Health Regulations Research Articles

Analysis of Ministry of Health Regulation No. 30 of 2022 on Hospital Service Quality In Indonesia

Indonesian Ministry of Health Regulation No. 30 of 2022 has become a focal point in efforts to improve the quality of services in hospitals. In this context, this study aims to investigate the extent of the effectiveness of this regulation and the key factors influencing its implementation in the hospital accreditation process. This study examines the effectiveness of this regulation and the key factors affecting the hospital accreditation process. The research used a mixed approach with qualitative and quantitative techniques and analyzed empirical and theoretical data from scientific publications over the last five years. The findings indicate that this regulation has significantly improved operational efficiency and patient satisfaction in healthcare facilities. Several studies highlight improvements in patient identification protocols, risk management, and compliance with healthcare service standards. However, there are challenges, such as gaps in technology infrastructure and training for implementing electronic medical records (EMR), uneven distribution of specialist doctors, and deficiencies in the framework for public-private partnerships.

A Systematic Review of the Socio-Legal Dimensions of Responsible AI and Its Role in Improving Health and Safety in Construction

Integrating artificial intelligence (AI) in the construction industry could revolutionise workplace safety and efficiency. However, this integration also carries complex socio-legal implications that require further investigation. Presently, there is a research gap in the socio-legal dimensions of AI use to enhance health and safety regulations and protocols for the construction sector in the United Kingdom, particularly in understanding how the existing legal frameworks can adapt to AI integration effectively. Comprehensive research is indispensable to identify where the existing regulations may fall short or require more specificity in addressing the unique implications introduced by AI technologies. This article aims to address the pressing socio-legal challenges surrounding the integration of AI in the UK construction industry, specifically in enhancing health and safety protocols on construction sites, through a systematic review encompassing the PRISMA protocol. The review has identified that the existing legal and regulatory framework provides a strong foundation for risk management. Still, it needs to sufficiently account for the socio-legal dimensions introduced by AI deployment and how AI may evolve in the future. The Health and Safety Executive (HSE) will require standardised authorities to effectively oversee the use of AI in the UK construction industry. This will enable the HSE to collect data related to AI processes and carry out technical, empirical, and governance audits. The provision of sufficient resources and the empowerment of the HSE within the context of the construction industry are critical factors that must be taken into consideration to ensure effective oversight of AI implementation.

The application of chessboard game based on integrated learning and UCT algorithm in mental health and emotional regulation

Go plays a very prominent role in quality education and mental health education. Go can cultivate character, make friends, improve interpersonal relationships, and promote mental health. To apply it to mental health and emotional regulation, the AlphaGo series algorithms are analyzed. To address the unstable deep reinforcement learning training, low training data utilization, model sensitivity to hyper-parameters, and heavy parameter tuning burden, the algorithm is optimized by combining ensemble learning and advanced deep reinforcement learning. Then, the weighted voting method is applied to the selection step of sub nodes in the Monte Carlo tree search process. At the same time, asynchronous parallelization improvements are implemented to improve the efficiency of the Monte Carlo tree search algorithm. Finally, a board game based on ensemble learning and improved Monte Carlo tree search algorithm is obtained. Through experimental analysis, the average winning rate of the system was 93.36 %. The number of users who were very satisfied with the game was 83.96 %. After intervention, the depression and anxiety scores of the experimental group students were significantly lower than the control group (P < 0.05). The designed game can effectively alleviate user anxiety and depression, providing new ideas for the psychotherapy.

KAT8 beyond Acetylation: A Survey of Its Epigenetic Regulation, Genetic Variability, and Implications for Human Health.

Lysine acetyltransferase 8, also known as KAT8, is an enzyme involved in epigenetic regulation, primarily recognized for its ability to modulate histone acetylation. This review presents an overview of KAT8, emphasizing its biological functions, which impact many cellular processes and range from chromatin remodeling to genetic and epigenetic regulation. In many model systems, KAT8's acetylation of histone H4 lysine 16 (H4K16) is critical for chromatin structure modification, which influences gene expression, cell proliferation, differentiation, and apoptosis. Furthermore, this review summarizes the observed genetic variability within the KAT8 gene, underscoring the implications of various single nucleotide polymorphisms (SNPs) that affect its functional efficacy and are linked to diverse phenotypic outcomes, ranging from metabolic traits to neurological disorders. Advanced insights into the structural biology of KAT8 reveal its interaction with multiprotein assemblies, such as the male-specific lethal (MSL) and non-specific lethal (NSL) complexes, which regulate a wide range of transcriptional activities and developmental functions. Additionally, this review focuses on KAT8's roles in cellular homeostasis, stem cell identity, DNA damage repair, and immune response, highlighting its potential as a therapeutic target. The implications of KAT8 in health and disease, as evidenced by recent studies, affirm its importance in cellular physiology and human pathology.

