Analysis of Implementation of Acute Appendicitis Clinical Pathway With Icpat (Integrated Clinical Pathway Appraisal Tool) at Faisal Islamic Hospital Makassar Year 2022

Abstract

Background: Clinical Pathways are crucial for implementing Good Clinical Governance in hospitals to reduce variations, ultimately decreasing the risk of medical errors. A Clinical Pathway must create a diagnosis with high volume, risk, cost, and problem-proneness standards. Appendicitis is an essential public health problem; the prevalence and incidence have increased globally. The clinical pathway implementation at our institution has yet to be evaluated. Objective: This study aims to analyze the implementation of the Acute Appendicitis Clinical Pathway using ICPAT. Methods: This study is a mixed methods study with a case study approach. Quantitative samples were collected from medical records of patients with acute appendicitis through proportional random sampling based on the inclusion and exclusion criteria. Qualitative participants were chosen according to appropriateness and adequacy principles. The validation method used was data triangulation. Result: The outcomes demonstrated a 0% compliance rate in implementing the clinical pathway for acute appendicitis. ICPAT results (content and quality); D1 (90%, 100%), D2 (39.13%, 25%), D3 (30.77%, 35.29%), D4 (60%, 100%), D5 (50%, 30.77%), D6 (66.67%, 75%). Conclusion: There was never a comprehensive review, especially using standard tools. This study helps Faisal Islamic Hospital conclude points to improve, especially the bad categories, namely the documentation, development, and maintenance dimensions.