scholarly journals RESOURCES REQUIRED IN CLINICAL PATHWAY FOR TYPHOID FEVER TREATMENT AT KALIWATES GENERAL HOSPITAL IN 2017

2019 ◽  
Vol 7 (2) ◽  
pp. 155
Author(s):  
Pratiti Swesti Komala Dewi ◽  
Christyana Sandra ◽  
Eri Witcahyo
Keyword(s):  
Typhoid Fever ◽  
Performance Appraisal ◽  
General Hospital ◽  
Clinical Pathway ◽  
Clinical Pathways ◽  
Healthcare Services ◽  
Job Description ◽  
Fever Treatment ◽  
Method Factors ◽  
Service Standards

Background: A clinical pathway is a concept of an integrated service which describes the stages of healthcare services from the admission until the return of  patients based on the medical service standards and evidence-based nursing care with measurable results. Kaliwates General Hospital is an accredited hospital with a clinical pathway. Typhoid case was the highest disease in 2017 at Kaliwates General Hospital.Aims: This study aims to describe the resources at Kaliwates General Hospital in the implementation of clinical pathways, especially typhoid fever treatment.Method: This study was a descriptive and qualitative study. Nine respondents were selected using purposive sampling, including one internist and the quality team at Kaliwates General Hospital. The variables studied include human resource factors, budget factors, method factors, and time factors.Results: The results suggested that the human resources at Kaliwates General Hospital had high commitment, motivation, and moderate knowledge in the implementation of clinical pathways. All equipment and documents were considered adequate. The communication among the implementers was good, but compliance and training for staffs were considered less prominent. The task division of each staff was fairly distributed even though the pharmacy unit perceived that the division was quite unfair.Conclusion: The implementation of the clinical pathway for typhoid fever treatment at Kaliwates General Hospital runs quite well. The hospital must identify and plan staff training regularly, prepare the job description appropriately, and perform performance appraisal based on the job description that has been developed.Keywords: clinical pathway, typhoid fever, resource.

scholarly journals Analisis pelaksanaan clinical pathway di RSUP Prof. Dr. R. D. Kandou Manado

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Cicilia Paat ◽  
Erwin Kristanto ◽  
Flora P. Kalalo
Keyword(s):  
Myocardial Infarction ◽  
Chronic Kidney Disease ◽  
General Hospital ◽  
Clinical Pathway ◽  
Clinical Pathways ◽  
Dengue Shock Syndrome ◽  
Benign Prostatic Hypertrophy ◽  
Standard Of Care ◽  
Clinical Governance ◽  
Administrative Policy

