Risk Management Analysis of Public Health Facilities as an Effort to Improve Service Units at Community Health Center X

Rizki Khairani Hasibuan; Aradea  Margareta; Aulia Biea  Belia; Fesya Diva  Annisa; Melliani  Septiawati; Ahmad Setiawan  Nuraya

doi:10.37899/journallamedihealtico.v7i1.2863

Rizki Khairani Hasibuan Management Study Program, STIE Indonesia Banking School
Aradea Margareta Management Study Program, STIE Indonesia Banking School
Aulia Biea Belia Management Study Program, STIE Indonesia Banking School, Indonesia
Fesya Diva Annisa Management Study Program, STIE Indonesia Banking School
Melliani Septiawati Management Study Program, STIE Indonesia Banking School
Ahmad Setiawan Nuraya Management Study Program, STIE Indonesia Banking School

DOI: https://doi.org/10.37899/journallamedihealtico.v7i1.2863

Keywords: Risk Management, Primary Health Center, Patient Safety, Public Services

Abstract

Risk management is an essential component in maintaining service quality and patient safety within primary healthcare facilities. This study aims to analyze the implementation of risk management at Puskesmas X Jakarta in 2025, referring to Jakarta Provincial Regulation No. 122 of 2020. The methods used include a literature review, field observations, and questionnaires administered to 76 respondents. The findings indicate that Puskesmas X identified 91 risks, all of which remain within the categories of the 82 risk indicators established by the Ministry of Health, demonstrating a comprehensive identification process. Six risks were designated as priority due to their potential impact on service quality and patient safety. Mitigation efforts, such as relocating the TB room, reorganizing maternity care areas, and conducting patient safety training, were shown to reduce risk levels. The questionnaire results revealed high visitor satisfaction, while the management of medical and liquid waste complied with existing standards. Overall, the implementation of risk management was found to be effective, although further improvements in facility layout, human resources, and risk-based budgeting are needed to support continuous service quality enhancement.

References

Adepoju, A. H., Hamza, O., Collins, A., & Austin-Gabriel, B. (2025). Integrating Risk Management and Communication Strategies in Technical Research Programs to Secure High-Value Investments. Gulf Journal of Advance Business Research, 3(1), 105-127.

Adji, A. S. (2024). Analysis of Ministry of Health Regulation No. 30 of 2022 on Hospital Service Quality In Indonesia. ARRUS Journal of Social Sciences and Humanities, 4(3), 310-318. https://doi.org/10.35877/soshum2582

Afiyah, N., & Ayuningtyas, D. (2023). Factors influencing the implementation of health service quality governance in puskesmas: systematic review. Asian Journal of Healthy and Science, 2(3), 130-147. https://doi.org/10.58631/ajhs.v2i3.36

Alhammadi, O. A. S., Othman, Z. K., Udokang, E. I., Sarfraz, T., Okesanya, O. J., Ogaya, J. B., & Lucero-Prisno III, D. E. (2025). Shaping the future of medical laboratory practices in Somaliland: a review of the current standards. Discover Applied Sciences, 7(7), 730. https://doi.org/10.1007/s42452-025-07350-1

Aljuaid, T. H., Alqahtani, K. M., Altwaijri, S. A., Bokhamsin, T. H., Alshaghroud, S. M., Alrashed, M. A., ... & Alshammari, B. G. (2021). The role of public hospitals in providing free healthcare services: enhancing accessibility and promoting positive health outcomes for communities. International journal of health sciences, 5(S1), 1545-1565. https://doi.org/10.53730/ijhs.v5nS1.15433

Amin, M. E., Hafidah, N., Gozali, D. S., Faisal, A., Tornado, A. S., Irawan, R., & Firdaus, A. (2020). Public Understandings of Healthcare Services Regulations. Systematic Reviews in Pharmacy, 11(3). https://doi.org/10.5530/srp.2020.3.49

