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All Journal International Journal of Public Health Science (IJPHS) Archive of Community Health Medicina Sport and Fitness Journal E-Journal of Tourism E-Jurnal Medika Udayana Ecotrophic, Journal of Environmental Science Media Kesehatan Masyarakat Indonesia Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Berkala Epidemiologi Indonesian Journal of Tropical and Infectious Disease Jurnal Penelitian Pendidikan IPA (JPPIPA) ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Pendidikan Kesehatan Rekreasi Bioscientia Medicina : Journal of Biomedicine and Translational Research JURNAL ILKES (Jurnal Ilmu Kesehatan) Bioscientia Medicina : Journal of Biomedicine and Translational Research Bali Dental Journal Lux Mensana: Journal of Scientific Health Public Health and Preventive Medicine Archive Jurnal Ilmu Kesehatan Masyarakat Seminar Ilmiah Nasional Teknologi, Sains, dan Sosial Humaniora (SINTESA) Physical Therapy Journal of Indonesia
I Made Ady Wirawan
Departemen Kesehatan Masyarakat Dan Kedokteran Pencegahan, Fakultas Kedokteran Universitas Udayana
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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Hubungan frekuensi menyikat gigi dan konsumsi makanan kariogenik dengan kejadian karies gigi molar pertama permanen pada anak Sekolah Dasar usia 8-12 tahun Di Desa Pertima, Karangasem, Bali I Kadek Pendi Aprinta; Mia Ayustina Prasetya; I Made Ady Wirawan
Bali Dental Journal Vol. 2 No. 1 (2018): January 2018
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v2i1.17

Abstract

Caries is a demineralization process or destruction of the organic matrix of teeth by a bacterial infection that produces lactic acid. The first permanent molars have the highest prevalence of caries in permanent teeth among others. The purpose of this experiment was to determine the relationship of the frequency of tooth brushing and frequency of consumption of cariogenic foods with the incidence of dental caries first permanent molars in primary school children aged 8-12 years in Pertima village, Karangasem, Bali. Methods: The study design used cross-sectional analytic. Samples were primary school children aged 8-12 years taken from Pertima SD 1, SD 2 Pertima, Pertima SD 3, and SD 4 Pertima, Pertima village, Karangasem, Bali. Sampling techniques using simple random sampling of 107 children. The first permanent molar tooth samples were examined and classified into groups caries and non caries. Respondents whom parent or guardian samples are given a questionnaire to record the frequency of tooth brushing and consumption of cariogenic food for 3 days. Test data analysis using Chi Square. Result: There are 72 children (67.3%) with caries in first permanent molars. The analytical test showed a value p = 0.001 for brushing frequency relationship with the incidence of dental caries of first permanent molars and for cariogenic food consumption frequency relation with the incidence of dental caries of first permanent molars showed p = 0.896. Conclusion: There is a relationship between the frequency of tooth brushing and caries incidence of first permanent molars and there was no correlation between the frequency of consumption of cariogenic foods with the incidence of dental caries first permanent molars in primary school children aged 8-12 years in Pertima village, Karangasem, Bali.
Faktor – faktor sosiodemografi yang mempengaruhi terjadinya kehilangan gigi pada lansia di Desa Penatahan Penebel Tabanan Ni Kadek Dian Candra Dewi; Putu Lestari Sudirman; I Md Ady Wirawan
Bali Dental Journal Vol. 2 No. 2 (2018): June 2018
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v2i2.112

