Standard Operating Procedures Research Articles

Critical parameters to standardize the size and concentration determination of nanomaterials by nanoparticle tracking analysis

The size and concentration are critical for the diagnostic and therapeutic applications of nanomaterials but the accurate measurement remains challenging. Nanoparticle tracking analysis (NTA) is widely used for size and concentration determination. However, highly repeatable standard operating procedures (SOPs) are absent. We adopted the “search-evaluate-test” strategy to standardize the measurement by searching the critical parameters. The particles per frame are linearly proportional to the sample concentration and the measured results are more accurate and repeatable when the concentration is 108-109 particles/ml. The optimal detection threshold is around 5. The optimal camera level is such that it allows clear observation of particles without diffractive rings and overexposure. The optimal speed is ≤ 50 in AU and ∼ 10 μl/min in flow rate. We then evaluated the protocol using polydisperse polystyrene particles and we found that NTA could discriminate particles in bimodal mixtures with high size resolution but the performance on multimodal mixtures is not as good as that of resistive pulse sensing (RPS). We further analyzed the polystyrene particles, SiO2 particles, and biological samples by NTA following the SOPs. The size and concentration measured by NTA differentially varies to those determined by RPS and transmission electron microscopy.

Strengthening event-based surveillance (EBS): a case study from Afghanistan

SummaryThe sustained instability in Afghanistan, along with ongoing disease outbreaks and the impact of the COVID-19 pandemic, has significantly affected the country.During the COVID-19 pandemic, the country’s detection and response capacities faced challenges. Case identification was done in all health facilities from primary to tertiary levels but neglected cases at the community level, resulting in undetected and uncontrolled transmission from communities. This emphasizes a missed opportunity for early detection that Event-Based Surveillance (EBS) could have facilitated.Therefore, Afghanistan planned to strengthen the EBS component of the national public health surveillance system to enhance the capacity for the rapid detection and response to infectious disease outbreaks, including COVID-19 and other emerging diseases. This effort was undertaken to promptly mitigate the impact of such outbreaks.We conducted a landscape assessment of Afghanistan’s public health surveillance system to identify the best way to enhance EBS, and then we crafted an implementation work plan. The work plan included the following steps: establishing an EBS multisectoral coordination and working group, identifying EBS information sources, prioritizing public health events of importance, defining signals, establishing reporting mechanisms, and developing standard operating procedures and training guides.EBS is currently being piloted in seven provinces in Afghanistan. The lessons learned from the pilot phase will support its overall expansion throughout the country.

Measurement of Adverse Events in Studies of Digital Health Interventions for Psychosis: Guidance and Recommendations Based on a Literature Search and Framework Analysis of Standard Operating Procedures.

Given the rapid expansion of research into digital health interventions (DHIs) for severe mental illness (SMI; eg, schizophrenia and other psychosis diagnoses), there is an emergent need for clear safety measures. Currently, measurement and reporting of adverse events (AEs) are inconsistent across studies. Therefore, an international network, iCharts, was assembled to systematically identify and refine a set of standard operating procedures (SOPs) for AE reporting in DHI studies for SMI. The iCharts network comprised experts on DHIs for SMI from seven countries (United Kingdom, Belgium, Germany, Pakistan, Australia, United States, and China) and various professional backgrounds. Following a literature search, SOPs of AEs were obtained from authors of relevant studies, and from grey literature. A thorough framework analysis of SOPs (n = 32) identified commonalities for best practice for certain domains, along with significant gaps in others; particularly around the classification of AEs during trials, and the provision of training/supervision for research staff in measuring and reporting AEs. Several areas which could lead to the observed inconsistencies in AE reporting and handling were also identified. The iCharts network developed best-practice guidelines and a practical resource for AE monitoring in DHI studies for psychosis, based on a systematic process which identified common features and evidence gaps. This work contributes to international efforts to standardize AE measurement and reporting in this emerging field, ensuring that safety aspects of DHIs for SMI are well-studied across the translational pathway, with monitoring systems set-up from the outset to support safe implementation in healthcare systems.

