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Journal : International Journal of Health Science and Technology

Analysis of factors related to the implementation of the surgical safety checklist Irwadi; Saputra, Andre Utama
International Journal of Health Science and Technology Vol. 5 No. 3 (2024): April
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v5i3.3584

Abstract

One of the indicators of service quality to patients is patient safety, where hospitals must create a system that reduces and even prevents incidents that threaten patient safety. The operating room is the part of the hospital that most often has problems with patient safety. The 2020 National Committee for Patient Safety (KNKP) report stated that hospital patient safety incidents in West Sumatra Province reached 5%. The purpose of this study is to find out the dominant factor in the implementation of a surgical safety checklist (SSC) in the operating room of Padang Hospital. This study uses a Cross-Sectional quantitative design with a sample of 25 operating room officers. The results showed that there was no relationship between officers' education factors and SSC implementation compliance (p-value = 0.163), there was a relationship between officers' knowledge factors and SSC implementation compliance (p-value = 0.083), there was a relationship between officers' attitude factors and SSC implementation compliance (p-value = 0.002), there was a relationship between officers' working life factors and SSC implementation compliance (p-value = 0.093) and there was a relationship between officers' motivation factors and SSC implementation compliance (p-value = 0.093) value = 0.000). It is hoped that the hospital will always be active in carrying out program strategies to increase officers' compliance with the Surgical Safety Checklist (SSC) by the standards for implementation in the operating room.
Effectiveness of RL preload hydration in preventing hypotension in post-spinal anesthesia patients Irwadi, Irwadi; Saputra, Andre Utama
International Journal of Health Science and Technology Vol. 6 No. 2 (2024): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v6i2.3908

Abstract

Hypotension often occurs in spinal anesthesia patients due to suppression of the autonomic nervous system, specifically the sympathetic nerve, leading to vasodilation. This study aims to evaluate the effectiveness of preloading RL in preventing hypotension. The design uses a quasi-experiment with a pretest-posttest design with a control group. A total of 50 respondents were selected by purposive sampling and divided into intervention and control groups. Blood pressure data was measured using a NIBP monitor and recorded on an observation sheet. The results showed that the average systolic and diastolic pressure in the intervention group was 125.20 mmHg and 81.24 mmHg, in the control group was 115.20 mmHg and 70.57 mmHg. The paired sample t-test showed a significant difference (p < 0.05). Preload RL is effective in preventing hypotension in spinal anesthesia.