Mukhamad Fathoni
Jurusan Administrasi Publik, Fakultas Ilmu Administrasi, Universitas Brawijaya, Malang

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Relationships between Triage Knowledge, Training, Working Experiences and Triage Skills among Emergency Nurses in East Java, Indonesia Fathoni, Mukhamad; Sangchan, Hathairat; Songwathana, Praneed
Nurse Media Journal of Nursing Vol 3, No 1 (2013): NURSE MEDIA JOURNAL OF NURSING VOL. 3 NO. 1 YEAR 2013
Publisher : School of Nursing, Medical Faculty, Diponegoro University

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Background: Since there are increased numbers of clients with traumatic injuries and non-traumatic cases in the emergency department in Indonesia, triage skill is an essential competency required for the emergency nurses.Purposes: This study aimed to examine the level of perceived triage skills and the relationship between knowledge, training, working experience and perceived triage skills among emergency nurses.Method: Two hundred and sixty six emergency room (ER) nurses working in two secondary and two tertiary public hospitals in East Java Province, Indonesia, were recruited by purposive sampling. Data were collected using a set of questionnaires which included the Demographic Data including training and working experiences, Triage Knowledge Questionnaire (TKQ) and Triage Skill Questionnaire (TSQ). The contents of questionnaires were validated by three experts and tested for reliability. The correlation coefficient for the TKQ was 0.99 and Cronbach’s alpha coefficient of the TSQ was 0.93. The collected data were analyzed using descriptive statistics including Pearson’s product-moment correlation to examine the relationship.Result: The results showed that the majority of subjects were female (71.4%) with aged of 22 – 40 years (79.3%), educated to diploma level (94.4%). All subjects had attended Basic Life Support (BLS) and Advanced Life Support (ACLS), and about half of them had greater than 5 years working experiences in ED. Overall perceived triage skill was at a moderate level with the mean score of 75.12 (SD = 11.23). There were significantly positive correlations between triage skill and working experience (r = .27, p < .01), training experience (r = .37, p < .01), and triage knowledge (r = .38, p < .01).Conclusion: The findings provide a better understanding of triage skills among ER nurses and suggest that the continuing education and training courses related to triage and advanced management of medical emergencies for ER nurses are required in order to increase and update the triage skills in enhancing the quality of emergency care and patient safety.Key Words :Triage knowledge, triage skills, training, working experience, emergency nurse
Gaya Kepemimpinan Kepala Desa dalam Pembangunan Fisik Desa (Studi di Desa Denok Kecamatan Lumajang Kabupaten Lumajang) Fathoni, Mukhamad
Jurnal Administrasi Publik Vol 3, No 1 (2015)
Publisher : Jurusan Administrasi Publik, Fakultas Ilmu Administrasi, Universitas Brawijaya