Abstract

Background: Edentulous is a condition when the tooth is apart from its socket, which can be caused by caries, periodontal disease, trauma, and systemic disease history. Aim: The purpose of this study is to know the prevalence of tooth loss and to know sociodemographic that affecting the loss of tooth on elderly in Penatahan village. Methods: The design of this study is cross-sectional analytic. Samples of this study are elderly in Penatahan village, Tabanan aged 45-74 years. The sampling technique of this study is using total sampling of 99 people were given a questionnaire.Results: Based on the result of the bivariate analysis there were 78 (78.8%) of people who have lost of the teeth. The incidence of tooth loss by the age of the respondents has a meaningful statistical test (<0.001) with prevalence ratio (PR) CI (Confidence Interval) 95% is 0,554 (0,407-0,752), based on the incidence of tooth loss with menopause status of the respondents has a meaningful statistical test (<0.001) with prevalence ratio (PR) CI (Confidence Interval) 95% is 2.450 (1.202-4.996). Based on the result of the multivariate analysis between the variables of age, menopause status, income and occupation, factor that affecting the loss of tooth is menopause status with OR (odds ratio) CI (confidence interval) 95% is 0.16 (0,02-0,94) with a value p = 0,043. Conclusions: The conclusion of this study is that the incidences of tooth loss related with the age and menopausal status, while occupation and income has not.
Indeks plak dan status kesehatan gingiva pada anak usia 7-12 tahun di sekolah dasar negeri 2 dauh puri denpasar Putu Imas Audina; Putu Ika Anggaraeni; I Made Ady Wirawan
Bali Dental Journal Vol. 5 No. 1 (2021): January 2021
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v5i1.144

Abstract

Introduction: Gingivitis is one of the periodontal diseases, a condition where a gingival inflammatory. Gingivitis is generally caused by plaque on the surface of the tooth. Excessive plaque accumulation at the gingival margin causes inflammatory symptoms due to the immune response to the activity of microorganisms in dental plaque. Aim: The purprose of this study was to know plaque index and gingival health status in children of age 7 to 12 years old at Sekolah Dasar Negeri 2 Dauh Puri Method: The design used in this study is a cross sectional study by collecting samples of 128 students aged 7 to 12 years old at Sekolah Dasar Negeri 2 Dauh Puri. The students are divided into groups (subpopulations) and the samples are taken from each group randomly. The plaque index is measured by the O'Leary plaque index and the gingival health status is measured by using the Modified Gingival Index. Result: The results show that the children aged 7 to 12 years old in Sekolah Dasar Negeri 2 Dauh Puri mostly have a very good plaque index (48%). The gingival health status possessed by the children aged 7 to 12 years old in Sekolah Dasar Negeri 2 Dauh Puri is mostly categorized healthy (48%). There are several samples that have a very good plaque index yet there are also some that have mild inflammatory criteria for gingival health (47.01%), which might be caused by some factors other than the plaque itself. Conclusion: The conclusion of this study is the sample which has a very good plaque index, means it also has the healthy criteria of gingival health status found in children aged 7 to 12 years old in Sekolah Dasar Negeri 2 Dauh Puri. Latar Belakang: Penyakit periodontal salah satunya yaitu gingivitis merupakan keadaan inflamasi pada gingiva. Gingivitis umumnya disebabkan oleh plak pada permukaan gigi. Akumulasi plak yang berlebih pada margin gingiva menyebabkan terjadinya gejala inflamasi akibat respon imun terhadap aktivitas mikroorganisme dalam plak gigi. Tujuan: Penelitian ini bertujuan untuk mengetahui indeks plak dan status kesehatan gingiva pada anak usia 7-12 tahun di Sekolah Dasar Negeri 2 Dauh Puri Denpasar. Metode: Desain yang digunakan pada penelitian ini merupakan studi cross sectional. Sampel sebanyak 128 siswa usia 7-12 tahun di Sekolah Dasar Negeri 2 Dauh Puri, dibagi dalam kelompok strata (subpopulasi) dan kemudian sampel diambil dari tiap kelompok strata secara acak. Indeks plak diukur dengan indeks plak O’Leary dan status kesehatan gingiva diukur menggunakan Modified Gingival Index. Hasil: Hasil penelitian menunjukan bahwa indeks plak pada anak usia 7-12 tahun di Sekolah Dasar Negeri 2 Dauh Puri sebagian besar memiliki indeks plak sangat baik (48%). Status kesehatan gingiva yang dimiliki oleh anak usia 7-12 tahun di Sekolah Dasar Negeri 2 Dauh Puri yaitu lebih banyak memiliki status kesehatan gingiva kriteria sehat (48%). Terdapat beberapa sampel yang memiliki indeks plak sangat baik namun memiliki status kesehatan gingiva kriteria inflamasi (47,01%), yang mungkin dapat disebabkan oleh faktor lain selain plak. Simpulan: Kesimpulan penelitian ini adalah sampel yang memiliki indeks plak sangat baik, lebih banyak memiliki status kesehatan gingiva kriteria sehat pada anak usia 7-12 tahun di Sekolah Dasar Negeri 2 Dauh Puri.
Hubungan Antara Faktor Determinan Pencabutan Gigi terhadap Permintaan Tindakan Pencabutan Gigi Permanen di RSUP Sanglah Kadek Dena Ayu Ersafira; IGA Dyah Ambarawati; I Made Ady Wirawan
Bali Dental Journal Vol. 5 No. 2 (2021): June 2021
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v5i2.146

