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All Journal Medical Journal of Indonesia Jurnal Ekonomi Manajemen Sistem Informasi
Sandinirwan, Indra
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Economics, Econometrics & Finance Medicine & Pharmacology

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Tingkat Kesuksesan Rekam Medis Elektronik berdasarkan Perspektif Perawat di RS Hermina Sukabumi: Studi Metode Campuran Ramdani, Ridha; Gilang, Genta; Sandinirwan, Indra
Jurnal Ekonomi Manajemen Sistem Informasi Vol. 4 No. 5 (2023): Jurnal Ekonomi Manajemen Sistem Informasi (Mei - Juni 2023)
Publisher : Dinasti Review

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31933/jemsi.v4i5.1610

Abstract

Tujuan penelitian adalah untuk mengetahui tingkat kesuksesan implementasi Rekam Medis Elektronik berdasarkan perspektif perawat di RSU Hermina Sukabumi, serta mengetahui hubungan antara 6 faktor Information Success System Model (ISSM) dengan tingkat kesuksesan RME. Studi ini menggunakan metode campuran, yaitu metode kuantitatif menggunakan kuesioner ISSM yang dilanjutkan dengan metode kualitatif melalui wawancara mendalam. Data dianalisis secara kuantitatif melalui metode analisis regresi multivariat, serta secara kualitatif. Tingkat kesuksesan RME berdasarkan hasil kuesioner ISSM pada 108 responden adalah 75,82% (berhasil). Seluruh faktor ISSM (Teknologi, SDM, Organisasi, Kemudahan Penggunaan, Kebermanfaatan, dan Net Benefit) memiliki pengaruh signifikan terhadap tingkat kesuksesan RME (p<0,05). Penggunaan RME disukai karena kemudahan akses dan fleksibilitas, akan tetapi kesulitan yang ditemukan adalah RME belum terintegrasi dengan sistem. Rekomendasi: Studi menemukan bahwa tingkat kesuksesan RME mendapatkan angka keberhasilan cukup tinggi berdasarkan kuesioner ISSM. Akan tetapi, ditemukan juga beberapa elemen pada sistem RME belum sepenuhnya terintegrasi, sehingga mengakibatkan kesulitan bagi para perawat. Sehingga, perlu diperhatikan agar alokasi waktu kerja perawat tetap sesuai dan dapat meningkatkan kesuksesan implementasi RME.
Central line-associated bloodstream infection related with umbilical vein catheterization and peripherally inserted central catheter in preterm infants: a meta-analysis and systematic review Sandinirwan, Indra; Leo, Henry; Muslim, Bani; Hasanah; Karina, Permata Putri
Medical Journal of Indonesia Vol. 32 No. 4 (2023): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.237071

Abstract

BACKGROUND Central line-associated bloodstream infection (CLABSI) is a serious complication in preterm infants undergoing catheterization, including umbilical vein catheterization (UVC) and peripherally inserted central catheter (PICC) placement. This study aimed to compare the occurrence rate of CLABSI in preterm infants associated with UVC and PICC. METHODS We conducted a systematic review and meta-analysis of studies published from 2000 to 2023 using a random effects model from 3 databases (PubMed, ScienceDirect, and Google Scholar). This study was registered with PROSPERO (CRD42023416471). RESULTS Of 10 articles included in the systematic review, 2 were randomized controlled trials, 3 were prospective studies, and the rest were retrospective. A total of 3,962 UVCs and 2,922 PICCs were incorporated in the meta-analysis. The incidence rate of CLABSI in the UVC group was lower than that in the PICC group (1.23 versus 3.03 per 1,000 catheter days). However, the odds of developing CLABSI for infants with a UVC compared to those with a PICC were not statistically significant (odds ratio: 0.88, 95% confidence interval: 0.54–1.42). CONCLUSIONS UVCs had a lower incidence rate of CLABSI than PICCs. Therefore, additional prospective studies are required to confirm these results.
Co-Authors Gilang, Genta Hasanah Karina, Permata Putri Leo, Henry Muslim, Bani Ramdani, Ridha