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All Journal An-Nadaa: Jurnal Kesehatan Masyarakat International Journal of Patient Safety and Quality
Ismawantri, Putu
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Analisis Dampak Penerapan Surgical Safety Checklist Terhadap Komunikasi Dan Kerja Tim Di Kamar Operasi: A Systematic Review Ismawantri, Putu; Mahmudin, Ahmad Amin; Rochmah, Thinni Nurul; Chalidyanto, Djazuly; Dhamanti, Inge; Isfandiari, Muhammad Atoillah; Zairina, Elida; Martanto, Tri Wahyu; Rahmawati, Indana Tri; Dahlui, Maznah
An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal) Vol 12, No 1 (2025): AN-NADAA JURNAL KESEHATAN MASYARAKAT (JUNI)
Publisher : Universitas Islam Kalimantan Muhammad Arsyad Al Banjari Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31602/ann.v12i1.16585

Abstract

Pada tahun 2010, organisasi kesehatan dunia telah merilis daftar periksa bedah untuk meningkatkan sikap keselamatan, termasuk komunikasi dan kerja sama tim. Namun, sepertiga dari komunikasi dalam pembedahan gagal menyampaikan informasi yang relevan. Studi ini bertujuan untuk menentukan persyaratan penerapan daftar periksa bedah organisasi kesehatan dunia terhadap komunikasi dan kerja sama tim di ruang operasi. Protokol Prospero dan diagram alur Prisma digunakan untuk memperoleh artikel yang relevan dari empat basis data elektronik. Penyaringan artikel dibatasi pada studi yang menggunakan daftar periksa bedah organisasi kesehatan dunia atau modifikasinya. Informasi tambahan khususnya mengenai desain penelitian, alat instrumen, dan hasil diekstraksi dan disintesis. Membandingkan dan mengontraskan artikel terpilih dilakukan untuk meringkas tinjauan. Dua puluh satu artikel dipilih dari total 3.806 publikasi. Mereka menyimpulkan bahwa daftar periksa bedah organisasi kesehatan dunia dapat meningkatkan komunikasi di ruang operasi jika diikuti dengan pelatihan komunikasi, mengurangi perbedaan persepsi, menghilangkan hierarki di seluruh tim bedah, dan memodifikasi daftar periksa. Itu juga dapat meningkatkan kerja sama tim jika dikejar dengan pelatihan kerja tim dan dukungan kepemimpinan. Beberapa persyaratan substansial untuk daftar periksa bedah organisasi kesehatan dunia harus dipenuhi dan diselesaikan untuk meningkatkan komunikasi dan kerja sama tim di antara tim bedah di ruang operasi.
THE EFFECT OF CLINICAL PATHWAY COMPLIANCE ON THE QUALITY AND COST OF CABG PROCEDURES Arlina, Launa Inayati; Ismawantri, Putu; Qomaruddin, Mochammad Bagus; Chalidyanto, Djazuly
International Journal of Patient Safety and Quality Vol. 2 No. 1 (2025): International Journal of Patient Safety and Quality, April 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i1.71848

Abstract

Abstract Background Coronary Artery Bypass Graft (CABG) is a surgical procedure with a fairly high number of cases and risks. To handle the procedure, the implementation of Clinical Pathway is required. The purpose of this study was to analyze the effect of Clinical Pathway compliance on the quality and cost of CABG procedures at Dr. Soetomo Hospital, Surabaya. Method Quantitative with an observational analytical approach, cross-sectional design. The population size was 99 medical records, with a total sampling technique of 95 medical records obtained according to the inclusion criteria, descriptive data analysis. Secondary data were obtained from medical records, incident data from the PPI Committee and the hospital's financial report in 2023. Result The average age of patients was 53 years with male gender of 80%. Compliance of officers in implementing the Clinical Pathway for CABG procedures with a compliant category 14.7%, a less compliant category 78.9% and a non-compliant category of 6.3%. There were no incidents of SSI for CABG procedures (0%). LOS of CABG procedures with length of stay ≤10 days were 70.5% and >10 days were 29.5%. Costs for CABG procedures with large Disparity (+) were 1.1%, small Disparity (+) were 54.7%, large Disparity (-) were 13.7% and small Disparity (-) were 30.5%. Conclusion There is an inverse effect between Clinical Pathway compliance and Length Of Stay (LOS), there is no effect of Clinical Pathway compliance on surgical wound infection rates and there is an effect of Clinical Pathway compliance on cost disparities.
Co-Authors Arlina, Launa Inayati Dahlui, Maznah Dhamanti, Inge Djazuly Chalidyanto Elida Zairina Indana Tri Rahmawati Mahmudin, Ahmad Amin Martanto, Tri Wahyu Mochammad Bagus Qomaruddin Muhammad Atoillah Isfandiari Thinni Nurul Rochmah