Analisis Total Quality Management dengan RCA dan FMEA pada Puskesmas XYZ, Indramayu

Authors

  • Anggraeni Anggraeni Universitas Singaperbangsa Karawang
  • Fety Nurlia Muzayanah Universitas Singaperbangsa Karawang

DOI:

https://doi.org/10.55123/mamen.v4i3.5439

Keywords:

FMEA, Service, RCA, TQM

Abstract

This study aims to determine the implementation of Total Quality Management (TQM) in the XYZ Health Center using 10 TQM Elements according to Goetsch and Davis, as well as using the Root Cause Analysis (RCA) method to determine the main causes of existing problems regarding quality and Failure Mode and Effect Analysis (FMEA) analysis to determine improvements that need to be prioritized. The method used is a mix method, namely qualitative and quantitative. Data collection method by triangulation of sources, techniques and time. The results of this study show that the XYZ Health Center has implemented several efforts in the TQM element but it is still not optimal both in terms of implementation and results. Analysis with RCA with Fishbone diagram found that problems occurred in Cluster 3 on human factors, methods or procedures, machines and materials. Problems with the method factor are the most common problems. Meanwhile, the analysis with FMEA obtained three failure modes with the highest RPN (Risk Priority Number) to be given recommendations for improvement. The mode of failure is that the patient does not understand the information provided regarding the service rules, the patient is not honest about the health condition and the patient does not carry a personal identity. 

Downloads

Download data is not yet available.

References

Alsaqer, S., Katar, I., & Abdelhadi, A. (2024). The role of total quality management in enhancing customer satisfaction in Gulf Cooperation Council (GCC) countries. MethodsX, 13.

Amirullah, I. (2020). TOTAL QUALITY MANAGEMENT. JWriting Soul Publishing.

Arief, I., & Any Setianingrum. (2023). Implementasi Total Quality Management (TQM) Leader Untuk Kepuasan Pasien Rumah Sakit Gigi dan Mulut di Jakarta. JEMSI (Jurnal Ekonomi, Manajemen, Dan Akuntansi), 9(1), 125–131. https://doi.org/10.35870/jemsi.v9i1.918

Aristriyana, E., & Fauzi, R. A. (2022). Analisis Penyebab Kecacatan Produk dengan MetodeFishbone Diagram dan Failure Mode and Effect Analysis (FMEA) pada Perusahaan Elang Mas Sindang Kasih Ciamis. Jurnal Industrial Galuh, 4(2), 75–86.

Cuandra, F., Amiruddin, M., Maharani, D. A., Frentyo, & Samuel, Y. S. (2023). Analisis Penerapan Manajemen Operasional Pada Perusahaan Manufaktur PT. Airtech Globalindo Batam. Jurnal Cakrawala Ilmiah, 3713–3719.

Daqar, M. A., & Constantinovits, M. (2020). The role of total quality management in enhancing the quality of private healthcare services. Problems and Perspectives in Management, 18(2), 64–78. https://doi.org/10.21511/ppm.18(2).2020.07

Heizer, J., & Render, B. (2016). Manajemen Operasi (D. A. Halim & D. E. Irawan, Eds.; 11th ed.). Salemba Empat.

Jamal, S., & Waseem, S. N. (2023). Influence of total quality management on employee’s perception of SQ, in context of healthcare sector; Pakistan. International Journal of Health Sciences, 7(S1), 933–949. https://doi.org/10.53730/ijhs.v7nS1.14299

Juharni. (2017). Manajemen Mutu Terpadu (Total Quality Management) (Vol. 1). CV Sah Media.

Kadafi, A., & Delvina. (2021). Analisis pengendalian persediaan bahan baku dengan safety stock optimum. Journal.Feb.Unmul.Ac.Id/Index.Php/FORUMEKONOMI.

Kartika, R. N., Hidayah, N. A., & Muadzah. (2022). Penggunaan FMEA Dalam Mengindentifikasi Resiko Kegagalan Pada Proses Produksi Cetak Blok Kalender (Studi Kasus : PT. XYZ). BULLET : Jurnal Multidisiplin Ilmu, 1311–1320.

Limbong, D. N., & Nusantara, S. (2021). Pengaruh Interaksi Antara Total Quality Management Dengan Sistem Pengukuran Kinerja dalam Sistem Penghargaan Terhadap Kinerja Manajerial (Studi Empiris pada Telkom Sumatera Utara). 14(2).

Masinambow, R. G., & Karuntu, M. M. (2019). Analisis Penerapan Total Quality Management di Rumah Sakit Siloam GMIM Sonder. Jurnal EMBA, 7(1), 621–630.