Abstract: Clinical pathway is a significant administration document to achieve the good clinical governance in the hospital. In Indonesia, this document is one of the very critical requirements that should be provided by the hospital to fulfil the KARS 2012 policy. As the center of referral teaching hospital of East Indonesia, Professor Dr. R. D. Kandou General Hospital has committed to fulfil the international standard of care, inter alia implementation of the clinical pathways based on the main cause of death, high risk, and high cost. There are several obstacles concerning this implementation, such as the irresponsibility of the doctors due to overloaded work, lack of concentration in filling the formation of clinical pathway, and uncertainity in the usage of clinical pathway. This study was aimed to evaluate the implementation of the clinical pathway and its limitation in the hospital above. The results showed that the administrative policy of the clinical pathway had been provided by the top management leader with the specialization in dengue shock syndrome (DSS), chronic kidney disease (CKD), eclampsia, benign prostatic hypertrophy (BPH), and myocardial infarction (MCI) without complication. Conclusion: Clinical pathway was implemented at Prof. Dr. R. D. Kandou General Hospital according to the Minister Health Regulation No. 012 Year 2012 about Standard Accreditation for Hospital.Keywords: clinical pathway, hospitalAbstrak: Clinical pathway merupakan bagian penting dari dokumen dan alat dalam mewujudkan good clinical governance di rumah sakit. Di Indonesia, dokumen ini juga menjadi salah satu syarat yang harus dipenuhi dalam Standar Akreditasi Rumah Sakit versi KARS 2012. Rumah Sakit Prof. Dr. R. D. Kandou merupakan rumah sakit pendidikan dan pusat rujukan untuk wilayah Indonesia Timur, berkomitmen untuk meningkatkan pelayanan berstandar internasional; salah satu upayanya dengan mengimplementasikan clinical pathway. Pemilihan clinical pathway ditujukan pada penyakit-penyakit yang merupakan penyebab utama kematian, berisiko tinggi, dan biaya tinggi. Kendala penggunaan clinical pathway antara lain kurangnya kepatuhan dokter penanggung jawab pasien terhadap clinical pathway, kurangnya konsentrasi dalam pengisian pembentukan clinical pathway, serta kesulitan kepastian penggunaan clinical pathway. Penelitian ini bertujuan untuk mengetahui pelaksanaan clinical pathway dan analisis terhadap kendala-kendalanya di RSUP Prof. Dr. R. D. Kandou Manado. Hasil studi menunjukkan bahwa pada tingkat manajerial telah tersedia kebijakan clinical pathway dan spesialisasinya yaitu dengue shock syndrome (DSS), penyakit ginjal kronik (PGK), preeklamsia berat, benign prostat hypertrophy (BPH), dan miokard cardiac infark (MCI) tanpa komplikasi. Simpulan: Clinical pathway telah diterapkan di RSUP Prof. Dr. R. D. Kandou berdasarkan Permenkes Nomor 012 tahun 2012 tentang Standar Akreditasi Rumah Sakit.Kata kunci: clinical pathway, rumah sakit

scholarly journals Pemilihan Model Scrum Dalam Pengembangan Sistem Monitoring Dengan Menggunakan Metode Agile Untuk Evaluasi Clinical Pathway

2020 ◽  
Vol 8 (1) ◽  
pp. 63-69
Author(s):  
Khairul Imtihan ◽  
Lalu Mutawalli ◽  
Wire Bagye
Keyword(s):  
Monitoring System ◽  
Clinical Pathway ◽  
Clinical Pathways ◽  
Evaluation Process ◽  
System Quality ◽  
Quality Of Information ◽  
Direct Role ◽  
Efficient Hospital ◽  
Service Standards

Hospitals as health care institutions are always required to provide quality, effective and acute services. PERSI forms a guideline for developing service standards so that it supports more accountable and efficient hospital health services called clinical pathways. Clinical pathways are used to systematically record each intervention given to patients. In its implementation, the clinical pathway does not always work perfectly, this is caused by various things such as the lack of resources (equipment and other health facilities), also caused by the negligence of technical implementers such as doctors, nurses, nutritionists, and pharmaceuticals. The clinical pathway monitoring system is important to know the obstacles that arise. The monitoring system can support the evaluation process to be faster. In this study, the system was developed using the agile method with the scrum model. The study was conducted at Harapan Harapan General Hospital in Tegal City involving those who played a direct role in using the system, Patient Care Management (MPP). The functional test results are divided into three, the first system quality results as much as 76% according to its function. Second, the assessment of the quality of information, the value of the quality of information produced as much as 68% according to its function. The three assessments of service quality obtained results as much as 63% according to its function.

scholarly journals Analisa Biaya Pengobatan Demam Tifoid Berdasarkan Clinical Pathway Di Rumah Sakit Harapan Bunda

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Pieter Hazmen ◽  
Shirly Kumala ◽  
Prih Sarnianto
Keyword(s):  
Length Of Stay ◽  
Typhoid Fever ◽  
Clinical Pathway ◽  
Clinical Pathways ◽  
High Volume ◽  
Antibiotic Use ◽  
Observational Research ◽  
Cost Of Treatment ◽  
Significant Difference ◽  
The Cost