Abstract

Introduction: Treatment for various problems in the oral cavity varies greatly according to the needs and conditions of each patient. Behavior for dental and oral health is related to knowledge, past experience, economic status, and visit frequency of each treatment. Aim: The purpose of this study was to know the correlation between the determinant factors of tooth extraction and tooth extraction demand. Method: This study is a cross-sectional analytic study with time-sequential sampling. A sample of 53 people aged 26-65 years at the Dental Polyclinic Sanglah Hospital was given a questionnaire calculated on the Guttman scale. Result: The results of the Chi-square test analysis showed a significant relationship between knowledge (0.001), economic status (0.000), visit frequency (0.001), and financial sources (0.001) with permanent tooth extraction demand. Different results were found in the past experience variable (0.623) where there was no relation between the variable and permanent tooth extraction demand. Conclusion: The conclusions of this study are knowledge, economic status, and visit frequency affect the tooth extraction demand while the past experience factor do not affect on the tooth extraction demand. Latar Belakang: Perawatan untuk berbagai permasalahan yang ada di rongga mulut sangatlah bervariasi sesuai dengan kebutuhan dan juga kondisi dari masing-masing pasien. Perilaku akan kesehatan gigi dan mulut sangat berhubungan dengan tingkat pengetahuan, pengalaman sebelumnya, status ekonomi masyarakat, dan frekuensi kunjungan dari masing-masing perawatan. Tujuan: Penelitian ini memiliki tujuan untuk mengetahui hubungan antara faktor determinan pencabutan gigi dengan permintaan tindakan pencabutan gigi permanen di RSUP Sanglah. Metode: Penelitian ini adalah penelitian analitik cross-sectional dengan teknik pengambilan sampel yaitu time-sequential sampling. Sampel sebanyak 53 orang dengan rentang usia 26-65 tahun di Poliklinik Gigi RSUP Sanglah diberikan kuisioner yang dihitung dengan skala Guttman. Hasil: Terdapat 53 sampel yang terdiri dari 28 orang (52,8%) berjenis kelamin laki-laki, 25 orang (47,2%) berjenis kelamin perempuan. Hasil uji Chi-square pada penelitian ini menunjukkan adanya hubungan yang signifikan antara tingkat pengetahuan (p=0,001), tingkat ekonomi (p=0,000), frekuensi kunjungan (p=0,001), dan sumber pembiayaan (p=0,001) terhadap permintaan pencabutan gigi permanen (p-value <0,05). Hasil yang berbeda ditemukan pada variabel pengaruh pengalaman sebelumnya dengan hasil 0,623 (p-value>0,05), yang berarti tidak terdapat hubungan yang signifikan dengan permintaan pencabutan gigi permanen. Simpulan: Kesimpulan penelitian ini adalah tingkat pengetahuan, tingkat ekonomi, dan frekuensi kunjungan berpengaruh terhadap permintaan pencabutan gigi sedangkan faktor pengalaman sebelumnya tidak berpengaruh terhadap permintaan pencabutan gigi.
Gambaran Mutu Pelayanan Kesehatan Gigi dan Kepuasan Pasien Di Poli Gigi Puskesmas Abiansemal IV Badung Ni Putu Ita Mahayati; Putu Ratna Kusumadewi Giri; I Md Ady Wirawan
Bali Dental Journal Vol. 5 No. 2 (2021): June 2021
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v5i2.171

