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All Journal Jambura Journal of Health Sciences and Research Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Merita Arini
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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EVALUATING THE IMPLEMENTATION OF PEDIATRIC DHF CLINICAL PATHWAY IN TYPE D HOSPITAL IN YOGYAKARTA Cornel Anggara; Merita Arini; Ikhlas M. Jennie
Jambura Journal of Health Sciences and Research Vol 3, No 2 (2021): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v3i2.10673

Abstract

AbstractBackground: Dengue haemorrhagic fever (DHF) is an endemic disease that has a high incidence and mortality rate in Indonesia. Implementating clinical pathways (CP) in hospitals can be used as the basis for treating patients with DHF so as to improve service quality and minimize complications. Objective: This study aims to evaluate the implementation of CP DHF in the pediatric unit at Type D Private Hospital in Yogyakarta. Methods: This is a mix method research with case study design. Qualitative data was collected through in-depth interviews and observations of pediatricians n=2), nurses (n=3), directors of medical services (n=1) and medical committees (n=1). Quantitative data was collected through document review and interviews with the Integrated Clinical Pathway Appraisal Tools (ICPAT). Results: Documents is true a CP. The role of the organization has been running well. The process of documenting, developing and implementing CP DHF is not optimal. The maintenance process is bad. Compliance completes of CP DHF is 9%. The majority of lenght of stay are above 3.86 days with treatment costs above the BPJS package. The incidence of complications is low. The obstacles found during the implementation of CP DHF were that the patient did not have access to CP, low adherence to CP and human resource management factors. Conclusion: The development and implementation of CP DHF needs to be improved both in terms of content and quality. Strong policies are needed, good organizational support and the active role of clinicians are the keys to the successful implementation of CP.Keywords: Clinical Pathway, Dengue Haemorragic Fever, Integrated Services
Physician Adherence to Common Cold Clinical Practice Guidelines: an Electronic Medical Record Audit Using SIMKES Khanza Hariyanto Hariyanto; Merita Arini
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29558

Abstract

Common cold (ICD-10 J00) is a self-limiting viral infection; however, inappropriate antibiotic prescribing remains a global concern. Electronic Medical Records (EMR) can facilitate clinical audits, but evidence from Indonesian primary care settings remains limited. This study aimed to assess physician adherence to Clinical Practice Guidelines (CPG) for common cold using SIMKES Khanza EMR at Sehati Kudus Primary Clinic. A retrospective clinical audit was conducted on 753 EMR records from July to December 2025 using a 32-item CPG-based checklist. Data were analyzed descriptively using SPSS version 26. The results showed that overall physician adherence to common cold Clinical Practice Guidelines (CPGs) was 59.9%, with a mean adherence score of 19.19 out of 32 assessment items, categorized as sufficient. The highest adherence was observed in EMR documentation completeness (80.8%) and diagnosis (65.0%), whereas adherence was lower in anamnesis (55.5%), physical examination (52.7%), and management (45.5%). The management component, which included non-pharmacological therapy, symptomatic treatment, and rational antibiotic use, demonstrated the lowest adherence, highlighting important gaps in evidence-based management practices despite good documentation quality. Physician adherence to common cold CPG was suboptimal, particularly in management-related practices. Although SIMKES Khanza facilitated structured clinical documentation and supported EMR-based clinical audits, improvements in clinical assessment, patient education, and adherence to evidence-based management recommendations are needed. Regular clinical audits and quality improvement initiatives may help strengthen guideline implementation in primary care settings. Keywords: Common Cold, Guidelines Adherence, Electronic Medical Records, Primary Health Care
Co-Authors Arlina Dewi Cornel Anggara Hariyanto Hariyanto Ikhlas M. Jennie Yurni Dwi Astuti