Auraaen, A., Saar, K., & Klazinga, N. (2020). System governance towards improved patient safety: key functions, approaches and pathways to implementation. OECD Health Working Papers, (120), 0_1-116. https://doi.org/10.1787/2abdd834-en

Aven, T. (2012). Foundational issues in risk assessment and risk management. Risk Analysis: An International Journal, 32(10), 1647-1656. https://doi.org/10.1111/j.1539-6924.2012.01798.x

Ayuwulantari, N., Septian, E., & Sutabri, T. (2024). Analisis Manajemen Resiko Sistem Informasi Elekronik Puskesmas (Siepus) Pada Puskesmas Xyz Menggunakan Iso 31000. Betrik, 15(03), 425-432.

Beaussier, A. L., Demeritt, D., Griffiths, A., & Rothstein, H. (2016). Accounting for failure: risk-based regulation and the problems of ensuring healthcare quality in the NHS. Health, risk & society, 18(3-4), 205-224. https://doi.org/10.1080/13698575.2016.1192585

Brown, E. R. (1991). Community action for health promotion: A strategy to empower individuals and communities. International Journal of Health Services, 21(3), 441-456. https://doi.org/10.2190/AKCP-L5A4-MXXQ-DW9K

Fadhel, R., & Alqurs, A. (2025). Enhancing Occupational Health and Safety Through Strategic Leadership: The Mediating Role of Total Quality Management in Hodeida Hospitals, Yemen. Risk Management and Healthcare Policy, 823-842. https://doi.org/10.2147/RMHP.S506296

Freudenberg, N. (2004). Community capacity for environmental health promotion: determinants and implications for practice. Health Education & Behavior, 31(4), 472-490. https://doi.org/10.1177/1090198104265599

Gamalliel, N., & Fuady, A. (2024). Indonesia's new health law: lessons for democratic health governance and legislation. The Lancet Regional Health-Southeast Asia, 23.

Haemmerli, M., Powell-Jackson, T., Goodman, C., Thabrany, H., & Wiseman, V. (2021). Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities. International Journal for Equity in Health, 20(1), 1–12. https://doi.org/10.1186/s12939-021-01577-1

Halawa, Y. N. E., Ginting, C. N., & Kurnia, M. A. (2022). The impact of good coorporate governance implementation and the standard of medical care on patients' satisfaction in the inpatient unit at Medan Haji General Hospital. https://doi.org/10.25311/keskom.Vol8.Iss3.1330

Hartwig, R. P., & Wilkinson, C. (2007). An overview of the alternative risk transfer market. Handbook of International Insurance: Between Global Dynamics and Local Contingencies, 925-952. https://doi.org/10.1007/978-0-387-34163-7_20

Hasnida, A., Kok, M. O., & Pisani, E. (2021). Challenges in maintaining medicine quality while aiming for universal health coverage: a qualitative analysis from Indonesia. BMJ global health, 6(Suppl 3), e003663.

Horvey, S. S., & Odei-Mensah, J. (2025). Enterprise risk management, corporate governance and insurers risk-taking behaviour in South Africa: evidence from a linear and threshold analysis. Journal of Accounting in Emerging Economies, 15(1), 53-83. https://doi.org/10.1108/JAEE-08-2023-0242

Idris, H., Sangkala, M., & Syachbrani, W. (2025). Enhancing Corporate Performance Through Good Corporate Governance: Evidence from Kalla Group. Technium Soc. Sci. J., 76, 132.

Kioskli, K., Grigoriou, E., Islam, S., Yiorkas, A. M., Christofi, L., & Mouratidis, H. (2025). A risk and conformity assessment framework to ensure security and resilience of healthcare systems and medical supply chain. International Journal of Information Security, 24(2), 1-28. https://doi.org/10.1007/s10207-025-01009-z

Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., ... & Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet global health, 6(11), e1196-e1252.

Kunreuther, H. (2002). Risk analysis and risk management in an uncertain world 1. Risk Analysis: An International Journal, 22(4), 655-664. https://doi.org/10.1111/0272-4332.00057

Lahfana, Q. A. A., & Machdum, S. V. (2025). Leveraging “Asset-based community development” to improve waste management through environmental cadres. Asian Journal of Management, Entrepreneurship and Social Science, 5(01), 273-293.

