Fishbone Diagram Research Articles

Community Diagnosis Activities in Efforts to Reduce Hypertension Cases in the Working Area of Legok Health Center, Legok District, Tangerang District, Banten Province

Background: Hypertension is one of the most common causes of heart disease, stroke, and kidney failure. Hypertension cases in Indonesia until 2018 were recorded at around 34.1%. There was an increase compared to 2013 which was 25.8%. The number of new cases of hypertension during July to September 2023 at the Legok Health Center is known to increase every month, from 63 to 77 cases with the highest cases in Babakan Village. From the mini-survey, it was found that knowledge about hypertension was still lacking. Objective: To increase public knowledge about hypertension as a whole in the working area of the Legok Health Center. Methods: A community diagnosis approach was used to identify problems using Blum's Paradigm. Problem prioritization was determined using non-scoring Delphi technique and the root cause of the problem was determined through fish-bone diagram. Data on intervention outcomes were obtained through pre and post test questionnaires. Monitoring was conducted using the plan-do-check-action (PDCA) cycle. Results: Based on the results of the analysis using the fishbone diagram, the main problem is lifestyle. The results of the activity obtained all participants scored ≥70 points on the post-test and blood pressure screening ≥140 and / or ≥90 was obtained in 10 people (35.71%). The nutritional status of under-weight was found in 2 people (7.14%), normal in 5 (17.86%), overweight in 3 (10.71%), obesity level 1 in 12 people (42.86%), and obese level 2 in 6 people (21.43%) and abdominal circumference ≥80 cm in 21 people (75%). Conclusion: Based on our intervention, it can be stated that our intervention is successful so that it is expected to reduce hypertension cases at the Legok Health Center

Usulan Strategi Bisnis untuk Meningkatkan Keunggulan Kompetitif Usaha Pada Startup Prove Fragrance dengan Menggunakan Metode SWOT

This study delves into understanding the factors contributing to the sales decline experienced by the rebranded cosmetics startup "Prove." Employing qualitative research and fishbone diagram techniques, four primary root causes emerged: insufficient product information dissemination, limited product variety, underutilized digital marketing, and a lack of robust business development strategies. The proposed solution involves crafting a more effective business development strategy, recognizing that Prove lacked a well-defined approach to enhance its competitive advantage. The research emphasizes a SWOT analysis of Prove, focusing on its internal and external environment. The study, centered around Prove's Bandung office, involves the CEO and several employees as the unit of analysis. Collected through in-depth interviews, field observations, and documentation. The results highlight Prove's strengths in innovative product design and creative opportunities for partnerships and business expansion.

Analisis Pengukuran Produktivitas Menggunakan Metode Pendekatan Objective Matrix (OMAX) pada Proses Pengolahan Air Bersih di PT. Dain Celicani Cemerlang KIM III Mabar

This research aims to measure the productivity level using the objective Matrix (OMAX) approach method based on raw material usage data, available operator hours data, and operator hours data. As well as determining the causes of decreased productivity using a cause-and-effect diagram (Fishbone Diagram). Based on the calculation of the productivity index for the period from January to June 2022, it was 39.89%. While the highest productivity occurs in May with a value of 480 and the lowest productivity is in March with a total yield of 116. Based on the achievement of the lowest productivity ratio score is found in ratio 2, namely, labour productivity with a total score of 15 and the lowest total score is in January, March and May. Changes in performance values indicate that the level of productivity is not yet good, it is necessary to improve the factors that influence it. The causal diagram shows that the machine damage factors also affect the operator’s working hours, which become ineffective. In terms of productivity, we must require pretty good machine maintenance so that production can run smoothly and machine maintenance on a regular basis. The workforce greatly influences the occurrence of low productivity due to inexperienced and unskilled operators and sufficient training for operators must be needed to increase the productivity of the company.
 Keywords: Objective Matrix (OMAX), Productivity, Clean Water.

