Implementation of the MANDIRI-D innovation program for effective digital-based patient discharge planning in the hospital
Implementasi program inovasi MANDIRI-D untuk perencanaan pemulangan pasien berbasis digital yang efektif di rumah sakit
DOI:
https://doi.org/10.53713/jcemty.v4i1.475Keywords:
digital education, discharge planning, QR Code, nursing care qualityAbstract
Suboptimal discharge planning in hospitals remains a critical issue, contributing to high readmission rates and inadequate patient and family readiness for post-hospital care. This community service activity aimed to improve the effectiveness of discharge planning through the implementation of the MANDIRI-D innovation program, a digital-based approach utilizing QR Codes. The program provided accessible discharge information, including care guidelines, flowcharts, and patient education materials tailored to patient needs. The activity involved 20 patients and family members using a quasi-experimental pre–post design without a control group. Interventions included structured education delivered at least one day prior to discharge, access to QR Code-based educational media, and reinforcement through the teach-back method. The results demonstrated an improvement in patient knowledge and readiness for discharge (Δ total score 1.05), increased nurse compliance with discharge planning standard operating procedures (≥85%), and more efficient delivery of patient education. The MANDIRI-D program effectively enhanced patient and family preparedness, improved the quality of nursing services, and has the potential to reduce readmission rates. This innovation is recommended for broader implementation and integration into hospital electronic medical record systems to support sustainable and standardized discharge planning practices.
References
Aminah, D., Wijaya, D., Cahyani, N. E., & Diafani, R. (2024). Implementasi Inovasi LYVER Berbasis Multimedia dalam Upaya Pencegahan Readmisi Pasien Pascaoperasi di Ruang Agung Wilis RSUD Blambangan Banyuwangi. Journal of Health Innovation and Community Services, 3(2), 182–187. https://doi.org/10.54832/jhics.v3i2.344
Andriawati, S. & Kusumawati, W. (2025). Efektifitas Penggunaan QR Code Pada Orientasi Pasien Baru Oleh Perawat. Borneo Nursing Journal (BNJ), 8(1), 1714–1721. https://doi.org/10.61878/bnj.v8i1.438
Anggraeni, I., Suroso, J., Etlidawati, E., & Aprilina, H. D. (2025). Pengaruh Edukasi Terhadap Pengetahuan dan Kepatuhan Perawat dalam Discharge Planning di Unit Geriatri RSUD Prof. Dr. Margono Soekarjo dan Paviliun Abiyasa Purwokerto. Ranah Research: Journal of Multidisciplinary Research and Development, 7(3), 1650-1659. https://doi.org/10.38035/rrj.v7i3.1391
Anggraini, D. A. (2025). Optimalisasi Pelaksanaan Discharge Planning Di Ruang Penyakit Dalam Rs Azzahra Kalirejo Kab. Lampung Tengah. Jurnal Pengabdian Kepada Masyarakat Bidang Ilmu Keperawatan" Optimal", 1(2). https://doi.org/10.5281/zenodo.15875883
Arofiati, F., Lestari, F. D., & Setiawan, H. (2025). The effect of discharge planning videos and booklets on quality of life among patients with heart failure: Quasi-experimental study. JMIR Cardio, 9, e75417. https://doi.org/10.2196/75417
Aulia, A., Lestari, T. A., Afandi, F., Tanjung, D. A., & Dedek. (2025). Strategi Green Computing Untuk Optimalisasi Sumber Daya Digital dan Reduksi Limbah Kertas di Era Transformasi Digital. Jurnal Pembina, 1(2), 52-60. https://doi.org/10.65230/pembina.v1i2.90
Bahtiar, H., Romadhan, K., Susanto, T., & Puspitarini, N. W. (2025). SIP-DAL (Sistem Informasi Pemulangan: Dengarkan, Ajarkan, Dan Bekali) Dalam Meningkatkan Mutu Pelayanan Discharge Planning Di RS Perkebunan Jember, Klinik Jember. Jurnal Manajemen Kesehatan Dan Keperawatan, 2(3), 118-126. https://doi.org/10.35968/q92pxc06