Analysis of Improving the Quality of Fatty Acid Methyl Ester (FAME) Products Against Acid Value (AV) Levels Using the Six Sigma and Kaizen Methods

. PT XYZ is a palm oil derivative processing company that produces biodiesel / FAME (Fatty Acid Methyl Ester) products. However, there are several obstacles that still occur during the company's production process which causes the acid value (AV) level of FAME products to not meet specifications and there are 3% defective products. Therefore, this study aims to determine the improvement plan by applying kaizen to the Six Sigma improvement stage and reducing outspec products in the FAME production process. The results of the research conducted using the six sigma method show that the company has a DPMO value of 71,459 and a sigma value of 2.96 which is in the average position of the industry in Indonesia based on the results of data processing. While recommendations for improvement by implementing kaizen include training machine operators, making standard operating procedures (SOPs) for machine inspections on each shift, reducing the amount of strearin added to AV raw materials before pre-treatment, maintenance and machine calibration.  This step are expected to overcome the main problems identified in the study.

Systems and Processes Related to Placement of Graduates at Public Health Education Institutions 
in India

It is desirable that public health education institutions should ensure the placement of their students in relevant organisations by establishing placement systems and processes. This would help them to achieve the goal of enhancing public health through capacity building. The present study was conducted using survey design, and purposive sampling was used to contact institutions delivering postgraduate level public health education programmes in India. Eighty institutes across India were contacted, out of which 26 institutions participated in the study. The study identified placement initiatives undertaken by various institutions. Institutions are engaged in establishing placement cell; engaging faculty, students, alumni and external contacts in placement process; organising alumni meet and employers’ meet, campus recruitment activities and are also involved in research related to placement. However, these initiatives need to be synchronised so as to effectively strategise the placements. In order to facilitate the placement of graduates effectively, public health education institutions should establish placement systems and processes. The first step in this regard can be creating standard operating procedures (SOPs), which can be referred to as a guiding document by the placement cell. The study brings value to the public health education institutions to adopt a systematic approach towards placement of its graduates.

Interactive exploration of adverse events and multimorbidity in CKD.

Persons with chronic kidney disease (CKD) are at increased risk of adverse events, early mortality, and multimorbidity. A detailed overview of adverse event types and rates from a large CKD cohort under regular nephrological care is missing. We generated an interactive tool to enable exploration of adverse events and their combinations in the prospective, observational German CKD (GCKD) study. The GCKD study enrolled 5217 participants under regular nephrological care with an estimated glomerular filtration rate of 30-60 or >60mL/min/1.73m2 and an overt proteinuria. Cardio-, cerebro- and peripheral vascular, kidney, infection, and cancer events, as well as deaths were adjudicated following a standard operation procedure. We summarized these time-to-event data points for exploration in interactive graphs within an R shiny app. Multivariable adjusted Cox models for time to first event were fitted. Cumulative incidence functions, Kaplan-Meier curves and intersection plots were used to display main adverse events and their combinations by sex and CKD etiology. Over a median of 6.5 years, 10271 events occurred in total and 680 participants (13.0%) died while 2947 participants (56.5%) experienced any event. The new publicly available interactive platform enables readers to scrutinize adverse events and their combinations as well as mortality trends as a gateway to better understand multimorbidity in CKD: incident rates per 1000 patient-years varied by event type, CKD etiology, and baseline characteristics. Incidence rates for the most frequent events and their recurrence were 113.6 (cardiovascular), 75.0 (kidney), and 66.0 (infection). Participants with diabetic kidney disease and men were more prone to experiencing events. This comprehensive explorative tool to visualize adverse events (https://gckd.diz.uk-erlangen.de/), their combination, mortality, and multimorbidity among persons with CKD may manifest as a valuable resource for patient care, identification of high-risk groups, health services, and public health policy planning.

[Standard operating procedures (SOP)-Suggestion for therapeutic management of periocular and intraocular metastases].

[Standard operating procedures (SOP)-Suggestion for therapeutic management of periocular and intraocular metastases].

A Survey to Assess the Current Status of Structured Benefit-Risk Assessment in the Global Drug and Medical Device Industry.

This industry survey was conducted to gain insight into the ways structured Benefit-Risk assessment (sBRA) of medical products is approached across drug or medical device developing companies, including frameworks and methods that are currently used and areas where future work is being planned. A survey containing 28 questions covering five key areas of sBRA was set-up and shared with representatives from the participating companies. Each company was asked to complete a single survey response including inputs across the company's multidisciplinary key representatives involved in benefit-risk assessment. Of the 26 participating companies, 21 (81%) are conducting sBRA. Considering these 21 qualitative frameworks were used by almost every company (19, 90%), while only 12 (57%) have used a quantitative method. Many companies have sBRA training (17, 81%), document templates (16,76%), Standard Operating Procedures (SOPs)/checklists (13, 62%), and /or best practice manuals/examples (12,57%) available. Considering all 26 companies Software tools (15, 58%) and BR planning documents (11,42%) were identified as areas into which many companies intend to put effort. The industry survey confirmed a wide usage of sBRA by many companies involved in research and development. Nevertheless, sBRA is evolving and several future opportunities like the implementation of visualization tools were identified by the representatives of the pharmaceutical companies. Finally, challenges like the cross-functional comprehension of the added value of sBRA are still seen.

