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All Journal Tekno : Jurnal Teknologi Elektro dan Kejuruan Publikasi Pendidikan JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Anestesi Perioperatif Jurnal Ekonomika JPW (Jurnal Politik Walisongo) Jurnal Kolaboratif Sains JURNAL PENDIDIKAN TAMBUSAI Dinasti International Journal of Management Science Indonesian Journal of Education and Mathematical Science Ihsan: Jurnal Pengabdian Masyarakat Jurnal Inovasi Pendidikan MH Thamrin Journal of Computer Networks, Architecture and High Performance Computing Dinasti International Journal of Economics, Finance & Accounting (DIJEFA) Jurnal Penelitian, Pendidikan dan Pengajaran: JPPP Journal La Bisecoman Tsaqila Jurnal Pendidikan dan Teknologi Jurnal Ilmiah MEA (Manajemen, Ekonomi, dan Akuntansi) International Journal of Educational Narratives PPSDP International Journal of Education Bulletin of Social Studies and Community Development Research In Education, Technology, and Multiculture Pedagogy Review Aksaqila International Humanities and Social Sciences [AIHSS] Journal AKSIOMA : Jurnal Sains Ekonomi dan Edukasi Iklila: Jurnal Studi Islam dan Sosial Indonesian Journal of Studies on Humanities, Social Sciences and Education Prosiding Simposium Nasional Manajemen dan Bisnis International Journal of Management, Innovation, and Education Jurnal Studi Al-Qur'an dan Tafsir Krisnadwipayana International Journal of Management Studies Indonesian Journal on Learning and Advanced Education (IJOLAE) Compass: Journal of Education and Counselling Politea : Jurnal Pemikiran Politik Islam
andi hermawan
Universitas Diponegoro
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Journal : Journal La Bisecoman

 1 
Advancing Hospital Service Quality and Operational Effectiveness through Evidence-Based Analgesic Protocols: JEL Classification: I11, I12, I18, L15, M11, D24 Hermawan, Andi; Romadhon, Yusuf Alam; Imronudin, Imronudin
Journal La Bisecoman Vol. 6 No. 2 (2025): Journal La Bisecoman
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallabisecoman.v6i2.2173

Abstract

The study is aimed at comparing the clinical and institutional outcomes of using two postoperative analgesics regimens, Epidural Levobupivacaine and Syringe Pump Fentanyl, and how these drugs interfere with analgesia control and resource consumptions, patient satisfactory, and system performance. A comparative observational research design was used which covered 60 patients of Total Knee Replacement (TKR) who were in a tertiary orthopedic center. The participants were at random allocated to an Epidural Levobupivacaine or Fentanyl protocol. The collected data included pain scores, adverse events, the readiness of the patient to leave, and satisfaction questionnaires and efficiencies of hospitals in terms of data. The data were analyzed using descriptive and comparative approaches. The Epidural group of patients recorded less pain scores, fewer adverse effects, earlier mobilization and shorter length of stay. The scores of the satisfaction on pain control, comfort and responsiveness were significantly more in the Epidural group. The mode of operation also demonstrated better nursing efficiency and discharge planning, and risk indicators were reduced, e.g. escalation to high-dependency care, with the use of the epidural protocol. Epidural Levobupivacaine represents an effective operational and clinical performance that demonstrates that it can be used as a strategical standar in elective orthopedis care based on systemic opioids. In addition to the analgesic effectiveness, the protocol improves institutional efficiency, minimizes the clinical risk, intensifies patient experience and fits the contemporary performance-based healthcare provision. Pain management must therefore be redefined as an impact component that has a cross-functional component of hospital service design.
Co-Authors Adi Kurniawan Agus Hermanto Andriani, Ria Fitria Angga Natalia, Angga Arsyad Sobby Kesuma Artono Artono, Artono Bram, Abd Malik Budi Wijayanto Cahyu Septiwi Chepy Perdana Cokro Aminoto Daisy Radnawati Daisy Radnawati, Daisy Dwi Purnomo Edowai, Yefri Elsaudi, Faisal Endang Purwaningsih Endang Susilowati Eni Susanti Fauzi, Shukor Sanim Mohd Firayanti, Yuni Hanum, Ulfiah Hari Putranto Herdiansyah, Fitrah Husni Mubarok Imronudin Imronudin Indrati, Biliantina Indrati, Briliantina Indrati, Briliantina Indrati Karuna, Vonda Kasih, Arisanti Muara Khofifah, Siti Kholili, Ahmad Koro, Bagas Latif Sufi Alhamdan Lima, Rafaela Linda Marlinda Marhamah Marhamah Muhamad Alwi Muhammad Alwi Muhammadi, A. Muwahid Murdiono, Shodik Nugraha, Ary Bayu Pratama, Sabrina Aulia Purnawati, Andi Qohar, Abd. Rahmatika, Riza Ramadhani, Radite Zahra Rinaldi Riyadi, M. Teri Rocha, Thiago Rusnadi, Sains S, Suryanih Sepilut Setyaningsih, Sri Sigit Ratnanto Sintesa, Nika Siregar, Uli Rohana Soewarto Hardhienata Sri Setyaningsih Sugiwa, Agin Sujai, Ahmad Sumiati S Sumiati Sumiati Sunaryo, Widodo Wardani, Andri Kusuma Wijayanti, Asih Kusuma Yudha, Gesit Yuni Rahmawati Yusuf Alam Romadhon Yusuf, Chandra