Journal of Hospital Administration and Management

EFFECTIVENESS OF CATS BUNDLE WITH CATS MODIFIED BUNDLE ON THE DECREASE OF SURGICAL SITE INFECTION IN CAESARIA PATIENTS AT MITRA MEDIKA GENERAL HOSPITAL IN 2020

2026-02-27T10:17:43+00:00

Background; Surgical Site Infection is an infection of the surgical wound or organs / space that occurs within 30 days after surgery or within 1 year if there is an implant. Sources of bacteria in SSI can derived from patients, doctors and teams, the environment, as well as the medical instrumental. Bundles are a set of valid evidence-based practices that result in improved health care outcomes when carried out collectively and consistently. Objectives; This study aims to compare the effectiveness of the CATS bundle with the modified CATS bundle on the incidence of SSI in caesarean surgery at Mitra Medika General Hospital. Methodology; The design of this study is quasi-experimental research, with a non-equivalent control group posttest - only design. The population in this study were 873 patients who underwent caesarean section surgery at Mitra Medika General Hospital. The sample of this study using purposive sampling, amount to 90 patients. Analysis of the data in this study using the Chi Square test. Results; The results of the Chi Square test analysis showed that the Fisher Exact p value was 0.167 . The p value was> 0.05, so H0 was accepted and H1 was rejected. Conclusions; The conclusion of this study is that there is no difference in the effectiveness of the CATS bundle and the modified CATS bundle on the incidence of SSI in caesarean section surgery patients at Mitra Medika General Hospital.

ANALYSIS OF MANAGEMENT STANDARDS IN THE MEDICAL LABORATORY INSTALLATION AT X HOSPITAL PEKANBARU IN 2025

2026-01-26T18:10:39+00:00

The Laboratory Installation is a supporting unit that plays an important role in clinical diagnosis through specimen examination. This study aims to analyze the management standards of the Medical Laboratory Installation at X Hospital Pekanbaru in 2025 based on four aspects: human resources, facilities, infrastructure, and standard operating procedures. This qualitative research used a descriptive approach through in-depth interviews and observations involving six informants (medical support service manager, laboratory analysts, unit head, and patients). The results showed that the number of laboratory analysts was insufficient to support 24-hour services, resulting in high workloads and multitasking. This condition is influenced by limited hospital funding due to a decrease in patient visits to the laboratory. In terms of facilities, the laboratory lacked essential equipment in accordance with standards, such as an autoclave, biosafety cabinet, and spectrophotometer, and quality control was not carried out routinely. Regarding infrastructure, deficiencies were found in active protection systems such as hydrants, automatic sprinklers, and evacuation routes, as well as the absence of accessibility facilities for persons with disabilities. This is due to the laboratory being located in an old building not designed according to current technical standards. Although standard operating procedures are available, their implementation remains suboptimal, as some staff members do not fully use personal protective equipment, and several work processes are still conducted manually. It is recommended that the hospital increase budget allocation proportionally to hire more analysts, complete laboratory equipment, conduct gradual infrastructure renovations focusing on safety and accessibility, and strengthen supervision, monitoring, and evaluation—while enforcing discipline for staff who fail to comply with PPE protocols—to ensure safety and service quality in the laboratory.

INFLUENCE OF INTERPERSONAL COMMUNICATION BETWEEN CLINICAL DENTAL STUDENTS AND PATIENTS ON SERVICE SATISFACTION AT RSGM IIK BHAKTI WIYATA KEDIRI

2025-12-16T09:23:36+00:00

Interpersonal communication is an essential clinical competency in dental care that directly
contributes to patient experience and service quality. This study aims to analyze the interpersonal
communication influence of dental clinical students based on the CLASS framework (Context–
Listening–Acknowledgement–Strategy–Summary) and its relationship with patient satisfaction
at RSGM IIK Bhakti Wiyata Kediri. This quantitative cross-sectional study involved 144 patients
selected using simple random sampling. Interpersonal communication was measured using the
14-item CLASS instrument on a Likert scale. Reliability testing yielded a Cronbach’s Alpha value
of 0.84, indicating excellent reliability. Descriptive analysis showed that all CLASS components fell
into the very good category. Spearman correlation analysis produced a value of 0.000 (p-value <
0.05), indicating that effective interpersonal communication between dental clinical interns and
patients leads to higher levels of patient satisfaction. Overall, interpersonal communication
among dental clinical students was effective and consistent, and there was a significant
relationship between interpersonal communication and patient satisfaction