Abstract

Introduction: Community Health Centers need to improve the quality of dental health services to improve patient satisfaction. Aim: The objective of this study is to obtain an overview of the quality of dental health services and patient satisfaction at Dental Poly of Community Health Center Abiansemal IV Badung. The specific objectives of the study are to 1) find out the procedure of dental health services at Dental Poly of Community Health Center Abiansemal IV Badung; 2) obtain an overview of the dimensions of the dental health services quality at Dental Poly of Community Health Center Abiansemal IV Badung; 3) obtain an overview of the characteristics of the patients at Dental Poly of Community Health Center Abiansemal IV Badung; and 4) obtain an overview of patient satisfaction with the dental health services quality at Dental Poly of Community Health Center Abiansemal IV Badung. Method: The research design used is descriptive research with time-sequential sampling. The sample size is determined with the Slovin formula. Results: The results of the study at Dental Poly of Community Health Center Abiansemal IV Badung were the dental health procedures starting from the patient registration to the patient's return, all dimensions of health services quality have been implemented. The majority of patients were 68.4% female, the age group 20-29 years were 34.2%, the senior high school education level was 53.9%, the funding source of BPJS was 90.8% and the frequency of the first visit was 50%. The quality of dental health services is expressed well by 3% of patients, and is expressed very well by 97% of patients Conclusion: According to this study, patients were satisfied with the quality of dental health services at Community Health Center Abiansemal IV Badung. Pendahuluan: Puskesmas perlu meningkatkan mutu pelayanan kesehatan gigi untuk meningkatkan kepuasan pasien. Tujuan: Tujuan penelitian ini adalah untuk memperoleh gambaran tentang mutu pelayanan kesehatan gigi dan kepuasan pasien di Poli Gigi Puskesmas Abiansemal IV Badung. Tujuan khusus penelitian adalah untuk: 1) mengetahui prosedur pelayanan kesehatan gigi di Poli Gigi Puskesmas Abiansemal IV Badung; 2) memperoleh gambaran tentang dimensi mutu pelayanan kesehatan gigi di Poli Gigi Puskesmas Abiansemal IV Badung; 3) memperoleh gambaran tentang karakteristik pasien di Poli Gigi Puskesmas Abiansemal IV Badung; dan 4) memperoleh gambaran tentang kepuasan pasien terhadap mutu pelayanan kesehatan gigi di Poli Gigi Puskesmas Abiansemal IV Badung. Metode Penelitian: Desain penelitian yang digunakan adalah penelitian deskriptif dengan time squential sampling. Ukuran sampel ditentukan dengan rumus slovin. Hasil: Penelitian pada Puskesmas Abiansemal IV Badung memperoleh hasil yakni prosedur pelayanan kesehatan gigi mulai dari pendaftaran pasien sampai dengan kepulangan pasien. Keseluruhan dimensi mutu pelayanan kesehatan telah dilaksanakan. Pasien terbanyak berjenis kelamin perempuan 68,4%, kelompok umur 20-29 tahun sebesar 34,2%, tingkat pendidik SMA sebesar 53,9%, sumber pembiayaan dari BPJS sebesar 90,8%, dan frekuensi kunjungan pertama kali sebesar 50%. Mutu pelayanan kesehatan gigi dinyatakan baik oleh 3% pasien, dan dinyatakan sangat baik oleh 97% pasien. Simpulan: Berdasarkan hasil penelitian dapat disimpulkan bahwa pasien puas terhadap mutu pelayanan kesehatan gigi di Puskesmas Abiansemal IV Badung.
Perceived quality of primary healthcare services among the National Health Insurance members and fee for service patients in the West Denpasar II Public Health Center Bali, Indonesia Nitya Nijyoti; Putu Ayu Indrayathi; I Made Ady Wirawan
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (568.33 KB) | DOI: 10.53638/phpma.2020.v8.i1.p10

