46 10 2085 https://old-repository.mitrahusada.ac.id/files/original/f242de7539e3656a174e20b4cf84654b.pdf 2729f7e32aca9fa0546ed1b9c348160f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Article Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource The Intersection Of Cognitive Competence And Organizational Support In Early Warning System (Ews) Accuracy: A Multifactorial Analysis In A Regional Hospital Setting Subject The topic of the resource Clinical Deterioration, Early Warning System, Patient Safety Description An account of the resource Percakapan dengan Gemini Ketik ulang Berikut adalah hasil ketik ulang teks dari dokumen yang terdapat dalam berkas Screenshot_2026-05-26-15-15-22-020_cn.wps.moffice_eng.jpg: Research Square Preprints are preliminary reports that have not undergone peer review. They should not be considered conclusive, used to inform clinical practice, or referenced by the media as validated information. The Intersection Of Cognitive Competence And Organizational Support In Early Warning System (Ews) Accuracy: A Multifactorial Analysis In A Regional Hospital Setting Herna Rinayanti Manurung Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan Siti Nurmawan Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan Febriana Sari febrianasari@mitrahusada.ac.id Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan Imran Saputra Surbakti Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan Nasrul Zaman Syiah Kuala University Rizky Hayati Ginting Syiah Kuala University Research Article Keywords: Clinical Deterioration, Early Warning System, Patient Safety, Organizational Support, Quality of Care Posted Date: April 17th, 2026 DOI: https://doi.org/10.21203/rs.3.rs-8952241/v1 License: CC BY This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Additional Declarations: No competing interests reported. Page 1/16 Abstract Background: Failure to recognize clinical deterioration remains a global systemic challenge leading to preventable hospital mortality. Aims: This study evaluated the multifactorial determinants predicting the accuracy of Early Warning System (EWS) implementation among clinicians in a regional hospital setting. Methods: An analytical observational study with a cross-sectional design was conducted in 2025 at RSUD Perdagangan, Indonesia, involving 203 health professionals (specialists, general practitioners, midwives, and nurses) using total sampling. Data were collected via... (teks terpotong di bagian bawah gambar) Ketik ulang Berikut adalah hasil ketik ulang teks lengkap dari dokumen yang terdapat dalam berkas Screenshot_2026-05-26-15-15-16-789_cn.wps.moffice_eng.jpg: Herna Rinayanti Manurung Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan Siti Nurmawan Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan Febriana Sari febrianasari@mitrahusada.ac.id Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan Imran Saputra Surbakti Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan Nasrul Zaman Syiah Kuala University Rizky Hayati Ginting Syiah Kuala University Research Article Keywords: Clinical Deterioration, Early Warning System, Patient Safety, Organizational Support, Quality of Care Posted Date: April 17th, 2026 DOI: https://doi.org/10.21203/rs.3.rs-8952241/v1 License: CC BY This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Additional Declarations: No competing interests reported. Page 1/16 Abstract Background: Failure to recognize clinical deterioration remains a global systemic challenge leading to preventable hospital mortality. Aims: This study evaluated the multifactorial determinants predicting the accuracy of Early Warning System (EWS) implementation among clinicians in a regional hospital setting. Methods: An analytical observational study with a cross-sectional design was conducted in 2025 at RSUD Perdagangan, Indonesia, involving 203 health professionals (specialists, general practitioners, midwives, and nurses) using total sampling. Data were collected via validated questionnaires and analyzed using Chi-square tests. Results: Statistical analysis revealed that knowledge (p=0.001), training (p=0.002), attitude (p=0.005), and organizational support (p=0.001) significantly correlate with EWS implementation accuracy. Notably, 77.1% of clinicians failed to implement EWS effectively in environments lacking managerial support. Discussion: These findings highlight that EWS precision is a manifestation of cognitive competence integrated with systemic organizational reinforcement. Conclusion: Bridging the "accuracy gap" requires a paradigm shift from administrative compliance to a robust patient safety ecosystem that integrates structured training and active managerial oversight. Creator An entity primarily responsible for making the resource Herna Rinayanti Manurung, Siti Nurmawan Sinaga, Febriana