PKU Muhammadiyah Research Articles

The Usage of Tocolytic Drugs in Pregnant Women With the Threat or Preterm Labor in PKU Muhhamadiyah Gamping Hospital Yogyakarta

Partus Prematurus Imminens (PPI) is a threat to pregnancy caused by contractions in the uterus at a gestational age that has not reached 37 weeks, or what is commonly called preterm labour. According to the WHO, there are around 10-11% of preterm births in the world each year, while in Indonesia, the WHO explains that there are around 16% of preterm deliveries, which places Indonesia in fifth place with the largest preterm deliveries in the world. Management and prevention efforts with tocolytic therapy is a therapy used to suppress uterine contractions. This research used analytic descriptive observational with a cross-sectional approach where these observations were made within the past 5 years. The sample in this study was conducted on pregnant women who experienced the threat of preterm labour. This research found that most of the samples recovered as many as 23 (95.8%) people, and the most used drug was Nifedipine, with a recovery status of 12 (50.0%) people, while the rest were Hystolan. However, there was no significant relationship between drug use and recovery in pregnant women with imminent premature labour, as shown by the Fisher Exact Test, p value> 0.05. Tocolytic drugs are effective to be given to pregnant women with Partus Prematurus Imminens (PPI). However, there was no significant relationship between the drug (Nifedipine and Hystolan) and the recovery of pregnant women with imminent preterm labour (PPI) at PKU Muhammadiyah Gamping Hospital, Yogyakarta.

Hubungan Antara Gaya Kepemimpinan dengan Manajemen Konflik pada Karyawan RSI PKU Muhammadiyah Pekajangan Pekalongan

<div class="WordSection1"><pre><em>A leader has a very important role, namely in managing the company or management to move the wheels of operations. A good leader can mobilize his employees, a good leader can also resolve conflicts that exist between his employees. So, to test this, a test was carried out to find out the relationship between leadership style and conflict management at RSI</em><em> PKU Muhammadiyah</em><em> Pekajangan. Testing was carried out by distributing questionnaires to employees within RSI</em><em> PKU Muhammadiyah</em><em> Pekajangan. The data that has been obtained is analyzed using a correlation test to determine the relationship between leadership style and conflict management. The results obtained show that at RSI</em><em> PKU Muhammadiyah </em><em>Pekajangan, it does not show that these two things are related, so that in reducing conflict at RSI</em><em> PKU Muhammadiyah</em><em> Pekajangan, a particular leadership style is not neede</em><em>d. </em></pre></div><br clear="all" /><p> </p>

Comparison of The Level of Satisfaction With The Use of Analgesics Ketorolac 30 Mg and Paracetamol 1000 Mg in Moderate Post-Operative Patients

<table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Pain is an uncomfortable feeling that can be an emotional experience and has the potential to cause real tissue damage. Post-operative events can cause patients to feel pain in certain parts of the body. In post-operative care to reduce pain, patients are given NSAID (Non-Steroid Anti-Inflammatory Drugs) analgesic drugs, and the drugs commonly used are Ketorolac 30mg and Paracetamol 1000mg. The use of analgesics is said to be effective if the patient's perception shows satisfaction after using the analgesic. The research was conducted to see the level of patient satisfaction in using the analgesic intravenous injection of ketorolac 30mg and intravenous infusion of paracetamol 1000mg. This research used a Randomized Controlled Trial (RCT) design with double blinds. Data collection was carried out in April–July 2021 at PKU Muhammadiyah Gamping Hospital. Then the data obtained was analyzed using the Chi-Square test. There were 40 respondents who met the inclusion and exclusion criteria. The analysis results show a significance value of 0.006<0.05. Thus it can be concluded that there is a difference in satisfaction with the use of analgesics. The research showed that the level of satisfaction with the use of the analgesic intravenous injection Ketorolac 30mg in mild to moderate post-operative patients at PKU Muhammadiyah Gamping Hospital was higher than the use of intravenous infusion Paracetamol 1000mg. </em><em>We suggest conducting additional research with a</em><em> larger and more diverse sample to yield results applicable to a broader population.</em><em> </em><em> </em><em>We also </em><em>recommend the routine use of 30mg ketorolac injection.</em></p><p><strong><em>Keywords : Anti-pain, postperative, satisfaction level</em></strong></p></td></tr></tbody></table>