Abstract

Background and purpose: The Government of Indonesia established the National Health Insurance or in Indonesia called Jaminan Kesehatan Nasional (JKN) in 2014 with the target of achieving universal health coverage (UHC) by 2019. However, many have not become JKN participants and still use the fee for service financing system. The purpose of this study was to determine patient’s perceptions of the quality of health services under the JKN and fee for service payment methods. Methods: A cross-sectional study was conducted at West Denpasar II Public Health Centre (PHC) with 133 outpatient respondents who were selected sequentially. Data collection was carried out in June 2019 through interviews. Patients’ perceptions of service quality were measured according to the six domains of health service quality established by the Institute of Medicine (IOM) which include effectiveness, efficiency, timeliness, patient-centered approach, safety and equity. Bivariate analysis was conducted with Mann Whitney test and multivariate analysis with Ancova. Results: Patients’ perceptions of the quality of services in the JKN and fee for service payment methods were found to be quite good with an average of 3.08 and 3.17 of the maximum value of 4.0. Bivariate analysis showed a significant difference with a mean rank of 54.28 for JKN and 79.16 for fee for service (p<0.01). Patients’ perceptions of service quality also differed significantly based on the dimensions of efficiency (p=0.001), effectiveness (p=0.005), timeliness (p=0.007) and patient-centered approach (p=0.032). Multivariate analysis showed that the variable that was significantly related to patient perceptions of service quality was the payment methods (p<0.001). Conclusion: Patients with a fee for service payment methods have a better perception of service quality than patients who use JKN. Advocacy to policy makers and service providers should be conducted in order to ensure the equal quality of service for all patients.
Travel Health Knowledge and Perception of Foreign Backpackers Traveling in Bali Ni Made Dian Kurniasari; Desak Nym. Widyanthini; I Ketut Hari Mulyawan; I Md. Ady Wirawan
Jurnal Ilmu Kesehatan Masyarakat Vol. 12 No. 2 (2021): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (313.334 KB) | DOI: 10.26553/jikm.2021.12.2.128-142

Abstract

International travel to a country has potentially carry health risks for travelers, including backpackers. To date, little is known about Travel Health knowledge and perception among foreign backpackers traveling to Bali. This study aimed to explore the level of knowledge and perception, as well as health information that backpackers need in their destination, Bali. This was a descriptive cross-sectional study, conducted from December 2017 to January 2018 in Bali. This study involved 133 backpackers, taken by convenience sampling technique. Data were collected using a self-administered questionnaire and were analysed descriptively. The results showed that backpackers’ knowledge was inadequate, especially to common diseases or health problems that occurred to travelers in Bali. There were 94.74% have low knowledge about rabies, 48.87% have less knowledge about methanol poisoning and 58.65% have low knowledge about diarrhoea. A total of 69.18% backpackers have a perception that they were not prone to being exposed to diseases and health problems in Bali and 36.84% were not aware that they had to seek health information before traveling to Bali. Almost all stated that they needed complete, destination-specific health information. It is necessary to increase backpackers’ knowledge and awareness regarding Travel Health at the destination. The development of integrated health promotion media about travel health in Bali, in form of web-based or application-based is one of the strategies to consider.
Penilaian mutu asuhan keperawatan sebelum dan sesudah penerapan clinical pathway di Rumah Sakit Umum Pusat (RSUP) Sanglah, Bali, Indonesia I Made Artana; Putu Ayu Indrayathi; I Made Ady Wirawan
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (358.382 KB) | DOI: 10.15562/ism.v11i2.655