Analisis Pengendalian Kualitas dengan Metode Six Sigma Pada Produksi Packaging PT. ABC

The development of industry in this current era is progressing rapidly, marked by increasing competition among companies. The method used is the Six Sigma method with the DMAIC approach (Define, Measure, Analyze, Improve, and Control). With this method, data obtained includes a total number of both good and defective products, which are then classified into several predefined defect categories by the company. Based on the data analysis results from July 2022 to December 2022, PT ABC  identified four types of defects in packaging products. These defects include sticking with a defect percentage of 54%, cracking at 27%, coloring at 18%, and scratching at 2%. Improvement efforts can be made through training, guidance, and supervision of operators to enhance product quality. Additionally, strict supervision of raw materials in packaging production is necessary to ensure their quality is maintained. Furthermore, the machine setting process also requires supervision and guidance, with the implementation of clear Standard Operating Procedures (SOP) for each product. Keywords: DMAIC, Quality Control,  Six Sigma

THE AUTHORITY OF ANESTHESIA TECHNICIANS IN CONDUCTING ANESTHESIA PRACTICES REVIEWED IN LIGHT OF MINISTER OF HEALTH REGULATION NUMBER 18 OF 2016 REGARDING THE LICENSING AND IMPLEMENTATION OF ANESTHESIA TECHNICIAN PRACTICES (A STUDY AT MELAWI DISTRICT GENERAL HOSPITAL, WEST KALIMANTAN)

This study aims to evaluate the clinical authority of anesthesia providers in relation to Health Regulation No. 18/2016 and its implementation at Melawi Regional General Hospital. Anesthesia services in Indonesia are performed by anesthesiologists and anesthetists. The government issued Minister of Health Regulation Number 18 Year 2016 on Anesthesia Practice Permits and Implementation to clarify the responsibilities of anesthesiologists in performing such medical actions. In addition, nowadays, it is highly recommended that all hospitals be accredited to measure public safety and service quality. As part of the accreditation process, all medical professionals will be required to provide evidence of proficiency by demonstrating their credentials. Therefore, the purpose of this study is to determine the clinical authority of anesthesia providers in relation to Health Regulation Number 18 Year 2016 and its implementation. Examining Health Regulation No. 18/2016 on the License to Practice and Implementation of Anesthesia, this research uses a normative juridical analytical approach. The legal review was conducted by referring to several legal materials and expert opinions.  The results showed that the authority of the anesthesiologist at Melawi Regional General Hospital is in accordance with Permenkes No. 18 of 2016. The research also noted that the procedure for delegation of authority from anesthesiologist to anesthesiologist is carried out with Standard Operating Procedures that have been determined by the Melawi Regional General Hospital. Keywords: Anesthesiologist; Authority; Implementation.

Correlation of Standard Operating Procedures and Work Environment to Employee Work Discipline of PT Ghania Creative Indonesia with Work Motivation as an Intervening Variable

This study aims to test and find out how the correlation of the application of standard operating procedures and work environment conditions to the level of work discipline of PT Ghania Creative Indonesia employees with work motivation as an intervening variable. This research uses quantitative research methods, with a correlation analytic approach. The population of this study amounted to 40 people and the sampling technique used total sampling technique, so the number of research samples became 40 people. This research data collection method uses a questionnaire / questionnaire method. The results showed that each independent variable partially had a direct effect on the level of employee discipline. Simultaneously, the application of the SOP and the work environment has a direct effect on the level of employee work discipline with a value of Fcount (5.527) > Ftable (2.87) with a significance level of 0.000. Furthermore, it has an R square value of 0.647 or 64.7% which means that as far as 64.7% there is a significant and direct influence of the application of SOPs and the work environment on employee work discipline together, while the other 35.3% are variables not examined in this study.