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Abstract: Head of Village’s Leadership Style in Physical Development Village (The study in Denok village, Subdistrict of Lumajang, City of Lumajang). Head of village is the head government in a village who is expected can regulate village administration well in giving service to society. Thus if the head of village presents his good performance in holding village administration, it will affect to the government administration in city, province, until center government. Head of village as a leader in village has some aspects of characteristics / leadership style that can help him in making a good relationship with his society. Head of village’s leadership style has a close relationship with the purpose to be achieved by the village government. Thus, head of village’s behavior / leadership style is always connected with head his activities in directing, motivating, communicating, making decision, and controlling government apparatus to succeed the purpose of village government. This study aims to find out head of village’s leadership style in physical village development. Keywords: leadership, leadership style, physical village development Abstrak: Gaya Kepemimpinan Kepala Desa dalam Pembangunan Fisik Desa (Studi di Desa Denok Kecamatan Lumajang Kabupaten Lumajang). Kepala desa merupakan kepala pemerintahan di tingkat desa diharapkan mampu menjalankan roda pemerintahan desa dengan baik dalam memberikan pelayanan terhadap masyarakat, sehingga apabila kepala desa menunjukkan kinerja yang bagus dalam penyelenggaraan pemerintahan desa, maka akan berpengaruh juga pada kinerja pemerintahan pada tingkat kabupaten, provinsi, hingga pusat. Kepala desa sebagai seorang pemimpin di lingkup desa memiliki aspek-aspek kepribadian khas/gaya kepemimpinan yang dapat menunjang usahanya dalam mewujudkan hubungan yang baik dengan anggota masyarakatnya. Gaya kepemimpinan kepala desa erat hubungannya dengan tujuan yang hendak dicapai oleh suatu pemerintahan desa. Oleh karena itu, gaya kepemimpinan kepala desa selalu dihubungkan dengan kegiatan kepala desa dalam mengarahkan, memotivasi, berkomunikasi, pengambilan keputusan, dan pengawasan anggotanya untuk mewujudkan tujuan pemerintahan desa. Tujuan penelitian ini adalah untuk mengetahui gaya kepemimpinan kepala desa dalam pembangunan fisik desa. Kata kunci: kepemimpinan, gaya kepemimpinan, pembangunan fisik desa
EFEKTIFITAS VITALPAC EARLY WARNING SCORING SEBAGAI DETEKSI DINI PERBURUKAN PASIEN ACCESS BLOCK DI IGD dr. ISKAK TULUNGAGUNG Ahmad, Zaky Soewandi; Soeharto, Setyowati; Fathoni, Mukhamad
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Jurnal Kesehatan Mesencephalon

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Abstract : The prolongation of length of stay access block patients in emergency department (ED) can cause the risk of deterioration. Currently there is no study to prove the accuracy of any early warning system on a group of patient who are waiting for inpatient beds in ED. The purpose of this study was to validate the performance of detecting patient deterioration using  vitalpac early warning scoring (ViEWS) for inpatient beds in ED. This prospective, an observational study was carried out over 1 month in ED of Dr.Iskak Hospital in adult and older patient presenting to the ED. The VIEWS were calculated using the recorded physiological parameters of patient. Deterioration  were used as the primary outcomes. Out of a total of 75 access block patients, 24% of them had deterioration in ED. Result analysis from Test of Contingency Coefficient in this research represented that significant correlation between ViEWS value with deterioration of access block patients which is p-value <0,05. Comparative results in AUC represented that ViEWS had AUC value (0,967), sensitivity (0,889), specificity (0,965). The conclusion is the composite ViEWS was perform well in detection of early deterioration in ED.Keyword : vitalpac early warning scoring, deterioration, access block Abstrak : Memanjangnya lama waktu tinggal pasien access blockdi IGD dapat menyebabkan resiko perburukan. Saat ini belum ada penelitian yang dapat membuktikan efektifitas dari deteksi dini pada pasien yang menunggu rawat inap di instalasi gawat darurat (IGD). Tujuan penelitian ini adalah untuk mengetahui efektifitas vitalpac early warning scoring (ViEWS)sebagai deteksi dini pasien access blockdi IGD. Penelitian ini adalah penelitian observasional analitik dengan desain studi prospektif yang dilakukan selama 1 bulan di IGD RSUD Dr. Iskak Tulungagung.Skoring VIEWSmenggunakan parameter fisiologis pasien.Outcome utama dari penelitian ini adalah perburukan pasien access block dalam 24 jam.Dari 75 pasien access block, 24% diantaranya mengalami perburukan di IGD. Hasil analisis Uji Koefisien Kontigensi penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai VIEWS dengan perburukan pasien access block dengan p-value< 0,05. Hasil komparatif AUC menunjukkan bahwa ViEWS memiliki nilai AUC (0,967), sensitivitas (0,889), spesifitas (0,965) Oleh karena itu ViEWS efektif sebagai deteksi dini perburukan pasien di IGD.Kata Kunci : vitalpac early warning scoring, perburukan, access block
PENGARUH PELATIHAN PENANGANAN PERTAMA CEDERA KEPALA TERHADAP PENGETAHUAN SISWA SMAN 6 MALANG Christianingsih, Siska; Wihastuti, Titin Andri; Fathoni, Mukhamad
Dunia Keperawatan Vol 5, No 2 (2017): Dunia Keperawatan Volume 5 Nomor 2 Tahun 2017
Publisher : Universitas Lambung Mangkurat

