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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.
Safety Culture Intervention Strategies to Enhance Patient Incident Reporting: Systematic Literature Review : JEL Classification: I10, I18, M12, M14, O33 Yusuf, Amry Irsyada; Jatmiko, Safari Wahyu; Imronudin, Imronudin
Journal La Bisecoman Vol. 6 No. 6 (2025): Journal La Bisecoman
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallabisecoman.v6i6.2859

Abstract

Improving patient safety incident reporting is essential to strengthen safety culture and prevent adverse events in hospitals. We aimed to identify safety culture intervention strategies to improve patient safety incident reporting. This study was conducted using a systematic data search following the PRISMA method through PubMed, Scopus, and Google Scholar databases to identify interventional studies published between 2015 and 2025. The main keywords included “patient safety, interventions, training, program, incident reporting, adverse event reporting, error reporting.” The findings were identified and organized through thematic categorization based on the Self-Protective Behavior Framework. The most prevalent and promising approach is multifaceted intervention. Key strategies, including education and training, feedback mechanisms, management support, and technology integration, showed consistent positive results with improved reporting rates. Improving incident reporting effectively requires a multifaceted strategy. Education and training must be reinforced by continuous feedback, strong leadership, and streamlined technology to build a sustainable and non-punitive reporting culture.