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PENERAPAN LEAN HEALTHCARE DALAM PENGELOLAAN MANAJEMEN KEPERAWATAN DI RAWAT INAP DHAHA RSUD GAMBIRAN KOTA KEDIRI Ellina, Agusta Dian; S, Eko Dian; wuryani, Ary Dwi; Panggalih, Dangan; K, Beko; Istiqomah, Istiqomah; Baersady, Miriam; Saly, Salami; Kristina, Yuyun
Community Development in Health Journal Volume 1, Nomor 2, Oktober 2023
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v1i2.439

Abstract

Introduction & aim: Lean is a new breakthrough in the era of digitalization which is a process improvement method used to improve service products, high use of consumables (hereinafter referred to as BHP) in hospitals, stock inventory of drugs and medical devices in the treatment room every month and found a buildup of inventory of consumables. This community service aimed to identify the application of lean healthcare applications in the BHP inventory for nursing management. Method of Activity: In finding the root of the problem using fishbone diagrams, the scoring method was to prioritize issues to be resolved using SWOT Analysis. This community service was conducted in the Dhaha inpatient room of Gambiran Hospital, Kediri City with 22 medical and 2 non-medical personnel. Results: The application of lean healthcare in the Dhaha inpatient room, material management, pharmaceutical supplies, and household logistics was carried out continuously according to what nurses needed. However, after the implementation of lean healthcare, it begins with the implementation of 5S which regulates supplies according to patient needs, assigns items that are always used in patient services according to nurses every shift not every room, and puts or parks in places that are easy to reach. Efficient from inventory adjustments in the inpatient room in the form of Rp. 1,035,566. Discussion: The implementation of Lean Health Care "KANBAN" is an important thing to do sustainably because quality service is also obtained from effective and efficient services including inventory management.
WOUND CARE WITH MOIST WOUND DRESSINGS FOR HEALING DIABETIC GANGRENE: SYSTEMATIC REVIEW Wuryani, Ary Dwi
Lux Mensana: Journal of Scientific Health Vol. 2 Issue 2 (2023)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56943/jsh.v2i2.316

Abstract

Introduction. Wound care with moist wound dressings is an effective and beneficial option for treating diabetic ulcers which often result in healing of old wounds that end in amputation. Writing this literature review aims to identify the effectiveness of the use of wound care with diabetic gangrene moist wound dressing.  Method. The literature review writing method goes through several stages: creating questions and keywords namely MESH (Medical Subject Heading), identification, eligibility, selection of article inclusions, screening, and assessment. The selection process listed in the literature framework resulted in 4 articles. Articles are summarized and assessed using critical appraisal according to the research design in each article. Result&Analysis. The wound care method with moist wound dressings has been proven to significantly help the healing process of diabetic gangrene wounds. The wound care method with the principle of moisture balance, is more effective than conventional methods. Discussion. Modern dressing wound care has been proven to help heal diabetic wounds effectively, this is evidenced by the mechanism of the average decrease in the occurrence of the wound dressing process and an increase in the quality of life of diabetic ulcer wound patients after being treated with modern wound dressing methods.