Dampak Ketergantungan Teknologi Terhadap Kualitas Pelayanan dan Ketahanan Operasional: Studi Kasus di Rumah Sakit Umum Daerah Kota Mataram
DOI:
https://doi.org/10.62710/2thxzn98Keywords:
Service Quality, Technology Dependence, Operational Resilience, SIMRS, Service Recovery.Abstract
Digital transformation in hospitals through SIMRS and Bridging System improves efficiency but creates operational vulnerabilities due to high technological dependence. System disruptions often hinder service flow and affect patient satisfaction. This study aims to analyse the impact of technological disruptions on service quality dimensions (SERVQUAL), identify the root causes of vulnerabilities, and formulate an operational resilience framework. This study uses a qualitative method with a case study approach at the Mataram City Hospital. Data were collected through in-depth interviews with five key informants (Head of Medical Records and admissions staff) and participatory observation. Data analysis used abductive thematic analysis techniques. Findings show that technological disruptions reduce the reliability and responsiveness dimensions. However, temporary manual procedures are able to maintain the assurance dimension. The strategies currently implemented are still single-loop learning (reactive), which creates double handling. A transition to double-loop learning is needed through the development of offline mode features and automatic synchronisation to transform the service recovery system into a more efficient one without burdening medical staff.
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Abdallah Adam, S., Mohamed Abd Rabou, H., & El-Sayed Abd El-Ghany Afify, A. (2018). Health care providers' awareness regarding quality management system and its relation to patient satisfaction. Egyptian Journal of Health Care, 9(1), 108–122. https://doi.org/10.21608/ejhc.2018.13943
Ahmad, A., Desouza, K. C., Maynard, S. B., Naseer, H., & Baskerville, R. L. (2020). How integration of cyber security management and incident response enables organizational learning. Journal of the Association for Information Science and Technology, 71(8), 939–953. https://doi.org/10.1002/asi.24311
Alpiyani, A., Rumana, N. A., Putra, D. H., & Indawati, L. (2022). Penerimaan pengguna terhadap sistem informasi manajemen rekam medis (SIMRM) di RSUD Tebet Jakarta Selatan tahun 2021. Sehatmas: Jurnal Ilmiah Kesehatan Masyarakat, 1(1), 51–59. https://doi.org/10.55123/sehatmas.v1i1.34
Ames, H., Glenton, C., & Lewin, S. (2019). Purposive sampling in a qualitative evidence synthesis: A worked example from a synthesis on parental perceptions of vaccination communication. BMC Medical Research Methodology, 19(1), 26. https://doi.org/10.1186/s12874-019-0665-4
Andiyanto, D. R., Yusuf, A., & Khadafi, M. (2023). Hubungan mutu pelayanan dengan kepuasan pasien Klinik Revalisa Pangkalan Balai Kabupaten Banyuasin Provinsi Sumatra Selatan. Malahayati Nursing Journal, 5(2), 335–358. https://doi.org/10.33024/mnj.v5i2.7800
Augustyana, D. I., Purwadhi, & Mulyani, K. (2025). Evaluasi implementasi SIMRS dan hambatannya di instalasi rawat jalan RS Bhayangkara Balikpapan. Jurnal Manajemen Informasi dan Administrasi Kesehatan, 8(1), 77–84.
Bulson, J. (2018). An independent review of several successful hospital incident command system (HICS) implementations and lessons learned. COJ Nursing & Healthcare, 3(1). https://doi.org/10.31031/COJNH.2018.03.000553
Burnett, S., Franklin, B. D., Moorthy, K., Cooke, M. W., & Vincent, C. (2012). How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Quality & Safety, 21(6), 466–472. https://doi.org/10.1136/bmjqs-2011-000442
Carolina, H., Sitompul, E., Fahrezi, M., & Wulansari, A. (2024). Analisis risiko teknologi informasi dalam manajemen rumah sakit: Systematic literature review. JATI (Jurnal Mahasiswa Teknik Informatika), 8(1), 69–74. https://doi.org/10.36040/jati.v8i1.8721
Clark Ginsberg, A., Fisher, H., Awan, J., Rico, A., Thomas, T., Rose, D., Vagi, S., Jenkins, L., & Nelson, C. (2023). Conceptual framework for understanding incident management systems during public health emergencies. Disaster Medicine and Public Health Preparedness, 17, e158. https://doi.org/10.1017/dmp.2022.77
Cousins, K., Hertelendy, A. J., Chen, M., Durneva, P., & Wang, S. (2023). Building resilient hospital information technology services through organizational learning: Lessons in CIO leadership during an international systemic crisis in the United States and Abu Dhabi, United Arab Emirates. International Journal of Medical Informatics, 176, 105113.