Delegation of Medical Action Authority of Doctors to Nurses in Health Services in Emergency Departments: Empirical Legal

Purpose: This study aims to analyze the implementation of the delegation of authority of medical actions of doctors to nurses in the emergency department and explore the legal responsibility of the delegation of authority of medical actions of doctors to nurses in the emergency department in Indonesia. Theoretical Fremework: Theoretically, this research is expected to contribute intellectually and academically to the enhancement of understanding of healthcare laws for healthcare practitioners, institutional leaders, and to provide a sense of security and protection in carrying out healthcare services functions to the community, especially in the provision of medical procedures at healthcare facilities. Additionally, it is expected to provide practical insights for the goverment, hospital directors, and health departments in order to improve healthcare services to the public and ensure legal protection for healthcare workers in carrying out their professional duties. Method: The type of research method used is empirical legal research. Data primarily obtained from respondents using a list of questions (questionnaire) and direct interviews with the research object. In addition to that, it is also based on legal materials that are relevant to the discussion or problem being researched and other supplementary legal materials that can provide explanations. Results: The delegation of medical action authority from doctors to nurses in healthcare services at emergency rooms is regulated in Article 290 of Law Number 17 of 2023 concerning Health. Medical and healthcare services, consisting of both mandatory delegation. The scope of work delegated through partnership must be clearly and specifically defined in writing within the authority delegation letter and adjusted according to the level of competence of the nurse. The doctor as the delegator and the nurse as the recipient of medical authority there are also responsibilities of the hospital, as well as the central and local governments, especially in meeting the national needs for medical and healthcare personnel. In handling medical dispute cases, law enforcement agencies must prioritize the mechanism of restorative justice. If no agreement is reached, the dispute is then taken over by the professional disciplinary board under the Ministry of Health to determine whether there has been any violation of professional discipline by medical and healthcare personnel. Conclusions: 1) Delegation of authority for doctor’s medical actions to nurses in health services in emergency departments in Indonesia, regulated in Law No. 17 of 2023 concerning Health Article 290, Minister of Health Regulation No. 2052 of 2011 Article 23 and Minister of Health Decree No. HK.01.07-425 of 2020 concerning Nursing Professional Standards; 2) Responsibilities by doctors, nurses, and hospitals regarding the delegation of authority for doctors’ medical actions to nurses in health services in emergency departments must be carried out by laws.

Hubungan Jarak Jamban Terhadap Kandungan Bakteri Fecal Coliform Pada Air Sumur Gali Desa Kuranji Di Nagari Lubuk Jantan

Domestic waste that is disposed of carelessly is one of the causes of soil pollution. This research was conducted in the village of Kuranji Nagari Lubuk Jantan, the measurement result are filled in based on meansuring the distance from the latrine to the dug well using a meter. Fecal Coliform variable, the MPN (Most Probable Number) test was used on dug well water with reference to SNI 06-4158-1996 at the Andalas University Water Laboratory. Of the 31 dug well facilities, there are 31 dug well facilities (100%) that have well water with Fecal Coliform that does not meet the requirements in accordance with the 2017. Research result that: 1. Based on the proportion of fecal coliform in Kuranji village, laboratory test result on 31 dug well samples do not meet the requirements for direct consumption in RI Minister of Health Regulation No. 416/Menkes/per/IX/1990 with a percentage of 100%. 2. The potential spread of fecal coliform contamination is due to inadequate contruction. 3. Of the 31 samples of dug wells and latrines that were observed, 23 dug wells had an unsatisfactory contamination distance of 11 meters with a contamination rate of 29 with a percentage of (93.55), 2 dug wells had a satisfactory distance to the latrine of 11 meters with a percentage of 6.50%.

