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All Journal Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh
Yunita Suffiana
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Analisa Minimalisasi Biaya Terapi PPI (Proton Pump Inhibitor) pada Pasien Rawat Inap Bedah di RSUD Dr. Zainoel Abidin Menggunakan Form Restriksi Suherman; Ika Wahyuningrum; Yunita Suffiana
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (355.881 KB) | DOI: 10.55572/jms.v2i2.59

Abstract

Based on data on the use of PPI class drugs for the last 6 months, at December 2020-May 2021 at RSUDZA, the PPI drug class is among the drugs that are widely used every year, it is also prescribed for use other than cases of gastric acid secretion disorders and hematemesis melena, it can have an impact on optimization of drug spending costs so that if the hospital cannot control the drug spending budget and it can have an impact on the hospital's cash flow. This study aims to analyze the cost minimization of PPI (proton pump inhibitor) therapy in surgical inpatients at RSUD dr. Zainoel Abidin uses a restriction form. This study is an analytical intervention study with a prospective method and based on inclusion criteria by looking at the medical records of inpatients Neurosurgery and Orthopedics in Raudhah 3,4, and 5 by filling out the research tool used is the request sheet for restriction drugs of the PPI (Proton Pump Inhibitor) class., data collection was carried out from July-October 2021 using purposive sampling. The cost analysis used in this study is CMA (Cost Minimization Analysis), Chi-Square test to see the effect between two groups of variables, Kolmogorov Smirnove normality test to analyze data normality, and Mann Whitney to see the mean difference between groups pretest-posttest. The results showed that the use of PPI therapy in this study mostly used Omeprazole 40 mg iv therapy is 98%. There was an effect of giving a PPI restriction form to decrease the frequency of using Omeprazole 40 mg iv to every 24 hours for prophylactic statistically (p<0.000). Analysis of the cost of CMA in neurosurgery patients found that there was no decrease in the cost of Omeprazole 40 mg iv therapy in the restriction form treatment group, analysis of the cost of CMA in orthopedic surgery patients found a decrease in the cost of Omeprazole 40 mg iv therapy in the treatment group using the restriction form. Factors that influence the cost analysis in this study are length of stay, types of other drug items obtained during treatment, type of surgery, and duration of use of PPI class therapy.
Sistem Informasi Pengendalian Penggunaan Antibiotik Di RSUD dr. Zainoel Abidin: Information System For Controlling Antibiotic Use at dr. Zainoel Abidin Regional Hospital Rizal, Syamsul; Yunita Suffiana; Amir Hamzah
Journal of Medical Science Vol 6 No 2 (2025): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55572/jms.v6i2.230

Abstract

Penggunaan antibiotik yang tidak rasional akan berdampak besar terhadap terjadinya resistensi. Permintaan antibiotik restriksi kategori reserve saat ini dilakukan melalui proses manual berupa pengisian lembar restriksi oleh Dokter Penanggung Jawab Pasien (DPJP), lembar tersebut akan diteruskan Apoteker setelah mendapat persetujuan oleh Komite pengendalian Resistensi Antimikroba (KPRA) RSUDZA. Proses manual ini dinilai kurang efisien dan berpotensi menimbulkan kesalahan. Tujuan penelitian ini adalah untuk mengembangkan sistem informasi pengendalian penggunaan antibiotik restriksi kategori reserve pada pasien rawat inap di RSUDZA. Desain penelitian ini Research and Development (R & D). Pengambilan data dilakukan secara prospektif selama periode Mei – Juli 2024. Jumlah sampel dalam penelitian ini adalah total sampling pasien rawat inap yang diresepkan antibiotik kategori reserve. Hasil penelitian didapatkan bahwa rancangan aplikasi Antibiotik Restriksi telah mencapai 80% dan didapatkan total jumlah sampel adalah 16 pasien rawat inap yang diresepkan antibiotik kategori reserve, didapatkan 9 sampel yang disetujui permintaan penggunaan antibiotik restriksi dan 7 sampel yang tidak disetujui oleh KPRA. Informasi persetujuan penggunaan antibiotik restriksi  secara otomatis akan terkirim melalui pesan tulis pada aplikasi Whatsapp. Rerata waktu tanggap konfirmasi persetujuan permintaan  antibiotik kategori reserve adalah 42,6 menit. Selama uji coba penggunaan aplikasi sistem informasi ini, diperlukan evaluasi dan monitoring untuk mendukung pengembangan aplikasi sistem informasi antibiotik restriksi  di masa yang akan datang.
Co-Authors Amir Hamzah Ika Wahyuningrum Suherman Syamsul Rizal