PENGARUH KEPEMIMPINAN TRANSFORMASIONAL, KEADILAN DISTRIBUTIF DAN PROSEDURAL KOMPENSASI TERHADAP KEPUASAN KERJA PERAWAT DI RSU PKU MUHAMMADIYAH BANTUL

Background: RSU PKU Muhammadiyah Bantul is a privately-owned public hospital that has been burgeoning. Leadership held at PKU Muhammadiyah Hospital in Bantul today is a transformational leadership. While, for motivating employee, the management of the hospital strives to provide adequate and fair compensation based on employee status, class rank and tenure. Hence, the compensation system will encourage every employee to give excellent service for each patient. Methodology: The research is a quantitative analysis using cross-sectional survey method. Data is obtained by disseminating questionnaire to the population, the whole permanent employee up to 104 respondents. Result: The statistical result indicates that management’s policy transformational leadership and distributive justice and procedural compensation rate affect to the satisfaction of work of the nurses at RSU PKU Muhammadiyah Bantul. Summary: Regarding to the result of the research, management’s policy to appreciate its employee through a good and fair compensation can significantly improve the satisfaction of work of the nurses at RSU PKU Muhammadiyah Bantul. Moreover, the management should maintain a workable situation and pay a lot of attention to the nurses.

ANALISIS HUBUNGAN KOMPENSASI DENGAN KINERJA KARYAWAN RUMAH SAKIT PKU MUHAMMADIYAH TEMANGGUNG

The PKU Muhammadiyah Temanggung applies an integrated compensation system to its employees in order to motivate their spirit of work and productivity. Deep evaluation over this system is needed to value the employees peformance quality achievement as one of the factors to improve the work productivity in this institution. This research has an aim to analyse the connection between Financial Compensation and Non Financial Compensation with the Employees Performance in the PKU Muhammadiyah Hospital Temanggung. This quantitative descriptive research was run using the method of Cross Sectional which is the questionnaire means of measurement was applied. The sampling collection was conducted using Purposive Sampling technique against employees of the PKU Muhammadiyah Hospital Temanggung in the amount of 150 respondents who fulfill the criteria. The variables whitin this research consists of Financial Compensation, Non Financial Compensation, and also Employees Performance. The data analysis using Univariat and Bivariat Analysis applying Spearman Correlation Rank and Kendall Tau Test to comprehend the connection among variables. Improving the validity of research data the data source triangulation was done. This research emerging the conclusion that there is no significant connection between the Financial Compensation and the Employees Peformance in the phase of less significant, and also the existing connection between the Non Financial Compensation and the Employees Performance in the phase of weakness.

ANALISIS ELEMEN-ELEMEN BRAND EQUITY RUMAH SAKIT PKU MUHAMMADIYAH GOMBONG

Increasing competition in hospital, which in the view of many private hospitals are well established in Gombong, PKU Muhammadiyah Gombong hospitals must have a strong brand equity to maintain or retain old customers and interesting new customers. Research is important conducted to determine and analyze ratings and views of customer on the hospital, other than research about brand equity in the hospital still rarely done.
 To know the views of consumers on brand awareness, brand association, perceived quality and brand loyalty PKU Muhammadiyah Gombong Hospitals. The study was quantitative descriptive design. The study was conducted on 25 February - 3 June 2011 in the region Gombong. Population are all community Gombong had ever feel the services PKU Muhammadiyah Gombong Hospital. Number of sample was 100 respondents. Sampling design used was purposive sampling. Analysis of data used descriptive statistics, Cochran's test, the average value, semantic differential scale and importance vs. performance comparison
 PKU Muhammadiyah hospitals as a top of mind awareness Gombong society. Based on calculations by the Cochran test at the brand association, there are 9 associations are closely related. Based on the results of the analysis of perceived quality, there are seven attributes of a good scale range (3.40 to 4.20) and 3 attributes entered enough scale range (2.60 to 3.40). Analysis of brand loyalty found: Switcher buyers equal to 23%, category simply (3.01). Habitual buyers is equal to 55%, both categories (3.44). Satisfied buyer equal to 49%, both categories (3.46). Liking the brand equal 43%, both categories (3.51). Commited buyers by 33% and include enough category (2.79) PKU Muhammadiyah Gombong Hospitals have a strong enough brand equity.

