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Youandi, Abdi Agus
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Medicine & Pharmacology

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Professional Care Providers Instruction: Does It Reduce Postoperative Fever Rate? Pramudya, Indradi; Youandi, Abdi Agus; Indriani, Wiwin
Jurnal Kedokteran Brawijaya Article in Press
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Postoperative fever is a fever that occurs after surgery and might develop among children, adults, and the elderly indirectly related to the type of surgery. Surgical site infection (SSI) is the most common cause of postoperative fever. However, it is common that the specific causes of fever are not found or without any signs of infection. This study aimed to determine the cause of postoperative fever and its intervention plan. This research was a case study at X Hospital in September to October 2019 initiated by identifying the root of the problem, identifying the priority of the root problem, and planning the intervention. The results of the identification of the root of the problems found that fever occurred less than 24 hours postoperatively. The results of the root problem identification revealed no SOP that regulates the Professional Care Providers (PCP) to give instructions to patients if there is a delay in the operating schedule. The proposed intervention plan is to make regulations regarding service delay instructions. Postoperative fever less that is than 24 hours causes patient discomfort due to the absence of instructions from the PCP if there is a delay in the operating schedule. The establishment of the regulations is a solution to reduce the incidence of postoperative fever.Keywords: postoperative fever, operation delay, regulation
The Causes of Lack of Pharmaceutical Logistics Monitoring in Surgery Rooms: A Case Study in a Type C Hospital Iswari, Luh Putu Ayu Pradnya; Youandi, Abdi Agus; Indriani, Wiwin
Jurnal Kedokteran Brawijaya Vol 31, No 2 (2020)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2020.031.02.10

Abstract

The surgery rooms have an important role in the hospital, so it must be managed properly. The surgery rooms consume 9% of the annual hospital budget. High operational costs caused by the large cost of human resources, medical materials, and other supporting facilities. This study was conducted in a private hospital type C with 181 beds and has four surgery rooms. The number of patients which was operated in X Hospital was very high, and the highest number in July 2019 reached 515 patients. There were a large supply of drugs and medical devices in the surgery rooms.  The number of each drug reached hundreds ampoule, and medical devices reached tens and some in the hundreds. The management of pharmaceutical supplies in the surgery rooms was carried out by senior nurse head of surgery rooms. Monitoring logistic by pharmacy officer only done once a month. This made excessive of stock and become expired. The purpose of this study was to analyze the factors that cause the lack of pharmaceutical logistics monitoring in the surgery rooms. Determination the root of the problem was done by using a fishbone diagram through a Focus Group Discussion with the division heads and subdivision heads of X Hospital. Focus Group Discussion is done by asking the participants one by one to find the root of the problem based on five factors (man, material, method, machine, and environment). Obtained 8 root problems then analyzed with 5 why to get the main root problem. Furthermore, determine the biggest problem using the CARL (capability, accessibility, readiness, and leverage) method, with a weighting score between 1-5. The results found that the absence of pharmaceutical logistics monitoring SOP in the surgery rooms was the most contributing factor to the lack of pharmaceutical logistics monitoring in the surgery rooms.
Professional Care Providers Instruction: Does It Reduce Postoperative Fever Rate? Pramudya, Indradi; Youandi, Abdi Agus; Indriani, Wiwin
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Postoperative fever is a fever that occurs after surgery and might develop among children, adults, and the elderly indirectly related to the type of surgery. Surgical site infection (SSI) is the most common cause of postoperative fever. However, it is common that the specific causes of fever are not found or without any signs of infection. This study aimed to determine the cause of postoperative fever and its intervention plan. This research was a case study at X Hospital in September to October 2019 initiated by identifying the root of the problem, identifying the priority of the root problem, and planning the intervention. The results of the identification of the root of the problems found that fever occurred less than 24 hours postoperatively. The results of the root problem identification revealed no SOP that regulates the Professional Care Providers (PCP) to give instructions to patients if there is a delay in the operating schedule. The proposed intervention plan is to make regulations regarding service delay instructions. Postoperative fever less that is than 24 hours causes patient discomfort due to the absence of instructions from the PCP if there is a delay in the operating schedule. The establishment of the regulations is a solution to reduce the incidence of postoperative fever.Keywords: postoperative fever, operation delay, regulation
Co-Authors Indriani, Wiwin Iswari, Luh Putu Ayu Pradnya Pramudya, Indradi