Quality Of Inpatient Services Research Articles

Analysis of The Quality of Inpatient Services at Hospital X Binjai Using The Customer Satisfaction Index (CSI) Method

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>The quality of health services is the effectiveness of high health services with service standards and professionals, using resources owned by hospitals or health centres safely, and following the rules, laws, norms, and ethics with government and consumer restrictions. This study aims to measure patient satisfaction with the quality of inpatient services at X hospital in Binjai. This study uses a type of quantitative survey research using a cross sectional approach, where researchers will collect primary data by asking questions to respondents to obtain the necessary data. The population in this study were inpatients who visited Hospital X Binjai, namely 409 inpatients in December 2023. The number of samples in this study were 33 people. This research was conducted from January to February 2024. Primary data comes from questionnaires based on interviews conducted directly. This study uses a sampling technique, namely purpsive sampling, with criteria with age> 19 years. The variables analysed include Tanglible (physical evidence), Reability (reliability), Assurance (guarantee), Responsiveness (responsiveness), Empathy (empathy). This study uses the T test using the SPSS version 20 application. This study shows that there is a difference between patient expectations and the reality obtained by patients (Sig < 0.05). The results showed that customers who had received inpatient services at hospital X in Binjai were satisfied with the services that had been provided, in the calculation of the customer satisfaction index, a customer satisfaction index value of 78% was obtained, with the interpretation that the patient was satisfied with the services provided, with this the quality of inpatient services at hospital X in Binjai was declared good.</em><em> </em></p><p><em> </em></p></td></tr></tbody></table></div><p class="s29"><strong><em>Keywords: </em> <em>Customer Satisfaction Index, Satisfaction, Service Quality</em></strong></p>

Factors Associated with BPJS Participant Patient Satisfaction with the Quality of Inpatient Services at Malahayati Hospital in 2023

This study aims to analyze factors related to BPJS participant patient satisfaction with the quality of inpatient services at Malahayati Hospital Medan in 2023. The results of the study show that the quality of service provided by Malahayati Hospital Medan is considered good by respondents, with tangibles, quality of service. responsiveness, reliability, assurance, and empathy received good to very good ratings. Research also shows that there has been an increase in services provided by Malahayati Hospital Medan in preparation for hospital accreditation. However, it is recommended that Malahayati Hospital Medan continue to improve service quality, especially in the aspects of reliability and tangibles, while maintaining consistent service quality which is already good in the aspects of responsiveness, assurance and empathy. For further research, it is recommended to conduct more in-depth research regarding service quality, responsiveness, assurance, and empathy using the structural equation model test to identify the smallest variables that influence respondent satisfaction.

The Impact of Nurses Training and Competence on the Quality of Inpatient Services in Bandung Hospital

The Impact of Nurses Training and Competence on the Quality of Inpatient Services in Bandung Hospital

The Relationship between Service Quality, Satisfaction and Image on Revisit Intentions in Standard Inpatient Class Patients at Rumah Sakit Umum Pusat Surakarta

This study aims to determine the relationship between the quality of inpatient services, satisfaction and image on the intention to re-visit standard inpatient class patients at Rumah Sakit Umum Pusat Surakarta (RSUP Surakarta). RSUP Surakarta is one of 14 hospitals designated as a Hospital Organizing the Standard Inpatient Class Trial. Repeat visits to standard inpatient class organizing hospitals are very important because they can increase the BOR (Bed Occupancy Rate) value. This research is quantitative research with a cross-sectional study design. The number of respondents was 93 people and were patients who had been hospitalized at the RSUP Surakarta inpatient service at least once. Data collection using a questionnaire with self-report. Data processing uses SPSS and SEM PLS (Structured Equation Model Partial Least Square). The results of this research are that service quality has a relationship with intention to revisit (p-value 0.029). Service quality has a relationship with satisfaction (p-value 0.005). Service quality was found to have a relationship with image (p-value 0.005). Satisfaction was found to have a relationship with image (p-value 0.005). Satisfaction was found to have no relationship with revisit intention (p-value 0.098). Image was found to have a relationship with revisit intention (p-value 0.004). Service quality was found to have a relationship with repeat visit intention through image (p-value 0.027). Satisfaction was found to have a relationship with intention to revisit through image (p-value 0.008). Keywords: service quality, satisfaction, image, intention to revisit, hospital

