Optimizing The Implementation of Discharge Planning in X General Hospital Jakarta

Discharge planning is a complex process aiming to prepare patients during a transition period in a hospital until they are home. One of general hospitals (X) in Jakarta has implemented discharge planning, but it is not optimally conducted. This research aims to analyze the implementation of optimizing discharge planning in X General Hospital in Jakarta. This research employed pilot study initiated by conducting assessment through questionnaire, observation, and interview. The next stages were root cause analysis by employing fishbone analysis, Plan of Action (POA) arrangement, Plan Do Check Action (PDCA) implementation, and evaluation by employing questionnaire. One of the problems of implementing discharge planning is was implementation method in which the guidance of discharge planning was not available. Therefore, standard operating procedures (SOP) and format of discharge planning were necessarily revised. After arranging the guidance draft, SOP, and format of discharge planning, the researcher socialized and tested the SOP and format of discharge planning in two inpatient rooms. The results reveal that 80% of respondents state that the arranged format of discharge planning is easily understandable, easily applicable, less complicated, not rambling, and practical. Therefore, the management of X hospital Jakarta necessarily conducts the follow-up to develop and legalize the guidance draft, SOP, and format of discharge planning. Furthermore, the management necessarily socializes them to duty nurses before the hospital applies them.

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Pelaksanaan Discharge Planning di Ruang ICU RS X Jakarta

JURNAL PENDIDIKAN KEPERAWATAN INDONESIA ◽

10.17509/jpki.v5i1.16008 ◽

2019 ◽

Vol 5 (1) ◽

Author(s):

Dyah Fitri Wulandari ◽

Rr. Tutik Hariyati

Keyword(s):

Health Service ◽

Transition Period ◽

Discharge Planning ◽

Secondary Data ◽

Literature Study ◽

Service Unit ◽

Root Cause ◽

Complex Process ◽

Fishbone Diagram ◽

Made In

ABSTRAKDischarge planning merupakan suatu proses yang kompleks yang bertujuan untuk menyiapkan pasien dalam masa transisi di rumah sakit sampai pasien tersebut kembali ke rumahnya, dimana pelaksanannya harus dibuat sejak awal pasien datang ke pelayanan kesehatan. Pelaksanaan discharge planning di rumah sakit dilakukan sebelum pasien pulang, atau sebelum pasien keluar dari unit layanan Pengamatan yang dilakukan penulis terhadap pelaksanaan discharge planning di ruang ICU, perawat lebih mengutamakan memperhatikan kondisi kritis pasien, sehingga melupakan pelaksanaan discharge planning. Tujuan tulisan ini adalah melakukan analisis terhadap pelaksanaan discharge planning di ruang ICU RS X Jakarta. Metode yang digunakan adalah metode analisis dengan menggunakan fishbone dengan asesmen yang dilakukan berupa observasi, wawancara dan pengumpulan data sekunder yang sudah ada di RS X Jakarta, setelah itu dilakukan pencarian literatur untuk mengidentifikasi akar masalahnya, sehingga bisa diusulkan rekomendasi untuk penyelesaian terhadap masalah tersebut. Dari hasil analisis ditemukan akar masalah yaitu pengetahuan perawat yang kurang tentang discharge planning dan kurang optimalnya sistem yang mendukung pelaksanaan discharge planning seperti format, SPO dan panduan. Rekomendasi yang di usulkan yaitu berupa perbaikan format discharge planning, revisi SPO, pembuatan panduan dan pelaksanaan pelatihan discharge planning.ABSTRACTDischarge planning is a complex process that aims to prepare patients in the transition period in the hospital until the patient returns to his home, where the implementation must be made from the beginning the patient comes to the health service. However, discharge planning was done before the patient returns, or before the patient left the service unit in Hospital. In the ICU room with critical patient conditions, nurses prioritize paying attention to the critical condition of the patient, thus forgetting the implementation of this discharge planning. For this reason, this paper aimed to analyze the implementation of discharge planning in the ICU of Jakarta X Hospital, literature study to identify the root of the problem, so that recommendations can be proposed to resolve the problem. The method was used an analysis using fishbone diagram with an assessment conducted in the observation form. Interview and secondary data collection from Jakarta X Hospital. Based on the analysis results, the root cause of the problem is knowledge of nurses who are less about discharge planning and less optimal systems that support the implementation of discharge planning such as format, SPO and guidelines. For this reason, recommendations for improvements were made in the form of redesigning the format of discharge planning, revision of SPO, making guidelines and implementing discharge planning training

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Diagnoses the causes of cost deviation in Iraqi construction projects

Diyala Journal of Engineering Sciences ◽

10.24237/djes.2021.14304 ◽

2021 ◽

Vol 14 (3) ◽

pp. 36-50

Author(s):

Eman Mahde ◽

Nidal A. Jasim

Keyword(s):

Construction Projects ◽

Root Cause Analysis ◽

Cause Analysis ◽

Analysis Techniques ◽

Root Cause ◽

Analysis Tools ◽

Fishbone Diagram ◽

Implementation Method ◽

Planning Group

Root cause analysis techniques are an excellent choice for identifying the root causes of cost deviation in Iraqi construction projects. Many root cause analysis tools, such as the Fishbone diagram (FD), Pareto diagram (PD), and 5-Why analysis, have started to emerge from the literature as standard guidelines for identifying root causes. This study identified eighteen causes of cost deviation in construction projects, which they classified into three major groups (planning causes, designing causes, and execution causes). Pareto study indicates that twelve causes out of eighteen represent the most significant causes of cost deviation. After that, these eleven causes were filtered by 5-Why analysis, which concluded that insufficient project information and the implementation method is not appropriate with the project type are root causes for the planning group, while unclear owner requirements and changes in design are root causes for the designing causes group, Finally, changes in orders is a root cause for execution group.