Kangaroo Mother Care in a Tertiary Hospital in Northeast India: A 36-month Quality Improvement Initiative

Background: Kangaroo mother care (KMC) is a special method of care for low birth weight and preterm babies by providing early and prolonged skin-to-skin contact with the mother and exclusive breastfeeding. It is a simple and cost-effective ways to take care of low-birth-weight babies. Objectives: To give KMC as a routine practice and to provide extended KMC to all eligible babies. Methodology: We conducted a Quality improvement (QI) study in our out-born neonatal unit from July 2020, and reviewed every six month till June 2023. A QI team comprising of staff nurses and doctors was formed. The root cause analysis for doing KMC was evaluated using a fishbone diagram, and the issues were addressed using prioritization matrix. Multiple Plan-Do-Study-Act (PDSA) cycles were conducted. Results were analysed using descriptive statistics. Results: A total of 105 babies were enrolled during this period. The mean gestation age was 32 ± 3.28 weeks. The average weight was 1577 ± 417 grams. Our baseline was two hours and 30 minutes per baby per day. We did a total of three PDSA cycles, and as of June 2023, we were able to give an average of 5.3 hours per baby per day. Conclusion: Our QI measures ensured that KMC was provided to all eligible low-birth-weight babies with proper documentation. Sensitizing and capacity-building our nursing staffs on KMC empowered them and helped to achieve and sustain our aim.

Perbaikan Kuliatas Arang Briket Menggunakan Metode Six Sigma Dan Triz

CV Harico is a manufacturing company that produces briquetted charcoal final products. In this research, the company had problems with the quality of charcoal briquettes which did not meet standards, amounting to 12% of the production process, including slanted shapes, holes and cracks. In this research, problem solving is done by combining the Six Sigma and TRIZ methods to get suggestions for improvement. The Six Sigma method is an organized and systematic method, Six Sgma has 5 stages, which can be known as the DMAIC phase. Based on the calculation of the DPMO value and the calculation of the sigma value at the measurement stage, the average DPMO value for October 2023-November 2023 was 27219 with a sigma value of 3.43. Based on the identification results using the Fishbone Diagram method and the FMEA method, the largest defects were found in the slanted shape of the charcoal briquettes, these results were obtained from the factor with the highest RPN value that caused defects. Proposed improvements based on the TRIZ method analysis include providing training, carrying out periodic actions, making maintenance schedules, evaluating work processes, changing tools to reduce the occurrence of defects. The aim of this research is to analyze the problems that occur as well as efforts to control quality and reduce product defects in briquetted charcoal products.

Identifikasi Ketidaklengkapan Dokumen Rekam Medis Rawat Inap Di RS Tentara Tk. III dr. Reksowidiryo Padang

Medical record documents are very important in process of services performed by medical personnel and the hospital's quality of care. by medical officers and affect the quality of a hospital's services. The purpose of this study was to identify factors that influence the incompleteness of inpatient medical record documents at RST Tk. III dr. Reksowidiryo Padang. The data analysis used is qualitative analysis. The observations were conducted from October 1, 2023 to October 30, 2023. The data taken are medical record documents submitted from the inpatient unit to the medical records sub-section on those particular days. The results of data analysis show that the lowest assessment is for filling out documents by doctors. From the results of the description of the problem in the Ishikawa diagram, the most fundamental issue influencing incomplete medical record documents is the doctor's lack of discipline.