Pengaruh Kualitas Pelayanan Rawat Inap Dengan Tingkat Kepuasan Pasien Di RSUD Kota Makassar

Service quality is the level of perfection in meeting consumer needs. Satisfaction is the feeling of pleasure or disappointment that someone experiences after comparing the performance or results of a product with their expectations. This study aims to analyze the relationship between inpatient service quality and patient satisfaction levels at the Makassar City Regional Hospital. The research method used was descriptive analytical with a cross-sectional design. The instrument used was a questionnaire regarding inpatient service quality and patient satisfaction levels. The study population consisted of inpatients in the Internal Medicine Department of the Makassar City Regional Hospital in October 2023. The sample consisted of 67 individuals according to predetermined criteria. The data collected were analyzed using the Spearman Rank statistical test with a significance level of 0.05. The majority (38.81%) of patients stated that the quality of service provided was high and 68.66% of patients claimed to be satisfied. The analysis results showed that the calculated r value was 0.627, which is greater than the tabled r value of 0.364. From these analysis results, it can be concluded that there is a relationship between inpatient service quality and patient satisfaction levels.

Follow-up attendance of patients with mental disorders and substance use disorders after inpatient treatment in psychiatry ward

Abstract Background: The proportion of patients attending the first follow-up appointment as an outpatient after being discharged from the inpatient setting is an outcome indicator of the quality of inpatient services provided. The objectives of this study were to determine the proportion of psychiatric inpatients with mental disorders and substance use disorders attending follow-up appointments after discharge and to determine the factors associated with attending follow-up appointments in these patients. Materials and Methods: A retrospective chart review (observational study) was conducted among the inpatients of psychiatry ward. The list of patients admitted to the psychiatry ward was obtained from the admission register. The discharge summaries and outpatient records of these patients were reviewed to obtain the following data: sociodemographic details, clinical details, and follow-up visit details. The primary outcome variable was follow-up attendance in the outpatient department within 30 days of discharge. Results: Ninety-eight patient records were included in the present study. The mean age of the participants was 37.81 (11.03) years and one-third of them were female. The mean duration of hospital stay was 11.32 (8.2) days. Sixty-six (67.35%) patients attended at least one outpatient follow-up visit within 30 days after discharge from the hospital. Patients with mood disorders had 4.25 higher odds of 30-FU when compared to patients with substance use disorders. Conclusions: Two-thirds of psychiatric inpatients with mental disorders and substance use disorders attended follow-up appointments within 30 days after discharge. Diagnostic category was associated with attending the follow-up appointments in these patients.

Quality Assurance in The Surgical Ward of Hospital X in Bandung During the Covid- 19 Pandemic

Health services are organised to meet the needs and demands of the community. If fulfilled, it will lead to client satisfaction. Hospital X in Bandung had a BOR of 91,67% in 2021 during the Covid-19 era. This BOR surpasses the WHO standard. Thus the quality of service needs to be assessed. The research was conducted to get an overview of the level of patient satisfaction with inpatient services at the surgical ward of Hospital X in Bandung. The study was conducted using an exploratory, descriptive approach to obtain an objective picture. Data was collected by filling out questionnaires to patients and families of 90 people. Samples were selected purposively with inclusion criteria: respondents must be treated for at least three days. The instrument was prepared concerning the “Hospital Service Quality Assurance” guidelines. The results showed that 53.4% of respondents stated that the quality of inpatient services at Hospital X in Bandung was in an outstanding category starting from the aspect of registration, nurse services, medical services, food and menus, comfort and cleanliness, medical facilities to administration, and finance. Health services carried out by hospitals are constantly changing along with the development of science and technology, and hospitals are preparing for hospital accreditation. It is recommended that hospitals continue to improve the quality of their services so that patient satisfaction with the services received can be maintained.