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ABSTRAKCedera kepala masih menjadi masalah kesehatan yang mengakibatkan dampak serius bagi penderitanya, trauma menjadi penyebab utama terjadinya kematian diseluruh dunia. Penyebab paling umum yang memicu terjadinya cedera kepala adalah kecelakaan kendaraan bermotor. Prevalensi cedera tertinggi berdasarkan karakteristik responden yaitu pada kelompok umur 15-24 tahun (11,7%). Minimnya kompetensi masyarakat dalam mencegah terjadinya cedera sekunder yang seringkali menyertai pasien dan justru menjadi penyebab utama terjadinya kematian. Penelitian ini bertujuan menganalisis pengaruh pelatihan penanganan pertama pada cedera kepala terhadap peningkatan pengetahuan pada siswa SMA Negeri 6 Malang. Metode dalam penelitian ini adalah quasi eksperimental dengan rancangan non equivalent control groupdesign. Jumlah sampel sebanyak 52 responden dengan menggunakan teknik proportionate stratified random sampling. Hasil analisis uji independent t test menunjukkan terdapat perbedaan signifikan pada variabel pengetahuan (0,017) antara sebelum dan sesudah dilakukan pelatihan. Perlunya pelatihan pada masyarakat agar dapat mengenali kebutuhan dan memberikan perawatan awal yang tepat pada korban trauma akut dan memberikan informasi yang lebih akurat kepada ambulans.Kata Kunci : cedera kepala, pelatihan pertolongan pertama, siswa SMAABSTRACTHead injuries still a health problem that has serious consequences for the sufferer, where trauma is the leading cause of death. The most common cause is a motor vehicle accident. The highest prevalence of injury is in the age group 15-24 years (11.7%). The lack of community competence in preventing secondary injury that often accompanies the patient and is the main cause of death. This study aim to analyze the effect of head injuries first aid to increase knowledge in students of SMA Negeri 6 Malang. The method in this research was quasy experimental. The samples was 52 respondents using proportionate stratified random sampling technique. The result of independent t test showed that there was significant difference in knowledge variable (0,017). The need for training in common people to recognize the needs and provide appropriate early care to victims of acute trauma and can provide more accurate information to the ambulance.Keywords: head injuries, first aid training, high school students
Faktor Dominan dalam Memprediksi Mortalitas Pasien dengan Sepsis di Unit Gawat Darurat Akbar, Ilham; Widjajanto, Edi; Fathoni, Mukhamad
Jurnal Kedokteran Brawijaya Vol 30, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.457 KB) | DOI: 10.21776/ub.jkb.2018.030.02.14

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Mortalitas pasien dengan sepsis meningkat secara drastis dengan tingkat keparahannya. Ada banyak faktor yang yang menjadi pertanda perburukan kondisi maupun kematian pasien dengan sepsis. Seorang perawat diharapkan dapat menjadi lini terdepan di unit gawat darurat untuk dapat memprediksi mortalitas pasien dengan sepsis untuk menentukan tindakan definitif dengan segera tanpa melakukan pemeriksaan laboratorium. Tujuan penelitian yaitu menganalisis faktor dominan yang berhubungan dengan mortalitas pasien dengan sepsis. Penelitian kuantitatif ini menggunakan desain observasi analitik dengan pendekatan retrospektif. Sampel menggunakan rekam medis pasien dengan sepsis disesuaikan dengan kriteria inklusi dan ekslusi dan ditentukan dengan teknik consecutive sampling yaitu sebanyak 75 responden. Analisis bivariat yang dilakukan pada penelitian ini menggunakan kontigensi lambda dan chi square, sedangkan analisis multivariat menggunakan regresi logistik. Hasil uji bivariat menunjukkan bahwa usia (r=0,305, p=0,030), nilai qSOFA (r=0,678, p=0,000), dan penyakit komorbid (r=0,243, p=0,030) masing-masing memiliki arah hubungan positif dengan mortalitas pasien sepsis. Hasil regresi logistik menunjukkan penyakit komorbid meningkatkan 6,6 kali mortalitas pada pasien sepsis (OR=7,000, p=0,016). Penyakit komorbid dan nilai qSOFA adalah faktor yang dapat mempredikisi mortalitas pasien sepsis namun penyakit komorbid merupakan faktor yang paling dominan.?
FACTORIAL ANALYSIS RELATED TO FAMILY PREPAREDNESS FACING DISASTER IMPACT IN TERNATE CITY OF MALUKU UTARA PROVINCE Ahmad, Syafrudin Lukman; Ahsan, Ahsan; Fathoni, Mukhamad
Jurnal Ilmu Keperawatan Vol 6, No 1 (2018)
Publisher : Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya

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Disasters occur when vulnerable people are faced with threats that they are unable to cope with or have low capacity to overcome them. Preparedness is the most critical phase in the range of disaster management, the inadequacy of disaster preparedness planning has created the suffering of survivors and loss of life. The purpose of this study was to analyze factors related to family preparedness in Ternate city. This research use descriptive analytic design with Cross sectional study approach. Respondents in this study were 113 Head of Family (KK) by using systematic random sampling. Chi-square test shows the related relationship (p = 0,005), attitude (p = 0.000) and social capital (p = 0.000) to risky family preparedness in Ternate city. The result of logistic regression test shows that social capital has the strongest strength of relationship (p = 0,022, OR = 2,725) compared to attitude (p = 0,025, OR = 2,680) and knowledge (p = 0,041, OR = 2,520). His result shows that good knowledge, attitude and social capital will increase the family preparedness in the face of disaster impact in Ternate City.
The Factors Associated with The Triage Implementation in Emergency Department Ainiyah, Nur; Ahsan, Ahsan; Fathoni, Mukhamad
Jurnal Ners Vol 10, No 1 (2015): Vol. 10 Nomor 1 April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.919 KB) | DOI: 10.20473/jn.V10I12015.147-157

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Introduction: Triage is defi ned as a process to sort patients based on the severity and emergency situation. In fact, Emergency Department (ED) in several hospitals in Indonesia do not implement it, so not all patients come to Emergency Department due to a true emergency case but there are also a false emergency. Implementing triage is important in order to decrease false emergency case and also increase ED service quality. The research goal was to analyze factors associated with the triage implementation in Emergency Department in Hospitals (type A and B). Methode: The research design was a cross sectional with corrrelative analysis. The research population was emergency department nurses and patients. Samples were taken by total sampling for the nurses (54 respondents) and accidental sampling for patients (54 respondents). The research instruments were questionnaire and direct observation. The research datas were analized using multivariat logistic regression by backward LR. Result: The result showed that the dominant factors correlated with the implementation of the triage was the performance factor (p value. 0,002), the patient factor (p value = 0.011), and the staffing factor (p value. 0.017). Discussion: The hospital management can increase the work motivation,then optimize the nurses by giving a job description clearly and improve nursing service quality through Triage Offi cer Course.Keywords: triage, performance factor, patient factor, staffi ng factor
NILAI SKOR GLASGOW COMA SCALE, AGE, SYSTOLIC BLOOD PRESSURE (GAP SCORE) DAN SATURASI OKSIGEN SEBAGAI PREDIKTOR MORTALITAS PASIEN CIDERA KEPALA DI RUMAH SAKIT SAIFUL ANWAR MALANG Eka Putra, Dadang Surpiady; Indra, M Rasjad; Sargowo, Djanggan; Fathoni, Mukhamad
Jurnal Kesehatan Hesti Wira Sakti Vol 4, No 2 (2016)
Publisher : Poltekkes RS dr. Soepraoen Malang

