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THE EFFECT OF THE HEALTH CARE INFECTION CONTROL COMMITTEE IN PATIENTS WITH URINARY CATHETERS ON COST CONTAINMENT Amirah, Asriwati; Fitriani, Arifah Devi; Suarayasa, Ketut; Suharto, Teguh; Asepty, M.Rizky Priyanka
Jurnal Bioteknologi & Biosains Indonesia (JBBI) Vol. 11 No. 1 (2024)
Publisher : BRIN - Badan Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55981/jbbi.2024.3086

Abstract

The high prevalence of healthcare-associated infections threatens hospital services. Urinary tract infections associated with the use of catheters could reach 0.2–4.8 per 1000 catheters/day. In response to this, the Centers for Disease Control and Prevention recommends using the Healthcare Infection Control Practices Advisory Committee (HICPAC) to reduce the incidence of infection in hospitals. To determine the effect of implementing HICPAC on reducing hospital costs for patients with urinary catheters at Delia Hospital, Langkat Regency, in 2019. At the Delia General Hospital in Langkat Regency, Malaysia, quantitative research using a quasi-experimental technique was carried out, in which all patients with urinary catheters were included as respondents. The paired t-test was used to evaluate the data using SPSS software. The results revealed a significant effect of the HICPAC application on the incidence of Catheter-Associated Urinary Tract Infection (CAUTI) in patients during treatment (p = 0.08). The HICPAC method can also reduce the risk of CAUTI by 3.902 times. This study did not evaluate the morbidity and mortality attributable to CAUTI. An assessment of the length of stay, cost analysis, and antibiotic resistance is needed to assess the benefits of the HICPAC guidelines. The use of HICPAC in patients with urinary catheters can reduce the cost of treatment at Delia Hospital, Langkat Regency.
Effectiveness of Employee Performance Output Through the Implementation of The Performance Architecture Method at Palu City Hospital Pratiwi, Nanda; Suarayasa, Ketut; Rahman, Abd
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.492

Abstract

Introduction: Performance gaps remain in Indonesian health services, as seen between Undata Regional General Hospital and Anutapura Regional General Hospital. Although Undata Regional General Hospital applies a Performance Architecture system, its effectiveness is uncertain. This study compares employee performance between the two hospitals. Objective: This study aims to compare employee performance between the two hospitals to evaluate whether the Performance Architecture system contributes to measurable improvements. Method: A quantitative comparative study was conducted with 95 purposively selected employees. Independent sample t-tests assessed differences in performance variables between both hospitals. Result and Discussion: Significant differences were found in Work Productivity (p = 0.018) and Service Quality (p = 0.024), with higher scores at Anutapura Regional General Hospital, indicating that Performance Architecture has not yet improved outcomes at Undata Regional General Hospital. No significant differences were observed in Procedural Compliance, Collaborative Ability, or Initiative and Adaptability. Conclusion: Performance Architecture at Undata Regional General Hospital has not produced optimal results. Stronger implementation and organizational support are needed to enhance performance