Rancang Bangun Sistem Pengukuran Indikator Pelayanan Pasien Rawat Inap Untuk Peningkatan Mutu Layanan Puskesmas Menggunakan Rumus IPRI

Health agency service indicators are used to determine the level of utilization, quality, and efficiency of health agency services. The measurement of service indicators is determined by applying the correct IPRI (Indicator of Inpatient Service) method/formula. Based on the results of observations in the Medical Record unit of the Berbah Public Health Center, Sleman Yogyakarta, it was found that the delay in returning the daily inpatient census sheets affected the value of each service indicator. In addition, inaccuracy in calculating the daily inpatient census data recapitulation resulted in inaccurate data. Therefore, a computer-based inpatient service indicator measurement system is needed in order to produce a faster and more accurate value for each service indicator in inpatient services. The stages of the research carried out adopted the stages in the SDLC Waterfall method, including the first stage of communication (project initiation & requirement gathering). The second stage is planning (estimating, scheduling, tracking). The third stage of modeling (analysis & design). The fourth stage of construction (code & test). The last stage, deployment (delivery, support, feedback). The application of the IPRI method/formula in PHP coding and supported by MySQL DBMS storage is part of the construction phase which is combined with testing using the black box test and alpha test methods. The goal has been achieved with the establishment of the Service Indicator Measurement System Application based on IPRI in inpatient services at the Berbah Health Center, Sleman Yogyakarta. The system is categorized as good and feasible to use based on the results of black box testing of 84.62% true. Alpha testing obtained a very high level of acceptance (approved) of 100%. The use of this application is proven to be able to produce IPRI calculations quickly and accurately so as to improve the quality of inpatient services, especially related to the daily census, so that leaders can make decisions faster.

Analysis of the Quality of Inpatient Health Services at Medan Haji General Hospital

<p><em>Currently the hospital is innovating to increase the level of patient satisfaction indicators which are still a problem in the quality of health services. The purpose of this research is to raise issues related to the quality of inpatient services at RSU Haji Medan. The method used is descriptive analytic with a cross-sectional study design, namely through a sample of 189 people taken from 9818 populations through calculations using a categorical descriptive formula and drawn by purposive sampling, data collection is carried out based on direct interviews using a questionnaire instrument adopted from RISKESNAS Ministry of Health of the Republic Indonesia, after the survey was conducted, the data were analyzed by means of frequency and central distribution, statistical tests using the Spearman rho correlation, multiple linear regression. The results showed that the average patient was still in the dissatisfied category (mean = 150.79), the Spearman rho test stated that there was a relationship of all variables with the quality of inpatient health services p <0.05 with the highest correlation direction of 0.540 in the fairly strong category , Partially patient satisfaction has a value of t = 3.442 and has a coefficient value of 0.201, if there is an increase in patient satisfaction of 0.1%, the quality of inpatient health services will improve by 20.1%. This study concludes that constantly at 13.6% and simultaneously (F=34.835) influences the quality of inpatient health services, leaders and health human resources work together to build even better health services to improve service quality.</em><em> </em></p><p><strong><em>Keywords: Correlation, Hospital, Linear, Quality, Service</em></strong></p>

