satisfaction (Y).

This study aims to analyze the effect of service quality and facilities on patient satisfaction at Kasih Bunda Medika Clinic. The research approach used in this study is quantitative statistics by collecting primary data through questionnaires. The sample of this study were 50 patients who were treated at the Kasih Bunda Medika Clinic using an accidental sampling technique. Data analysis used descriptive statistical techniques. SPSS Statistics 25 software was used to test data statistics, multiple regression analysis, and hypothesis testing. The results showed that partially, service quality had a positive and not statistically significant effect on patient satisfaction, while service facilities showed a positive and statistically significant effect on patient satisfaction. patient. Simultaneously, it shows that the quality of services and facilities has a positive and significant effect on patient satisfaction.

Hypertension is an increasingly important medical and public health problem. Prevention and management of hypertension is a major public health challenge. Many cardiovascular diseases, cerebrovascular diseases, and hypertension can be prevented by implementing medication through routine control and realizing the importance of a healthy lifestyle. The method used is to provide education and demonstration of non-pharmacological therapy about melon juice. Melon juice therapy can be used as an alternative therapy in lowering blood pressure in hypertensive patients. which is easy and cheap without compromising the benefits of pharmacological drugs applied by medical personnel. The content of melon fruit contains a lot of Potassium which functions to lower blood pressure because it can cause vasodilation, dilate blood vessels, so that blood pressure can decrease. Community service activities are aimed at all residents in order to increase knowledge about non-pharmacological therapies that are relatively safe from side effects.  

The quality of health services is a level that shows the perfection of health services that can create a sense of satisfaction in each patient. So if there is dissatisfaction with the patient, it is something that needs to be considered. This study aims to determine the effect of the quality of hospital administration services on patient satisfaction in the outpatient installation unit of lasinrang Hospital, pinrang Province. This study uses an analytical observational design based on cross-sectional, quantitative analysis. The population in this study was 10444 patients. The sampling technique used accidental sampling, with a sample of 100 samples. The instrument in this study is a questionnaire, and the data analysis used is simple linear regression.In this study, all indicators of service quality (Tangible, Reliability, Responsiveness, Assurance, Empathy) together have a positive influence on the service quality of hospital administration staff on patient satisfaction in the outpatient installation unit of Lasinrang Hospital, Pinrang Province. There are two service quality indicator variables that have the most dominant influence on the quality of hospital administration staff service on patient satisfaction in the outpatientinstallation unit of Lasinrang Hospital, Pinrang Province, which include the Assurance indicator 48.6% and Tangible 24.3% and (R2) of (0.636) shows that 63.6% of patient satisfaction variables can be explained by the quality of service of hospital administrative staff, while the remaining 36.4% is explained by other variables not included in this research model. So it can be concluded that the better the quality of service, the more satisfied patients will be and will continue to return to get service from time to time because good service can provide satisfaction to patients according to their needs and desires.