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Patient satisfaction is the level of one's feelings after comparing the perceived performance with expectations, so the level of satisfaction is a function of the difference between perceived performance and expectations. Patients are people who consult health issues to obtain the necessary health services, both directly and indirectly to the doctor. Satisfaction can be interpreted if it is in line with expectations and reality, service during the process of enjoying services, employee behavior, physical atmosphere and physical conditions, and promotion is not in accordance with reality. This study uses an observational analytic design with a cross sectional approach. The research sample of 60 internal medicine polyclinic patients at Nahdlatul Ulama Hospital Tuban was selected by accidental sampling. research instruments, patient satisfaction questionnaire. The results showed that there was a relationship between Waiting Time and Patient Satisfaction in the Internal Medicine Polyclinic in Outpatient Installation, this was evidenced by the Spearman Rho test obtained p = 0.00 (α

Completeness of medical record documents becomes important because it describes the practice of quality services. RSUD dr. R. Koesma Tuban have problems with completeness of medical record documentation. Incompleteness medical record documentation of outpatient at RSUD dr. R. Koesma Tuban was rated at 87, 67%. The object of this study was to identify the incompleteness of medical record documentation of outpatient based on Victor Vroom expectancy theory motivation at RSUD dr. R. Koesma Tuban. The present study conducts a cross-sectional, descriptive research during May 2021 through to use questionnaires and observation on medical record documentation of outpatient. The respondents of this study were personnel who were filling the outpatient medical record documentation. These people were 5 doctors, 5 refractions, and 6 nurses. The result of the study showed that Filling of the medical record documentation at RSUD dr. R. Koesma Tuban was low. Motivation has driving factor to the incompleteness of outpatient medical record documentation at RSUD dr. R. Koesma Tuban. Suggestions given to monitoring the performance to complete the medical record documentation of outpatient. Keywords : hospital, incompleteness, medical record, motivation, outpatient, victor vroom

Background: Patient safety is one indicator of the quality of health services. Although patient safety incident data in first-level health care facilities are not yet accurate in Indonesia, patient safety is an important issue in improving service quality. Rengel Tuban Health Center is one of the health care facilities that implement patient safety efforts as a form of efforts to improve the quality of health services as referred to in the Law of the Republic of Indonesia Number 36 of 2009. Objective: The purpose of this study is to identify the application of patient safety efforts at the Rengel Tuban Health Center to improve service quality. Methods: The data collection techniques used were observation, interviews, and literature study. Data collection was carried out at the Rengel Tuban Health Center in January-February 2021. Results: The results of data analysis showed that the implementation of patient safety efforts at the Rengel Tuban Public Health Center was adjusted to the standards of the Puskesmas accreditation assessment. However, in its realization there are still obstacles and shortcomings in meeting patient safety standards at the Rengel Tuban Health Center so it is necessary to optimize the application of patient safety efforts from all parties involved. Conclusion: It can be concluded that puskesmas must provide safe and quality services to create a healthy subdistrict. Health centers need to improve patient safety in accordance with the Minister of Health of the Republic of Indonesia Number 36 of 2009