ANALISIS PERHITUNGAN BIAYA SATUAN TINDAKAN ORIF (Open Reduction Internal Fixation) FRAKTUR FEMUR MENGGUNAKAN METODE ABC (Activity Based Costing) (STUDI KASUS DI RS PKU MUHAMMADIYAH BANTUL)

Background: The determination of operating room rates at PKU Muhammadiyah Hospital in Bantul is currently using fee for service method where the operating rate is determined by the calculation of the cost components that occur as the cost of medical services, consumables, medicines, and the rent of operating room, but it has not included all the components of the activity-based costs associated with clinical pathways. However, this surgical procedure may result significant costs to the hospital.
 Methods: The study was conducted at PKU Muhammadiyah Hospital in Bantul. This research is descriptive qualitative case study design. The sample were the patients who underwent an operation of ORIF for Femoral Fractures without complications that met the inclusion and exclusion criteria. Cost analysis method used was the Activity-Based Costing (ABC).
 Results and Discussion: The unit cost of ORIF for Femoral Fractures which was calculated by the method of Activity Based Costing (ABC) was 8,157,726 rupiahs, while the real cost spent by the hospital was 9,035,885 rupiahs. The amount of real cost on ORIF for Femoral Fracture specified by RS PKU Muhammadiyah Bantul was higher than the unit cost calculated based on Activity-Based Costing method. The obtained difference was a positive difference, which was 878.159 rupiahs (10,76%). In the Activity-Based Costing (ABC), indirect and direct cost (overhead) are charged at some cost drivers, while the traditional system is only charged on a cost driver.
 Conclusions and Recommendations: Based on the calculation of unit costs obtained, it can be concluded that the unit cost of ORIF for Femoral Fracture in Central Surgery Installation PKU Muhammadiyah Hospital in Bantul with Activity- Based Costing method is lower and more proportionate with the activity. However, the hospital should also apply the calculation of the unit cost to all the types of service especially for surgery in order to identify and examine the cost components which are subject to change at any time and cause some disadvantages to the hospital accounting.

ANALISIS DESKRIPTIF GAYA KEPEMIMPINAN SITUASIONAL KEPALA RUANGAN PERAWATAN RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA

The PKU Muhammadiyah HospitalOf Yogyakarta is referred Islamic hospital type B in Special Governmental State Yogyakarta and Central Java. In spite of being referred hospital, in giving service and nursing care has not been optimal. Head of nursing section has significant role in organizing associate nurse in effort of better service. A successful head section must be a good identifier and could appreciating the spirit of curiosity. Four situational leadership style such as, instructing, consulting, participating and delegating, will be analyze to see the tendency of leadership style that be used by the head of nursing section of PKU Muhammadiyah Hospital of Yogyakarta.This research is the quantitative-descriptive research. Measurement tools of this research using questioners that being distribute to 94 respondent. The subject of this research is vocational nurse on inpatient room of the PKU Muhammdiyah Hospital of Yogyakarta.Result of this research in the way of leadership assessed by associate nurse on head nursing section in patient room shows that ibnu shina room used consulting style 72,7%, marwah 56,3% consulting, roudhoh 63,3% consulting, arafah 53,8% participating, shofa-musdalifah 71,4% consulting, zam-zam 81,8% participating, and multazam 72,2% consulting.The style of situational leadership dominantly applied by the head nurse section of PKU based on the assessment of associate nurse is consulting leadership. The style of situational leadership not applied by the head nurse section is instructing.