Sari, Imran Saputra Surbakti, Nasrul Zaman, Rizky Hayati Ginting https://old-repository.mitrahusada.ac.id/files/original/2860f5333327e9bc41736868ce6de3ca.pdf a1a835b70d3f268628b5c13711a1df24 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Luaran Dosen Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Implementation of UMKM based on Participation, Innovation And Digitalization In Achieving SDG’s Through Ced Prevention at PMB Sarfina Br Sembiring 2023 Description An account of the resource ChatGPT Anda bilang: Gambar yang diunggah Ketik ulang ChatGPT bilang: Baik, berikut hasil ketikan ulang dari gambar yang Anda kirimkan: Jurnal Kesehatan LLDIKTI Wilayah 1 (JUKES), 4 (1) (2024) 6-12 Published by: LLDIKTI WILAYAH 1 Jurnal Kesehatan LLDIKTI Wilayah 1 (JUKES) Journal homepage: www.lldikti1.kemdikbud.go.id/jurnal Implementation of UMKM based on Participation, Innovation And Digitalization In Achieving SDG’s Through Ced Prevention at PMB Sarfina Br Sembiring 2023 Herna Rinayanti Manurung¹, Siti Nurmawan Sinaga², Rosmani Sinaga³, Ribur Sinaga⁴, Imran Saputra Surbakti⁵, Marliani⁶, Riska Susanti Pasaribu⁷ ¹˒⁷ Department of midwifery, STIKes Mitra Husada Medan, Indonesia Article Info Article history: Received: 18-1, 2024 Revised: 22-3, 2024 Accepted: 30-4, 2024 Keywords: Prevention of CED Achievement of SDGs Nutritious food Malnutrition Utilization ABSTRACT In dealing with the complex problems of Chronic Energy Deficiency or CED, lecturers and students of STIKes Mitra Husada Medan through grants from the Partnership-Based UMKM Development program produce PMT (Additional Food Packages) nutritious food Green Bean Cookies and Peanut Honey by utilizing the potential of local food and education pattern consumption. Midwife’s independent practice Sarfina as place health services where the reach of this clinic business is expected to become wider with the implementation of innovation, digitalization and participation in the prevention of CED through technology in the service process health. This is research is an intervention study with a cross sectional design. Participants are prospective brides, pregnant women and postpartum mothers who meet the inclusion and exclusion criteria. Retrieval and collection of research data was carried out using the probability purposive sampling method. A total of 82 participants took part in study. This research was conducted at the PMB Sarfina Br Sembiring clinic in November-December 2023. Results & Conclusions from each of the 10 respondents or 33.3% of prospective brides, pregnant and postpartum women, there is an influence of participation, namely increasing the knowledge of prospective brides and grooms 28%, pregnant women 30% and postpartum 12%. Meanwhile, product innovation shows an increase in the weight of prospective brides, pregnant and postpartum women, but there is no increase in arm circumference and the influence of Shopee application technology and other applications seems that the average knowledge of health shop partners is 31.6% less compared to Shopee and other applications. Creator An entity primarily responsible for making the resource Herna Rinayanti Manurung, Siti Nurmawan Sinaga, Rosmani Sinaga, Ribur Sinaga, Imran Saputra Surbakti, Marliani, Riska Susanti Pasaribu Date A point or period of time associated with an event in the lifecycle of the resource 2023 Language A language of the resource English https://old-repository.mitrahusada.ac.id/files/original/0d6dedaa22fde89c64e4c790de5ab1cd.pdf 49dc9617315b7bd3f26d14faf423e4ff https://old-repository.mitrahusada.ac.id/files/original/af2799595f367779b36b0a0434367fb8.pdf d39603bd623c32cb9fc451982420de0a https://old-repository.mitrahusada.ac.id/files/original/7d2f3863ff014195dc6f80eb774d62b8.pdf 58af8316251a90ad22afaa337c89e563 https://old-repository.mitrahusada.ac.id/files/original/7be6bea70f4d3187cce18d0ca2e46fed.pdf aa2265b009add28a74c1108eb148e324 https://old-repository.mitrahusada.ac.id/files/original/d6d80ec6c9c48718dcff9a3117c0622e.pdf 7120cd4eb9648f25b6201cc49d4803a2 https://old-repository.mitrahusada.ac.id/files/original/f57260d46353de85fc536525473e8afc.pdf 49dc9617315b7bd3f26d14faf423e4ff Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Luaran Dosen Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Dr. Herna Rinayanti Manurung, SST, M.Kes Creator An entity primarily responsible for making the resource Herna Rinayanti Manurung, SST, M.Kes https://old-repository.mitrahusada.ac.id/files/original/8be914bdd2032c037af9cb3d6312f344.pdf 0e88bdcf4c27b27f35cb9d77555c0ab6 https://old-repository.mitrahusada.ac.id/files/original/c4cea2b322921ed81276334b83a36f67.pdf 4a1e722091df97f672bc3814676e6c30 https://old-repository.mitrahusada.ac.id/files/original/6850e856d241e425ebac896370fddcfd.pdf d0fc0d5fcc46e5729546924a5e0b0da0 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding