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Abstract

Hospitals are required to provide health services under disaster conditions, serving as the front line to help survivors and patients. RSUD Balaraja of Tangerang Regency, the only Type B hospital owned by the Regency Government, is exposed to high potential disaster hazards, including floods, extreme waves, abrasions and tsunamis, as well as moderate risk of earthquakes. This study aims to analyse hospital management in disaster preparedness using a cross-sectional design with quantitative and qualitative approaches through Module 4 of the Hospital Safety Index and a phenomenological approach. The results showed that hospital management was rated as moderately safe in disaster preparedness, but other essential services were at high risk and required immediate improvement. The hospital's preparedness to protect patients and staff during and after disasters is still inadequate, particularly in terms of disaster management coordination, recovery planning and continuity of essential clinical services. Recommendations were made to improve disaster preparedness planning, procedures for agreements with external parties, sufficient budget and staff training.

References

Ahmad Hamdi, A.H., Hatah, E., Makmor Bakry, M., Basari, A.H., Ahmad Hamdi, N., 2024. Operations management of pharmaceutical supply during preparedness and disaster response: A scoping review. International Journal of Disaster Risk Reduction 103, 104296. https://doi.org/10.1016/j.ijdrr.2024.104296

Badan Nasional Penanggulangan Bencana Republik Indonesia, 2024a. Data Informasi Bencana Indonesia (DIBI) [WWW Document]. URL https://dibi.bnpb.go.id/ (accessed 3.22.24).

Badan Nasional Penanggulangan Bencana Republik Indonesia, 2024b. Statistik Bencana Menurut Waktu [WWW Document]. URL https://dibi.bnpb.go.id/kwaktu2 (accessed 3.22.24).

Baker, A.H., Lee, L.K., Sard, B.E., Chung, S., 2024. The 4 S’s of Disaster Management Framework: A Case Study of the 2022 Pediatric Tripledemic Response in a Community Hospital. Annals of Emergency Medicine S0196064424000325. https://doi.org/10.1016/j.annemergmed.2024.01.020

Berliana, R., Widowati, E., 2019. Tinjauan Sistem Manajemen Keselamatan dan Kesehatan Kerja pada Akreditasi Rumah Sakit. HIGEIA (Journal of Public Health Research and Development) 3, 492–503. https://doi.org/10.15294/higeia.v3i3.30254

Bupati Tangerang, 2022a. Peraturan Bupati Tangerang Nomor 92 Tahun 2022 tentang Rencana Penanggulangan Bencana Daerah Tahun 2022-2027.

Bupati Tangerang, 2022b. Peraturan Bupati Tangerang Nomor 91 Kajian Risiko Bencana 2022-2027.

Choirrini, S., Lestari, F., 2019. Analisis Kesiapsiagaan Manajemen Bencana Rumah Sakit di Kota Cilegon Tahun 2018. Jurnal Dialog Penanggulangan Bencana 10, 154–164.

Costa, F.M.L., 2023. Ruangan Pelayanan Rusak akibat Gempa, 300 Pasien RSUD Jayapura Dievakuasi [WWW Document]. kompas.id. URL https://www.kompas.id/baca/nusantara/2023/02/09/ruangan-pelayanan-rusak-akibat-gempa-300-pasien-rsud-jayapura-dievakuasi (accessed 3.21.24).

Denisah, A., 2024. Obat-obatan dan Alkes RS di Kendari Rusak Akibat Banjir Bandang [WWW Document]. Detik. URL https://health.detik.com/fotohealth/d-7229595/obat-obatan-dan-alkes-rs-di-kendari-rusak-akibat-banjir-bandang (accessed 3.21.24).

Firissa, Y.B., Sultan, M., Abdelwahab, M., Kifle Belachew, F., 2023. Disaster response readiness assessment of public hospitals in Addis Ababa City, Addis Ababa, Ethiopia. African Journal of Emergency Medicine 13, 210–216. https://doi.org/10.1016/j.afjem.2023.06.004

Goniewicz, M., Khorram-Manesh, A., Timler, D., Al-Wathinani, A.M., Goniewicz, K., 2023. Hospital Disaster Preparedness: A Comprehensive Evaluation Using the Hospital Safety Index. Sustainability 15, 13197.

Indonesia, 2023. Undang-undang nomor 17 Tahun 2023 tentang Kesehatan.

Indonesia, K.K.R., 2022a. Peraturan Menteri Kesehatan No. 40 tentang Persyaratan Teknis Bangunan, Prasarana, dan Peralatan Kesehatan Rumah Sakit.

Indonesia, K.K.R., 2022b. Keputusan Menteri Kesehatan tentang Standar Akreditasi Rumah Sakit.

