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All Journal MEDICINUS JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
saputera, christina
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Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Cervicofacial Subcutaneous Emphysema Post-Dental Procedure in A Three-Year-Old Patient: A Case Report saputera, christina
MEDICINUS Vol. 38 No. 7 (2025): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/e61psx91

Abstract

Background : Dental procedures can cause several serious complications such as cervicofacial subcutaneous emphysema, which can be fatal if not diagnosed quickly; especially in children, this is a rare case. Most of cases of cervicofacial subcutaneous emphysema present with symptoms similar to angioedema in cases of allergies, leading to misdiagnosis and delayed treatment. This case is unique because cervicofacial subcutaneous emphysema occurred before invasive dental procedures, which consisted of cleaning using a water spray. Case was taken from pediatric patient who came to the Emergency Room (ER) presented with a chief complaint swelling in the left eye area, spread to the left cheek and neck. Oxygen therapy, pain relievers, antihistamines, and antibiotics eliminate symptoms within 4 days without complications. Diagnosis carried out quickly and precisely followed by appropriate treatment results in good and complete recovery rates.  
Reduction of Emergency Room Service Time at St. Carolus Summarecon Serpong Hospital, Indonesia with DMAIC Approach in 2023 Saputera, Christina; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.519

Abstract

Service time is one of the quality ER’s indicators that is still a problem in various hospitals. This study was conducted based on the ER’s quality indicator achievement, service time ≤ 3 hours at St. Carolus Summarecon Serpong Hospital which always does not reach the target (74,3% of the target > 90% of total ER inpatients) and is reinforced by the researcher’s search in SINTA indexed journals, there has been no research discussing the ER’s service time improvement using DMAIC interventions up to the control stage. The result using operational research design, blended method and probability sampling techniques (a sample of 32 ER patients) successfully identified unplanned discharges of inpatients to cleaning service staff, room entrustment policies, waiting lists for VIP rooms, and the lack of human resources for inpatient nurses, as the root cause of the problem, reducing lead time from 4:14 to 2:39:2 (↓ 37,4%) at the post-intervention stage and to 2:19:46 (↓ 12,1%) at the control stage; reduce non value-added activities from 1:38:19 to 32:22 (↓ 67,1%) at the post-intervention stage and to 25:23 (↓ 21,6%) at the control stage and successfully eliminate waste transport, reduce waste waiting time and lead time by 55%.
Co-Authors Basabih, Masyitoh