Dwiyanti, N.K.D., I Made Rio Dwijayanto, & Abdul Rahman. (2026). Hubungan Supervisi Kepala Ruangan dengan Pelaksanaan Discharge Planning oleh Perawat Rawat Inap di Rumah Sakit Umum Daerah Undata Provinsi Sulawesi Tengah : Penelitian. Jurnal Pengabdian Masyarakat Dan Riset Pendidikan, 4(4), 21783–21792. https://doi.org/10.31004/jerkin.v4i4.5474
Elasari, Y. (2025). Evaluasi Pelaksanaan Discharge Planning Terstruktur dengan Pendekatan METHOD Pada Pasien Post Operasi Di Rumah Sakit. Sains Medisina, 4(2), 167–172. https://doi.org/10.63004/snsmed.v4i2.887
Hastuti, A.D., Endah Puspaningrum, F., & Mulyadi, E. (2025). Peran Kompensasi Dan Penilaian Kinerja Dalam Meningkatkan Kepuasan Dan Produktivitas Tenaga Kesehatan Pada Era Digitalisasi Rumah Sakit. Jurnal Teknologi Dan Bisnis Cerdas, 1(2), 113–124. https://doi.org/10.64476/jtbc.v1i2.10
Hendrawan, F., Wulandari, R. Y., Elasari, Y., & Palupi, R. (2024). Pelasanaan Discharge Planning Dengan Media Booklet Pada Pasien Pulang Oleh Perawat Di Rsu HI. M. Yusuf Kotabumi. Majalah Cendekia Mengabdi, 2(2), 120–128. https://doi.org/10.63004/mcm.v2i2.376
Hidayati, T., Mahanggoro, T. P., Fuadi, A., Subroto, B. A., & Pratiwi, A. A. (2025). Edukasi kesehatan era digital: Peran augmented reality dalam meningkatkan kesadaran kelompok prolanis pasien diabetes. Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M), 6(1), 280–288. https://doi.org/10.33474/jp2m.v6i1.23378
Hilmiyanti, Y., Ekawati, H. F., Pranata, S., & Mubin, F. (2025). Discharge Planning Dalam Keperawatan: Konsep Analisis. Jurnal Sosial Dan Sains, 5(12), 945–960. https://doi.org/10.59188/jurnalsosains.v5i12.32641
Joshi, P., & Sawant, S. (2024). The Impact and Potential of Quick Response (QR) Codes in Healthcare: A Comprehensive Review. Proceedings of the Human Factors and Ergonomics Society Annual Meeting. https://doi.org/10.1177/10711813241278266
Omonaiye, O., Ward-Stockham, K., Darzins, P., Kitt, C., Newnham, E., Taylor, N. F., & Considine, J. (2024). Hospital discharge processes: Insights from patients, caregivers, and staff in an Australian healthcare setting. PLOS ONE, 19(9), e0308042. https://doi.org/10.1371/journal.pone.0308042
Po, H. W., Lin, F. J., Cheng, H. J., Huang, M. L., Chen, C. Y., Hwang, J. J., & Chiu, Y. W. (2023). Factors Affecting the Effectiveness of Discharge Planning Implementation: A Case-Control Cohort Study. The Journal of Nursing Research: JNR, 31(3), e274. https://doi.org/10.1097/jnr.0000000000000555
Rauf, S., Hidayah, N., & Amal, A. A. (2025). Peningkatan Kualitas Perencanaan Pulang Pasien di Rumah Sakit. Bhakti Patrika, 1(2), 29–33. https://doi.org/10.64408/bp.2025.1226
Romadhoni, D., Abdurrauf, M., & Sari, D. W. P. (2025). Hubungan Budaya Organisasi Dengan Perencanaan Pulang Pasien (Discharge Planning) Di Rumah Sakit Islam Sultanagung Semarang. Jurnal Ilmu Keperawatan dan Kesehatan, 2(4), 48-59. https://doi.org/10.5281/zenodo.18753447
Sari, N. K., Syahruramdhani, S., Hernani, E., Riyanto, A., & Nugroho, O. W. (2024). Monitoring Pelaksanaan Edukasi Diabetes Mellitus Menggunakan Electronic Discharge Planning (EDP) di RS PKU Muhammadiyah Gamping. Aksiologiya: Jurnal Pengabdian Kepada Masyarakat, 8(3), 410-419. https://doi.org/10.30651/aks.v8i3.14504
Sari, C. A., & Arofiati, F. (2025). Discharge planning berbasis augmented reality dan teach-back pada keluarga pasien yang menjalani hemodialisis: Analisis hukum dan prinsip etik keperawatan. Journal of Qualitative Health Research & Case Studies Reports, 5(7), 1175–1180. https://doi.org/10.56922/quilt.v5i7.1829
