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"Rumah sakit merupakan tempat pelayanan kesehatan yang komplek dan padat resiko, keselamatan pasien sangat penting untuk meningkatan mutu rumah sakit, salah satu caranya adalah dengan melaporkan Kejadian Tidak Diharapkan (KTD). Perawat memiliki kontak paling lama dengan pasien sehingga menjadi komponen terpenting dalam pelaporan KTD. Penelitian ini bertujuan untuk mengetahui faktor yang mempengaruhi persepsi melaporan KTD di Rumah Sakit Prima Medika Denpasar tahun 2020. Rumah Sakit Prima Medika Denpasar merupakan rumah sakit swasta tipe C. Penelitian ini merupakan penelitian kuantitatif menggunakan desain penelitian cross sectional dengan sampel penelitian 140 perawat yang dilaksanakan pada bulan Juni tahun 2020. Didapatkan gambaran persepsi perawat yang tidak pernah melaporkan KTD sebesar 63.6% karena tidak pernah menemukan kejadian KTD atau mungkin pernah mendapat kejadian KTD tetapi tidak berani mealpor. Variabel yang berhubungan signifikan dengan persepsi melaporkan KTD oleh perawat adalah variabe sikap (p value = 0.002), pendidikan (p value = 0,046), porsi beban kerja berat (p value = 0,003 ) dan porsi beban kerja ringan (p value = 0,026 ). Variabel yang paling berpengaruh adalah sikap perawat ( OR 4,33 ). Saran antara lain adalah rumah sakit menumbuhkan sikap positif perawat dalam hal melaporkan KTD dengan memberikan penghargaan kepada yang melapor, rumah sakit melakukan pelatihan keselamatan pasien secara rutin dan regular, shif kerja malam selama 12 jam perlu di evaluasi.

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Hospital is complex and full of risk medical facility. Adverse events reporting is one part of the patient safety system that has an important roles to improve the hospital’s quality. Nurses have the longest contact’s time with patients so they become the most important component in reporting the Adverse Event reporting. This study aims to determine the factors that affects perception in adverse event reporting at Prima Medika Hospital Denpasar in 2020. Prima Medika Hospital is a type C private hospital. This study is quantitative study using a cross-sectional design with 140 nurses as samples and conducted in June 2020. The nurses’s perception who never report adverses event is 63.6%, assuming they never found any adverse event or maybe have found it but not have no courage to report it. The variable that significantly associated with perceptions on adverse event reporting by nurse are attitude (p value=0.002), education (p value=0.046), and workload ( heavy workload with p value= 0.003 and light workload with p value=0.026). The most affecting variable is the nurses attitude (OR 4.33). It is proposed for the hospital to build the nurses positive attitude to report adverse events one through giving appreciation to those who report the adverse event, hospital needs to give regular patient safety training to maintain the nurse knowledge, and to revisit the 12-hour nightshift which is regarded as unusual long hours.. "

"Keselamatan pasien merupakan hal yang sangat mendasar dalam pelayanankepada pasien di rumah sakit. Sebagai langkah awal dalam upaya meningkatkankeselamatan pasien di rumah sakit adalah dengan mengukur budaya keselamatanpasien. Tujuan penelitian ini adalah untuk mengetahui hubungan kepemimpinantransformasional, kerjasama tim, dan kesadaran individual dengan budaya keselamatanpasien di Rumah Sakit Prima Medika RSPM Denpasar. Metode yang digunakanadalah metode campuran mix method. Pendekatan kuantitatif menggunakan jenispenelitian potong-lintang cross-sectional. Kuesioner dibagikan kepada sampelsebanyak 218 responden. Pada pendekatan kualitatif dilakukan penelusuran lebih lanjutterhadap hal-hal yang dirasa masih belum terjawab, untuk melengkapi penjelasan hasilpenelitian kuantitatif. Analisis statistik menggunakan Structural Equation Modelling SEM, dengan program STATA-SE 12.1. Wawancara mendalam dilakukan denganDireksi RSPM dan pegawai yang terkait, untuk konfirmasi hasil penelittian. Hasilanalisis menunjukkan variabel independen yang saling berhubungan yaituKepemimpinan Transformasional, Kesadaran Individual, dan Kerjasama Tim, danketiganya berhubungan secara bemakna dengan variabel dependen BudayaKeselamatan Pasien p.