Clinical pathways are used in quality and cost control with indicators of length of stay. Cases of typhoid fever at Harapan Bunda Hospital include the criteria for the first rank of High Volume in 2018 and Problem Prone in the cost of treatment. The purpose of the study is to analyze the cost of treatment based on the implementation of clinical pathways in antibiotic therapy. Observational research with comparative studies of the use of injection antibiotics based on clinical pathway implementation. Retrospective data collection with dependent outcome therapy variables (cost and length of stay) while the independent variable regimen of antibiotic use. The population of typhoid fever patients according to the criteria for the implementation of clinical pathway ICD code (A0.10) 571 patients. Samples using total sampling that fulfills the criteria of direct inclusion are made into samples divided by the antibiotic regimen of the payment system, the group with the least amount excluded. There were 4 observation groups: generic ceftriaxone (n = 52) branded ceftriaxone (n = 51), generic cefotaxime (n = 53) and branded cefotaxime (n = 57) totaling 213 patients. Satatistic test results of length of stay (p> 0.05) explained that they did not have a significant difference, the average value (5.1596). Medical expenses for generic cefotaxime (Rp 4,072,002,6792), generic cherryax (Rp 4,479,480,4808), branded cefotaxime (Rp 6,945,258,3333) and branded ceftriaxone (Rp 7,296,933,5686). Conclusions based on JKN (AMiB) antibiotic payment systems are cheaper than general and the cheapest cefotaxime cheapest generic antibiotics.

Typhoid Fever.—Treatment

1877 ◽  
Vol 3 (60supp) ◽  
pp. 957-957
Author(s):  
Alfred L. Loomis
Keyword(s):  
Typhoid Fever ◽  
Fever Treatment

Utilization Of Healthcare Services To General Patient At Inpatient Unit of Anutapura General Hospital, Palu City

2020 ◽  
Vol 10 (1) ◽  
pp. 35-44
Author(s):  
Fausiah Fausiah
Keyword(s):  
Health Services ◽  
General Hospital ◽  
Health Beliefs ◽  
Secondary Data ◽  
Healthcare Services ◽  
Primary Data ◽  
Utilization Of Health Services ◽  
The People ◽  
Quantitative Descriptive ◽  
Utilization Of Healthcare

The number of inpatient visits in RSU Anutapura Palu, where in 2015 inpatient visits of 5,640, then in 2016 patient visits decreased to 5,451, in 2017 also decreased to 3,999 and in 2018 also decreased Drastic to 1,146 patient visits. This research aims to determine the utilization of health services in patients in general hospitalization in RSU Anutapura Palu. This type of research is quantitative descriptive. Research was conducted from May-June 2019. The population in the study is a visitor (number of hospitalizations) at the General Hospital (RSU) Anutapura Palu. In this case the people who use health services in the General Hospital (RSU) Anutapura Palu recorded as many as 1,146 visitors (patients) in the year 2018. Primary data collection is through questionnaires and secondary data through the study of patient record documents and other supporting documents. The utilization of health services in patients in general hospitalization in RSU Anutapura Palu is well from the aspects of health beliefs, abilities and needs. RSU Anutapura Palu is expected to be able to improve the promotion of health services so that people use the health services provided.  

scholarly journals TINGKAT PENGETAHUAN PETUGAS TENTANG STANDAR PELAYANAN MINIMAL DI INSTALASI GAWAT DARURAT DAN PENUNJANG PELAYANAN KEGAWATDARURATAN RUMAH SAKIT UMUM DAERAH KABUPATEN KLUNGKUNG TAHUN 2018

2019 ◽  
Vol 6 (1) ◽  
pp. 69
Author(s):  
Made Riastuti Sumandari ◽  
Rina Listyowati
Keyword(s):  
General Hospital ◽  
Financial Management ◽  
Emergency Services ◽  
Univariate Analysis ◽  
Good Knowledge ◽  
Service Agency ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Service Standards