PENGARUH TINGKAT PENGETAHUAN DAN SIKAP PERAWAT TERHADAP PENERAPAN STANDAR PROSEDUR OPERASIONAL (SPO) PEMASANGAN INFUS DI RS PKU MUHAMMADIYAH BANTUL

Most of action for infusion in the emergency department. Action of infusion more frequently performed by nurses and should be in accordance with standard operating procedures (SOP). The occurrence of plebitis incident, swollen, and trauma of due to repeated infusion is result of actions that do not prioritize of the patient safety. The purpose of research is knowing influence the level of knowledge and attitudes of nurses toward the implementation of Standard Operating Procedures in infusion. This research used descriptive quantitative research methods with cross sectional. The respondent of it is nurses working in the emergency department of PKU Muhammadiyah Hospital Bantul. Data was collected using a questionnaires and observation. The analytical tool used are univariate, bivariate, and multivariate. Results is the level of knowledge most of nurses in good category (80,00%), the attitude of most of the nurses has a good category (53,33%) and the application of standard operating procedures infusion majority of categories has been implemented (53,33%). There is a relationship between the level of knowledge and the application of standard operating procedures (p<0,05). There is a relationship between the attitude and the application of standard operating procedures (p<0,05). The magnitude of the influence level of knowledge and attitudes of nurses toward the implementation of SOP for 53,4% (R Square) while the remaining 46,6% is explained by other variables. Conclusion is there is influence between knowledge and attitude toward the implementation of standard operating procedures of infusion in RS PKU Muhammadiyah Bantul. The suggestion is the hospital should be providing the instrument of infusion accordance with the principles of safety and alertness in the application of standard operating procedures of infusion.

ANALISIS KINERJA DAN BUDAYA MUTU DI IGD RS PKU MUHAMMADIYAH YOGYAKARTA II

Concern to quality service in nowadays becoming global issue that triggered by consciousness to give best service for patient or by request from eksternal side of hospital. Goverment push hospital to give good quality of service by giving evaluation of hospital standarization. PKU Muhammadiyah Hospital Jogjakarta unit II which new one of health service unit right now striving to improve quality of service. Result of the beginning observation findout evaluation of activity are often neglected, particularly on unit emergency. The objective of this observation is to find out performance and quality culture in management unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II, This observation using qualitative method with case study as observation plan that using interview as observation instrument involving board of management and officer of unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II. The Self Assesment accreditation in 2008 and first edition of accreditation standard in 2012 result show that quality service standard that using by unit emergency of PKU Muhammadiyah Jogjakarta unit II for develop their quality of service its guided line for survey of hospital accreditation in 2008 instructed by Indonesia health ministry that poured into activity guidance of unit emergency, but because lack availability of unit emergency officer make unit emergency can’t support implementation of unit emergency activity guidance. Working culture in unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II its only doing fast emergency response but not yet support quality service development because not yet develop service evaluation process. Service process evaluation hard to do because of limitation number of human resource. The result of unit emergency performance show by AKPPGD, DOA and result of accreditation in 2008 already achieve the standard, but not yet fulfill quality standard evaluation of health service management base on first edition of accreditation in 2012.

EFEKTIVITAS PENERAPAN SUPERVISI KEPALA RUANG TERHADAP PELAKSANAAN PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI RUANG RAWAT INAP RUMAH SAKIT PKU MUHAMMADIYAH BANTUL

Background: Activity of care documentation is a main element of responsibility for care profession performance. Therefore, treatment supervision is needed in order that effectiveness and efficiency of work are optimum. In approximately recent 4 months, the implementation of treatment supervision in the PKU Muhammadiyah Hospital of Bantul was vacuum, results of interview with the ward heads indicated that there was indication of dissatisfaction of ward head which was also appointed as supervisor in terms of incentive acceptance. Method: This study is quantitative research with quasi experiment pre and post-test design without control group. Respondents of this study were all inpatient ward heads using total sampling. Results and discussion: Results of this study indicated that average percentage of care documentation (standard operational procedure) implementation before treatment supervision training in the inpatient wards of PKU Muhammadiyah Hospital of Bantul was 42.6%, and after training, the percentage was 51.4%. Based on results of statistical test with paired t-test, it was found that p-value of effectiveness of ward head supervision application on implementation of care documentation in the inpatient ward s of PKU Muhammadiyah Hospital of Bantul was 0.002 (p<0.05). There was 8.8% increase in average percentage of care documentation implementation before and after ward head supervision training. Conclusion: The ward head supervision training was found effective on implementation of care documentation in the inpatient wards of PKU Muhammadiyah Hospital of Bantul.