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ABSTRAK Pendahuluaan: Cidera kepala menjadi masalah bagi kesehatan masyarakat karena dapat menyebabkan kematian, kecacatan, dan mengurangi waktu produktif. Cidera kepala memiliki tingkat mortalitas yang tinggi, sehingga dibutuhkan metode prognosis cidera kepala dengan penilaian awal yang akurat dengan harapan dapat memprediksi keluaran dan tata laksana yang sesuai dengan kondisi pasien. GAP Score adalah salah satu skoring sistem fisiologis yang dapat digunakan sebagai prediktor mortalitas pasien cedera kepala. Sistem ini lebih mudah digunakan dan memberikan informasi prediktif yang berharga dari kondisi pasien. Tujuan penelitian ini untuk mengetahui apakah nilai GAP score dan saturasi oksigen dapat menjadi prediktor dalam memprediksi mortalitas pasien cidera kepala di Rumah Sakit Saiful Anwar Malang. Metode: Jenis penelitian ini adalah observasional analitik dengan pendekatan studi retrospektif. Sampel dalam penelitian ini berjumlah 96 orang yang didapatkan dari data rekam medis pasien cedera kepala yang masuk pada periode Januari hingga Desember 2015 di RSSA Malang. Sampel yang digunakan sebanyak 96 sampel sesuai dengan kriteria inklusi dan eksklusi. Hasil dan analisis : Uji Mann-Whitney pada penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai GAP Score, dan saturasi oksigen dengan mortalitas pasien cidera kepala dalam 7 hari perawatan dengan p value dari semua variabel independen < 0,05. Hasil Uji regresi logistik menunjukkan bahwa persamaan GAP Score memiliki nilai p value Uji Hosmer and Lemeshow = 0,938 dengan AUC = 0,921 yang dapat memprediksi mortalitas 92,1% pasien cidera kepala. Persamaan saturasi Oksigen memiliki nilai p value Uji Hosmer and Lemeshow = 0,870 dengan AUC = 0.880 dapat memprediksi mortalitas sebesar 88%, dan persamaan GAP score dan saturasi Oksigen memiliki nilai p value Uji Hosmer and Lemeshow = 0,967 dengan AUC = 0.965 dapat memprediksi mortalitas sebesar 96,5%. Diskusi dan kesimpulan: Secara statistik terdapat perbedaan AUC antara persamaan tersebut, dengan kesimpulan bahwa gabungan antara akurasi skoring GAP dan akurasi saturasi oksigen secara statistik dapat meningkatkan akurasi dalam memprediksi kematian. Gabungan antara akurasi skoring GAP dan akurasi saturasi oksigen secara statistik dapat meningkatkan akurasi dalam memprediksi mortalitas pada pasien cidera kepala. Kata kunci : GAP Score, Saturasi Oksigen, Mortalitas, Cedera Kepala. ABSTRACT Background: Head injury is a problem for public health because it can cause death, disability, and reduce a persons productive time. Head injuries have high mortality, requiring a method of head injury prognosis with early and accurate assessment in the hope of predicting outcomes and governance in accordance with the patients condition. GAP Score is one of physiological scoring system that can be used as predictors of mortality of patients with head injury. This system is easier to use and provide valuable predictive information of the patients condition. Patients who suffered a head injury requiring adequate oxygen supply to meet the needs of brain metabolism that required ongoing monitoring of the oxygen saturation in order to prevent the occurrence of secondary trauma that can worsen the condition of patients with head injury. The purpose of this study to determine whether the value GAP scores and oxygen saturation can be a predictor for predicting mortality in patients with head injury Saiful Anwar Hospital in Malang. Method: This type of research is observational analytic retrospective study. The sample in this study amounted to 96 people were obtained from medical records head injury patients who entered the period January to December 2015 in RSSA Malang. The samples used were 96 samples in accordance with the inclusion and exclusion criteria. Result and Analysis : The results of the Mann-Whitney test analysis showed that there was significant relationship between the value of GAP Score, and oxygen saturation of patients with head injury mortality within 7 days of treatment with p value of all the independent variables
EFEKTIFITAS VITALPAC EARLY WARNING SCORING SEBAGAI DETEKSI DINI PERBURUKAN PASIEN ACCESS BLOCK DI IGD dr. ISKAK TULUNGAGUNG Ahmad, Zaky Soewandi; Soeharto, Setyowati; Fathoni, Mukhamad
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Jurnal Kesehatan Mesencephalon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.805 KB)