Maulana, M. A., & Avrillina, J. P. (2024). Kesehatan sebagai Hak Asasi: Perspektif Filosofis tentang Hukum Kesehatan. Journal of Contemporary Law Studies, 2(1).

Mishra, B. K., Rolland, E., Satpathy, A., & Moore, M. (2019). A framework for enterprise risk identification and management: the resource-based view. Managerial Auditing Journal, 34(2), 162–188. https://doi.org/10.1108/MAJ-12-2017-1751

Misztal, A., & Ratajszczak, K. (2025). Possibilities of Using Contemporary Quality Management Methods and Tools for the Sustainable Development of the Organization. Sustainability (Switzerland), 17(2).

Novitasari, D., & Wiwaha, W. (2022). MANAJEMEN OPERASI Konsep dan Esensi.

Pratiwi, G. S., Bachtiar, A., & Oktamianti, P. (2022). Implementasi Total Quality Management di Rumah Sakit Mitra Keluarga Bintaro. 7(8).

Purwaningsih, E., Vega Monica, A. A., Syarmith Ananda, E., Fasya, F., Solichin, M., Agustina, N., & Noor Ibrahim, S. M. (2024). Evaluasi Waktu Tunggu Pelayanan Pendaftaran Di Puskesmas Segiri Kota Samarinda Menggunakan Fishbone Diagrams. Jurnal Pengabdian Kepada Masyarakat Nusantara, 5(1), 776–781.

Puskesmas XYZ. (2024). Laporan Puskesmas XYZ.

Rahmat, & Candra, Y. (2024). Peran Manajemen dan Kepemimpinan dalam Organisasi. Jurnal Pengabdian Kepada Masyarakat Dewantara, Unitas Padang, 7.

Rizal Faqih, A., & Miharja, R. (2024). ProBusiness: Jurnal Manajemen, 15 (5) (2024) hal. 831-840 Pabrik Tempe Tinumpuk. ProBusiness: Jurnal Manajemen, 831–840.

Savira, W. D., & Subadi, W. (2023). Kualitas Pelayanan KEsehatan Dilihat Dari Aspek Tangible(Berwujud) dalam Rangka Meningkatkan Pelayanan Kesehatan pada Puskesmas Hikun Kecamatan Tanjung Kabupaten Tabalong. Junal Stianalong (JAPB), 749–752.

Singkoh, A. F., Palandeng, I. D., & Karuntu, M. M. (2018). Pengaruh Penerapan Total Quality Managemet (TQM) Terhadap Kinerja Organisasi di Puskesmas Paniki Bawah Kota Manado. Pengaruh…. 4143 Jurnal EMBA, 6(4), 4143–4152.

Sugiyono. (2022). Metode Penelitian Kualitatif. Alfabeta Bandung.

Sumasto, F., Imansuri, F., & Mohammad Wirandi, dan. (2022). Penerapan Manajemen Kualits Terpadu Pada Industri Makanan Skala Mikro, Kecil dan Menengah (Studi Kasus UMKM Nasi Goreng). Jurnal Penelitan Dan Aplikasi Sistem & Teknik Industri (PASTI), XVI(3), 274–287.

Syahputra, R., & Aslami, N. (2023). Prinsip-Prinsp Utama Manajemen George R. Terry. Manajemen Kreatif Jurnal, 1(3), 51–61.

Terry, G. R., & Rue, L. W. (2019). Dasar-Dasar Manajemen. In B. S. Fatmawati (Ed.), Dasar-Dasar Manajemen (Revisi, pp. 1–13). Bumi Aksara.

Wardhana, A. (2022). Konsep Dasar Ilmu Manajemen (Hartini, Ed.). Media Sains Indonesia. https://www.researchgate.net/publication/358140659

Wardhana, A. (2024). Managament. Eureka Media Aksara.

Winter, V., Schreyögg, J., & Thiel, A. (2020). Hospital staff shortages: Environmental and organizational determinants and implications for patient satisfaction. Health Policy, 124(4), 380–388. https://doi.org/10.1016/j.healthpol.2020.01.001

Yusuf, Haryanto, C., Husainah, N., & Nuaeni. (2023). TEORI MANAJEMEN. YAYASAN PENDIDIKAN CENDEKIA MUSLIM.

Downloads

Published

2025-07-10

How to Cite

Anggraeni, A., & Fety Nurlia Muzayanah. (2025). Analisis Total Quality Management dengan RCA dan FMEA pada Puskesmas XYZ, Indramayu . MAMEN: Jurnal Manajemen, 4(3), 328–342. https://doi.org/10.55123/mamen.v4i3.5439

Issue

Section

Articles