Pelaksanaan Sensus Harian Rawat Inap di Rumah Sakit Elisabeth Medan

Processing of the daily inpatient census starts from filling out the daily inpatient census by the head of the room or the person in charge and the daily inpatient census is sent to the medical record room every working day at 08.00 am. Information generated from daily inpatient census data in the form of inpatient management indicators consisting of BOR (Bed Occupancy Rate), TOI (Turn Over Interval), LOS (Length Of Stay), BTO (Bed Turn Over) to monitor activities in hospitalization and GDR (Gross Death Rate), NDR (Net Death Rate) to assess the quality of inpatient services. Implementation of the Daily Inpatient Census At Elisabeth Hospital Medan, it was found that the preparation of the daily inpatient census was guided by the technical instructions for filling out the daily inpatient census, but because the technical instructions in each ward were no longer available, there was no need to make the daily inpatient census. . Data collection methods used in this study were interviews and active participation observations using research instruments in the form of interview guidelines. The results showed that the standard procedure at RSE Medan in making the daily inpatient census had not been fully implemented when sending the daily inpatient census from the ward to the medical records department. The source of data in making the daily inpatient census is the inpatient service register book. The method of making a daily inpatient census at RSE Medan is not in accordance with the Ministry of Health of the Republic of Indonesia (2006).

Influence of job satisfaction on organizational commitment and quality of inpatient services

The purpose of this study was to examine the effect of job satisfaction on organizational commitment, examine the effect of job satisfaction on service quality, examine the effect of organizational commitment on service quality, and to examine the mediation of Organizational Commitment on Job Satisfaction on Service Quality at the Wangaya Regional General Hospital. To examine the effect of job satisfaction on service quality at the Wangaya Regional General Hospital, this study used 135 Wangaya Hospital employees, especially those who served in the inpatient room as respondents using Path Analysis. The results of this study indicate that job satisfaction has a positive effect. and significant on service quality, job satisfaction has a positive and significant effect on organizational commitment, and organizational commitment is able to mediate the effect of job satisfaction on service quality at the Wangaya Regional General Hospital.

Effective Communication of Doctors in Hospitals Regarding the Quality of Inpatient Services: A Literature Review

This article discusses the concept of effective Communication of Doctors on the Quality of Inpatient Services. Outpatient and inpatient clinics can both benefit from continuously offering higher-quality care than their competitors. The most important thing is to ensure that patients are satisfied with the service they receive. The services they offer are restricted to what they have learned in medical school, which is only the most fundamental of medical skills. To help patients better grasp their health conditions as well as their options and limitations through verbal and nonverbal communication, doctors work together to come up with creative solutions. An interpreter is required if the doctor and patient don't speak the same language

MASA KERJA DAN USIA BERHUBUNGAN DENGAN PRAKTIK KOLABORASI INTERPROFESIONAL PADA RAWAT INAP RUMAH SAKIT

Background: The practice of interprofessional collaboration is one of the elements that determines the quality of inpatient services. As a result of dysfunctional or non-existent interprofessional collaborative health practices is a medical error, which is the leading cause of death worldwide.
 Objective: to analyze factors related to interprofessional health collaboration in hospital hospitalization.
 Methods: Survey research methods, with cross sectional approach. The sample of this study were doctors and health workers who provided care for 58 inpatients at PKU Muhammadiyah Gamping Hospital in June-July 2019 determined by consecutive sampling. Data was collected by filling out the Collaborative Practice Assessment Tool (CPAT) questionnaire. Data analysis with chi-square.
 Results: the practice of interprofessional collaboration in hospitalization is mostly good (mean index = 3.00). Years of service and age are significantly related to the practice of interprofessional collaboration in hospital hospitalization. Type of profession, gender, education, marital status and income are not related to the practice of interprofessional collaboration in hospital hospitalization.
 Conclusion: The higher the work period and age of the healthcare professional, the better the practice of interprofessional collaboration in hospital hospitalization.

