Kresna Febriyanto

Background: Patient safety is increasingly recognized as a central element in health system development rather than merely an isolated clinical issue. In regional hospitals, the sustainability of digital health system implementation depends not only on technological capacity but also on the organizational environment. Objective: This study aimed to describe patient safety culture as an important organizational condition in the context of digital health system readiness in regional hospitals. Methods: A quantitative descriptive cross-sectional study was conducted involving 219 healthcare professionals and hospital support staff selected using purposive sampling. Data were analyzed descriptively using mean and standard deviation. Results: The findings showed that management commitment (3.72±0.57), system and regulatory support (3.74±0.56), incident reporting (3.72±0.55), and communication (3.71±0.55) were categorized as strong, whereas patient involvement remained moderate. The overall level of digital health system readiness was moderate (3.54±0.54). Conclusion: The findings indicate that patient safety culture and digital health system readiness represent important organizational conditions within regional hospitals. While overall patient safety culture was strong, digital health system readiness remained moderate. These results highlight the need to consider organizational and cultural characteristics alongside technological components when assessing readiness for sustainable digital health system development.

Background: The high incidence of infectious diseases such as tuberculosis and dengue fever in Samarinda, coupled with the low integration of epidemiological data—only 47% of hospitals are connected to the Hospital Information System (SIRS), which impedes evidence-based decision-making and compromises hospital service quality.Objectives: This study aims to describe the integration of epidemiological data in hospital administrative management, to assess its impact on management effectiveness and service quality, and to examine the mediating roles of data quality, data utilisation, and administrative human resource capacity.Methods: A cross-sectional design was employed in 10 hospitals in Samarinda, involving 139 administrative staff selected through a purposive and convenience sampling. The data for this study were collected using a validated and reliable Likert-scale questionnaire (1–5) and were analysed using Partial Least Squares Structural Equation Modelling (PLS-SEM) via Smart PLS.Results: Epidemiological Data Quality (β=0.979), Data Utilisation (β=0.273), and Administrative Human Resource Capacity (β=0.243) significantly influenced System Response to Outbreaks. All variables also significantly affected Hospital Administrative Management Effectiveness. System Response to Outbreaks mediated the relationship between organisational capabilities and administrative effectiveness (β=0.308), which subsequently had a significant impact on Hospital Service Quality (β=0.414).Conclusion: The quality of epidemiological data, its use in managerial decision-making, and the capacity of administrative personnel significantly influence the hospital service quality, both directly and through the mediating roles of system responsiveness and administrative management effectiveness.

Environmental and occupational noise has the potential to result in health risks. The presence of high noise levels aboard ships can cause substantial hazards that affect the well-being of those employed in the maritime industry. The study and implementation of occupational noise reduction aboard ships are of the highest priority for ensuring the well-being of marine workers, compliance with regulatory standards, protection of the environment, and improvement of overall operational efficiency and safety within the maritime sector. A scoping study was conducted to collect and summarize the existing scientific literature about approaches to preventing occupational noise in vessel operations. We searched electronic databases for papers published up to June 2024. Initially, 94 articles were identified for screening, and the present research produced 16 studies, which were finally analyzed. Resultantly, noise control may begin with elimination, substitution, engineering, administrative, and hearing protection (ear plugs or muffs). Noise control innovation would be started with engineering techniques. Hearing protection devices (HPDs) could be used to reduce noise and as an instrument of communication between sailors. More research needs to be carried out in order to find the best ways for maritime vessels to reduce noise at work and to see how well they work in lowering the risks that come with noise for workers on board.

Introduction: Noise is an unwelcome sound that disrupts workers. Noise is present in every workplace, including ship engine noise. Continuous noise exposure can result in health issues, including hearing loss. Noise can cause stress on traditional boat workers because being continuously exposed to noise causes an uncomfortable feeling in the work environment. This uncomfortable feeling can trigger stress on ferry boat workers. This study aims to determine the relationship between noise and work stress on ferry boat workers at the Pier of Kampung Baru Tengah, Balikpapan. Methods: This study used a quantitative approach with a cross-sectional research design with 44 respondents. The instruments used a Sound Level Meter to measure Noise Level and Dass 21 Questionnaire with an interview method to measure Job Stress. Results: As many as 35 respondents were exposed to noise caused by traditional boat engines, and more than 50% of workers did not experience work stress (normal). The results of this study indicated a relationship between noise and work stress in traditional boat workers. Conclusion: The direction of the association between noise and work stress was positive but low, meaning that, as noise levels rise, so does the risk of workplace stress.

Introduction:A work accident is an unwanted event that can result in loss that occurs at work. Workplace attitude incompatibility leads to fatigue and a variety of complaints, all of which contribute to the occurrence of work-related accidents. The purpose of this study is to determine whether there is a relationship between work attitude and the risk of work accidents among speedboat crew members at SDF Port, Tarakan City. Methods: This research used quantitative analysis with a cross-sectional design. Data were obtained through questionnaires and direct interviews. This research population is the speedboat crew at the Port of SDF Tarakan City; a total of 130 crew members were sampled using a non-probability sampling technique with the accidental sampling method. This study used the Chi-Square test to perform the statistical analyis. Results: As many as 64.6% of workers were involved in an accident, with the majority of them slipping. In contrast, 85 workers (65.4%) have the incorrect work attitude. Conclusion: It can be concluded that there is a significant relationship between work attitude and the risk of accidents among speedboat crews. The ship’s management should make guidelines regarding working in a speedboat. Briefings before and after work are also one of the solutions for ensuring the crew members work according to predetermined standards.

The aims were to highlight noise levels on board and the health effects of noise on seafarers. Data was collected from multiple databases: PubMed, Web of Science, Scopus, and Ebsco Host. Initially, the search resulted in a total of 197 articles, 16 were chosen. Several ships were found which most sailors had noise-induced hearing loss (NIHL) (n = 6). The engine room has been defined as having the highest level of noise. In addition, noise exposure was associated with hearing loss, tinnitus, sleep disturbances, communication difficulties, poor concentration, dizziness, depression, anxiety, headache, fatigue, and stress. Noise exposure is not the only factor that causes health problems: the duration of exposure while working, years of career as a maritime worker, age, lifestyle habits (smoking, alcohol consumption), and even hobbies related to loud sound (such as concert/disco attendance, listen to loud music, etc.) were associated with the adverse health effects experienced by seafarers.

It’s important to intervene with young people, especially regarding smoking, because if they start smoking they will be addicted and will continue to smoke until old age which can cause various health problems and even death. This study aims to describe and analyze the association between knowledge about cigarette smoking and social environment with smoking behavior among university students. This study used a cross-sectional design. Data was obtained by filling out online questionnaires. The study population was students of Universitas Muhammadiyah Kalimantan Timur with a sample of 311 respondents. Students with a smoking social environment were 267 people (85.9%) while students in a non-smoking social environment were 44 people (14.1%). Students with good knowledge were 91 people (29.3%) and students with no good knowledge 220 people (70.7%). Students who never smoked as many as 240 people (77.2%), former smokers 33 people (10.6%), and currently smokers 38 people (12.2%). The result of statistical analysis showed that there was no significant association between knowledge and social environment with smoking behavior. Students’ smoking behavior was not significantly related to their knowledge and their social environment. Several other factors may have more influence on students’ smoking behavior.