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Abstrak :
Kemampuan rumah sakit untuk bertahan dan menjalankan fungsinya sebagai penyedia layanan kesehatan kepada masyarakat menghadapi tantangan dalam situasi darurat dan bencana. Rumah sakit harus mampu menghadapi pandemi COVID-19 dan bertahan sebagai salah satu bagian sentral dari ekosistem kesehatan. Penelitian ini dilakukan untuk menganalisis respon Rumah Sakit Awal Bros Batam terhadap pandemi COVID-19. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus melalui wawancara mendalam, telaah dokumen, observasi dan focus group discussion (FGD). Hasil penelitian menunjukkan bahwa secara umum rumah sakit dinilai memiliki tingkat kesiapsiagaan yang adekuat untuk berespon terhadap COVID-19. Komponen yang memiliki performa kurang baik adalah Komponen Kesehatan kerja, kesehatan mental, dan dukungan psikososial; Komponen Manajemen Pasien, dan Komponen Surge Capacity. Rumah sakit belum memiliki program kesehatan mental karyawan yang komprehensif terutama bagi tenaga kesehatan yang menangani COVID-19. Penggunaan terapi baru yang belum terdaftar juga belum dilakukan pemantauan dan kajian dilema etik dengan mengembangkan protokol pemantauan terapi. Selain itu, rumah sakit juga belum melakukan penetapan jumlah optimal sumber daya yang dibutuhkan untuk menghadapi kemungkinan kapasitas lonjakan di masa mendatang. Kesiapsiagaan dan respon rumah sakit terhadap pandemi tentunya harus dapat dipertahankan, ditingkatkan, dan dievaluasi sehingga disusunlah strategi mitigasi risiko prioritas yang menitikberatkan pada subkomponen yang memiliki nilai Risk Priority Number (RPN) paling tinggi. Selain strategi mitigasi risiko, telah disusun pula serangkaian Key Performance Outcome Indicator yang akan digunakan untuk melakukan pengukuran dan pemantauan keberhasilan rumah sakit dalam bersiapsiaga, berespon terhadap pandemi COVID-19 dan mempertahankan keberlangsungan bisnis operasionalnya. Diperlukan penelitian lebih lanjut tentang status kesehatan mental tenaga kesehatan yang bekerja di rumah sakit pada masa pandemi COVID-19 serta analisis hubungannya dengan status kesiapsiagaan rumah sakit serta melakukan evaluasi dari pemantauan penggunaan obat yang tidak terdaftar dan dampaknya terhadap outcome pasien COVID-19. Hospital ability to survive and maintain its function as a health service provider to the community faces challenges in emergency and disaster situations. Hospitals must be able to deal with the COVID-19 pandemic and survive as a central part of the health ecosystem. This research was conducted to analyze Awal Bros Batam Hospital responses to the COVID-19 pandemic. This study used a qualitative approach with a case study design through in-depth interviews, document review, observation, and focus group discussion (FGD). The results showed that in general, hospitals were considered to have an adequate level of preparedness to respond to COVID-19. Underperforming components are the components of Occupational Health, Mental Health, And Psychosocial Support; Patient Management Components, and Surge Capacity Components. The hospital have not develop a comprehensive employee mental health program, especially for health workers who handle COVID-19 patients. The use of new unregistered has also not been adequately monitored and studied ethical dilemmas by developing therapy monitoring protocols. Besides, the hospital has not determined the optimal amount of human resources needed to deal with possible future capacity spikes. Hospital preparedness and response to pandemics must of course be maintained, improved, and evaluated so that a priority risk mitigation strategy is formulated that focuses on the subcomponent that has the highest Risk Priority Number (RPN) value. In addition to risk mitigation strategies, a series of Key Performance Outcome Indicators have also been prepared which will be used to measure and monitor the success of hospitals in preparing, responding to the COVID-19 pandemic, and maintaining the sustainability of its operational business. Further research is needed on the mental health status of health workers working in hospitals during the COVID-19 pandemic and its relationship with hospital preparedness status, also research to evaluate the unregistered drug use monitoring and its impact on COVID-19 patient outcomes.

Abstrak :
Tenaga kerja Rumah Sakit merupakan tulang punggung pelayanan kesehatan dan menghadapi potensi bahaya kesehatan dan keselamatan kerja (K3) yang tinggi. Spesifiknya adalah faktor risiko biologis, salah satunya yaitu kuman Tuberkulosis (TBC). Global TBC Report (WHO, 2022) menyatakan Indonesia adalah negara kedua tertinggi di dunia terinfeksi TBC. Tujuan penelitian ini adalah pengembangan instrumen upaya perlindungan tenaga kerja rumah sakit dari penularan penyakit TBC. Desain penelitian yang digunakan adalah The exploratory sequential mixed method design. Pada tahap pertama melakukan analisis kualitatif melalui Focus Group Discoussion (FGD) dengan para pakar dan ahli di bidang penanggulangan penyakit TBC. Tahap kedua dan ketiga analisis kuantitatif cross sectional pada tenaga kerja di 5 RS pengampu layanan TBC di Indonesia. Tahap keempat merupakan uji coba instrumen pada 10 (sepuluh) rumah sakit pengampu layanan TBC. Hasil uji Instrumen FETRINA (Fasilitasi Eliminasi TBC ringkaskan-hilangkan-absentisme), seluruh item pertanyaan valid dan reliabel nilai Cronbach’s Alpha > 0,6. Terdapat variasi persepsi signifikan antar rumah sakit dalam elemen koordinasi, komunikasi, edukasi, implementasi program TBC, Terdapat variasi persepsi signifikan antar rumah sakit dalam elemen koordinasi, komunikasi, edukasi, implementasi program TBC, pelatihan dan kompetensi, serta monitoring dan evaluasi. Penelitian ini menghasilkan pengembangan instrumen dapat digunakan sebagai referensi/acuan untuk menilai upaya perlindungan tenaga kerja RS dari penularan penyakit TBC. Penerapan manajemen risiko yang baik menentukan keberhasilan perlindungan tenaga kerja rumah sakit dari penularan penyakit TBC. ......Hospital workers are the backbone of health services and face high potential occupational health and safety (OHS) hazards. Specifically, there are biological risk factors, one of which is Tuberculosis (TB) germs. The Global TBC Report (WHO, 2022) states that Indonesia is the second most infected country in the world with TB. The aim of this research is to develop an instrument to protect hospital workers from the transmission of TB disease. The research design used was the exploratory sequential mixed method design. In the first stage, a qualitative analysis was carried out through a Focus Group Discussion (FGD) with experts and experts in the field of TB disease control. The second and third stages were cross-sectional quantitative analysis of the workforce in 5 hospitals providing TB services in Indonesia. The fourth stage was a trial of the instrument at 10 (ten) hospitals providing TB services. The results of the FETRINA test (TB Elimination Facilitation summarize-eliminate-absentism), all question items are valid and reliable with Cronbach's Alpha value > 0.6. There are significant variations in perception between hospitals in the elements of coordination, communication, education, implementation of the TB program. There are significant variations in perception between hospitals in the elements of coordination, communication, education, implementation of the TB program, training and competency, as well as monitoring and evaluation. This research resulted in the development of an instrument that can be used as a reference for assessing efforts to protect hospital workers from transmission of TB disease. The implementation of good risk management determines the success of protecting hospital workers from transmission of TB disease.