scholarly journals Rapid Assesment Analisis Beban Kerja Perawat Ruang Isolasi Rawat Inap Non ICU Covid-19 di Rumah Sakit Umum Daerah Cengkareng

2021 ◽  
Vol 7 (2) ◽  
pp. 225
Author(s):  
Ni Putu Retno Ariani
Keyword(s):  
Nursing Time ◽  
Workload Analysis

Pada masa pandemi Covid-19, tenaga keperawatan merupakan profesi yang sangat dibutuhkan dalam penanganan pasien yang terkonfirmasi Covid-19. Untuk memenuhi kebutuhan jumlah tenaga perawat maka perlu dilakukan analisa beban kerja dan selanjutnya dapat dilakukan perhitungan kebutuhannya. Tujuan penelitian mendeskripsikan dan mengidentifikasi beban kerja perawat di ruang isolasi rawat inap non ICU pelayanan Covid-19 di RSUD Cengkareng yang merupakan salah satu rumah sakit rujukan Covid-19. Penelitian ini menggunakan metode kuantitatif dengan pendekatan observasional, data penelitian diambil melalui pengamatan langsung dan wawancara mendalam yang dilakukan selama kurun waktu 5 hari di ruang isolasi rawat inap non ICU. Perhitungan beban kerja menggunakan metode Ilyas, dimana informasi yang dihasilkan untuk mengambil keputusan dapat dipercaya karena setiap transaksi bisnis dapat diukur secara cepat dengan tingkat akurasi yang tinggi. Dengan menghitung beban kerja ini dapat memperkirakan kebutuhan tenaga perawat yang diperlukan dalam perencanaan sumber daya manusia. Hasil perhitungan yang didapatkan yaitu berdasarkan data pasien per-Desember 2020, jumlah pasien yang dirawat di ruang isolasi non ICU untuk pasien Covid-19 berjumlah 251 orang, sedangkan tenaga perawat yang terdiri dari perawat RSUD Cengkareng dan perawat relawan berjumlah 171 orang. Berdasarkan data tersebut, analisa beban kerja dengan metode Ilyas didapatkan nursing time perawat ruang isolasi non-ICU untuk pasien Covid-19 adalah 3,5 jam, dan perhitungan kebutuhan tenaga perawat sebesar 178 orang. Penambahan jumlah tenaga perawat di ruang isolasi rawat inap non ICU di RSUD Cengkareng masih dibutuhkan.  Keywords: Workload analysis, Nurses Need, Ilyas Method. 

scholarly journals Costs and quality of care optimization in the remote monitoring of cardiac implantable electronic devices (CIEDs). A picture from Veneto, Northern Italy

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
B Ignatiuk ◽  
M.S Baccillieri ◽  
G Frigo ◽  
L Marinaccio ◽  
E Cassinadri ◽  
...  
Keyword(s):  
Electronic Devices ◽  
Public Hospitals ◽  
Significant Heterogeneity ◽  
Total Expenditure ◽  
Nursing Time ◽  
Workload Analysis ◽  
Cardiac Implantable Electronic Devices ◽  
Phone Calls ◽  
The Cost ◽  
The Impact

Abstract Background Remote control/monitoring (RC/M) of cardiac implantable electronic devices (CIEDs) is still underutilized, with a significant heterogeneity of use across and within countries. Not all models are equivalent in terms of effectiveness and efficiency. Purpose This cost comparative study aimed to analyse different models of following patients with CIEDs in three districts (four implanting facilities) merged into the same administrative area, to assess the impact of RC/M on expenditure, and to propose a common practice with the objectives of standardisation of approach, optimisation of efficiency, and future capillary implementation of RC/M. Methods The workload related to CIED-patient follow-ups was assessed in four public hospitals reflecting three different models with different proportions of patients followed by RC/M and different modus operandi. All CIED-patients in charge were scrutinized at 31/08/2019. The workload analysis was based on one-year data, collected retrospectively. Costs were calculated in terms of nursing and physician hours and based on public tariffs. Five variables, identified as drivers of costs, were tested by the simulation model. The main outcome was a total expenditure and cost per patient followed by RC/M compared to the standard care (SC) (in-office only). Results A total of 6830 patients with CIEDs were followed, 34.8% by RC/M (five platforms, 19.7% high voltage devices). An additional 25.8% had monitorable devices. The proportion of RC/M-patients across centres was 63.3%, 60.6%, 51% and 2.65%. RC/M resulted more costly than SC in all hospitals. Modelling demonstrated the overall cost in the year 2018 to be €228,075. No single factor optimisation tested separately (number of transmissions, nursing time for each transmission revision, doctor time for transmission processing, nursing time for phone calls, time for single enrolment) was able to reduce the cost per patient below the cost of SC. Providing monitoring to all compatible patients increased the costs of total care to €248,785. After the optimisation of other factors, the additional benefit of extending RC/M to compatible devices was achieved, with the final result of a total expenditure of €128,181 and of €15.97 per RC/M-patient per year vs. €27.93 per SC-patient, below the reimbursement tariff of monitoring recently approved in Veneto (€25.55 per patient/year). Conclusion Real-world data from an unselected population confirmed the huge inconsistency in managing patients with CIEDs. RC/M was associated with a significant specific workload. RC/M may be cost-saving compared to the standard in-office follow-up; however, organisation needs to be optimised. Improvement can be achieved by implementing new standards for RC/M procedures using Lean Management tools. A common platform might be of help. Centralisation could represent a further step to ensure high quality service and to save money at the same time. Funding Acknowledgement Type of funding source: None