PENGARUH PROMOSI TERHADAP SIKAP PASIEN RS PKU MUHAMMADIYAH BANTUL

The mushrooming hospitals in Bantul had forced PKU Muhammadiyah hospital to conduct promotions. A promotion will be very useful to provide information to the society about the service excellence offered by a hospital in order that it becomes the society’s preference when they seek for medical and health treatment. This research was a descriptive quantitative one using cross sectional approach. The population included all outpatients, and the sample was confined to 90 patients. Meanwhile, the analytical tool was the multiple linier regression. This research found a regression equation of Y = 0.225 X1 + 0.267X3 + 0.338X4 + e. The coefficient of determination (R2) was 0.649, which explained that the involvement of promotion influenced patients’ attitude as much as 64.9%. The score of F count was 42.159 with F significance of 0.000 and 95% confidence. For the mean time, the influence of promotional activities to the attitude of the patients of PKU MuhammadiyahBantul Hospital comprised advertising (2.129, p = 0.036), direct marketing (2.774, p = 0.007), and public relation (3.657, p= 0.000). Meanwhile, the variable personal selling did not influence the patient’s attitude (1.074, p = 0.286). To sum up, the factors in promotion mix influencing the attitude of the patients in PKU MuhammadiyahBantul Hospital are advertising, direct marketing, and public relation.

ANALISA ASSESMEN STANDAR PELAYANAN KESEHATAN DI INSTALASI GAWAT DARURAT RS PKU MUHAMMADIYAH SRUWENG TAHUN 2012

Government regulations governing the technical requirements contained in the emergency room in RI KEPMENKES NO. 856/Menkes/SK/IX/2009 Standards governing the ER (emergency room) .This study aims to find out analysis of assessment results PKU Muhammadiyah Hospital emergency room services Sruweng and compliance with the standards according to KEPMENKES RI NUMBER 856/Menkes/SK/IX/2009 Standards governing the ER Hospital. The study is qualitative research case study design. Research subjects were all medical and paramedical personnel who served in the emergency room, facilities and existing facilities and services in the IGD. Method of data collection is done by using the instruments of observation checklist with a list of statements of service standards according to IGD Kepmenkes No. 856/Menkes/SK/IX/2009, further in-depth interviews. The results the assessment conducted in PKU Muhammadiyah Hospital ER Sruweng through field observations and interviews were IGD service has exceeded the standard level of I is by achieving 103.50% and the achievement of outcomes assessment for level II emergency room services is quite high is 88.81%. Conclusion is more than the standard level I. However, to reach higher level is level II, IGD PKU Muhammadiyah Hospital Sruweng still require improvement and development to meet the service standards.

PELAKSANAAN KEBIJAKAN DAN PENILAIAN PENGGUNAAN APD (ALAT PELINDUNG DIRI) OLEH DOKTER DAN BIDAN DI RUANG BERSALIN DAN NIFAS RSU PKU MUHAMMADIYAH YOGYAKARTA UNIT I TAHUN 2014/2015