Analisis Pengendalian Kualitas Produk Intimates Bra Fused untuk Meminimalkan Defect dengan Menggunakan Metode Six Sigma

PT. Diamondfit Garment Indonesia is a company operating in the apparel industry, especially intimates and swimware. One of the products is the Intimates fused bra. In the production process, many defects are still found. This research aims to propose quality improvements using the six sigma method starting from the define, measure, analyze, improve and control stages. At the define stage, the production process is identified using the SIPOC diagram and identification of the type of defect. At the Measure stage, the calculation stage is carried out: fusing delamination DPMO value 366405.6 with a sigma value 1.84, Wavy At Neckline & Armhole DPMO value 65274.15 with a sigma value 3.01, Molding Yellowish DPMO value 350739.8 with a sigma value 1, 88, Dirty Glue has a DPMO value of 26109.66 with a sigma value of 3.44, and Heat Seal Not Sticking has a DPMO value of 191470.8 with a sigma value of 2.37. As a result of the analysis, it was found that factors causing defects occurred using FMEA tools and fishbone diagrams, namely machine, manpower, material and method factors. In the improvement stage, improvements are made to the factors causing defects and in the control stage, supervision is carried out over the proposed improvements that have been made by creating SOPs.

Quality Improvement Project for Reducing Hypothermia on Admission in Neonates Admitted in A Tertiary Care (Level 3A) NICU in Ahmedabad, Western India

Title Quality Improvement project for reducing hypothermia on admission in newborns admitted to a neonatal care unit in a large academic tertiary (Level 3A) NICU in Ahmedabad, Western India. Background Neonatal hypothermia is a common and dangerous condition around the world. Moderate and severe hypothermia increase mortality and morbidity and predispose the fragile neonate to an increased risk of late-onset neonatal sepsis (LONS), intraventricular hemorrhage, and worsening of respiratory distress. Around 60% of neonates who are admitted to level 3 tertiary NICU in Ahmedabad, Gujarat, India, had a temperature below 36.5°C on admission. Method We conducted plan-do-study-act (PDSA) cycles to test and adapt solutions for decreasing hypothermia in neonates admitted to NICU. Identifying the root cause of hypothermia in terms of Manpower, Material, and Methods and enlisting them as fishbone diagrams. We adopted the strategy of using a transport incubator in the Ambulance and turning on the incubator before thirty minutes of delivery for preventing neonatal hypothermia. Results Within 8 months of starting our quality improvement project, the proportion of neonates who were hypothermic on admission decreased from 57% to 8%, Normothermic on admission increased from 23% to 53%, with an increase in mean admission temperature from 35.4°C during the pre-intervention phase to 36.6°C during post-intervention. There was also a reduction in the incidence of late-onset sepsis from 23% (pre-intervention phase) to 13% and subsequently 5% in the post-intervention period. Conclusion This study is a cost-effective approach to reducing admission hypothermia in NICU in a resource-limited setting with all outborn babies. Our study also emphasizes the importance of maintaining euthermia, not only in delivery rooms but also during transportation.

A Systematic Review of Recycled Cotton Fibre Blending Practices, Challenges and Recommendations

The speed with which fashion trends change encourages excessive consumption and inadequate management of textile waste. Therefore, the use of recycled cotton fibres (RCF), as a sustainable alternative, by textile industries has taken on greater relevance; however, there are uncertainties about its implementation and appropriate method. Therefore, this review aims to identify the method of blending recycled cotton fibres to produce new yarns. For this, the PICO method was used to define the research questions and keywords; Then, it was complemented with the PRISMA methodology to search for information in the Scopus and ProQuest databases. The information found was analyzed in an Ishikawa diagram and later in a Pareto diagram. Finally, it was concluded that the most suitable RCF blending method is 50% VCF with 50% RCF. If more RCFs were added, the products would not meet the optimal quality measures for their production and marketing. Likewise, the main limitations to implementing the method are the adequate selection of the type of recycling, a high financial outlay for the classification of fibres legal loopholes such as the lack of supervision by the government, and inadequate implementation of the extended responsibility policy (EPR). Furthermore, the lack of specific regulations on textile recycling and the absence of certifications for companies that adopt sustainable practices represent additional obstacles.