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Evaluasi Kepatuhan Pelaksanaan Standar Prosedur Operasional Manajemen Nyeri pada Pasien Luka Bakar di RSUP Dr. Hasan Sadikin Bandung

Jurnal Anestesi Perioperatif ◽

10.15851/jap.v7n2.1713 ◽

2019 ◽

Vol 7 (2) ◽

pp. 92-99

Author(s):

Yudhanarko Yudhanarko ◽

Suwarman Suwarman ◽

Ricky Aditya

Keyword(s):

Pain Management ◽

General Hospital ◽

Pain Assessment ◽

Rating Scale ◽

Emotional Experience ◽

Numeric Rating Scale ◽

Pain Scale ◽

Standard Operating ◽

Numeric Rating

Nyeri didefinisikan sebagai pengalaman sensorik dan emosional yang tidak menyenangkan terkait dengan kerusakan jaringan aktual atau potensial. Manajemen nyeri pada luka bakar merupakan bagian yang tidak terpisahkan dari terapi luka bakar. Nyeri pada luka bakar merupakan nyeri akut, penanganan yang tidak baik akan menyebabkan komplikasi, salah satunya nyeri kronik. Rumah Sakit Umum Pusat (RSUP) Dr. Hasan Sadikin Bandung telah membuat Standar Prosedur Operasional (SPO) manajemen nyeri yang berguna untuk meningkatkan kepatuhan dalam pelaksanaan manajemen nyeri. Penelitian ini bertujuan mengevaluasi kesesuaian teknik pengkajian, tindak lanjut dan evaluasi ulang nyeri pada pasien luka bakar dengan SPO manajemen nyeri. Penelitian menggunakan metode deskriptif observasional retrospektif terhadap 99 rekam medis pasien luka bakar yang memenuhi kriteria inklusi di RSUP Dr. Hasan Sadikin Bandung pada tahun 2018. Hasil penelitian didapatkankan bahwa pengkajian nyeri yang dilakukan sesuai dengan SPO menggunakan numeric rating scale atau Wong Baker faces pain scale ditemukan pada 99 pasien (100%). Tindak lanjut hasil pengkajian nyeri luka bakar yang dilakukan sesuai dengan SPO sebanyak 71 pasien (72%). Evaluasi ulang setelah tindak lanjut pengkajian nyeri yang sesuai SPO pada 93 pasien (94%). Simpulan, pengkajian nyeri di RSUP Dr. Hasan Sadikin Bandung sudah sesuai dengan SPO manajemen nyeri, namun tindak lanjut dan evaluasi ulang pada nyeri luka bakar belum sesuai dengan SPO manajemen nyeri.Evaluation of Compliance to Standard Operating Procedures for Pain Management in Patients with Burns in Dr. Hasan Sadikin General Hospital BandungPain is defined as an unpleasant sensory and emotional experience related to actual or potential tissue damage. Pain management for burns is an integral part of burn therapy. Pain in burns is an acute pain and poor management will lead to health complications including chronic pain. Dr. Hasan Sadikin General Hospital Bandung has made a standard operating procedure (SOP) for pain management to improve compliance to pain management standard. This study aimed to evaluate the compliance to the standards in assessment techniques, follow-up, and re-evaluation of pain in patients with burn according to the applicable pain management SOP. This was a retrospective descriptive observational study on 99 medical records of burn patients who met the inclusion criteria in Dr. Hasan Sadikin General Hospital Bandung in 2018. The results of the study revealed that the pain assessment for these patient was carried out according to the SOP which refers to the use of a numeric rating scale or Wong Baker face pain scale in 99 patients (100%). In the follow-up, 71 were performed according to the SOP (72%) while the re-evaluation was performed in compliance with the SOP in 93 patients (94%). In conclusion, pain assessment in Dr. Hasan Sadikin General Hospital Bandung is performed in accordance with SOP on pain management but not all patients receive follow-up and re-evaluation of burn pain in accordance with the SOP on pain management.

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SP6-31 Root cause analysis for patient safety issues in a psychiatry unit of a General Hospital

Journal of Epidemiology & Community Health ◽

10.1136/jech.2011.142976q.2 ◽

2011 ◽

Vol 65 (Suppl 1) ◽

pp. A463-A463

Author(s):

N. Bedi

Keyword(s):

Patient Safety ◽

General Hospital ◽

Root Cause Analysis ◽

Cause Analysis ◽

Safety Issues ◽

Root Cause

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Diagnosis and Treatment of Bowed, Misalign, and Eccentric Rotor Trains

Volume 1: 22nd Biennial Conference on Mechanical Vibration and Noise, Parts A and B ◽

10.1115/detc2009-86307 ◽

2009 ◽

Cited By ~ 2

Author(s):

Juan Hidalgo ◽

Zlatan Racic

Keyword(s):

Economic Benefits ◽

Diagnostic Tools ◽

Proper Treatment ◽

Cause Analysis ◽

Root Cause ◽

Eccentric Rotor ◽

Vibration Problems ◽

Made In

The intention of this paper is to demonstrate the advantages and the economic benefits of vibration root cause analysis and diagnosis, proper treatment of rotors during service outage, and follow up after commissioning of the units versus the general industry approach of field balance all vibration problems. During the course of the paper several diagnostic tools and repair procedures will be introduced and discussed. Special enfaces is made in the identification and treatment of rotor’s bows, misalignments, and eccentricities since they represent the most common and less recognized vibration root cause. A case study will be used as a guide to facilitate the comprehension and to illustrate real industry results that can be achieved by systematically following the proposed methodology.

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