https://doi.org/10.1016/j.ijmedinf.2023.105113
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design (4th ed.). SAGE Publications.
Crosby, P. B. (1989). Crosby talks quality. The TQM Magazine, 1(4). https://doi.org/10.1108/eb059474
Eisenhardt, K. M. (1989). Building theories from case study research. Academy of Management Review, 14(4), 532–550. https://doi.org/10.2307/258557
Forcellini, D. (2022). A resilience-based (RB) methodology to assess resilience of health system infrastructures to epidemic crisis. Applied Sciences, 12(6), 3032. https://doi.org/10.3390/app12063032
Ghafur, S., Kristensen, S., Honeyford, K., Martin, G., Darzi, A., & Aylin, P. (2019). A retrospective impact analysis of the WannaCry cyberattack on the NHS. NPJ Digital Medicine, 2(1), 98. https://doi.org/10.1038/s41746-019-0161-6
Handayani, N., Syafei, M. Y., & Narimawati, U. (2025). Integrating hospital information systems and national health insurance: Impact on employee performance and service quality. Jurnal Ilmiah Manajemen Kesatuan, 13(4), 2889–2898. https://doi.org/10.37641/jimkes.v13i4.3679
Hayashi, P., Abib, G., & Hoppen, N. (2019). Validity in qualitative research: A processual approach. The Qualitative Report. https://doi.org/10.46743/2160- 3715/2019.3443
Heizer, J. H., Render, B., & Munson, C. (2017). Operations management: Sustainability and supply chain management (12th ed., global ed.). Pearson.
Hidayatuloh, C., Sedarmayanti, & Utoyo, W. (2025). Analisis sistem informasi manajemen rumah sakit (SIMRS) terhadap peningkatan layanan kesehatan dalam mendukung implementasi rekam medis elektronik di era digital. Innovative: Journal of Social Science Research, 5(4), 11285–11303.
Kamaruddin, N. N., Rivai, F., & Zulkifli, A. (2021). An analysis of the effects of total
quality management (TQM) on patient satisfaction in hospital: A scoping review. Journal of Asian Multicultural Research for Medical and Health Science Study, 2(4), 110–129. https://doi.org/10.47616/jamrmhss.v2i4.218
Kavalieratou, A., Garofyllou, G., Evangelidou, E., & Mantzanas, M. (2021). Quality management system in a haemodialysis unit and patient satisfaction. SciMedicine Journal, 3(3), 209–218. https://doi.org/10.28991/SciMedJ-
-0303-2
Kelliher, P. O. J., Acharyya, M., Couper, A., Maguire, E., Nicholas, P., Pang, N., Smerald, C., Stevenson, D., Sullivan, J., & Teggin, P. (2020). Operational risk dependencies. British Actuarial Journal, 25, e5. https://doi.org/10.1017/S1357321720000033
Masud, M. (2018). An examination of case studies in management research: A paradigmatic bridge. International Journal of Social Science Studies, 6(3), 9. https://doi.org/10.11114/ijsss.v6i3.2971
Mohmoud, T. M., Khair, Z., & Othman, M. F. B. (2019). Enhancing learning process using double-loop theory in purchasing process of healthcare organization toward cutting unnecessary costs. Journal of Research in Psychology, 1(3), 1–
https://doi.org/10.31580/jrp.v1i3.972
Mokoagow, D. S., Mokoagow, F., Pontoh, S., Ikhsan, M., Pondang, J., & Paramarta, V. (2024). Sistem informasi manajemen rumah sakit dalam meningkatkan efisiensi: Mini literature review. COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat, 3(10), 4135–4144. https://doi.org/10.59141/comserva.v3i10.1223