Analysing the Problem of Finding New Cases of Grade 2 Disabled Leprosy

The proportion of new leprosy cases with grade 2 disability in Lamongan Regency tends to increase and exceeds the programme target of <5% in 2019-2021. The discovery of new leprosy cases with grade 2 disability will illustrate the delay in early detection, resulting in a decrease in the quality of life of leprosy sufferers. Objective: The purpose of this study is to analyse the problem of delayed case finding of grade 2 disability in Lamongan District. Method: This study was a descriptive observational study. There were 9 informants in this study, namely, 1 person in charge of the leprosy programme at the Health Office, and 8 people in charge of the programme at the Puskesmas level. The methods used in identifying health problems were document study, brainstorming, USG (Urgency, Seriousness, Growth) method, and fishbone diagram. Results: Knowledge has an important role in determining a person's attitude, knowledge shows the intelligence that allows a person to act appropriately, quickly and easily in making decisions. Patients' lack of knowledge about the early symptoms of leprosy leads to inappropriate actions, so there are still new cases of leprosy with grade 2 disability in Lamongan Regency. Not only the patient's knowledge, but good family knowledge is also expected and is able to make appropriate leprosy treatment efforts. Awareness will grow in the family to make treatment efforts if the family has good knowledge. Conclusions: The priority problem in finding new cases of leprosy with grade 2 disability in Lamongan Regency is the lack of knowledge of patients and their families, which results in inappropriate behaviour when experiencing the first symptoms of leprosy.

The fishbone diagram analysis to know the factors that influence the decreasing interest of farmers in the cultivation of soybean

Soybean crop productivity in The Pracimantoro District ranked second in Wonogiri Regency in 2021. However, over time the stability of production has decreased. One thing that causes the decline in soybean production in Pracimantoro District is the decreased interest of farmers in cultivating. This study aimed to determine the factors causing the declining interest of farmers in planting soybeans. The research location was conducted in Pracimantoro District, Wonogiri Regency. The data in this study are primary data and secondary data. Primary data is data are taken directly from the research location through direct observation at the location, interviews with relevant stakeholders, and filling out questionnaires. Secondary data is obtained through agencies related to this research, tabulated and descriptive, and literature searches supporting this research. Analysis method of data using the fishbone diagram. The results showed that the factors that influence the decline in farmers' interest in cultivating soybeans are sources of plant pest and disease risks, sources of input risk and soybean production techniques and sources of risk in the business environment. Some pests and diseases that often arise and attack soybean commodities are leaf spot, whitefly, caterpillar/pod caterpillar, leafhopper, stink bug, bacterial wilt and javelin/ladybug. The Risks from nature is that high rainfall and changing climatic conditions also make it difficult for farmers to grow soybeans. The risk from the production input sector is the unstable quality, quantity, and price of seeds, pesticides and fertilizers. Moreover, other influencing factors exist, such as the entry of imported soybeans, price games at middlemen, the absence of a lower price limit for local soybeans, and post-harvest limitations.

Abstract WP41: Last Know Well Documentation Gaps in the Hemorrhagic Stroke Patient Lessons Learned

