Journal of Hospital Administration and Management

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

Muhammad Dedi widodo — 2025-12-23

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

Multia Ranum Sari — 2025-12-23

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

SYSTEM BARRIERS, MANAGEMENT SUPPORT, AND SAFETY CULTURE IN REPORTING AND INVESTIGATION OF OCCUPATIONAL ACCIDENTS AND ILLNESS IN HOSPITALS

Depi Yulyanti — 2025-12-23

Occupational safety and health is an important issue in hospitals due to the high number of accidents and occupational diseases that can occur among both healthcare and non-healthcare workers. Incident reporting and investigation are important aspects of achieving continuous learning and incident prevention, but in practice, each still faces several challenges. This study aims to examine the experiences of hospital staff with reporting and investigating work-related injuries and illnesses from the perspectives of systemic barriers, management support, and safety culture. This study uses an exploratory qualitative approach and was conducted in six hospitals in the Tasikmalaya region, including government and private hospitals. Data collection was carried out through in-depth interviews, observations, and triangulation of other data with informants from the management team, the K3RS team, unit heads, and employees who had experienced KAK or PAK. The data were analyzed using thematic analysis. The results show that staff awareness and motivation to report incidents already exist, although less serious cases are not routinely reported, while serious cases are automatically reported because they are related to BPJS Ketenagakerjaan claims. Limitations in the reporting process are due to the system still being manual, as there is no digital reporting system in place, complex administration, and a shortage of human resources in the K3RS department, particularly occupational specialists or doctors who have undergone Hiperkes and Occupational Health training. Management support is quite responsive, but the safety culture that has developed is still reactive. Therefore, the study found that although reporting and health transparency in hospitals can still be implemented, strengthening the system, management, and a responsive safety culture is necessary to ensure that incident prevention can occur sustainably.