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Sugiarsih Sugiarsih
Universitas Gadjah Mada Academic Hospital
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Toxic Epidermal Necrolysis : A Case Report in 9-Year Old Girl Nurwestu Rusetiyanti; RR. Vetria Sekar Damayanti; Ravicka Rakhmayunita; Sugiarsih Sugiarsih
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.30069

Abstract

Introduction. Toxic Epidermal Necrolysis (TEN) is a acute and severe reactions of skin and mucosa that can lead to serious clinical outcomes and morbidity. TEN is considered to be rare in children and usually has a fatal outcome due to sepsis.Case. 9-year old girl, went to Universitas Gadjah Mada (UGM) Hospital with complaint of erythematous, purpuric rash, blister starting from the neck and also involving the inside of the mouth, lips and eyes, and spreading over the entire body. Three weeks before hospital admission, she received combination of drugs valproate sodium, clonazepam, phenobarbital and piracetam. Two week after, she developed skin rash and progress to develop TEN. Sodium valproate and clonazepam were discontinued, and intravenous methylprednisolone, prophylactic systemic antibiotics, intravenous immunoglobulin (IVIG), intravenous fluid supplement, antipyretic, special wound care at semi sterile room, and supportive medical care fro TEN were administered. She was discharged from hospital in a stable, good condition.Discussion. This case suggests that sodium valproate contributed to the development of TEN. Appropriate case management will give excellent result, and reduce long-term complications.
Evaluation of Expectations and Quality Health Care Based on Patients’ Perspectives in Universitas Gadjah Mada Academic Hospital Sugiarsih Sugiarsih
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.33608

Abstract

Background: Health services provided by hospitals can be used as capital to improve the image of services and compete with other hospitals in order to be the patients’ preferred choice in solving their health problems. Patients have different perceptions of medical services provided which can be used for describing the quality of hospital services.Methods: This research was a descriptive analytic study with a cross-sectional design, where data retrieval used a questionnaire which measures the patients’ expectations and perceptions of services from the Outpatient, Inpatient and Emergency Departments with 5 dimensions of quality: tangibles, responsiveness, empathy, reliability and assurance. The study population was patients who visited the outpatient, inpatient and emergency departments totaling 5000 samples as calculated by the Slovin formula, with a sample set of 120 respondents selected by random sampling. Data were analyzed using independent sample t tests to determine differences in patients’ expectations and perceptions of services obtained at the time of visit. ANOVA tests were used to analyze data about differences in patients’ expectations and perceptions of the outpatient, inpatient and ER departments. For the descriptive study, the data were analyzed by finding the average of the patients’ responses. Results: Patient expectations of service quality was an important quality dimension which reached an average value of 93.97. The perception of the quality of services reached a value of 84.12. Statistically, there was no difference between the quality of the outpatient, emergency and inpatient departments with p=0.4 (>0.05). There was a statistically significant difference in patient expectations and perceptions of service quality delivered both with p=0.000 (<0.05). Conclusions: According to the perceptions of patients, quality of service at the Universitas Gadjah Mada Hospital is excellent. There was no difference between the quality of service in the outpatient, emergency and inpatient units. There were statistically significant differences between patient expectations and perceptions of service quality.
Co-Authors Nurwestu Rusetiyanti Ravicka Rakhmayunita RR. Vetria Sekar Damayanti