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All Journal Journal of Applied Nursing and Health Jurnal Keperawatan Profesional
Hemu, Viky Noviani
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary

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Implementation of Emergency Team Management Activation and Code Blue in Regional General Hospitals: Case Study Faizatiwahida, Novia; Irnu, Julfilkar Adnan; Rukhama, Rafi Achmad; Hemu, Viky Noviani; Suprayogi, Suprayogi; Alfrisa, Bagus; Wahyudi, Purnomo; Setyobudi, Hari; Triatmojo, Setyo; Setiyarini, Sri; Kusuma, Happy Indah
Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i2.12330

Abstract

Regional general hospitals, as the first line of healthcare services, still face the challenge of high patient mortality and morbidity rates. Efforts to reduce these rates can be achieved through the implementation of the Team Medical Emergency (TME) and Code Blue systems as early detection mechanisms and rapid response to emergency situations. This study aims to determine the implementation of TME and Code Blue at Dr. Soedirman Regional General Hospital, Kebumen. The research method used a case study design with secondary data collected from May 2022 to February 2023. Data were analyzed to determine the distribution of TME and Code Blue activations based on case type, gender, and service unit. The results showed that TME and Code Blue activations were most common in patients with internal medicine cases, male patients, and in adult inpatient wards. These findings indicate that the implementation of the TME and Code Blue systems is significantly influenced by factors such as case type, patient characteristics, and treatment location. The general implications of this study are the need to optimize healthcare worker training, strengthen early detection systems, and continuously evaluate TME and Code Blue implementation to reduce mortality and morbidity in regional hospitals.
Association Between Nurses’ Compliance With Adult Early Warning Score Implementation and Inpatient Survival: A Cross-Sectional Study Faizatiwahida, Novia; Hemu, Viky Noviani; Rondhianto, Rondhianto; Setioputro, Baskoro; Yunanto, Rismawan Adi; Haristiani, Ruris; Fadilah, Superzeki Zaidatul
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.595

Abstract

Background: The adult Early Warning Score (EWS) is an essential instrument for early detection of a patient's deteriorating clinical condition. However, the effectiveness of EWS depends on nurses' compliance with its implementation. Non-compliance with EWS implementation can hinder early detection of patients' conditions and affect patient survival. This study aims to analyze the relationship between adult EWS implementation compliance and inpatient survival status. However, the evidence on the effect of compliance with EWS implementation on patient survival in real inpatient settings remains limited. This study aimed to examine the association between nurses’ compliance with adult EWS implementation and inpatient survival status. Methods: This study used an observational, cross-sectional design and was reported according to the STROBE guidelines. The research sample comprised 188 patients selected using a phased sampling technique (cluster sampling followed by simple random sampling). Data were obtained from the medical records of inpatients who met the inclusion and exclusion criteria. The independent variable in this study was compliance with the Early Warning System (EWS), while the dependent variable was the patient's survival status. Statistical analysis was carried out using Fisher's Exact test. Results: A total of 188 patients were analyzed, with 173 patients (92%) surviving and 15 patients (8%) dying. In the group that did not comply with the Early Warning System (EWS), there were 6 deaths (16.7%) and 30 patients survived (83.3%), while in the group that did comply with the Early Warning System (EWS), there were 9 deaths (5.9%) and 143 patients survived (94.1%). There was a significant association between EWS compliance and inpatient survival status (p = 0.044). Patients with EWS adherence had a higher chance of survival than non-compliant patients (OR = 3.18; 95% CI: 1.06–9.54). Conclusion: The implementation of EWS that is compliant plays an essential role in detecting early deterioration of patient conditions and improving patient survival and safety.
Co-Authors Alfrisa, Bagus Baskoro Setioputro Fadilah, superzeki Zaidatul Faizatiwahida, Novia Irnu, Julfilkar Adnan Kusuma, Happy Indah Rafi Achmad Rukhama Rismawan Adi Yunanto Rondhianto Rondhianto Ruris Haristiani Setyobudi, Hari SRI SETIYARINI, SRI Suprayogi Suprayogi Triatmojo, Setyo Wahyudi, Purnomo