ABSTRAK Rumah Sakit Umum Daerah Kabupaten Klungkung sebagai rumah sakit yang sudah menerapkan Pengelolaan Keuangan Badan Layanan Umum terus meningkatkan dan mengembangkan mutu pelayanan, terutama mutu pelayanan kegawatdaruratan. Tujuan penelitian ini untuk mengetahui gambaran tingkat pengetahuan petugas di Instalasi Gawat Darurat dan Penunjang Pelayanan Kegawatdaruratan Rumah Sakit Umum Daerah Kabupaten Klungkung tentang Standar Pelayanan Minimal. Penelitian ini merupakan penelitian deskriptif kuantitatif, dengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh petugas yang bekerja di Instalasi Gawat Darurat dan penunjang pelayanan kegawatdaruratan. Jumlah sampel pada penelitian ini 94 petugas dengan teknik pengumpulan sampel yaitu total sampling. Teknik pengumpulan data pada penelitian ini yaitu dengan menyebarkan kuesioner dan analisis data yang digunakan yaitu analisis univariat.  Hasil penelitian ini adalah mayoritas petugas memiliki pengetahuan baik mengenai SPM yaitu sebesar 86,17% sedangkan 13,83% memiliki pengetahuan kurang baik. Dilihat dari tingkat pengetahuan berdasarkan karakteristik, pengetahuan baik sebagian besar pada umur umur ?30 (88,14%), jenis kelamin perempuan (96,23%), pendidikan DIII (87,93%) dan masa kerja >10 tahun (88,46%). Saran yang bisa diberikan kepada Rumah Sakit Umum Daerah Kabupaten Klungkung, sebaiknya rumah sakit memberikan sosialisasi kepada seluruh petugas mengenai SPM dengan rutin dan terjadwal sehingga petugas mendapatkan informasi mengenai SPM merata. Kata Kunci: Tingkat Pengetahuan, Standar Pelayanan Minimal ABSTRACT Klungkung Regency Regional General Hospital as a hospital that has implemented Financial Management Public Service Agency continues to improve and develop the quality of services, especially the quality of emergency services. The purpose of this study was to determine the level of knowledge of officers in the Emergency Installation and Supporting Emergency Services of the Klungkung Regency General Hospital on Minimum Service Standards. This research is a quantitative descriptive study, with a cross-sectional design. The population in this study were all officers who worked in the Emergency Installation and supporting emergency services. The number of samples in this study were 94 officers with total sample collection techniques. Data collection techniques in this study are by distributing questionnaires and data analysis used is univariate analysis. The results of this study were that the majority of officers had good knowledge of MSS, amounting to 86.17% while 13.83% had poor knowledge. Judging from the level of knowledge based on characteristics, good knowledge is mostly at the age of ?30 (88.14%), female gender (96.23%), DIII education (87.93%) and years of service> 10 years (88, 46%). Suggestions that can be given to the Klungkung Regency Regional General Hospital, the hospital should provide information to all officers on MSS routinely and on a regular basis so that officials get information about SPM evenly. Keywords: Knowledge Level, Minimum Service Standards.

scholarly journals PENGARUH ANALISIS KINERJA DAN PEMETAAN KOMPETENSI PEGAWAI TERHADAP KEBUTUHAN PELATIHAN (STUDI TERHADAP PEGAWAI TINGKAT MANAJER DAN SUPERVISOR DI KANTOR PT PLN (PERSERO) DISTRIBUSI JAWA BARAT DAN BANTEN

2020 ◽  
Vol 14 (1) ◽  
pp. 47-62
Author(s):  
Sendianto Sendianto
Keyword(s):  
Performance Analysis ◽  
Path Analysis ◽  
Performance Appraisal ◽  
Soft Skills ◽  
Skills Training ◽  
Training Needs ◽  
Relationship Building ◽  
Job Description ◽  
Measurement Tools ◽  
Employee Competencies

The purpose of this study was to measure the effect of performance analysis and mapping of employee competencies on the training needs of managerial and supervisory level employees in the offices of PT PLN (Persero) Distribution of West Java and Banten. The research method used was explanatory and verificative explanation, with 79 respondents, and data analysis used path analysis to determine the influence between the variables. The results of the path analysis test partially show that there is a positive and significant influence from: (1) Performance analysis of the training needs of 90.25%; (2) mapping employee competencies to training needs by 0.25%; (3) Simultaneously performance analysis and mapping of employee competencies influence training needs of 98.01%. Suggestions, measurement tools for performance appraisal are continuously improved, soft competency of continuous learning and relationship building is improved through soft skills training, and job analysis through job description and job specifications needs to be reviewed.

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