Background: Hospital is a place for taking care of the patients where there are many kinds of disease there. Disease caused by infection is one of disease that can be found in hospital. It can be the mild one or the severe one. Therefore, it can spread from one patient to the other patients. Besides that, the workers also can be infected since their job required them to having a contact with the infection agent. The General hospital of PKU Muhammadiyah Yogyakarta Unit 1 has formed the Komite Pencegahan dan Pengendalian Infeksi (KPPI) or Committee of Prevention and Restraint of Infection since 2012, this committee has made a policy related to universal precautions which giving protection to medical staff, patients, and patients’ families.
 Methods: In collecting the data, this research used mixed method with concurrent triangulation strategy design and cross-sectional approach. The population of this research is doctors in delivery and postpartum room and the members of KPPI. The total of the population is 30 people. In analyzing the data, the writer used logistic regression. The resources were taken from some related books, journals, articles, and research from several media.
 Results and Discussion: The result of this research showed that the degree of compliance of doctors and midwives in using PPE (Personal Protective Equipment) in postpartum room (92.9%) was higher than the using of PPE in the delivery room (76.9%). This implementation/compliance is influenced by disposition factors/attitude (ρ = 0.000 <0.05) and the structure of bureaucracy (ρ 0,000 <0.05), while the variable of communication (ρ=0,164 > 0,05) and resource (ρ=0,431 > 0,05) do not influence on the implementation of the use of PPE.
 Conclusions and Recommendations: The implementation of the use of PPE in the delivery and postpartum room is still not performing well and the evaluation process was still not optimal. The hospital is expected to improve the supervision of the head room. Moreover, the implementation of SOP (Standard Operational Procedure) on the universal Guidelines for Vigilance Implementation should be conducted especially the use of PPE in delivery and postpartum room.

PENGARUH KUALITAS PELAYANAN DAN HARGA TERHADAP KEPUASAN PASIEN PADA KELAS VIP, 1, 2, DAN 3 (STUDI PADA RSU PKU MUHAMMADIYAH GAMPING YOGYAKARTA)

This thesis examines the influence of service quality and price to patient satisfaction at the class VIP, 1, 2, and 3 in RSU PKU Muhammadiyah Unit 2 Gamping Yogyakarta. The issues examined are: there is influence of service quality and price to patient satisfaction simultaneously at class VIP, 1, 2 and class 3 in RSU PKU Muhammadiyah Unit 2 Gamping, there is influence of service quality dimensions to patient satisfaction individually at class VIP, 1, 2 and class 3 in RSU PKU Muhammadiyah Unit 2 Gamping, and there is influence of service prices on patient satisfaction individually at class VIP, 1, 2 and VIP 3 in RSU PKU Muhammadiyah Unit 2 Gamping.
 This research is quantitative with the cross sectional study such as data collected only once. Data collected using questionnaires. Questionnaires carried out on 160 RSU PKU Muhammadiyah Unit 2 Gamping patients who are derived from the class VIP, class 1, 2, and class 3. Respondents determined by using convenience sampling who have stayed at PU Muhammadiyah Hospital Unit 2 Gamping at least 1 day.
 From the study, it is found that there is significant effect of service quality and price simultaneously on patient satisfaction at class VIP, 1, 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping. It is known from the results of the F test which is getting significant results for all classes at µ (0,05). This means that hypothesis 1 proved (There is the influence of service quality and cost simultaneously on patient satisfaction at class VIP, 1, 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping). There is significant influence of dimensions of service quality individually to patient satisfaction at class VIP, 1 , 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping. It is known from the results of the F test which is getting significant results for all classes at µ (0,05). This means that hypothesis 2 proved (There is the influence of the dimensions of service quality individually on patient satisfaction at class VIP, 1, 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping). In this case dimension that has a significant influence on the VIP is tangibles dimension, responsiveness and empathy (the most dominant is empathy). Dimensions that have a significant influence on the class 1 is responsiveness dimension and empathy (the most dominant is empathy). Dimensions that have a significant influence on the class 2 is all dimensions (the most dominant is reliability). Dimensions that have a significant influence on the class 3 is assurance dimension (the most dominant is assurance).
 There is significant influence of price to patient satisfaction individually at class VIP, 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping, except in patients class 1. It is known from the t test at µ (0,05).

ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU PASIEN DALAM MEMANFAATKAN RAWAT INAP DI RUMAH SAKIT PKU MUHAMMADIYAH NANGGULAN

Hospital as a service provider health is needed to know factors that affect the decision of patient in the harness of hospitalization. Understanding of behavior consumers can be used as an ingredient of consideration for provides maximum service in accordance with consumer advocacy.
 Knowing the influence of cultural factors, social, personal and psychological to behavior in the harness of inpatient at the PKU Muhammadiyah Nanggulan hospital. This research is research survey analytic with the approach of cross sectional. Population research is patients who harness inpatient PKU Muhammadiyah Nanggulan hospital. The technique sampling in this research is accidental of sampling by the number of sample are 84 people. The data collecting use questionnaire. Analysis of data the use of multiple regressions
 The result show cultural factors, social factors, personal factors and psychological factors has partial influence to the harness of inpatient care at PKU Muhammadiyah Nanggulan hospital. Cultural factors, social factors, personal factors and psychological factors simultaneously influence to the behavior of patients in the harness of inpatient at the PKU Muhammadiyah Nanggulan Hospital.

ANALISIS PERHITUNGAN UNIT COST SEWA KAMAR KELAS II AR RAHMAN DENGAN METODE ACTIVITY-BASED COSTING (STUDI KASUS DI RSU PKU MUHAMMADIYAH BANTUL)

Background: Determination of unit costs of inpatient room rental in PKU Muhammadiyah Hospital of Bantul is currently using traditional methods of real cost. When viewed in terms of space, design space and facilities for wards between class II class II Ar Rahman with other wards there is a difference. But the room rental unit cost of hospitalization between class II and class II Ar Rahman other similar effect. Methods: The study was conducted in PKU Muhammadiyah Hospital of Bantul. This type of research is a qualitative descriptive case study design. The sample in the study were nurses and managers supporting units taken purposively sampling. Cost analysis method used is the Activity-Based Costing (ABC). Results and Discussion: The unit cost of room rental class II Ar Rahman is calculated by the method of Activity-Based Costing (ABC) amounting to Rp. 77.540, -, while those issued by the hospital of Rp. 42 308, -. This indicates that the unit cost is calculated by Activity-Based Costing is greater than the unit cost hospitals. In Activity-Based Costing (ABC), indirect costs (overheads) charged to a cost driver while in the traditional system is only charged on a cost driver. Conclusions and Suggestions: Method of Activity-based Costing (ABC) can provide information regarding the calculation of more accurate cost, so it can be used by management to take accurate decisions in the budgeting and planning costs. The hospital should conduct an evaluation unit cost for rooms that are used so as not to harm the hospital or the patient.

PENGARUH PERSEPSI PRODUK UNGGULAN DAN KUALITAS PELAYANAN TERHADAP LOYALITAS PASIEN POLIKLINIK BEDAH DI RSI PKU MUHAMMADIYAH PEKAJANGAN

The Islamic Hospital PKU Muhammadiyah Pekajangan is a type C private hospital that is growing in Pekalongan. The successful hospital in the future are hospitals that have a competitive power. To win the competition the hospital must provide value and satisfaction to customers or patients through quality of products or services with competitive costs. The Islamic Hospital PKU Muhammadiyah Pekajangan already has a competitive product that is surgical oncology, surgical urology, neurosurgery. In addition The Islamic Hospital PKU Muhammadiyah Pekajangan should be able to know the quality of services provided and understand the interests and patients behavior to use the hospital services if needed health services at the next time.
 To know the influence of competitive product perception to patient loyalty in The Surgical Clinic of Islamic Hospital PKU Muhammadiyah Pekajangan, and determine the influence of services quality perceptions to patient loyalty in The Surgical Clinic of Islamic Hospital PKU Muhammadiyah Pekajangan, as well as investigate the influence of competitive product and services quality perception together against patient loyalty in The Surgical Clinic of Islamic Hospital PKU Muhammadiyah Pekajangan.
 The study was quantitative research with cross sectional design. The study was conducted on May-June 2011 in The Surgical Clinic of Islamic Hospital PKU Muhammadiyah Pekajangan. The population was all patients who had used services in The Surgical Clinic of Islamic Hospital PKU Muhammadiyah Pekajangan. The number of samples was 100 respondents. The sampling design was purposive sampling. Data was analyzed used descriptive and inferential statistics with multiple linear regression.
 The research result showed that competitive products perception influenced patient loyalty (Sig. 0.005 <0.05), and services quality perception influenced patient loyalty (Sig. 0.000 <0.05), as well as competitive products and services quality jointly influenced patient loyalty in The Surgical Clinic of Islamic Hospital PKU Muhammadiyah Pekajangan (Sig. 0.000 <0.05).
 The perception of competitive products and services quality perception which consists of communication, tangibles, empathy of nursing staff, assurance, responsiveness of the administrative staff, security, responsiveness physician either partially or jointly influence patient loyalty in The Surgical Clinic of Islamic Hospital PKU Muhammadiyah Pekajangan.