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Patient safety is very basic in the service to patients in the hospital. As a firststep in improving patient safety in hospitals is by measuring the patient 39 s safety culture.The purpose of this research is to know the relationship of transformational leadership,teamwork, and individual awareness to patient safety culture at Prima Medika Hospital RSPM Denpasar. The method used is mix method. The quantitative approach usescross sectional research. Questionnaires were distributed to a sample of 218respondents. In a qualitative approach, further searches on things that remainunanswered, to complement the explanation of the results of quantitative research.

Statistical analysis using Structural Equation Modeling SEM, with STATA SE 12.1program. In depth interviews were conducted with the RSPM Board of Directors andrelevant employees, to confirm the results of the study. The results of the analysis showthat the independent variables are Transformational Leadership, Individual Awareness,and Team Cooperation, and all three are related significantly to the dependent variableof Patient Safety Culture p."

"Rumah sakit dalam memberikan pelayanan kesehatan masyarakat harus dapat menjaga mutu dan kualitas. Salah satu upaya pemerintah untuk meningkatkan mutu pelayanan rumah melalui akreditasi. Akreditasi wajib dilakukan dan merupakan syarat ijin operasional sesuai aturan pemerintah. Rumah Sakit Prima Medika melakukan persiapan akreditasi KARS 2012 yang terdiri dari 4 sasaran pokok, namun penelitian ini pada dua sasaran yaitu sasaran keselamatan pasien dan Milenium Development Goals. Tujuan penelitian ini untuk mengetahui tahapan, masalah dan monitoring dalam proses persiapan akreditasi. Penelitian ini menggunakan metode kualitatif melibatkan partisipan sebanyak 7 orang yang terlibat dalam kelompok kerja akreditasi. Pengumpulan data dengan teknik wawancara mendalam dan penelusuran dokumen, dianalisis menggunakan content analysis. Hasil wawancara persiapan akreditasi dimulai komitmen dari seluruh jajaran rumah sakit, kelompok kerja akreditasi ditetapkan direktur, penyusunan dokumen sesuai elemen penilaian akreditasi, sosialisasi pada staf medis maupun non medis, implementasi sangat penting karena penilaian lebih terfokus pada pelaksanaan dilapangan, monitoring dan evaluasi dengan laporan monev, indikator mutu dan turun langsung ke lapangan. Kesimpulan tahapan persiapan yang penting adalah komitmen seluruh jajaran rumah sakit, melakukan pendekatan kepada dokter spesialis secara formal maupun informal, menambah pelatihan internal.

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Hospitals in providing public health services should be able to maintain quality of services. One of the government's efforts to improve the quality of home services through accreditation, which is compulsory and required by government regulation. This study focus on two goals of Prima Medika Hospital in preparation of KARS 2012 accreditation: International Patient Safety Goals and Millennium Development Goals. The purpose of this study is to determine the stages, problems and monitoring in the preparation process of accreditation on the patient's safety goals and the Millennium Development Goals. This research uses qualitative method by involving 7 participants working group of accreditation. Data collected by in-depth interview technique and document tracing, then analyzed using content analysis. The results of the interviews show that the preparation phase begins with the commitment of all hospitals, the accreditation working group established by the director, the compilation of documents of the assessment elements according to the accreditation standards, program dissemination to medical and non-medical staff, then the implementation. The next stage are monitoring and evaluation, through monev report, quality indicator and field inspection. In conclusions, the very important stages in preparation process are: commitment from all level of hospital, approaches to the specialist doctors formally or informally, more internal training."

"Nyeri pasca bedah merupakan salah satu penyebab nyeri akut yang paling umum. Penanganan nyeri yang efektif merupakan komponen fundamental dari pelayanan pasien yang berkualitas. Di RS Prima Medika belum ada protokol standar penanganan nyeri pasca bedah. Tujuan penelitian ini untuk mengukur intensitas nyeri pasien pasca bedah di RS Prima Medika, membuat protokol standar penanganan nyeri pasca bedah di RS Prima Medika dalam mewujudkan pelayanan yang berkualitas dan aman bagi pasien. Penelitian ini merupakan penelitian deskriptif kualitatif dengan teknik pengambilan data melalui observasi intensitas nyeri pada pasien pasca laparotomi dan wawancara mendalam dengan informan serta telaah dokumen. Hasil penelitian menunjukkan intensitas nyeri pada periode 24 jam pasca bedah adalah nyeri ringan, pada periode 48 jam pasca bedah intensitas nyeri bervariasi antara nyeri ringan sampai sedang dengan prosedur penanganan nyeri yang tidak terarah dengan baik. Diperlukan suatu SOP untuk memberikan penanganan nyeri pasca bedah yang optimal.