Mauliah, F. U., Asriati, A., & Zainuddin, A. (2025). Comparative Analysis of the Implementation of Management Functions in Community Health Centers (Puskesmas) Accredited as Paripurna and Madya in Kolaka Regency. Journal of Engineering Science and Technology Management (JES-TM), 5(2), 316-325. https://doi.org/10.31004/jestm.v5i2.305

Ongesa, T. N., Ugwu, O. P. C., Ugwu, C. N., Alum, E. U., Eze, V. H. U., Basajja, M., ... & Ejemot-Nwadiaro, R. I. (2025). Optimizing emergency response systems in urban health crises: A project management approach to public health preparedness and response. Medicine, 104(3), e41279. https://doi.org/10.1097/MD.0000000000041279

Oyerinde, M. T., Aduloju, A. S., & Tajudeen, Y. O. (2025). IMPLICATIONS OF CATASTROPHIC RISK FUTURE AS ALTERNATIVE RISKS TRANSFER SOLUTION ON PERFORMANCE OF MANUFACTURING COMPANIES IN NIGERIA. ESUT JOURNAL OF SOCIAL SCIENCES, 10(1).

Sarbasheva, M., Makhieva, Z., Maltsagova, A., Khadzhieva, L., & Dzhafarov, M. (2024). Sustainable development of primary health care systems. Reliability: Theory & Applications, 19(SI 6 (81)), 1602-1608.

Schwaeke, J., Gerlich, C., Nguyen, H. L., Kanbach, D. K., & Gast, J. (2025). Artificial intelligence (AI) for good? Enabling organizational change towards sustainability. Review of managerial science, 1-26. https://doi.org/10.1007/s11846-025-00840-x

Setiadi, W. (2025). Institutional restructuring to sustain regulatory reform in indonesia. Hasanuddin Law Review, 5(1), 120-131. https://doi.org/10.20956/halrev.v5i1.1699

Simanjuntak, E., Hasibuan, A. S., Lubis, S. P. S., Karo, S. K., Ritonga, Z., & Hulu, D. (2025). Analisis Penerapan Manajemen Resiko Pada Rekam Medis Elektronik Di Upt Puskesmas Kota Matsum. Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA), 4(2), 88-95. https://doi.org/10.52943/jisomba.v4i2.1901

Suryani, E. A., Alghiffari, E. K., & Siswanto, D. H. (2025). Waste management training through composting: A creative solution for the community of Sinduadi Village, Sleman. Journal of Social and Community Development, 2(01), 27-37. https://doi.org/10.56741/jscd.v2i01.796

Syamsuddin, A., Murniati, S., & Nur, A. N. (2025). CSR, GCG and Company Size Impact on Profitability and Company Value. Jurnal Ekonomi, 30(1), 19-47. https://doi.org/10.24912/je.v30i1.2645

Trzeciak, S., & Rivers, E. P. (2003). Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emergency medicine journal, 20(5), 402-405. https://doi.org/10.1136/emj.20.5.402

Ugwu, C. N., Ugwu, O. P. C., Alum, E. U., Eze, V. H. U., Basajja, M., Ugwu, J. N., ... & Uti, D. E. (2025). Sustainable development goals (SDGs) and resilient healthcare systems: Addressing medicine and public health challenges in conflict zones. Medicine, 104(7), e41535. https://doi.org/10.1097/MD.0000000000041535

Wijayanti, D., & Setyorini, C. T. (2023). Implementation of Good Corporate Governance in Public Hospitals in Indonesia: Systematic Literature Review Approach. Buletin Poltanesa, 24(1). https://doi.org/10.51967/tanesa.v24i1.2567

Yumame, J., & Morin, H. (2025). Health Regulation Changes In Indonesia: Legal And Policy Review. International Journal Of Society Reviews, 3(6), 1123-1130