The Effect of Tera Gymnastics on Reducing Hypertension in the Elderly in Dukugawing-Kepunduan Cirebon

Elevations in blood pressure and pulse might result from changes in the cardiovascular system that occur with aging, including the loss of artery flexibility. Motion-based exercise for the elderly increases the release of hormones that relax the patient by stimulating the sympathetic and parasympathetic nervous systems. Senior gymnastics is an excellent physical activity for removing fat and cholesterol from blood vessels. This study aimed to determine the impact of senior exercise on hypertension in the older population in the Dukugawing Block, Kepunduan Village, Dukuntang District, and Cirebon Regency. The pre-experimental research design employed in this study included 34 senior hypertensive participants in a one-group pre-posttest design using simple total sampling. As the data were normally distributed, a paired t-test was used for data analysis after blood pressure was taken using a sphygmomanometer and elderly gymnastics was measured using a standard operating procedure (SOP). As a result of the intervention, the average blood pressure dropped from 150/94 mmHg to 140/90 mmHg, according to the data. After administering an aged exercise intervention for the elderly in the Dukugawing Block, Kepunduan Village, Dukuntang District, Cirebon Regency, a paired sample t-test analysis yielded a p-value = 0.00 <0.05, indicating a significant difference in blood pressure before and after participation.

[Suctioning in intubated and tracheotomized patients : Anarrative review].

Endotracheal suctioning in intubated or tracheotomized critically ill patients is adaily task of various professional groups in intensive and emergency medicine; however, aGerman language summary of current evidence is lacking. The aim is to develop anarrative overview of current evidence on endotracheal suctioning of intubated or tracheotomized patients in the clinical setting. Aliterature search was conducted in the databases Cinahl, Cochrane Library, Livivo, and Medline via PubMed by nurses with an academic degree. In addition, ahand search and applying the snowball principle were performed. Following asuccessful critical appraisal, all English and German language publications addressing endotracheal suctioning in the context of hospital care were included. Atotal of 23 full texts were included. After developing 6 main topics on endotracheal suction 19articles were considered in the reporting. The results showed, among others, that routine deep suctioning once per shift is contraindicated and that the catheter should be advanced no more than 0.5-1 cm beyond the distal end of the tube or tracheal cannula. Closed suction catheters offer advantages, especially for staff protection, although studies are heterogeneous. Further training of staff is obligatory. Few conclusive studies on endotracheal suction could be found; however, with the available evidence initial conclusions can be drawn which should be considered in, for example, internal standard operating procedures. Further research is needed.

Devising of Lazūq (A Conventional Unani Dosage Form) with reference to Transdermal Patch; Then and Now: A Critical Review

Objective: The endeavor is made to criticize the classical indications, preparations and application of Lazūq even after passing many centuries since its inception. Background: According to classical Unani literature, Lazūq is primarily formulated for headache, migraine, toothache, cervical pain, dropping of uvula and different types of pain like sciatica, backache, myalgia and some orthopedic conditions. Its approach is still conventional that encompasses thick sticky stuff of drug/s which is pasted over a cloth or thick paper, consequently, maximum ratio of medicinal properties remains insignificant owed to stratum corneum (layer of skin that functions as a barrier). Devising and method of drug delivery in classical form of Lazūq makes it inconvenient to the patient, thus, it drops patient’s compliance and anticipated efficacy. In this day and age, Unani practitioners do not prescribe it very often because of its devising and limited indications documented in classical literature. Hence, it’s now becoming out of practice. Whereas, modern medicine is practicing its novel approach epitomized as Transdermal patch for several bodily conditions like Acute post-operative pain, Alzheimer disease, Angina pectoris, Anti-emetic patch, Atrial fibrillation, Attention deficit hyperactivity disorder, Dementia, Depression, Dysmenorrhea, Hypertension, Local dermal analgesia, Menopausal symptoms, Motion sickness, Osteoporosis, Overactive bladder, Parkinson’s disease, Post herpetic neuralgia pain, Smoking cessation, Tic disorder, Tourette syndrome and to prevent pregnancy. In transdermal patch, drug is used in micro/nano form with chemically produced permeation enhancers (CPEs) and other smart physio-chemical techniques that makes it very easy to apply, imparts maximum active pharmaceutical ingredients with controlled release of drug. Methodology: Ancient classical Unani formulations of Lazūq was appraised and then its course with respect to today’s newer formulations as transdermal patch was reviewed to look for its progress and application in novel dosage form with the advantage of innovations in pharmaceutical and allied sciences. Conclusion: Classical Unani formulations of Lazūq must be reviewed, transformed, evaluated, coped and applied as per the standard operating procedures (SOPs) of transdermal drug delivery system. Future Prospects: New formulations of Lazūq should be designed and appraised from the medicinal treasure of Unani system of medicine for different therapeutic conditions.
  