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Fundamental component to serve a quality service to the patient. There is no Standard operating procedure in pain management in Prima Medika Hospital. The aim of this study is to measure the intensity of pain in postoperative patient in this hospital, to arrange a standard operating procedure for postoperative pain management to serve a quality and safe service to the patient.

This is a qualitative descriptive study where data were collect by observed pain intensity in post laparotomy patient, in-depth interviews with the informans and reviewed documents.

Result show that pain intensity in 24 hours after surgery were mild, and in 48 hours the pain intensity were mild to moderate with no proper protocol. A standard operatimg procedure is needed to give the best pain management to the patient"

"Penelitian ini bertujuan memperbaiki angka Kejadian Tidak Diharapkan (KTD) di ruang rawat biasa Instalasi Rawat Inap RS Anna Medika dengan metode Six Sigma. Penelitian ini menggunakan pendekatan kualitatif yang ditunjang dengan metode kuantitatif.Hasil penelitian menyarankan pengembangan yang paling tepat adalah pengawasan langsung kepada petugas kesehatan dan penempatan sabun disertai label peringatan di tiap wastafel kamar perawatan, disertai upaya untuk meminimalisir biaya pelatihan berkala, evaluasi hasil pengembangan, modifikasi komponen biaya, dan pemberdayaan seluruh petugas untuk mendukung program tersebut.

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This research aims to improve adverse event rate in regular care on inpatient service of Anna Medika Hospital using Six Sigma method. Qualitative approach with quantitative method support is used in this research.

The results suggest hospital to improve adverse event rate by observing of health workers hand higiene and procedures, and providing liquid soap with warning sign hand washing sink in every patient's room."

"ABSTRAKNama : I Made Mahadinata Putra MNProgram Studi : Kajian Administrasi Rumah Sakit Judul : Peran Kepemimpinan, Motivasi Kerja, Beban Kerja, danKelelahan Kerja Terhadap Kinerja Perawat di Instalasi RawatInap RSU Prima Medika Denpasar Tahun 2018.Pembimbing : Dr. Ede Surya Darmawan, SKM., MDM.Latar Belakang : Pelayanan keperawatan di rumah sakit merupakan salah satufaktor penting dalam pelayanan kesehatan. Kinerja perawat yang baik akanmemberikan kepuasan pada pengguna jasa baik internal maupun eksternal.Kinerja perawat dipengaruhi oleh berbagai macam faktor. Dipersepsikan bahwapenyebab kinerja perawat terganggu adalah gaya kepemimpinan, motivasi kerja,beban kerja, dan kelelahan kerja. Kinerja perawat di RSU Prima MedikaDenpasar selama ini dilaporkan baik, namun belum diketahui secara pasti kinerjaperawat yang sebenarnya. Adapun tujuan penelitian ini adalah untuk mengetahuifaktor-faktor determinan yang berpengaruh terhadap kinerja tenaga perawat.Metode : Metode penelitian ini merupakan penelitian kuantitatif denganrancangan cross-sectional yang dianalisis menggunakan analisis multivariat,dengan sampel perawat pelaksana yang berjumlah 74 responden.Hasil : Hasil penelitian menunjukkan proporsi kinerja yang kurang baik lebihbesar dibandingkan dengan kinerja yang baik, adanya hubungan yang bermaknaantara gaya kepemimpinan, beban kerja, dan kelelahan kerja terhadap kinerjaperawat berturut-turut sebesar 3,784, 2,971, dan 1,320. Sedangkan tidak terdapathubungan yang bermakna antara motivasi kerja dengan kinerja perawat.Simpulan : Kepemimpinan memiliki hubungan paling besar terhadap kinerjaperawat pelaksana. Kepemimpinan yang baik perlu senantiasa diterapkan dalamupaya meningkatkan kinerja perawat.Kata kunci :Kepemimpinan, motivasi kerja, beban kerja, kelelahan kerja; kinerja perawat.