Analisis Kadar Mangan (Mn) dan Besi (Fe) Pada Instalasi Pengolahan Air Minum (IPA 3) PT Hanarida Tirta Birawa

Population growth continues to increase, making the need for clean water increasingly increasing. The quality of raw water needed as a source of clean water also requires further processing to ensure it meets quality standards. To make clean water and drinking water suitable for consumption by the community, the role of the Regional Drinking Water Company (PDAM) is needed. PT Hanarida Tirta Birawa is one of the companies that serves clean water needs in Sidoarjo Regency. Clean Water Treatment Plants will have a big impact on environmental quality, especially water. The parameters that have the greatest influence on the content of raw water that will be processed into clean water are Fe (Ferrom/Iron) and Mn (Manganese) contained in raw water. At PT Hanarida Tirta Birawa, the manganese (Mn) content ranges from 0.04 to 0.13 mg/l and iron (Fe) ranges from 0.11 to 0.17 mg/l and meets the quality standards of RI Minister of Health Regulation No. 492/Menkes/PER/IV/2010. The reduction in processed water reached 87.23% for manganese and 93.29% for iron.

Evolution of Occupational Safety and Health Disclosure Practices: Insights from 8 Years in Taiwan’s Construction Industry

Evolution of Occupational Safety and Health Disclosure Practices: Insights from 8 Years in Taiwan’s Construction Industry

Study of the Relation between Aging and Pesticides: A Review

Aims: The main aim of this study was to use specific data from the literature on ageing, correlating this with the pesticide contamination, in order to understand the relationship with an increasingly ageing population. Study Design: A systematic review was performed. Place and Duration of Study: Laboratory of Biomathematics of the Federal University of Alfenas, Minas Gerais State, Brazil, between April 2023 and August 2023. Methodology: A systematic search of articles was performed using the CAPES Periodic platform, a searcher from the Education Ministry of Brazil that contains Web of Science, Scopus, MedLine, from August 2020 to May 2023. For this review, the subject’s “aging theory”; “neuroscience and pathologies to aging”; “aging and aging-associated changes”; “pesticides and pesticide toxicity”; “pesticide toxicity and neurotoxicity”; “longevity and healthy aging”; “aging human and pesticides” were searched together using the type of material “articles” in English language. Some articles about “population growth”; “world population”; “population-aging” were used for epistemological composition of this work content subjects. Results: From the 19.720 articles after the exclusion and the inclusion criteria made with the subjects most pertinent to the objectives of this work; 19.570 articles were excluded, remaining 150 ones, of which 116 were qualitative in scope and 34 quantitative. Conclusion: The complex relationship between the pesticide contamination and the condition of the exposed individual may be associated with premature ageing and a greater susceptibility to debilitating age-related diseases. Although technology is increasingly improved in its innovations, health and environmental regulations have not been able to rid the production processes of their potential to pollute the environment and cause health problems for those exposed to them.

Cellular senescence as a key factor in osteoporosis: the role of SIRT1

Osteoporosis, a prevalent age-related condition, is characterized by decreased in bone mass and bone quality. Among the pathogenetic mechanisms, cellular senescence has been suggested to induce inflammation and affect bone cell function, contributing to bone fragility. In this context, sirtuin 1 (SIRT1), an NAD+-dependent deacetylase, emerges as a central regulator of musculoskeletal health, influencing osteoblastic differentiation, suppressing osteoclastic activity and maintaining bone mass by the deacetylation of critical targets. Interestingly, a close association was found between an elevated senescence-associated secretory phenotype and aged bone cells, confirming a role for senescence in bone aging. The aim of our minireview is to highlight cellular senescence as a key factor in osteoporosis, focusing on the central role of SIRT1 and exploring potential strategies to modulate its activity, including diet, exercise and pharmacological interventions. In conclusion, enhancing SIRT1 activity represents a potential therapeutic approach for age-related bone disorders, offering interesting perspectives for future research and therapeutic development. KEY WORDS: SIRT1, osteoporosis aging senescence bone cells, diet, exercise, pharmacological interventions.

Population health implications of exposure to pervasive military aircraft noise pollution.