The Quality of Inpatient Health Services at Mamajang Health Center, Makassar City

The quality of health services in the public or individual's need for health by standards with reasonable, efficient, effective use of resources within the limited capacity of the government and the community, and is carried out safely and satisfactorily by good norms and ethics. Based on the Health Center profile, the number of inpatients in 2017 was 51,155 people and increased in 2018 to 56,013. To find out how the quality of inpatient services at the Mamajang Health Center in 2020. This type of research is qualitative and uses a descriptive approach. The method of collecting data is using in-depth interviews (in-depth interviews). The number of informants in this study was five people by purposive sampling. The results of the study: 1) Tangible, the facilities and infrastructure of the Mamajang Public Health Center inpatient room were inadequate. 2) Reliability, inpatient health services at the Mamajang Health Center are accurate. 3) Responsiveness, health workers have not been effective in responding to patient complaints but are always ready and efficient to help patients. 4) Assurance, trusted health workers in providing information, but the cure of the disease depends on the accuracy of the drug. 5) Empathy from health workers who care for patients. It can be concluded that the quality of service at the Mamajang Health Center in Makassar City has not been maximized in providing services to inpatients.

Dampak Implementasi Model Early Warning Score Terhadap Mutu Pelayanan Rawat Inap

The quality of hospital services is determined by the mortality and morbidity rates, including services in inpatient rooms. One of the efforts to improve the quality related to patient safety in hospitals is the implementation of the Early Warning Score (EWS). Early warning score (EWS) is a parameter used to assess the deterioration of the patient's physiological condition by using seven parameters for assessing the patient's physiological response so that it can predict the outcome of the patient being treated. The purpose of this study was to analyze the impact of the application of EWS on the quality of inpatient services consisting of mortality (Net Death Rate), length of stay (Length of Stay), referral to HCU/ICU and activation of code blue. The research was carried out with the help of 4 enumerators. The population in this study were patients who were treated in an adult inpatient room with inclusion and exclusion criteria. The samples obtained were 278 patients with purposive consecutive sampling technique for 1 month. Data were analyzed by frequency distribution and correlation test using Chi-square. The results obtained indicate that there is no correlation between the EWS value and length of stay, while for mortality there is a correlation with the p-value <0.001. Referrals to the ICU/HCU and activation of code blue could not be analyzed due to the homogeneity of the data so that a larger number of samples and case variations were required. EWS can be used as a predictor of inpatient service quality by looking at patient outcomes.

Improving the Quality of Inpatient Services with Lean Service and Six Sigma Methods at Eshmun Hospital

Hospitals play an important role in the life of the nation and state, because every country has an obligation to meet all the physical and spiritual health needs of every citizen. The main focus of Eshmun Hospital is the accuracy of doctors in diagnosing diseases, responsive patient care, hospital security, hospital access roads, completeness of facilities, and medicines. The research method used in this research is six sigma, pareto diagram, failure mode effect analysis (FMEA), fishbone diagram, and value stream mapping. The conclusions obtained from this research are after repairs are made to the inpatient service activities of the hospital. Eshmun eats service activities which were originally 15 activities reduced to 11 activities, this can save time in carrying out services. Activities that are non-value add are very detrimental, including: the data collection service process is still done manually, patients are still waiting to receive treatment, there are some doctors who are not professional. The main cause of waste is usually caused by hospitals not keeping up with the times, human resources that are not optimal.

The Effect of Inpatient Service Quality at Anutapura Hospital on the Patients Satisfaction

According to the Law of the Republic of Indonesia No. 44 of 2009, Hospital is a health service institution that organizes complete individual health services that provide inpatient and emergency services. This research aims to determine the effect of the inpatient services quality at Anutapura Hospital on patients satisfaction. This is quantitative research with a cross-sectional study design. The sampling was conducted by using the proportional method to 68 inpatients of Anutapura Hospital, Palu. The analysis technique uses simple linear regression analysis. The results of this research indicate that the variables that have a positive and insignificant effect on patient satisfaction are physical evidence variable with a coefficient value of 0,057 and a sig value of 0,731> 0,05, a reliability variable with a coefficient value of 0,216 and a sig value of 0,119> 0,05, responsiveness with a coefficient value of 0,295 and a sig value of 0,100> 0,05, a guarantee with a coefficient value of 0,279 and a sig value of 0,099> 0,05, and attention with a coefficient value of 0,404 and a sig value of 0,096> 0,05. This research suggests that the agency should be able to improve services in terms of room provision, service support equipment such as seats for the patient's family who visit and can consider the needs of the community who come for treatment.