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ABSTRACTName I Made Mahadinata Putra MNStudy Program Study of Hospital AdministrationTitle The Role of Leadership, Job Motivation, Workload,and Burnout with Nurse Performance In HospitalizationService In Prima Medika General Hospital, 2018.Counsellor Dr. Ede Surya Darmawan, SKM, MDM.Introduction Nursing services in hospitals is one of the important factors inhealth services. A good nurse performance will provide satisfaction to bothinternal and external service users. The performance of nurses is influenced byvarious factors. It is perceived that the cause of the nurse rsquo s performance isdisrupted by the style of leadership, work motivation, workload, and workfatigue. The performance of nurses at RSU Prima Medika Denpasar has been wellreported, but it is not yet known exactly the actual performance of the nurses. Thepurpose of this study is to determine various factors that affect the performanceof nurses.Method This research method is quantitative research with cross sectionaldesign which analyzed using multivariate analysis, with sample of nurse executorwhich amount 74 respondent.Result The result of the study shows that the proportion of poor performance isgreater than the good performance, there is a significant correlation betweenleadership style, work load, and work fatigue on nurse performance 3,784, 2,971,and 1,320 respectively. While there is no significant relationship between workmotivation and nurse performance.Conclusion This study concluded that leadership has the greatest relation to thenurse performance. A good leadership should always be applied in an effort toimprove the performance of nurses.Keywords Leadership, work motivation, workload, burnout performance of nurses"

"ABSTRACTName : Ni Nyoman Risana DewiStudy program : Kajian Administrasi Rumah SakitTitle : Analysis Of Turn Over Intention Nurse In GeneralHospital Prima Medika 2017Consellor : Dr. dr. Sandi Iljanto, MPHIntroduction: Hospital is an organization that produces a product in the form ofhealth services which consists of several professions and disciplines of Science,one of which plays an important role is the nurse. Nurses in quantity become thelargest workforce, providing 24 hour service continuously and absorb more than50 Hospital budget. High nurse turnover rates can cause disruption to servicesprovided to patients. Standard turn over employees, which can still be tolerated is10 per year. Turn over nurses that occurred in RSU Prima Medika whichincreased from 2015 to 2017, causing concerns from the management, especiallyat the end of 2016 intention turnover rate of 22.1 .The purpose of this study is to determine the determinants of Turn Over IntentionNurses at Prima Medika Hospital in 2017Method: This research is analytic with quantitative approach. This study usedcross sectional design. The number of samples used in this study was 114 nurseswho come from employees who work at Prima Medika Hospital after deductingexclusion criteria.Results: Salary Factor has relationship with nurse work satisfactory at RSU PrimaMedika in the year of 2017. Other factors such as: working conditions; statuswithin the organization; supervision; peer-partner interpersonal relationships,superiors and subordinates; achievement and the work itself, has no significantrelationship with nurse job satisfactory. Job satisfactory has relationship withturnover intention nurses at Prima Medika Hospital in 2017Conclusion: nurse intention turnover is influenced by job satisfaction that lies inthe salary, so the salary in this case needs to be considered.Keywords: turnover intention, job satisfaction, extrinsic factor, intrinsicfactor

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ABSTRACTName Ni Nyoman Risana DewiStudy program Kajian Administrasi Rumah SakitTitle Analysis Of Turn Over Intention Nurse In GeneralHospital Prima Medika 2017Consellor Dr. dr. Sandi Iljanto, MPHIntroduction Hospital is an organization that produces a product in the form ofhealth services which consists of several professions and disciplines of Science,one of which plays an important role is the nurse. Nurses in quantity become thelargest workforce, providing 24 hour service continuously and absorb more than50 Hospital budget. High nurse turnover rates can cause disruption to servicesprovided to patients. Standard turn over employees, which can still be tolerated is10 per year. Turn over nurses that occurred in RSU Prima Medika whichincreased from 2015 to 2017, causing concerns from the management, especiallyat the end of 2016 intention turnover rate of 22.1 .The purpose of this study is to determine the determinants of Turn Over IntentionNurses at Prima Medika Hospital in 2017Method This research is analytic with quantitative approach. This study usedcross sectional design. The number of samples used in this study was 114 nurseswho come from employees who work at Prima Medika Hospital after deductingexclusion criteria.Results Salary Factor has relationship with nurse work satisfactory at RSU PrimaMedika in the year of 2017. Other factors such as working conditions statuswithin the organization supervision peer partner interpersonal relationships,superiors and subordinates achievement and the work itself, has no significantrelationship with nurse job satisfactory. Job satisfactory has relationship withturnover intention nurses at Prima Medika Hospital in 2017Conclusion nurse intention turnover is influenced by job satisfaction that lies inthe salary, so the salary in this case needs to be considered.Keywords turnover intention, job satisfaction, extrinsic factor, intrinsicfactor"