While the adverse health effects of civil aircraft noise are relatively well studied, impacts associated with more intense and intermittent noise from military aviation have been rarely assessed. In recent years, increased training at Naval Air Station Whidbey Island, USA has raised concerns regarding the public health and well-being implications of noise from military aviation. This study assessed the public health risks of military aircraft noise by developing a systematic workflow that uses acoustic and aircraft operations data to map noise exposure and predict health outcomes at the population scale. Acoustic data encompassing seven years of monitoring efforts were integrated with flight operations data for 2020-2021 and a Department of Defense noise simulation model to characterize the noise regime. The model produced contours for day-night, nighttime, and 24-h average levels, which were validated by field monitoring and mapped to yield the estimated noise burden. Established thresholds and exposure-response relationships were used to predict the population subject to potential noise-related health effects, including annoyance, sleep disturbance, hearing impairment, and delays in childhood learning. Over 74,000 people within the area of aircraft noise exposure were at risk of adverse health effects. Of those exposed, substantial numbers were estimated to be highly annoyed and highly sleep disturbed, and several schools were exposed to levels that place them at risk of delay in childhood learning. Noise in some areas exceeded thresholds established by federal regulations for public health, residential land use and noise mitigation action, as well as the ranges of established exposure-response relationships. This study quantified the extensive spatial scale and population health burden of noise from military aviation.We employed a novel GIS-based workflow for relating mapped distributions of aircraft noise exposure to a suite of public health outcomes by integrating acoustic monitoring and simulation data with a dasymetric population density map. This approach enables the evaluation of population health impacts due to past, current, and future proposed military operations. Moreover, itcanbemodified for application to other environmental noise sources and offers an improved open-sourcetool to assess the population health implications of environmental noise exposure, inform at-risk communities, and guide efforts in noise mitigation and policy governing noise legislation, urban planning, and land use.

Guidance on assessing efficacy and harms in traditional Chinese medicine dietotherapy: Introducing the Dietotherapy Intention, Evaluation, and Harm Tracking (DIET) pathway

IntroductionTraditional Chinese medicine (TCM) dietotherapy, based on the principle of “medicine and food homology”, is widely used across diverse healthcare domains. However, the dual attributes of “medicine” and “food” possessed by medicinal and edible herbs make it challenging to assess the efficacy and harms of TCM dietotherapy using currently available methodological systems. This limits the advancement of health services and regulations in this field. This study introduces the Dietotherapy Intention, Evaluation, and Harm Tracking (DIET) pathway, a staged approach for assessing the efficacy and harms of TCM dietotherapy. ResultsThe DIET pathway was developed through comprehensive analysis and two rounds of Delphi expert consensus. Based on the distinct characteristics and management requirements of TCM dietotherapy, the DIET pathway divides the assessment process into three stages: Stage 1 (Intention) aims to establish intended efficacy goals, Stage 2 (Evaluation) aims to validate efficacy and harms, and Stage 3 (Harm Tracking) aims to assess harms in special scenarios. Elaborate methodological guidelines are provided for each stage. ConclusionThe DIET pathway has created a methodological environment that enables systematic and efficient assessment of the efficacy and harms of TCM dietotherapy regimens, which will facilitate the application and management of TCM dietotherapy.

Analysis of the Use of Hospital Management Information Systems with Jobs to be Done to Increase Innovation Simplifying Administrative Processes at CHP Hospitals

The Hospital Management Information System (HMIS) must be developed and implemented in every hospital, in accordance with Minister of Health Regulation Number 82 of 2013, to provide the best service to the Indonesian public, the quality of hospital services must be continuously improved. The management of patient information, data, data processing, and all activities related to a good hospital depend heavily on this. It is important to understand how the implementation of the Hospital Management Information System can improve healthcare service standards in Indonesia after its implementation. Thirty-two samples were used in this study, and SEM-PLS data were analyzed using the Jobs To Be Done approach. The findings indicate that human, organizational structure, and system usage within the Hospital Management Information System (HMIS) can enhance healthcare technology innovation by simplifying administration in hospital services.

Opioid Therapy for Cancer Pain in Vietnam: Knowledge, Attitudes, and Perceived Barriers Among Health Care Professionals, Policymakers, and Regulators.