Abstract

Background: Hospitals implement clinical pathways in an effort to improve the quality of health services, especially the quality of nursing care. This study aims to determine whether the quality of nursing care after the application of the clinical pathway is better than the quality of nursing care prior to the clinical pathway application.Methods: This study used 180 inpatient medical records in January 2017-May 2019 with five priority medical diagnoses namely cerebral concussion and epidural hematoma (conservative therapy), conservative treatment of preterm premature rupture of membranes, ablation of atrioventricular nodal reentrant tachycardia (AVNRT) , atrioventricular reentrant tachycardia (AVRT), atrial tachycardia, atrial fibrillation, premature ventricular contractions (PVC), ventricular tachycardia (VT), junctional tachycardia and intracerebral haemorrhage (hemorrhagic stroke) as well as post-Lapastomy frozen section in the selected cystic ovary with a selective curative cyst . The variables studied were the application of clinical pathway, quality of nursing care, quality of assessment, diagnosis, planning, implementation and evaluation of nursing. Data were analyzed with the Pearson Chi-Square Test on SPSS version 17 for Windows.Results: The quality of good nursing care before and after the application of clinical pathway was 15.2% versus 50.9% (p = 0.00); good quality of nursing assessment before and after clinical pathway application of 6.7% versus 64.9% (p = 0.00); good quality of diagnosis before and after clinical pathway application of 72.7% versus 73.7% (p = 0.889); the quality of the nursing plan which consisted of good quality of goal formulation before and after the application of clinical pathway was 75.8% versus 73.7% (p = 0.759); good quality determination of interventions before and after clinical pathway application of 75.8% versus 79.8% (p = 0.523), good quality of implementation before and after clinical pathway application of 100% versus 100% and good quality of nursing evaluation before and after the application of clinical pathway is 100% versus 100%.Conclusion: The quality of nursing care and nursing assessment after the implementation of clinical pathway is significantly better than before the implementation of clinical pathway, while no significant difference was found in the quality of diagnosis, planning, implementation and evaluation of nursing. Latar Belakang: Rumah sakit menerapkan clinical pathway dalam upaya meningkatkan mutu pelayanan kesehatan khususnya mutu asuhan keperawatan. Penelitian ini bertujuan untuk mengetahui apakah mutu asuhan keperawatan sesudah penerapan clinical pathway lebih baik daripada mutu asuhan keperawatan sebelum penerapan clinical pathwayMetode: Penelitian ini menggunakan 180 rekam medis pasien rawat inap pada bulan Januari 2017-Mei 2019 dengan lima diagnosis medis prioritas yaitu cerebral concussion dan epidural hematoma (terapi konservatif), penanganan konservatif ketuban pecah dini preterm, ablasi pada  atrioventricular nodal reentrant tachycardia (AVNRT), atrioventricular reentrant tachycardia (AVRT), atrial takikardi, atrial fibrilasi, premature ventricular contractions (PVC), ventricular tachycardia (VT), junctional takikardi dan intracerebral haemorrhage (stroke hemoragik) serta post laparatomi frozen section pada kista ovarii curiga ganasyang dipilih dengan purposive sampling. Variabel yang diteliti adalah penerapan clinical pathway, mutu asuhan keperawatan, mutu pengkajian, penegakan diagnosis, rencana, implementasi dan evaluasi keperawatan. Data dianalisis dengan Uji Pearson Chi-Square pada SPSS versi 17 untuk Windows.Hasil: Mutu asuhan keperawatan yang baik sebelum dan sesudah penerapan clinical pathway sebesar 15,2% versus 50,9% (p=0,00); mutu pengkajian keperawatan yang baik sebelum dan sesudah penerapan clinical pathway sebesar 6,7% versus 64,9% (p=0,00); mutu penegakan diagnosis yang baik sebelum dan sesudah penerapan clinical pathway sebesar 72,7% versus 73,7% (p=0,889);  mutu rencana keperawatan yang terdiri mutu  perumusan tujuan yang baik sebelum dan sesudah penerapan clinical pathway sebesar 75,8% versus 73,7% (p=0,759); mutu penentuan intervensi yang baik sebelum dan sesudah penerapan clinical pathway sebesar 75,8% versus 79,8% (p=0.523), mutu implementasi yang baik sebelum dan sesudah penerapan clinical pathway sebesar 100% versus 100% dan mutu evaluasi keperawatan yang baik sebelum dan sesudah penerapan clinical pathway sebesar 100% versus 100%.Simpulan: Mutu asuhan keperawatan dan pengkajian keperawatan sesudah penerapan clinical pathway secara signifikan lebih baik daripada sebelum penerapan clinical pathway, sedangkan mutu penegakan diagnosis, rencana, implementasi dan evaluasi keperawatan tidak terdapat perbedaan yang signifikan.
Healthy tourism initiatives at destinations: opportunities and challenges I Made Ady Wirawan
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p01