Luaran Dosen Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Herna Rinayanti Manurung, SST, M.Kes Creator An entity primarily responsible for making the resource Herna Rinayanti Manurung, SST, M.Kes https://old-repository.mitrahusada.ac.id/files/original/92757b5404c5dc9effc3e2737e1360e4.jpg 4389b530ea6423f1e697c5533eb2c71c https://old-repository.mitrahusada.ac.id/files/original/1ce010aa7a7940ff91d4c23cb6be329f.pdf 4bef27cfc53e15042c70ff1699140e3b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource E-Book Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Implementasi Best Practice: Dalam Pelayanan Kebidanan Komprehensif Creator An entity primarily responsible for making the resource Herna Rinayanti Manurung, Widia Sarah, Basaria Manurung, Dyanti SR Butarbutar, Naila Kamila, Irma Suryani, Jenny Arman Date A point or period of time associated with an event in the lifecycle of the resource 2025 Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/18fba4ccbbb1b066aea48be4ecaba793.png dbeb4645f865f3999c3d312617c0a117 https://old-repository.mitrahusada.ac.id/files/original/55f5ed370eec3cfca462f85d982eae9a.pdf b478c69ea8f8a4494500e5474b63902d Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Skripsi Sarjana Kebidanan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Faktor Yang Berhubungan Dengan Kelengkapan Pemberian Imunisasi Dasar Pada Bayi Di Desa Cinta Rakyat Wilayah Kerja Upt Puskesmas Tanjung Rejo Tahun 2021 Herni (STIKES Mitra Husada Medan) Creator An entity primarily responsible for making the resource Herni 2019201602 Date A point or period of time associated with an event in the lifecycle of the resource 2020 Contributor An entity responsible for making contributions to the resource Lisa Putri Damanik, SST., M.Tr.Keb Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/0d830c2b13030fb0301b6f0695e89781.jpeg 75c8ebc2a5ef2777949a77c5c94dd08b https://old-repository.mitrahusada.ac.id/files/original/7cb5c1065f06138aa4127ae6f1f03390.pdf 2b30e54341c2bac9924ffc96a17f8af6 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource The Effect Of Dismenore Gender On Decrease Pain Taste Of Students In The State Of Mitra Husada Medan In 2019 Description An account of the resource ISBN 978-623-96458-0-9 Creator An entity primarily responsible for making the resource Hertanta Silaban, Ingka Kristina Pangaribuan, Marlina Simbolon Publisher An entity responsible for making the resource available STIKes Mitra Husada Medan Date A point or period of time associated with an event in the lifecycle of the resource Juni 29-30, 2020 Language A language of the resource Inggris https://old-repository.mitrahusada.ac.id/files/original/c1ef018c855946410ee58a6fa975a86a.png e1e8ea183515bebc9fc84d87e7578656 https://old-repository.mitrahusada.ac.id/files/original/5578cbdcce4a85a778053e60e217314f.pdf 89997c7223daa3d7b828f782c76048a8 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Skripsi Sarjana Kebidanan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Hubungan Karakteristik Responden Dengan Pelaksanaan Pencegahan Infeksi Nifas Oleh Bidan Di UPTD Puskesmas Mompang Kec Panyabungan Kab Mandailing T 2021 Hidayah, Anni (STIKes Mitra Husada Medan) Creator An entity primarily responsible for making the resource Hidayah, Anni 2019202195 Date A point or period of time associated with an event in the lifecycle of the resource 2021 Contributor An entity responsible for making contributions to the resource Lidya Natalia Sinuhaji Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/9dc545ae2d8f794562b4c784fca9c02c.png 09b3eb2e19a680a4c0b59b6077b9f16b https://old-repository.mitrahusada.ac.id/files/original/1725de850c3cc9aedd0f7897dc94a27d.pdf 28f65c7aaa5473b7b2d68ea9ea9b9530 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Skripsi Sarjana Kebidanan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pengaruh Aroma Therapy Lemon Terhadap Mual Muntah Pada Kehamilan Trimester I Di Puskesmas Gandapura Hidayat, Nurul (STIKes Mitra Husada Medan) Creator An entity primarily responsible for making the resource Hidayat, Nurul 2019201179 Date A point or period of time associated with an event in the lifecycle of the resource 2021 Contributor An entity responsible for making contributions to the resource Mediana Sembiring Language A language of the resource Indonesia https://old-repository.mitrahusada.ac.id/files/original/b276d91c734a12115a70a46b5db0af39.pdf 55b16eea3660b77b1db804e2b84d8528 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Analysis of Intake Calcium and Iron Substance in The Incident of Disminore on Female Adolessent Creator An entity primarily responsible for making the resource Hironima Niyati Fitri Kadek Dwi Ariesthi Date A point or period of time associated with an event in the lifecycle of the resource 2020 Language A language of the resource Inggris