Murphy, V. L., Littlejohn, A., & Rienties, B. (2022). Learning from incidents: Applying the 3-P model of workplace learning. Journal of Workplace Learning, 34(3), 242–255. https://doi.org/10.1108/JWL-04-2021-0050
Olagundoye, V., Quinlan, M., & Burrow, R. (2022). Stress, anxiety, and erosion of trust: Maternity staff experiences with incident management. AJOG Global Reports, 2(4), 100084. https://doi.org/10.1016/j.xagr.2022.100084
Patel, J. K. (2023). An overview of e-hospital management system. International Scientific Journal of Engineering and Management, 2(5). https://doi.org/10.55041/ISJEM00660
Permana, I. P. A. Y., Sutrisnawati, G. A. E., & Juniati, N. K. (2023). Analysis of hospital management information system (SIMRS) and its relation to the readiness of electronic medical record (RME) implementation in RSUP Sanglah Denpasar. Jurnal Health Sains, 4(7), 74–81. https://doi.org/10.46799/jhs.v4i7.1022
Peters, G., Shevchenko, P., & Wüthrich, M. (2009). Dynamic operational risk: Modeling dependence and combining different sources of information. The Journal of Operational Risk, 4(2), 69–104. https://doi.org/10.21314/JOP.2009.059
Pokhrel, R., Knoble, A., Gautam, P., Shah, M. K., Paudel, P., Amatya, A., Upadhyaya,
M. K., & Rajbhandari, R. (2025). Minimum service standards assessment tool and the hospital strengthening program: A novel first step towards the quality improvement of Nepal's national hospital system. The Lancet Regional Health – Southeast Asia, 34, 100548. https://doi.org/10.1016/j.lansea.2025.100548
Russo, I., Masorgo, N., & Gligor, D. M. (2022). Examining the impact of service recovery resilience in the context of product replacement: The roles of perceived procedural and interactional justice. International Journal of Physical Distribution & Logistics Management, 52(8), 638–672. https://doi.org/10.1108/IJPDLM-07-2021-0301
Setiorini, A., Natasia, S. R., Wiranti, Y. T., & Ramadhan, D. A. (2021). Evaluation of the application of hospital management information system (SIMRS) in RSUD Dr. Kanujoso Djatiwibowo using the HOT-Fit method. Journal of Physics: Conference Series, 1726(1), 012011. https://doi.org/10.1088/1742-
/1726/1/012011
Sharafkhani, M., Geary, U., Kennedy, C., Browne, M., Codd, M., O'Dea, A., Shields, D., Hennessy, A., McDonagh, L., McCullagh, C., O'Reilly, M., & Ward, M. E. (2025). Using socio-technical systems analysis to understand the enablers of resilience in clinical handover in acute hospital settings. Theoretical and Applied Ergonomics, 1(1), 5. https://doi.org/10.3390/tae1010005
Shedden, P., Scheepers, R., Smith, W., & Ahmad, A. (2011). Incorporating a knowledge perspective into security risk assessments. VINE, 41(2), 152–166. https://doi.org/10.1108/03055721111134790
Sugiarto, S., & Octaviana, V. (2021). Service quality (SERVQUAL) dimensions on customer satisfaction: Empirical evidence from bank study. Golden Ratio of Marketing and Applied Psychology of Business, 1(2), 93–106. https://doi.org/10.52970/grmapb.v1i2.103
Thompson, J. (2022). A guide to abductive thematic analysis. The Qualitative Report. https://doi.org/10.46743/2160-3715/2022.5340
Xia, M., Liu, Q., Ma, L., Wen, J., Xue, Y., Hu, H., Li, M., & Wei, H. (2025). Developing an evaluation index system for service capability of internet hospitals in China: Mixed methods study. Journal of Medical Internet Research, 27, e72931. https://doi.org/10.2196/72931
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