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Journal : Journal La Bisecoman

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 Abdussalaam, Arrizqi Hafidh Abdussalam, Arrizqi Hafidh Adang Muhammad Gugun Aflit Nuryulia Praswati Alif Rachman Chresandiputra Almansyah, Wanda Emdia Alyssa Sindy Jatiningtyas andi hermawan Andriani, Jatri Amellcia Anggitaratri, Zakia Novi Anika Candrasari Anton Agus Setyawan Arfa Bima Firizqina Arfa Bima Firizqina, Arfa Bima Arismar, Fiqi Rahardian Ariyanto, Hani Purwo Arrantissi, Syauqi Hanif Arrizqi Hafidh Abdussalaam Aryati, Mandarini Dwi Putri Asti Nurhayati Asyari, Aulya Rahmanisa Paramitha Aulia Mega Safira Ayu Zahrani Ayuningrum, Nyovita Azenta, Moch. Tabriz Aziz, Yusuf Abdullah Azizah Fatmawati Azizah, Restu Noor Azzahra, Hanifah Insyiroh Bachuroh Fasda Binuko, Raafika Studiviani Dwi Burhannudin Ichsan Darmawan, Alvien Davina, Aifa Putri Desi Ekawati Devi Usdiana Rosyidah Dwi Budi Santoso Eka Pramudian Rismayanti Em Sutrisna Erna Herawati Erna Herawati, Erna Fadhila, Zahra Hayuna Faradisa, Nida Faricha Kurnia Illahi Farida, Dany Farma, Aufa Faza Fauzan Fasda, Bachuroh Fiftin Desy Auliafadina Fiftin Desy Auliafadina, Fiftin Desy Firda, Fathiyyatu Assadiy Firdausi, Nida Faradisa Fithriyah, Sa'idatul Flora Ramona Sigit Prakoeswa Futana, Ninda Pradani Geraldo Zikri Azmi Ramadhan Guntur Adi Wibowo Hadi, Cahyono Handayani, Alya Nurkinasih Putri Happy Kurnia Permatasari Hasabi, Faris Hasmeinda Marindratama Hasmeinda Marindratama, Hasmeinda Hasna, Bilqis Herdian Alfiya Hilyati, Nor Ihsan, Rizki Muhammad Imronudin Imronudin, Imronudin Iskandar Iskandar Iskandar Iskandar Iwan Setiawan Jatri Amellcia Andriani Khairunnisa, Edgina Kumala, Aswa Arsa Kurniati, Yunu Prastyo Kurniawati, Yuni Prastyo Latifah, Lisanul Lestari, Nining Lili Puspadewi Listiana Masyita Dewi Mahabhagawati, Iga Kustin Marti Eka Ning Tias Maulana, Taqwa Ziyan Mayangsari, Ayu Meilianda, Chellin Moch Althof Naufal Ardhi Muhajiriansyah, Muhajiriansyah Muhamad Nur Sidiq Muhammad Adnan Muhammad Irvan Muyassar, Ziyad Agung Muzakar Isa Nadya Dwi Puspitasari Najwa Chindykia Yuliasta Nendika Dyah Ayu Murika Sari Nida Faradisa Fauziyah Nurhayani nurhayani Nurnawati Soga Paramadina, Izzati Parawansa, Karmila Indar Parawansa Praswati, Aflit Puspadewi, Lili Puspitasari, Nadya Dwi Restu Noor Azizah Retno Sintowati - Retno Wulandari Retno Wulandari Rismayanti, Eka Pramudian Rosyidah, Dewi Usdiana Rosyita, Fadhilla Jihan S Sulistyani Safira, Aulia Mega Saiful Hidayat Salsabila, Naura Sania Nurul Qurrata Sari, Dhony Nurlita Sari, Nur Amalia Sari, Winda Atika Setyawan, Ari Bambang Sidiq, Muhamad Nur Siti Soekiswati Soga, Nurnawati Sri Wahyuni Subiantoro Subiantoro Sulastijah, Siti Sulistyani , S Sulistyani Sulistyani Sulistyani Sulistyani Sulistyani, S Sulthon, Pradestya Achmad Sumbaga, Utari Anggit Suryanto Susanto, Syarafina Ayu Putri Susanto, Syarafina Ayu Putru Syawaliyah, Ainun Nimah Tias, Marti Eka Ning Tishya Fadiliafasha Tri Agustina Triwijaya, Dedy Tuanaya, Muhammad Rizqy Noer Udiani, Asih Arifah Utami, Shindy Yudha Wasifah, Wasifah Widodo, Dhito Widodo, Dhito Putranto Dwi Widyananda, Honesty Trisna Wiyadi Wiyadi Yunandar, Rio Yuni Prastyo Kurniati Yunus Yunus Zahrani, Ayu Zahro, Ikhya' Izatus Zakaria, Revalina Adinda