Background: Intracerebral Hemorrhage (ICH) accounts for 10% of strokes and has higher risk for mortality and disability. Documentation of Last Known Well (LKW) for Ischemic stroke patients is firmly integrated in code-stroke processes to aid clinical decision making. Hematoma expansion may occur in ICH. LKW aids in time sensitive treatment modalities for BP management and anticoagulation reversal to reduce risk of neurological demise. LKW in ICH patients has not been well established as an important timely metric. Purpose: Translation of ICH guidelines into actionable metrics for data collection is needed to enhance outcomes. Methods: Twenty Comprehensive Stroke Centers participated in a three-year ICH learning collaborative from 2020-2022. Expanded ICH data elements were added to Get With The Guidelines® (GWTG)-Stroke registries to identify data gaps and facilitate quality improvement. Abstractors reviewed coding definitions and participated in American Heart Association® (AHA) National Office Hours to ensure data integrity. ICH data was reviewed quarterly. Records with Missing Times was one of fourteen measures analyzed; LKW documentation revealed low compliance. Findings: From 2020-2022 there were n=6,648 ICH patients entered, of that 49.1% did not have an LKW. Data was filtered by patient arrival mode to assess gaps. EMS arrival=33.7%, transfer from another hospital=55.4%, and private transport=58.5% had missing documentation. To understand documentation gaps, a fishbone diagram was used to illustrate causality. Contributing categories were as follows: patient demographics, resources, transfers, symptom presentation, clinical care, clinical specialty, and abstraction. Analysis of time sensitive treatments requiring LKW such as Anticoagulant Reversal for Direct Oral Anticoagulants (DOAC) showed 52 patients taking a DOAC on arrival did not have a LKW and were not reversed. Conclusions: Education and documentation strategies were implemented locally to optimize data capture. Providing scientific rationale for documenting LKW and its relationship to time sensitive interventions will be shared on a national level. Future considerations are to examine if adverse outcomes exist due to documentation and treatment gaps.

FAKTOR YANG BERPENGARUH DARI PERANCANGAN SISTEM PENDAFTARAN ONLINE PASIEN UMUM DI RUMAH SAKIT KHUSUS BEDAH HASTA HUSADA KEPANJEN

The development of information and communication technology in the health sector is currently growing rapidly, as evidenced by the existence of an online registration system. The patient registration system at the Hasta Husada Special Surgical Hospital is still done manually, which requires patients to come to the hospital to register and have their data recorded by officers, then the patient waits to be called to be examined based on the queue number, this will take longer and can result in backlogs. patients in four patient registries. The aim of this research was to determine the influencing factors in designing an online general patient registration system basedm on WhatsApp API-gateway using the Wablas Website and WA Queue at the Hasta Husada Special Surgical Hospital. This research uses descriptive analytical research with a qualitative and quantitative approach. The data collection technique used is a questionnaire, then for problem solving using a fishbone diagram, from the problem the author has the idea to solve the problem by creating a WhatsApp-based online registration program with the Wablas Website and WA Queue, using the F test to determine the factors that influence the design of the registration system on line. The subjects in this study were 8 medical records officers in the registration section. The results of research using the Wablas Website and Queue WA applications show that the average scale for respondents is 2.60, where a scale of 2.60 is included in the agree category, so it is stated that respondents showed the highest score of 3.40, the criteria for agreeing in the ease of the patient registration process.It was concluded that the manual registration process for general patients at the Hasta Husada Special Surgical Hospital required the addition of a new registration system that could make things easier for staff and patients. As a consideration for the IT team and medical records officers to design a WhatsApp API-gateway based online registration system using the Wablas Website and WA Queue.

Quality control to reduce production defects using control chart, fishbone diagram, and FMEA

Quality improvement is necessary to overcome the occurrence of defective products during the production cycle. The occurrence of defective products is difficult to avoid. Therefore, the Sugar Factory (SG) business unit at PT XYZ began to implement quality control for sugar production. Based on these events, an analysis of quality measurement is carried out through this research. The methods used in this research are control chart, fishbone diagrams, and failure mode and effect analysis (FMEA). The results of the control map measurement using the p-chart and u-chart show that there is no sugar production process that is out of control. Although nothing is out of control, it is also necessary to analyze it using a fishbone diagram to determine the cause of the defects that occur. The results of the measurements with FMEA can be known sub-factors that have the highest RPN, namely negligence of operations, poor sugar cane sorting, changes in production schedules, incomplete repair areas, and poorly organized layouts. From the results of data processing, it can be seen that quality control needs to be carried out by the company. One of them is by making standard operating procedures (SOP) related to the sugar processing process. In addition, the raw materials for making sugar also need to be considered, so that the process will produce sugar with better quality

PENERAPAN METODE STATISTICAL QUALITY CONTROL DAN FAULT TREE ANALYSIS PADA PROSES STERILISASI DI CV. PASIFIC HARVEST BANYUWANGI