Bronchial Lavage in the Treatment of Severe Bronchopulmonary Pathology in Adults. Approaches to Classification

Introduction Currently, bronchial lavage (BL) is widely used in clinical practice for the treatment of severe bronchopulmonary lesion in adults. However, indications and contraindications for this procedure are not fully defined. In addition, it was not possible to find in the literature a classification of either BL in general or used for therapeutic purposes in particular, which significantly complicates the standardization of procedures for its use in various diseases.Aim of study To determine possible classification characteristics, as well as indications, contraindications for therapeutic BL in adults and possible complications that may arise, based on the analysis of literature data.Results Therapeutic BL can be carried out both as planned and for health reasons. Indications for planned BL are purulent bronchitis, pneumonia, purulentdestructive infiltration, as well as chronic lung diseases: bronchiectasis, interstitial lesions. In turn, the indication for emergency therapeutic BL is progressive acute or chronic respiratory failure, developing due to bronchial obstruction. Such conditions may include massive pulmonary hemorrhage, acute obstruction of the bronchi with mucus and pus, postoperative atelectasis and hypoventilation of the lungs, aspiration of gastric contents, severe bronchial asthma, purulent destruction of the lungs, acute respiratory distress syndrome, thermochemical lesions of the respiratory tract. Contraindications to therapeutic BL can be both absolute and relative. Absolute contraindications are intolerance to drugs used for local anesthesia; decompensated heart and (or) pulmonary failure; acute cerebrovascular accident; various types of arrhythmias; stenosis of the larynx and (or) trachea II–III degree; neuropsychiatric diseases; pain syndrome in the abdominal cavity; extremely serious condition of the patient, when clarification of the diagnosis can no longer affect treatment tactics. Relative contraindications include acute respiratory disease of the upper respiratory tract; coronary artery disease; severe diabetes mellitus; pregnancy (second half); chronic alcoholism; grade III enlargement of the thyroid gland. It should be noted that most of the absolute contraindications are conditional and are not taken into account when performing BL according to vital indications with appropriate medical and technical support. Classification of BL used for medicinal purposes can be carried out according to the following criteria: method of sanitation; access used; level of sanitation; sanitized area; volume and composition of the lavage solution. It is noteworthy that the methods of carrying out procedures for various conditions and diseases still remain unregulated. An exception is the final stage of the therapeutic BL procedure in the case of the use of surfactant preparations, which standardization is regulated by approved standard operating procedures. It should also be noted that bronchial lavage for therapeutic purposes is justified from a pathoanatomical and pathophysiological point of view, but is accompanied by serious, albeit temporary, changes in the lungs, which can be partially avoided by improving the lavage technique.Conclusion All of the above indicates that in order to solve existing problems, it is necessary to conduct systematic research in this direction with the involvement of all interested specialists.

Collaboration and Development of Standard Operating Procedures for Prospective Evaluation and Collection of Biospecimens in Neurosarcoidosis (P8-14.005)

Collaboration and Development of Standard Operating Procedures for Prospective Evaluation and Collection of Biospecimens in Neurosarcoidosis (P8-14.005)

ANALISIS MEDIASI PSYCHOLOGICAL EMPOWERMENT PADA PENGARUH PERCEIVED ORGANIZATIONAL SUPPORT TERHADAP KINERJA KARYAWAN SUPPERDAZZLE YOGYAKARTA

Employee performance research is still popular in various organizations, including for-profit companies. Performance issues are also a concern in Supperdazzle; not all employees consistently meet sales targets, consumer complaints regarding service performance have not been fully handled, tasks are not completed on time, employees are not ready to work according to standard operational procedures. This study is intended to analyze the impact of perceived organizational support (POS) on task performance through psychological empowerment (PE). The research method used is a quantitative method. Researchers determined all 49 SupperDazzle employees as respondents through a questionnaire and analyzed using the classic assumption test and using multiple linear regression. This classic assumption test includes normality, multicollinearity and heteroscedasticity tests. Mediation testing uses the Sobel test. The results showed a positive influence of POS and PE on task performance. The significant influence of POS on PE also has an impact on the mediating role of PE on the influence of POS on task performance. Organizations can strengthen antecedents to improve employee performance.