We aimed to assess knowledge, attitudes, and perceived barriers among health care professionals (HCPs), policymakers, and regulators in Vietnam related to opioid therapy for cancer pain. We conducted a cross-sectional study in Vietnam from June to August 2022. Participants completed a questionnaire on their demographic characteristics, knowledge and attitudes toward opioid therapy, and barriers to accessing opioids for cancer pain. Two hundred seven HCPs and 15 policymakers/regulators completed the questionnaire. Poor knowledge about opioids in cancer pain was found in 63.3% of HCPs and 80.0% of policymakers/regulators. Poor knowledge was associated with a lack of training in cancer pain management or palliative care (PC; prevalence ratio [PR], 1.14 [95% CI, 1.04 to 1.24]). Negative attitudes toward opioid therapy in cancer pain were held by 64.7% of HCPs and 80.0% of policymakers/regulators. Negative attitudes were associated with the unavailability of oral morphine in the workplace (PR, 1.10 [95% CI, 1.01 to 1.20]). The most common major barriers reported were the absence of national policy on pain management and PC (34.7%), inadequate training in opioid use for cancer pain (33.8%), lockdown of health facilities during the COVID-19 pandemic (32.4%), limited opioid availability in local health facilities (32.4%), and excessively restrictive regulation of opioid dispensing in pharmacies (32.4%). This study found a knowledge deficit and negative attitudes toward opioid therapy for cancer pain among HCPs and policymakers/regulators. Improving education and training in opioid therapy is essential. Recognizing major barriers can guide strategies to enhance safe opioid accessibility for cancer pain management in Vietnam.

Investigating the role of the gut in fructose induced glucose intolerance

Background: Obesity and type 2 diabetes (T2D) are global health challenges linked to the consumption of ultra processed foods high in sucrose. The latter sugar is one key source of excess dietary fructose. Although evidence indicates that excess fructose can negatively impact metabolic health and blood glucose regulation, the mechanisms are ill-defined. Excess dietary fructose overwhelms enterocyte absorption in the small intestine and spills over the distal gut. Interestingly, excess fructose has been linked to an expansion of the gut's absorptive surface and increased fat absorption. However, it remains uncertain whether excess dietary fructose impairs glucose tolerance by increasing gut absorptive surface and gut glucose absorption (GGA). Aims and Hypothesis: We hypothesized that dietary fructose impairs glucose tolerance by expanding gut surface and upregulating glucose transport machinery, which promotes increased GGA and glucose intolerance. We aim to (i) map the onset of altered glucose tolerance, plasma insulin, and altered GGA in mice fed a high-fructose diet, and (ii) investigate whether fructose driven increase in GGA correlates with an expansion of absorptive surface. Methodology: C57BL6J male mice were fed a high-sucrose (HS, with 8.5 %Kcal fructose) or a sucrose-free (CTL) diet. Oral glucose tolerance tests (OGTT) and 3-O-methyl-glucose (3-OMG) tests were conducted at weeks 1, 4, and 7 weeks after introduction of diets. Results: We found that 4 weeks, but not 1 week, on HS diet is suffcient to cause glucose intolerance, which persists, but is not aggravated, at week 7. Interestingly, HS-mice did not become insulin resistant, as revealed by plasma insulin levels, homa-ir, and insulin resistance index comparable to that of CTL-mice. HS-fed mice had longer small intestines than CTL-fed counterparts, which is indicative of increased absorptive surface. Furthermore, HS-fed mice presented higher plasma 3-OMG than CTL-mice at weeks 4 and 7, but not at week 1, indicating higher GGA that parallels the trajectory of deteriorated glucose tolerance. Conclusion: Changes in GGA and gut surface are early fructose-induced manifestations relevant to blood glucose control. We will next assess the expression of glucose transporters and perform morphometric analysis in the small intestine of these mice. We will also analyze how gut microbial populations correlate with fructose-induced changes to gut homeostasis. This study uncovers novel mechanisms by which dietary fructose contributes to impaired blood glucose control and elevates the risk of T2D. The findings from this work will lay the groundwork for novel approaches to address the growing burden of metabolic disorders worldwide. Laval university, CRIUCPQ, Fonds de recherche santé Québec. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

A Delphi study to assess the effect of changes in language between the first and second editions of the WHO’s Joint External Evaluation

IntroductionCountries use the WHO Joint External Evaluation (JEE) tool—part of the WHO International Health Regulations (2005) Monitoring and Evaluation Framework—for voluntary evaluation of global health security (GHS) capacities. After releasing...

Interactions between chaperone and energy storage networks during the evolution of Legionella pneumophila under heat shock.