Abstract

Last but not least is the interaction between the various professions in the health sector especially doctors, nurses, and public health experts. This inter-professional collaboration coupled with cross-sectoral collaboration with the tourism sectors, including the government and the tourism industry, will play a major role in the realization of tourism health efforts in accordance with the concepts described in this article. If this can work well, a vision for healthy tourism can be a reality.
Electronic prescribing reduces prescription errors in Sanglah General Hospital Denpasar Ni Luh Putu Nurhaeni; I Ketut Suarjana; I Made Ady Wirawan
Public Health and Preventive Medicine Archive Vol. 5 No. 2 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i2.p03

Abstract

Background and purpose: Medication error is any preventable event that may lead to inappropriate medication use or patient harm. Prescription error, one component of medication error, at Sanglah General Hospital Denpasar is high. An electronic prescribing has been piloted at Angsoka Ward, Sanglah General Hospital Denpasar to reduce prescription errors. However, the evaluation of such implementation is never been conducted. This study aims to evaluate the effect of electronic prescribing on prescription errors at Sanglah General Hospital Denpasar. Methods: An evaluation study was conducted by adopting pre and post control design at Sanglah General Hospital Denpasar. Prescription errors at Angsoka Ward where the electronic prescribing is implemented, were compared to Kamboja Ward that uses manual prescribing. Heterogeneity of patients in these two wards was comparable. Prescription samples were selected using a simple random sampling. Prescription samples prior to implementation of electronic prescribing were taken from June and July 2016, while samples after implementation were taken from March and April 2017. Prescription samples from the control group were also taken from the same periods. A total of 96 prescriptions were taken from each arm – leading to 384 prescription samples in total. Prescription error was evaluated using three requirements namely: administrative (9 components), pharmacy (5 components) and clinical (3 components). Results: Our study found that there was a significant difference of prescription errors between pre and post implementation of electronic prescribing at Angsoka Ward (p<0.05). The median values [IQR] for prescription error based on administrative requirements between pre and post intervention were 2 [3] vs. 0 [0] (p<0.001); based on pharmacy requirements were 1 [2] vs. 0 [0] (p<0.001); based on clinical requirements were 1 [2] vs 0 [0] (p<0,001). In contrast, prescription error based on administrative and pharmacy requirements in Kamboja Ward was insignificantly reduced. The median values [IQR] for prescription error based on administrative requirements between pre and post intervention were 2 [2] vs. 2 [2] (p=0.505) and based on pharmacy requirements were 1 [2] vs. 1 [1] (p=0.295). There was a significant difference of prescription errors (p<0.05) based on clinical requirements with median values [IQR] of 1 [1] vs. 1 [1]. Implementation of electronic prescribing reduced the proportion of prescription errors by 67.8%. After implementation of electronic prescribing, some errors were still apparent related to drug administration and order duplication. Conclusions: Implementation of electronic prescribing reduces prescription errors. Scaling-up of electronic prescribing followed by training on standardised prescribing practices are warranted.