"

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ABSTRACTIntroduction: Hospital is an organization that produces a product in the form ofhealth services which consists of several professions and disciplines of Science,one of which plays an important role is the nurse. Nurses in quantity become thelargest workforce, providing 24 hour service continuously and absorb more than50% Hospital budget. High nurse turnover rates can cause disruption to servicesprovided to patients. Standard turn over employees, which can still be tolerated is10% per year. Turn over nurses that occurred in RSU Prima Medika whichincreased from 2015 to 2017, causing concerns from the management, especiallyat the end of 2016 intention turnover rate of 22.1%.The purpose of this study is to determine the determinants of Turn Over IntentionNurses at Prima Medika Hospital in 2017Method: This research is analytic with quantitative approach. This study usedcross sectional design. The number of samples used in this study was 114 nurseswho come from employees who work at Prima Medika Hospital after deductingexclusion criteria.Results: Salary Factor has relationship with nurse work satisfactory at RSU PrimaMedika in the year of 2017. Other factors such as: working conditions; statuswithin the organization; supervision; peer-partner interpersonal relationships,superiors and subordinates; achievement and the work itself, has no significantrelationship with nurse job satisfactory. Job satisfactory has relationship withturnover intention nurses at Prima Medika Hospital in 2017Conclusion: nurse intention turnover is influenced by job satisfaction that lies inthe salary, so the salary in this case needs to be considered."

"Berdasarkan data IKP Komite Nasional Keselamatan Pasien yang diterbitkan oleh Kementerian Kesehatan RI pada tahun 2019, KTD memiliki persentasi 31% dari total IKP nasional. Keberhasilan dalam menekan angka KTD dalam program keselamatan pasien tidak terlepas dari sumber daya manusia nya itu sendiri, khususnya perawat. Komitmen yang baik akan mengoptimalkan kinerja perawat sehingga dapat menekan angka kejadian tidak diharapkan. Kinerja perawat menjadi tolak ukur komitmen organisasi pada penelitian ini dan karakteristik demografi perawat sebagai faktor personal dan faktor organisasi yang berpengaruh terhadap kinerja perawat. Tujuan dari penelitian ini adalah mengetahui secara spesifik hubungan antara komitmen organisasi pada kinerja perawat terhadap kejadian tidak diharapkan di rumah sakit. Pertanyaan penelitian dijawab dengan studi literature review dan sintesis data dilakukan secara naratif. Pencarian studi pustaka menggunakan basis data daring Scopus, Pubmed, ProQuest, dan Google Scholar antara 2010 hingga 2020 kemudian dilakukan review. Hasil penelitian menunjukkan ada hubungan antara komitmen organisasi dengan kejadian tidak diharapkan di rumah sakit.

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Based on data on the National Comittee for Patient Safety published by the Indonesian Ministry of Health in 2019, AEs has a percentage of 31% of the total national IKP. The success in reducing the number of adverse events in patient safety programs cannot be separated from the human resources themselves, especially nurses. Good commitment will optimize the performance of nurses so that it can reduce the number of adverse events. Nurse performance is a measure of organizational commitment in this study and demographic characteristics of nurses as personal factors and organizational factors that affect nurse performance. The purpose of this study was to determine specifically the relationship between organizational commitment to nurse performance and adverse events in the hospital. The research questions were answered with a literature review study and data synthesis was carried out in a narrative manner. A literature study search using the online database Scopus, Pubmed, ProQuest, and Google Scholar between 2010 and 2020 was then reviewed. The results showed that there was a relationship between organizational commitment to adverse events in the hospital."