The purpose of this research is to find out the application of Statistical Quality Control and Fault Tree Analysis methods to control the types of defects that occur during the sterilization process, find out the causes of their occurrence, and provide suggestions for improvement. The research methods used were research preparation (literature study), field observations, problem solving, interviews, data collection, data processing, and data analysis. Application of the Statistical Quality Control method to control the types of defects that occur by using the seven tools. While the application of the Fault Tree Analysis method is by making a fault tree and determining the minimum cut set then analyzing it quantitatively. The results of the fishbone diagram analysis found that there are 3 factors that cause defects in the sterilization process, namely machines, materials, and humans. Proposed improvements to reduce the level of defects that often occur, namely carrying out daily inspection and maintenance of the machine, the machine must be calibrated, carrying out more thorough checks on cans sent from suppliers, disciplining employees by holding briefings once a week, conducting training on how to handle them properly and correct every 3 months or 6 months to employees, the seamer operator monitors the time during the draining process to the seamer process, checks the seamer machine before using the production process so as not to hinder the can closing process, and performs temperature sensors on a monthly basisThe purpose of this research is to find out the application of Statistical Quality Control and Fault Tree Analysis methods to control the types of defects that occur during the sterilization process, find out the causes of their occurrence, and provide suggestions for improvement. The research methods used were research preparation (literature study), field observations, problem solving, interviews, data collection, data processing, and data analysis. Application of the Statistical Quality Control method to control the types of defects that occur by using the seven tools. While the application of the Fault Tree Analysis method is by making a fault tree and determining the minimum cut set then analyzing it quantitatively. The results of the fishbone diagram analysis found that there are 3 factors that cause defects in the sterilization process, namely machines, materials, and humans. Proposed improvements to reduce the level of defects that often occur, namely carrying out daily inspection and maintenance of the machine, the machine must be calibrated, carrying out more thorough checks on cans sent from suppliers, disciplining employees by holding briefings once a week, conducting training on how to handle them properly and correct every 3 months or 6 months to employees, the seamer operator monitors the time during the draining process to the seamer process, checks the seamer machine before using the production process so as not to hinder the can closing process, and performs temperature sensors on a monthly basis

The Quality Control Analysis Using Statistical Quality Control (SQC) Methods in Reducing Defective Muslim Clothing Products on CV. Mawaheejra

Introduction/Main Objectives: This study determines the quality control of CV. Mawaheejra, determine the factors causing product defects and the application of Statistical Quality Control (SQC) methods. Background Problems: CV. Mawaheejra has carried out control but the quality control is not optimal because of poor quality and errors often occur in the production process which causes product defects that not comply with the quality standards. Research Methods: This study uses a quantitative method. It carried data collection techniques through observation, interviews, documentation, and literature studies. Data analysis using Statistical Quality Control (SQC) methods of flowcharts, check sheets, Pareto charts, control charts, and fishbone diagrams. Finding/Results: Based on the results of research with check sheet aids found four types of defects. In the Pareto chart found the highest number of product disability percentage of 38.47%. From the control chart result, it found deviations because of the U control chart there are three points that exceed UCL and two points that exceed LCL. From the fishbone diagram, there are five factors that are most prominently caused by human and machine factors. Conclusion: Based on the results of the analysis, the company must conduct supervision of employees and machine maintenance to reduce product defects.

Ishikawa Diagram, Gray Numbers and Pareto Principle for the Analysis of the Causes of WEEE Production in Cameroon: Case of SMEs Implementing ISO 14001:2015

The issue of Waste from Electrical and Electronic Equipment (WEEE) in Africa lacks a concrete answer at present. This study aimed to provide an integrated approach using qualitative and quantitative research methods based on the 80/20 principle and the grey system theory, in order to address the uncertainty in the existing literature. First, through a qualitative approach, the authors analysed the environment for the management of WEEE by eight companies in Cameroon, through a literature review and observations made in the field under the framework of the ISO 14001:2015 standard. Then, the weights of the selected cause of the WEEE using grey system theory were proposed and applied, combining the findings from both the qualitative and quantitative methods. Based on the data obtained through the analysis, the research results indicate that the assessed Cameroonian companies dealing with WEEE management can implement measures to reduce WEEE.