Simplify Standard Operations Procedure Electrical Equipment with QR Codes in Order to Optimize Practical Learning at PT PLN (PERSERO) UPDL Palembang

PT PLN UPDL Palembang is one of the training units for all PLN employees in the southern Sumatra region. In organizing practicum learning, it is very important to ensure that all equipment used is covered by standard operating procedure (SOP) documents. The unavailability of SOP documents has the potential to result in work accidents for participants and learning instructors. In addition, the unavailability of SOP can result in damage to equipment. The unavailability of SOP documents is due to several things. Among them: its existence is unknown; the SOP is too large to be impractical; and the SOP is lost or damaged. Based on data from the last 10 years at PLN UPDL Palembang, there are 45 pieces of practicum equipment damaged because they did not follow SOP, or equivalent to Rp. 283,405,000. To ensure the SOPs are always available, they are made in digital and online form. The SOP document is then created as a QR code, which is printed in small size. The QR code sticker is affixed to the practice equipment. To use digital SOP, users only need to scan the QR code via smartphone on each device. One piece of equipment has one QR code.

A Policy Examination of Covid-19 Impact on the Radiology Department Standard Operating Procedures (SOPs): The Malaysian Experience

The purpose of this paper is to review the new management policy in medical imaging of the Covid-19 post-pandemic transition. This paper discussed the Standard Operating Procedure (SOP) introduced by the Ministry of Health (MoH) Malaysia to prevent and control intrahospital transmissions of Covid-19. A conceptual framework is proposed to highlight the key areas in the national SOP for preventing Covid-19 intrahospital transmissions in the radiology department. The key areas were classified into four categories: planned requests (patient appointments), (ii) open-access management (walk-in patient workflow and the triage system), (iii) direct contact (during radiology procedures), and (iv) exit policy and disinfection (post imaging conduct). The paper ends with a summary of diagnostic imaging classifications based on chest radiographs (CXR) and Computed Tomography (CT) images of suspected and confirmed Covid-19 patients. The Covid-19 SOP for the radiology department by the MoH was found to retain most of the patient quarantine and isolation guidelines by the Centre for Disease Control and Prevention (CDC) and incorporated several international policies on patient triage and disinfection of radiological equipment. The majority of the SOP is also sustained, like the SOP during the pandemic, except for the SOP that has been proven to be insignificant by recent research. The Covid-19 SOP for the radiology department plays an important role in reducing the intrahospital spread of Covid-19, with some areas needing improvement. Health workers in the radiology department should continue implementing the Covid-19 SOP and increase their knowledge in identifying Covid-19 signs on radiographic images to help safeguard themselves and the patients from intrahospital transmissions.

Analisis Kebijakan Sistem Zonasi di SMP Negeri 31 Surabaya

The education equality program is one of the government's efforts to advance education in Indonesia through several policies, one of which is the policy of accepting new students through a zoning system. This zoning system emerged as a form of educational equality and to erase the image of superior schools that has spread in society. With this zoning system, it is hoped that all schools will have the same quality. Minister of Education and Culture Regulation Number 44 of 2019 contains the zoning system policy concerning acceptance of new students from Kindergarten to Senior High School/Vocational High School (SMA/SMK). This policy must be implemented in schools under the auspices of the Regional Government. With this new policy, it cannot be denied that many problems will arise for both the school and the community, namely students. This research aims to reveal the factual conditions of implementing the zoning system policy in accepting new students, especially at SMP Negeri 31 Surabaya, as well as to determine the impact of implementing this policy. This problem was analyzed using policy implementation theory according to George Edward III, namely communication, resources, disposition, and bureaucratic structure. This research method uses a qualitative approach. Data collection methods use interviews, documentation, and observation techniques. The results of this research reveal that communication between policy actors is carried out clearly and consistently, and outreach is carried out to the community. Human and non-human resources have supported all activities in implementing zoning system policies. The disposition in implementing the zoning system policy is excellent, which can be seen from the commitment and attitude of the implementing committee towards the policy. The bureaucratic structure in implementing the zoning system policy is very good, it can be seen from the division of tasks in the PPDB committee, that each committee has the task of accepting new students following standard operational procedures. Meanwhile, from the community or student perspective, different views emerged regarding this zoning policy, namely agreeing and disagreeing.