Updated leg ulcer pathway: improving healing times and reducing costs

2019 ◽  
Vol 28 (20) ◽  
pp. S21-S26
Author(s):  
Leanne Atkin ◽  
Alison Schofield ◽  
Anita Kilroy-Findley
Keyword(s):  
Quality Of Life ◽  
Leg Ulcer ◽  
Leg Ulcers ◽  
Nursing Time ◽  
Venous Leg Ulcers ◽  
Reduced Costs ◽  
Reducing Costs

Regardless of the amount of literature and evidence on leg ulcer management, there are still significant variations in treatment. Implementing a standardised leg ulcer pathway to ensure patients are appropriately and timely assessed could help reduce nursing time and overall costs, while improving healing outcomes and patients' quality of life. Such a pathway was introduced in Lincolnshire and Leicestershire, UK, to treat venous leg ulcers (VLUs). The results showed improved healing times, reduced costs and fewer nurse visits, among other findings.

scholarly journals Variables determining clinical complexity in hospitalized Internal Medicine patients: a workload analysis

2017 ◽  
Vol 11 (2) ◽  
pp. 202
Author(s):  
Valentina Tommasi ◽  
Alessandra Campolongo ◽  
Irene Caridi ◽  
Simone Gatti ◽  
Lorena Lagana ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Rating Scale ◽  
Univariate Analysis ◽  
Index Patient ◽  
Clinical Severity ◽  
Optimal Care ◽  
Workload Analysis ◽  
High Type ◽  
Clinical Complexity ◽  
Comorbidity Index

The clinical complexity of Internal Medicine patients is a daily challenge for clinicians. Although clinical complexity cannot be directly measured, several scores describe the variability of clinical severity and comorbidity. The aim of this study was to analyze staff workload by assessing the nursing and medical complexity of patients admitted to an Internal Medicine ward. We included 40 consecutive inpatients [52.5% females, mean age 71.2 (18.2) years] classified according to the index of clinical complexity (ICC, type A: very high; type B: high; type C: moderate) and the cumulative illness rating scale (CIRS) severity and comorbidity index. Patient outcomes, hospitalization duration, tests performed, number of daily medications and time to perform standard nursing tasks were analysed across groups. Mean duration of hospitalization was 15.6 (10.1) days; in-hospital mortality was 15%. Mean CIRS severity index (SI) was 1.03 (0.31) and median CIRS comorbidity index (CI) was 2 (range 1-5). Significant differences were observed among ICC groups in time spent performing specific tasks [univariate analysis of variance F(2.37)=17.26, P&lt;0.001]. No significant differences were found between the three groups for mean CIRS-SI [F(2.37)=3.033, P=0.060] and median CIRS-CI [Kruskal Wallis test: c<sup>2</sup>(2)= 1.672, P=0.433]. Clinical complexity and caring complexity were not correlated in our sample of Internal Medicine inpatients. Optimal care of Internal Medicine patients must take into account their complexity in both the medical and nursing aspects.

P58 Workload analysis and clinical significance of remote monitoring system in nursing consultation in monitoring implanted device

2011 ◽  
Vol 10 ◽  
pp. S9
Author(s):  
A.-L. Fernandez-Oliver ◽  
J. Burgos-Mora ◽  
A.-R. Davila-Berrocal ◽  
C. Galacho-Ramirez ◽  
M.-J. Sanchez-Fernandez ◽  
...  
Keyword(s):  
Monitoring System ◽  
Clinical Significance ◽  
Remote Monitoring ◽  
Workload Analysis ◽  
Remote Monitoring System ◽  
Implanted Device
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