Indonesia, K.K.R., 2020. Petunjuk Teknis Kesiapsiagaan Kondisi darurat dan/atau bencana di Rumah Sakit. Direktorat Jendral Kesehatan Masyarakat, Jakarta.

Kasdjono, E.A., 2022. Kesiapsiagaan rumah sakit siloam tb simatupang menggunakan hospital safety index (Tesis). Universitas Indonesia, Depok.

Kathirvel, N., 2020. Post COVID-19 Pandemic Mental Health Challenges. Asian Journal of Psychiatry 53, 102430. https://doi.org/10.1016/j.ajp.2020.102430

Lamine, H., Lamberti-Castronuovo, A., Singh, P., Chebili, N., Zedini, C., Achour, N., Valente, M., Ragazzoni, L., 2023. A Qualitative Study on the Use of the Hospital Safety Index and the Formulation of Recommendations for Future Adaptations. IJERPH 20, 4985. https://doi.org/10.3390/ijerph2004010001

Mantiri, E.S., Pinontoan, O.R., Mandey, S., 2020. Faktor Psikologi Dan Perilaku Dengan Penerapan Manajemen Keselamatan Dan Kesehatan Kerja Rumah Sakit. Indonesian Journal of Public Health and Community Medicine 1, 19–27. https://doi.org/10.35801/ijphcm.1.3.2020.28882

Riegelman, R.K., Kirkwood, B., 2019. Public health 101: improving community health, Third edition. ed. Jones & Bartlett Learning, Burlington, MA.

Rostanti, Q., 2024. Pascabanjir Bandang, Rumah Sakit Santa Anna Kendari Tutup Total [WWW Document]. Republika Online. URL https://republika.co.id/share/sa1a8q425 (accessed 3.21.24).

Saif, N., 2018. Jordanian Public Hospital Disaster Preparedness based on WHO and ECHO Safety Index. Journal of Law, Policy and Globalization 69.

Suparni, 2019. Analisis Kesiapsiagaan Rumah Sakit Menghadapi Bencana (Studi Kasus Provinsi Jawa Barat Tahun 2017-2018) (Disertasi). Universitas Indonesia, Depok.

Wahyuni, R.D., Pasinringi, S.A., Palutturi, S., Sabir, M., Mutiarasari, D., Miranti, Rasyid, M., Harun, H., Rahma, Mallongi, A., Lewa, Abd.F., 2021. Hospital laboratory management in dealing with disaster. Gaceta Sanitaria 35, S180–S182. https://doi.org/10.1016/j.gaceta.2021.10.020

Wicaksono, G.S., 2023. Sejumlah Pasien di RSUD dr Darsono Pacitan Berhamburan Akibat Gempa [WWW Document]. beritasatu.com. URL https://www.beritasatu.com/nusantara/1054672/sejumlah-pasien-di-rsud-dr-darsono-pacitan-berhamburan-akibat-gempa (accessed 3.21.24).

World Health Organization, Pan American Health Organization, 2019. Hospital Safety Index Guide for Evaluators, 2nd ed. World Health Organization and Pan American Health Organization, Washington, D.C.

Bahasa Abstract

Rumah sakit diwajibkan untuk memberikan pelayanan kesehatan dalam kondisi bencana, berfungsi sebagai garda terdepan untuk menolong penyintas dan pasien. RSUD Balaraja Kabupaten Tangerang, satu-satunya rumah sakit tipe B milik Pemerintah Kabupaten, menghadapi potensi bahaya bencana tinggi, termasuk banjir, gelombang ekstrem, abrasi, hingga tsunami, serta risiko sedang untuk gempa bumi. Penelitian ini bertujuan untuk menganalisis manajemen rumah sakit dalam kesiapsiagaan bencana, menggunakan desain cross-sectional dengan pendekatan kuantitatif dan kualitatif melalui modul 4 Hospital Safety Index dan pendekatan fenomenologi. Hasil penelitian menunjukkan bahwa manajemen rumah sakit dinilai cukup aman dalam kesiapsiagaan darurat bencana, namun pelayanan penting lainnya berisiko tinggi dan memerlukan perbaikan segera. Status kesiapan rumah sakit dalam melindungi pasien dan staf selama serta pasca bencana masih belum memadai, terutama dalam koordinasi manajemen bencana, perencanaan pemulihan, dan keberlanjutan pelayanan klinik esensial. Rekomendasi diberikan untuk meningkatkan perencanaan kesiapsiagaan bencana, prosedur kesepakatan dengan pihak luar, anggaran yang cukup, dan pelatihan karyawan.

Kata Kunci: rumah sakit aman bencana, keselamatan dan kesehatan kerja, rumah sakit, manajemen rumah sakit, manajemen bencana

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