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All Journal Jurnal ARSI : Administrasi Rumah Sakit Indonesia International Journal of Patient Safety and Quality
Arlina, Launa Inayati
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Decision Sciences, Operations Research & Management Medicine & Pharmacology Nursing Public Health Social Sciences

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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.
Analisis Pengaruh Patient-Perceived Hospital Service Quality terhadap Customer Satisfaction dan Behavioral Intention Pelayanan Rawat Inap Arlina, Launa Inayati; Yuanasika, Dwiky; Qomaruddin, Mochammad Bagus; Chalidyanto, Djazuly
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

The Bed Occupancy Rate (BOR) of inpatient rooms at Mitra Sehat Mandiri Hospital Sidoarjo during 2019-2023 has not reached the ideal standard. The BOR values were 22%, 28%, 37%, 25%, and 20%, with an average of 26.4%, remaining below the ideal range of 60-85%. One of the most influential factors contributing to the low BOR is suboptimal service quality. This study aims to analyze the relationship between Patient-Perceived Hospital Service Quality, customer satisfaction , and behavioral intention among inpatients at Mitra Sehat Mandiri Hospital Sidoarjo. This study employed a quantitative method with an analytical approach and a cross-sectional design. The population included all inpatients, with a sample of 97 respondents determined using the Lemeshow formula. Multiple linear regression was conducted to examine the influence of variables. The results showed that the dimensions of Clinical Care Process, Relationship, and Administrative Procedures contribute significantly to customer satisfaction, with p-values of 0.006, 0.026, and 0.032, respectively. In addition, Trustworthiness, Clinical Care Process, and Administrative Procedures also significantly affected patients’ behavioral intention with a p-value < α (0.05). Furthermore, customer satisfaction has a significant effect on the behavioral intention of inpatients, as evidenced by a p-value < α (0.05). These findings indicate that improving service quality in various crucial aspects can encourage customer satisfaction and strengthen positive behavioral intentions in hospital services. Overall, the study concludes that improvements in key aspects of Patient-Perceived Hospital Service Quality directly enhance customer satisfaction, which in turn strengthens positive behavioral intention at Mitra Sehat Mandiri Hospital Sidoarjo.
Co-Authors Djazuly Chalidyanto Ismawantri, Putu Mochammad Bagus Qomaruddin Yuanasika, Dwiky