2042 Implementing the principles of Shared Decision Making into a Hospital at Home service, as part of a wider organisation adoption

Abstract Background NICE (2023) Shared Decisions Making (SDM) Guidelines ensure Health Care professionals work together with a person to reach a decision about care based on their individual preferences, beliefs, and values. Local Problem. We conducted an Audit across our community services to assess NICE SDM, achieving 71% compliance. Results informed the project problem statement “Clinical Teams are not fully compliant to NICE SDM guidelines therefore a shared decision-making approach is not guaranteed”. Methods A fishbone diagram was applied to understand why SDM wasn’t routinely occurring in clinical practice. Our aim is to achieve organisation wide adherence to SDM. We propose a multi modal approach to increasing awareness of SDM across the organisation. We used a driver diagram working backwards from the goal, identifying the drivers and determining the project activities. Interventions Due to the enormity of rolling out a pan-organisational programme we decided to use the Frailty NHS@Home virtual ward to test and learn before greater adoption. We firstly processed mapped how the “What Matters to you?” question is embedded into our Comprehensive Geriatric Assessments. A decision support grid for treatment option decision making was created for dehydration or high risk of dehydration within the NHS@Home service, adapted from Marrin et al (2014). Three options are described underpinned by five questions. Feedback from Patient and public involvement ensured the language was appropriate. After the first PDSA cycle, the tool was reviewed by the project team and two further questions were added, “Did you understand the options which were explained to you?” and “What matters most to you as we decide together how best to treat your dehydration?” Conclusion A re audit and colleague survey will reveal increased knowledge and understanding of the SDM concept. We continually seek Feedback from individuals who use our services for their experience of SDM processes.

Analisis Risiko Bahaya Kesehatan dan Keselamatan kerja (K3) Pengelasan dengan Metode Fishbone Diagram dan Job Safety Analisis (JSA)

Occupational Safety and Health (K3) are activities that ensure the creation of safe working conditions, avoiding physical and mental disorders. The aim of this research is to determine the risk of severity of welding workers who do not use Personal Protective Equipment (PPE). This research uses 2 methods, the fishbone diagram method and job safety analysis. The survey technique was carried out by taking a sample of 15 welding worker respondents in the company. The results of this research are that welding workers experience a very high level of risk to Occupational Health and Safety due to the lack of Personal Protective Equipment (PPE) used. So companies must provide, comply with and prioritize (K3) welding. The company must also facilitate and require all workers to use safety equipment such as welding Personal Protective Equipment (PPE) that meets the Indonesian National Standard (SNI).

Strategi Pengembangan Produk Unggulan Daerah pada Usaha Tempe dengan Metode SWOT dan QSPM

Tempeh is a typical Indonesian food that is rich in benefits, affordable, and accepted internationally. The objectives of this research are: 1). Identify various internal and external factors that influence the development of the tempe business and propose development strategies to maintain its sustainability. Using the Fishbone Diagram to identify and analyze the causes of a factor, followed by applying 2 analytical methods, namely: 1). SWOT analysis, and 2). QSPM analysis. The research results show that based on the IE Analysis and SWOT Analysis, the position of the Sumber Makmur tempeh business is in quadrant I, which means that the business can seize existing opportunities by making maximum use of its strengths. The strategy that must be implemented now is to support aggressive growth policies (Growth Oriented Strategy). In the QSPM Analysis, the highest TAS results are found in alternative quality improvement strategies at low and affordable prices in order to meet high needs and gain public recognition