Waterborne transmission of the bacterium Legionella pneumophila has emerged as a major cause of severe nosocomial infections of major public health impact. The major route of transmission involves the uptake of aerosolized bacteria, often from the contaminated hot water systems of large buildings. Public health regulations aimed at controlling the mesophilic pathogen are generally concerned with acute pasteurization and maintaining high temperatures at the heating systems and throughout the plumbing of hot water systems, but L. pneumophila is often able to survive these treatments due to both bacterium-intrinsic and environmental factors. Previous work has established an experimental evolution system to model the observations of increased heat resistance in repeatedly but unsuccessfully pasteurized L. pneumophila populations. Here, we show rapid fixation of novel alleles in lineages selected for resistance to heat shock and shifts in mutational profile related to increases in the temperature of selection. Gene-level and nucleotide-level parallelisms between independently-evolving lineages show the centrality of the DnaJ/DnaK chaperone system in the heat resistance of L. pneumophila. Inference of epistatic interactions through reverse genetics shows an unexpected interaction between DnaJ/DnaK and the polyhydroxybutyrate-accumulation energy storage mechanism used by the species to survive long-term starvation in low-nutrient environments.

Evaluasi Waktu Tunggu Pelayanan Resep Apotek X Kota Bukittinggi

A pharmacy is a pharmaceutical service facility where pharmaceutical practice is carried out by pharmacists. Waiting time for prescription services has an important role in health services. The waiting time is set by the Republic of Indonesia Minister of Health Regulation No. 73 of 2016, which is between 15-30 minutes. This study aims to determine the average waiting time for prescription services at the XPharmacy, Bukittinggi City. The research method used is a quantitative descriptive method and concurrent data collection, that is, research is carried out simultaneously with the services being carried out. The sampling technique used simple random sampling technique and the research was conducted for 2 months. From a total sample of 353 recipes, 231 concocted recipes and 122 non-concocted recipes were obtained. The research results obtained were that the average waiting time for services for concocted prescriptions was 11.23 minutes and for non-concocted prescriptions was 6.13 minutes. The conclusion of this research is that the average waiting time for prescription services at the XPharmacy for compounded and non-concocted medicines is in accordance with the standards set by the Republic of Indonesia Minister of Health Regulation No. 73 of 2016 concerning Pharmaceutical Service Standards in Pharmacies.

Hubungan Aplikasi Metode EUCS (End User Computing Satisfaction) dengan Kepuasan Kerja Perawat dalam Penggunaan SIMRS di RSUD Dr. Doris Sylvanus Palangka Raya

Hospitals, as institutions providing healthcare services, must maximize technological advancements. One such advancement is the use of SIMRS (Hospital Management Information System) in accordance with the Indonesian Minister of Health Regulation No. 82 of 2013. The use of SIMRS is predicted to enhance the hospital's efficiency, effectiveness, professionalism, performance, as well as access and services. Nurses' satisfaction in using SIMRS will impact the improvement of patient care quality. One method to evaluate user satisfaction with SIMRS is EUCS (End User Computing Satisfaction), developed by Doll and Torkzadeh, which consists of five dimensions: content, format, accuracy, ease of use, and timeliness. This study aims to determine the relationship between the application of the EUCS method and nurses' job satisfaction in the use of SIMRS at RSUD dr. Doris Sylvanus Palangka Raya. Methods: This research is correlational, employing a cross-sectional design. Respondents were selected using purposive sampling and the chi-square statistical test was used. The sample consisted of 175 inpatient nurses at RSUD dr. Doris Sylvanus Palangka Raya. Results: The chi-square statistical test showed a p-value = 0.000, or a significance level of p &lt; 0.05, indicating that there is a relationship between the application of the EUCS method and nurses' job satisfaction in the use of SIMRS at RSUD dr. Doris Sylvanus Palangka Raya. Conclusion: Effectiveness and efficiency are the primary goals of SIMRS usage, which creates convenience and transparency, ultimately expected to enhance nurses' job satisfaction.

Monitoring and Evaluation of the Use of Personal Protective Equipment (Ppe) Among Nurses in Post Pandemic Educational Hospitals

Use personal protective equipment (PPE) to prevent the chain of disease transmission, especially Covid-19. This study aims to monitor and evaluate the use of PPE among nurses who work in inpatient and emergency rooms at teaching hospitals in Malang. This research uses a cross-sectional comparative analysis approach. Data were collected using hospital SOP observation sheets by the Minister of Health Regulation 27 of 2017. Using a purposive sampling technique, the sample size was 82 nurses, divided into inpatient and emergency rooms. Data analysis uses descriptive and Chi-square to analyze differences in work area use of PPE (α= 0.05). The study's results showed differences in compliance and level of risk of exposure for nurses in using PPE in emergency departments and inpatient rooms (p-value=0.009). Emergency department nurses use PPE more often according to SOP, which has a higher exposure risk than inpatient nurses.