Co-Authors Akatsu, Haruko Ariana, Putu Agus Aryanita, Made Ayu Ratih Astawastini, I Dewa Ayu Mas Manik Bagus Komang Satriyasa Carolyna Mairing Cokorda Agung Wahyu Purnamasidhi Cokorda Bagus Jaya Lesmana Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya Desak Nyoman Widyanthini Desak Putu Yulita Kurniati Deswandri Deswandri Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dinar Lubis Dyah Pradnyaparmita Duarsa Egiya Goldarosa Sinuraya Erawati, Ni Kadek Erna Ervan Suryanti Umbu Lapu Fabiola Supit Florensia, Maria Frangklin Refelino Jotlely Futi Nurul Destya Ganesa Puput Dinda Kurniawan Gede Parta Kinandana Gunawan, I Made Abdi HARI MULYAWAN I Dewa Ayu Inten Dwi Primayanti I Gusti Agung Dyah Ambarawati I Gusti Ayu Made Julari I Gusti Ayu Made Juliari I Kadek Pendi Aprinta I Ketut Indra Wiguna Cakera I Ketut Suyasa I Komang Widarma Atmaja I Made Artana I Made Bakta I Made Jawi I Made Kerta Duana I Made Krisna Dinata I MADE MULIARTA . I Made Niko Winaya I Made Pande Dwipayana I Made Sukawinaca I Nyoman Mangku Karmaya I Wayan Putu Sutirta Yasa I Wayan Weta Ida Ayu Ary Pramita Ida Bagus Subanada Ida Bagus Yorky Brahmantya IKW. Suryawan Indra Wiguna Cakera, I Ketut IP. Adiartha Griadi Isabella Soerjanto Putri Istiana Marfianti J. A. Pangkahila Josua Aditya Manuel Kadek Dena Ayu Ersafira Kadek Tresna Adhi Karya, I Kadek Jony Dwi Ketut Ariawati Ketut Suarjana Komang Ayu Kartika Sari Lesmana, Cokorda Agung Bagus Jaya LMIS. Handari Adiputra Louise Cinthia Hutomo Luh Pitriyanti Luh Pitriyanti Luh Yulia Adiningsih Luh Yulia Adiningsih Made Agus Hendrayana MADE RATNA SARASWATI . Malcolm Abernethy Marfianti, Istiana Mia Ayustina Prasetya Nadila Sari, Putri Ngurah Agus Sanjaya ER Ni Kadek Dian Candra Dewi Ni Kadek Erna Erawati Ni Kadek Sutini Ni Ketut Sri Lestari Ni Luh Made Susanthi Pramandani Ni Luh Putu Mira Anggriani Ni Luh Putu Nurhaeni Ni Made Dian Kurniasari Ni Made Sri Nopiyani Ni Made Suasti Wulanyani Ni Nyoman Sri Budayanti Ni Putu Ita Mahayati Ni Wayan Mega Sri Wahyuni Ni Wayan Septarini Nijyoti, Nitya Nitya Nijyoti Nurhaeni, Ni Luh Putu Pande Putu Januraga Paramita, Ni Putu Pradnya Peter Larsen Prihandhani, I Gusti Agung Ayu Sherlyna Purnamawati, Susy Putu Astawa Putu Ayu Indrayathi Putu Ayu Sani Utami Putu Eka Arimbawa Putu Ika Anggaraeni Putu Imas Audina Putu Intan Tillama Putu Lestari Sudirman Putu Ratna Kusumadewi Giri Putu Rima Adilitha Widyasari Putu Wulan Putri Amerta R. A.T. Kuswardhani Rania Ayu Permata Putri Kornia Rodney Wu Rosita, Ni Putu Indah Santosa, I Gusti Ngurah Putra Eka Sarah Aldington Saraswati, Ni Luh Putu Gita Karunia Sari, Komang Ayu Kartika Sawitri, Anak Agung Sagung Sugijanto - Sukawinaca, I Made Sulawa, I Ketut Sulyastini, Ni Komang Susy Purnawati Tiara Alexander Wahyuddin, Wahyuddin Wahyudin - Wahyuni, Ni Wayan Mega Sri Wayan Citra Wulan Sucipta Putri Widowati, I Gusti Ayu Rai - Yenny Kandarini Yuntari, Gusti Ayu Krisma