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Majalah Kedokteran Bandung
Published by Universitas Padjadjaran
ISSN : 0126074X     EISSN : 23386223     DOI : 10.15395/mkb
Core Subject : Health,
Medicine & Pharmacology
Majalah Kedokteran Bandung (MKB)/Bandung Medical Journal publishes peer-reviewed original articles and case reports in basic medical research, clinical research, and applied medical science. This journal is published quarterly (March, June, September, and December) by Faculty of Medicine Universitas Padjadjaran. Articles are original research that needs to be disseminated and written in English. All submitted manuscripts will go through the double-blind peer review and editorial review before being granted with acceptance for publication.
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Articles 12 Documents
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Search results for , issue "Vol 57, No 4 (2025)" : 12 Documents clear
Correlation of Leukocytes, Neutrophil-To-Lymphocyte Ratio, C-Reactive Protein, and Serum Lactate with Amputation Incidence in Diabetic Foot Ulcer Patients Primadian, Krisandi; Hapsari, Putie; Yarman, Indra Prasetya; Soedjana, Hardisiswo; Djajakusumah, Teguh Marfen
Majalah Kedokteran Bandung Vol 57, No 4 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.4161

Abstract

Diabetic foot ulcers are a major cause of approximately 85% of amputations in non-trauma patients. One of the contributing factors is the presence of extensive gangrenous infections. Effective management of diabetic foot infections to prevent amputation requires knowledge of various factors such as ulcer location, depth, neuropathy, vasculopathy, infection, and the presence of infection, which can be identified through inflammatory markers. This retrospective cohort study aimed to evaluate the correlation between leukocyte count, neutrophil-to-lymphocyte ratio (NLR), C-reactive protein (CRP), and serum lactate levels with the incidence of amputation in DFU patients. All DFU patients admitted to Dr. Hasan Sadikin General Hospital, Bandung, from January 1 to December 31, 2023, who met the inclusion criteria were included using purposive sampling. A total of 47 patients with diabetic foot ulcers were included in this study. The mean, median, and range of leukocytes were 18,532, 16,015, and 55,184, respectively, with higher values observed in amputation cases. NLR values were also higher in amputation cases, with a mean of 9.54, median of 6.00, and range of 47.32. Similarly, CRP levels were elevated in amputation cases, with a mean of 9.56, median of 6.75, and range of 26.16. There is a significant correlation between leukocytes, NLR, CRP, and serum lactate with the incidence of amputation in diabetic foot ulcer patients.
Implementation of Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effort to Improve Patient Safety in Hemodialysis Services in Indonesia Aulia, Ariadne; Dewi, Arlina; Rosa, Elsye Maria
Majalah Kedokteran Bandung Vol 57, No 4 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3895

Abstract

Hemodialysis patients are at risk of preventable adverse outcomes as a result of the ongoing medical treatments required throughout their life. Minimizing risk is crucial for ensuring patient safety in healthcare environments. Healthcare Failure Mode and Effect Analysis (HFMEA) is a proactive risk assessment method designed to identify potential failures in healthcare processes and improve the quality and safety of patient care. This qualitative descriptive study aimed to identify potential failure modes in hemodialysis services in Nitipuran Hemodialysis Clinic by implementing HFMEA. A multidisciplinary team was involved as the unit of analysis to identify processes and subprocesses for in-center hemodialysis treatment. The study employed purposive sampling, selecting 10 team members who were directly involved in providing hemodialysis services. Data collected were analyzed using the HFMEA worksheet. Over five weeks, the team convened six times to identify Failure Modes (FMs) and Failure Mode Causes (FMCs), conduct a Hazard Analysis, and determine necessary actions to address the FMCs. Five processes, 23 subprocesses, 74 Failure Modes (FMs), 39 Failure Mode Causes (FMCs) were identified. Based on the Hazard Analysis results, 27 FMCs required corrective actions and thirteen actions were proposed to address the FMCs and improve patient safety based on the findings of this study. Further research is needed to evaluate the effectiveness of the implementation of these corrective actions in improving patient safety.

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