Abstract

Abstract : The prolongation of length of stay access block patients in emergency department (ED) can cause the risk of deterioration. Currently there is no study to prove the accuracy of any early warning system on a group of patient who are waiting for inpatient beds in ED. The purpose of this study was to validate the performance of detecting patient deterioration using  vitalpac early warning scoring (ViEWS) for inpatient beds in ED. This prospective, an observational study was carried out over 1 month in ED of Dr.Iskak Hospital in adult and older patient presenting to the ED. The VIEWS were calculated using the recorded physiological parameters of patient. Deterioration  were used as the primary outcomes. Out of a total of 75 access block patients, 24% of them had deterioration in ED. Result analysis from Test of Contingency Coefficient in this research represented that significant correlation between ViEWS value with deterioration of access block patients which is p-value <0,05. Comparative results in AUC represented that ViEWS had AUC value (0,967), sensitivity (0,889), specificity (0,965). The conclusion is the composite ViEWS was perform well in detection of early deterioration in ED.Keyword : vitalpac early warning scoring, deterioration, access block Abstrak : Memanjangnya lama waktu tinggal pasien access blockdi IGD dapat menyebabkan resiko perburukan. Saat ini belum ada penelitian yang dapat membuktikan efektifitas dari deteksi dini pada pasien yang menunggu rawat inap di instalasi gawat darurat (IGD). Tujuan penelitian ini adalah untuk mengetahui efektifitas vitalpac early warning scoring (ViEWS)sebagai deteksi dini pasien access blockdi IGD. Penelitian ini adalah penelitian observasional analitik dengan desain studi prospektif yang dilakukan selama 1 bulan di IGD RSUD Dr. Iskak Tulungagung.Skoring VIEWSmenggunakan parameter fisiologis pasien.Outcome utama dari penelitian ini adalah perburukan pasien access block dalam 24 jam.Dari 75 pasien access block, 24% diantaranya mengalami perburukan di IGD. Hasil analisis Uji Koefisien Kontigensi penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai VIEWS dengan perburukan pasien access block dengan p-value< 0,05. Hasil komparatif AUC menunjukkan bahwa ViEWS memiliki nilai AUC (0,967), sensitivitas (0,889), spesifitas (0,965) Oleh karena itu ViEWS efektif sebagai deteksi dini perburukan pasien di IGD.Kata Kunci : vitalpac early warning scoring, perburukan, access block
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME PASIEN CEDERA KEPALA DI IGD RSUD Prof. Dr. MARGONO SOEKARDJO PURWOKERTO Suwaryo, Putra Agina Widyaswara; Wihastuti, Titin Andri; Fathoni, Mukhamad
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 3 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LP3M STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (74.188 KB) | DOI: 10.26753/jikk.v12i3.164

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Trauma is one of the biggest causes of death in the world. Thousands of people died from trauma each years. Many trauma occur in developing countries or countries with low incomes. The survey carried out showed 90% of trauma occur in developing countries. Outcome head injury patients determined from the initial condition when the patient entered in the ER (Emergency Room). Analysis of the patient's condition will determine the appropriate nursing actions that affect patient outcome. The purpose of this study was to analyze factors associated with outcome head injury patients in ER Prof. Dr. Margono Soekardjo Purwokerto Hospital. This study is a prospective with observational analytic design. The sample in this study amounted to 56 people.The results of Spearman and coefficient contingency indicates that there is a relationship between initial GCS score (p = 0.000) and systolic blood pressure (p = 0.000)with a outcomes of head injury patient. There is no correlation between age (p = 0.478)respiratory rate (p = 0.956) and pulse (.318) with a outcomes of head injury patient. Analysis of logistic regression shows that systolic blood pressure (RR = 6.768) is the dominant factor associated with outcomes of head injury patient. Therefore, the need to improve the management hemodynamic of the patient's, especially blood pressure to prevent bad outcomes. Keywords: outcome, head injury, Emergency Room