PERSEPSI DAN EKSPEKTASI DOKTER TERHADAP JASA MEDISDI RS PKU MUHAMMADIYAHNANGGULAN

Background: General practitioners / specialist considerations a hospital which are most suitable to be used as a practice. There are several considerations in determining a doctor's office, one of which is the most powerful pull factor is the amount of medical services to be received from the PKU Muhammadiyah Hospital Nanggulan.
 Objectives: in this study is to describe the perceptions and expectations of general practitioners and specialists for medical services in PKU Muhammadiyah Hospital Nanggulan.
 Method: This study used a qualitative research approach. The study was conducted in PKU Muhammadiyah Hospital Nanggulan, KulonProgo, Yogyakarta during the month of July 2011 - February 2015. The subjects in this study were four general practitioners and four specialists in PKU Muhammadiyah Hospital Nanggulan who has had a license to practice. Data analyze used descriptive qualitatively.
 Result: Perception of general practitioners / specialists in PKU Muhammadiyah Hospital Nanggulan vary according to the characteristics of informants that includes needs, age, status, workplace, social conditions, and hope the doctor. General practitioners revealed that remuneration has been timely received, but not yet in accordance with the load of work done. Specialist physicians perceive that the medical services received are in accordance with the assumption that the meaning of work for informants as worship and religious symbols. General practitioners hope that hospitals provide child support and medical benefits. Specialist doctors have hope in order to meet current needs and hope that PKU Muhammadiyah Hospital Nanggulan can improve the quality and infrastructure for specialists, provide health insurance for specialists, and in order to improve reply to specialist medical services in accordance with the development of the hospital. 
 Conclusion: Remuneration received by general practitioners has on time, but not in accordance with the load of work done. Medical services received by specialists are in accordance with the assumption that the meaning of work for informants as worship and religious symbols.

PENGISIAN SIGN IN DALAM MENINGKATKAN KEPATUHAN SAFE SURGERY DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA II

Background: Complications and deaths due to surgery become one of the global health problems. World Health Organization estimates that at least half a million deaths due to preventable surgical. An effort to improve the quality of surgical services including the Surgical Safety Checklist to use made by World Health Organization. Compliance to use this surgery checklist which is can increase the number of safe surgery,reduce the wrong site surgery and nearmiss.
 Method: This research is a qualitative action research design. The study population was all the doctors and nurse anesthetist. Number of samples 6 people. The data is collected by observation sheet Surgical Safety Checklist: Sign In RS PKU Muhammadiyah Yogyakarta Unit II for 3 cycles of observation.
 Result and Discussion: The results of observations on the first to the third cycle shows that all disobeying nurse anesthetist (100%) the Surgical Safety Checklist to fill: Sign In. The results of the response every cycle and a structured interview with the anesthesiologist showed that nurses are still confused how to use the checklist, the checklist has not been a necessity, the culture of patient safety is still minimal, lack quality of human resources, lack of supervision and lack of socialization mechanisms Surgical Safety Checklist noncompliance that influence nurses Sign In to to fill.
 Conclusion: Completing Sign In in the installation of surgery center in PKU Muhammadiyah Yogyakarta Unit II Hospital is noncompliance, because they still haven’t got the identity bracelet mounted on a patient who will be operating and marking the location of a rare surgery. Advice to hospital are to create a Standard Operating Procedure (SOP), SOP socialize regularly, make in-house training, increase the commitment of doctors and nurses, create a surveillance system, create a system of reward and punishment.