"ABSTRAKAnalisis Kepatuhan Dokter Dalam Penulisan Resep Sesuai FormulariumRSU Prima Medika DenpasarSalah satu unsur dalam peningkatkan mutu pelayanan kesehatan adalahterjaminnya aksesibilitas obat yang aman, berkhasiat, bermutu, dan terjangkau.Pengelolaan obat yang tidak efisien dapat memberikan dampak negatif secaramedik dan ekonomi. Salah satu penyebabnya adalah ketidakpatuhan dokter dalammeresepkan obat sesuai dengan formularium. RSU Prima Medika merupakansalah satu rumah sakit swasta di Denpasar yang telah memiliki formulariumsendiri. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yangberhubungan dengan kepatuhan dokter dalam penulisan resep sesuai formulariumRSU Prima Medika Denpasar.Penelitian ini merupakan penelitian kuantitatif dengan desaincrossectional. Sampel adalah 120 dokter yang memiliki Surat Ijin Praktek SIP diRSU Prima Medika. Data dikumpulkan dengan wawancara menggunakankuesioner terstruktur dan data kepegawaian. Data dianalisis secara univariat, bivariatdan multivariat dengan software statistik.Hasil penelitian didapatkan bahwa lebih banyak dokter laki-laki denganrerata umur 44.4 11.7 tahun dan paling banyak dokter spesialis. Gambarankepatuhan sesuai fomularium RSU Prima Medika Denpasar adalah 27.5 . Faktoryang berhubungan terhadap kepatuhan dokter dalam penulisan resep sesuaidengan formularium RSU Prima Medika Denpasar adalah Pengetahuan,Informasi, Penghargaan, Sosialisasi, Supervisi, dan Lingkungan Tempat Kerjasedangkan faktor yang tidak berhungan kepatuhan dokter dalam penulisan resepsesuai dengan formularium RSU Prima Medika Denpasar adalah Jenis Kelamin,Pendidikan, Lama Praktek, Sanksi, Permohonan Pasien, Pihak Membayar, danIndustri Farmasi. Variabel yang diteliti pada penelitian ini berhubungan terhadapkepatuhan penulisan resep sesuai dengan formularium RSPM sebesar 60.2 ,sedangkan sisanya sebesar 39.8 dipengaruhi oleh variabel lainDisimpulkan bahwa tingkat kepatuhan dokter dalam penulisan resep sesuaidengan formularium RSU Prima Medika Denpasar masih cukup rendah. Faktoryang paling berhubungan adalah penghargaan, pengetahuan, dan informasi.Disarankan kepada pihak manajemen untuk membuat suatu sistem kebijakanpenghargaan dan sanksi, membuat buku saku formularium yang praktis, formatdan tampilan yang menarik serta didistribusikan ke seluruh dokter praktek sertamelakukan sosialisasi dan supervisi berkala.Kata Kunci: kepatuhan, dokter, penulisan resep, formularium RS, RSU PrimaMedika Denpasar

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ABSTRACTComplience Analysis of Formularium Drug Prescription inPrima Medika Hospital DenpasarOne of component to increase hospital rsquo s quality service is assurance ofsafe drug rsquo s accessibility, beneficial, quality and affordable. Unefficient of drugmanagement lead to medically and economicall negative effects. Prima MedikaHospital Denpasar is one of the private hospital in Denpasar which had their ownformularium. In 2016, various types of excessive inventory drug lead to stuck andexpired which have detrimented hospital. Aims of this study were to analyzefactors related to doctor rsquo s complience about formularium drug prescription inPrima Medika Hospital Denpasar.This was a quantitative study using crossectional design. Samples were120 doctors who had legal permit practice in Prima Medika Hospital Denpasar.Data were collected by interview using structured questionnaires and analyzedunivariate, bivariate dan multivariate with statistic software.Results showed that most doctors were male, mean of age is 44.4 11.7year most of Specialist Doctors. Rate for complience of drug prescribingfollowing formularium Prima Medika Hospital Denpasar is 27.5 . Factors relatedto compliance knowledge, information, reward, socialization, supervision, andWorking environment. Meanwhile factors which were not related were gender,education, working experience, punishment, patient request, payment type, andPharmaceutical industry. Variable on this study were 60.2 related withcompliance and 39.8 were related to other factors.In conclution, complience of drug prescribing following formulariumPrima Medika Hospital Denpasar is low. The most related factors includingrewards, knowledge, and information. It can be suggested that hospitalmanagement to produce a sistem of rewards and punishment as well asperiodically socialized and supervised for the prescription.Key words complience, doctors, drug prescribing, hospital formularium, PrimaMedika Hospital Denpasar"