Relationship on Nursing Performance of Patient Satisfaction in Installation of Hospital in General Hospital Deli Serdang Region

Patients assess the efficiency of nursing care by the fulfillment of their desires. This thesis was to identify the correlation between nurses' inpatient service quality and patient satisfaction. quantitative and cross-sectional research This sample was made up of all patients admitted to the Deli Serdang Hospital, which indicates that about 320 patients were hospitalized for [for an average of] 3 days.5 days. as many as 77 human population samples of which were chosen to be included in the study All data derived from interviews and observations using a statistical model with a 5% significance level of probability, evaluated using the Multiple Linear Regression Approach The multiple logistic statistical evidence indicates that the influence of the vector service efficiency (p = 0.016) and connectivity (p = 0.016) is important (p = 0.043) on patient satisfaction. The level of contact has the biggest impact on patient satisfaction at The general ward in the Dedun restorative In-Patient Deli Serdang Hospital The results of this study are that service quality, connectivity, tempo, and capacity have an impact on customer satisfaction.

Hubungan Kualitas Pelayanan Rawat Inap Dengan Indeks Kepuasan Masyarakat Puskesmas Wonosari

Community satisfaction measurements are intended to determine the level of community satisfaction with the services provided and provide an opportunity for the community to assess the services that have been received.The design of this study is quantitative with a Cross-Sectional approach. The study was conducted by involving 59 respondents taken by accidental sampling. The study was conducted in April until May 2019 at Wonosari Health Center, Bondowoso Regency. The measuring instrument used was a questionnaire, then bivariate analysis was performed with Spearman Rank Analysis, with a significance of p = 0.05. The results of the Spearman Rank statistical test with significance levels p <0.05. Obtained p-value 0,000 which means There is a Relationship between the Quality of Inpatient Services and the Wonosari Community Health Center Community Satisfaction Index with a correlation coefficient of 0.714. The quality of inpatient care results in an index of community satisfaction when receiving health services provided. The quality of this service can ultimately provide several benefits, including the establishment of harmonious relationships between service providers and customers, providing a good basis for creating customer loyalty and building a favorable recommendation for these service providers.

Magnitude and Pattern of Inpatient Surgical Mortality in a Tertiary Hospital in Addis Ababa, Ethiopia.

Inpatient mortality is among regularly collected data in Key performance indicators in the Ethiopian healthcare system, and it is generally reported to the Federal Ministry of Health and is used as one of inpatient services quality indicators. This study was undertaken to identify the magnitude, causes and pattern of mortalities among patients who are admitted and treated in surgical wards in Saint Paul Hospital Millennium Medical College for a period of three years. A retrospective review was done on all patients admitted and died in the Department of Surgery in St. Paul's Hospital Millennium Medical College from January 1, 2016-Dec 30, 2018. There were 10,259 admissions over three years and out of which there were 350 deaths between 2016-2018 making a crude mortality rate of 3.41 %. The commonest mode of admission was for emergency conditions, 195(62.7%). Out of emergency admissions, 139 mortalities were from general emergency surgery and 75 patients died from elective general surgery admissions. Eighty-four (26.9%) patients had comorbidity and the commonest comorbidity was anemia 21(25%). The commonest possible cause of death was multi-organ failure secondary to septic shock, 159(51%). Mortality rate patterns along the three years (2016, 2017, 2018) showed 3.34% (112/3360), 2.87% (102/3552) and 2.92% (98/3347) respectively. The mortality rate of this study is much higher than global rates, but still there is a significant difference from other developing countries and also other researches in this country. Pattern of mortality did not show any difference across years of the study period.