Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul

Astuti, Yurni Dwi; Dewi, Arlina; Arini, M.Pd . Dra. Ni Wayan

doi:10.18196/jmmr.6133

Cited by 16 publications

(28 citation statements)

References 13 publications

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“…Information is conveyed through layers of bureaucratic hierarchies. Distortion of communication can occur due to the length of the information chain which can lead to information bias (Astuti et al, 2017). Limitations in understanding and inconsistency in roles occur due to lack of exposure to information.…”

Section: "…Actually Coordination and Cooperation Has Been Established Between Related Parties…the Main Duties And Functions Are Clearly Smentioning

confidence: 99%

Analysis of Discharge Planning Implementation at Siloam Hospitals Balikpapan

Michdar

Rivai

Thamrin

et al. 2021

JWH

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This study aims to analyze the implementation of discharge planning at Siloam Hospitals Balikpapan in 2018. The type of research conducted is a mix method research. The sample of this study was taken with a total sampling of patients in the Inpatient Installation which was then observed on 260 medical record documents to determine the percentage of completeness of filling items and the timeliness of returning medical record files, then 7 (seven) informants. The results showed that the results showed that the implementation of discharge planning at the Siloam Hospital Balikpapan inpatient had not been running according to the standards set by the hospital, namely 100%. In the discharge planning implementation, the most influential factor is the human resource factor, seen from the discharge planning cycle implementation from the initial HR involvement to the end. It is recommended for hospital management that the parts that are still not appropriate (14.5%) to be evaluated further, so that the causal factors can be immediately corrected. For the implementation of communication, it is necessary to convey clearly and accurately related to the information provided so that it is easy to understand and run in accordance with policy objectives such as holding regular socialization so that health workers understand the outline of the purpose of implementing this discharge planning.

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Section: "…Actually Coordination and Cooperation Has Been Established Between Related Parties…the Main Duties And Functions Are Clearly Smentioning

confidence: 99%

Analysis of Discharge Planning Implementation at Siloam Hospitals Balikpapan

Michdar

Rivai

Thamrin

et al. 2021

JWH

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“…Pada tahun 2003 dilaporkan bahwa sebanyak 80% rumah sakit di Amerika Serikat telah menerapkan clinical pathway. 4 Penerapan clinical pathway di rumah sakit sebagai suatu kebijakan masih terdapat masalah klasik yaitu sering terhambat oleh sumber daya dan tingginya beban kerja. 5 Menurut Van Metter dan Carl van Horn agar kebijakan berjalan dengan baik dipengaruhi oleh variabel implementasi kebijakan yang meliputi ukuran dan tujuan kebijakan, sumber daya, karakteristik agen pelaksana, sikap atau kecenderungan (disposition) para pelaksanan, komunikasi antar organisasi dan aktivitas pelaksana, dan lingkungan ekonomi, sosial, dan politik.…”

Section: Clinical Pathway Disusun Berdasarkanunclassified

Critical Success Factors (Csf) Pelaksanaan Clinical Pathway Di Rumah Sakit Umum Daerah Tugurejo Semarang

Hidayat

Arso

Sudiro

2020

jkmk

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Dalam rangka memenuhi salah satu syarat yang pada Standar Akreditasi Rumah Sakit versi KARS 2012, RSUD Tugurejo melalui peningkatkan dan pengembangkan mutu pelayanannya diseluruh jajaran rumah sakit dengan salahsatunya penyelenggaraan clinical pathway. Tujuan penelitian ini adalah mengidentifikasi critical success factor pada pelaksanaan clinical pathway berdasarkan tingkatan kelompok manajemen, kelompok praktisi dan kelompok verifikasi.Penelitianini menggunakan metode mix method yaitu metode kualitatif untuk mendapatkan informasi yang lebih mendalam tentang pelaksanaan clinical pathway berdasarkan model implementasi Van Merter dan Van Horn dilihat dari kriteria sasaran dan tujuan, kriteria komunikasi, kriteria sumber daya dan kriteria disposisi untuk menentukan success factors dan metode kuantitatif dilakukan pembuatan kuisoner untuk pembobotan menggunakan Analytical Hierarchy Process (AHP). Nilai pembobotan dapat diidentifikasi dari success factors yang kemudian diklasifikasikan menjadi critical success factors. Penelitian dilaksanakan di masing-masing perwakilan bagian yang terlibat pelaksanaan clinical pathway. Waktu pelaksanaan mulai bulan Juli sampai September 2019.Hasil dari penelitian diperoleh terdapat 4 critical success factors yaitu “meningkatkan kepatuhan, kesadaran dan tanggung jawab para pemberi asuhan pengisian clinical pathway” (48,9%), “membuat buku panduan pelaksanaan clinical pathway” (43,1%), “menambah petugas penanggung jawab clinical pathway” (36,7%), dan “meningkatkan komitmen para pemberi asuhan sesuai dengan standar pelaksanaan clinical pathway” (39,3%).

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“…Lack of socialization as one of the obstacles in the implementation of Clinical Pathway at the hospital. 20 Training of staff involved in the implementation of Clinical Pathway should be conducted intensively and thoroughly. Clinical Pathway socialization for ABC Hospital staff is needed to provide insight into the understanding, benefits, types of Clinical Pathway applicable at ABC Hospital, and procedures for Clinical Pathway monitoring.…”

Section: Environmentmentioning

confidence: 99%

“…Furthermore, the case manager is a person who played an important role in the implementation of the Clinical Pathway and determined the successful implementation of Clinical Pathway. 17,18,20 . Case manager functions to coordinate, monitor the implementation of Clinical Pathway, conduct quality inspection of Clinical Pathway documentation, and encourage compliance of Clinical Pathway implementation.…”

Section: Environmentmentioning

confidence: 99%

“…Case manager acts as an intermediary between the Clinical Pathway team and the care giver. 20 The availability of human resources was one of the keys of Clinical Pathway implementation. 22 Besides the human resources who were responsible for the implementation of the Clinical Pathway, the hospitals should also take into account the availability of staff who have the power to supervise the implementation of the Clinical Pathway both at the organizational and unit level.…”

Section: Environmentmentioning

confidence: 99%

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Evaluating Clinical Pathway Typhoid Fever Monitoring at ABC Hospital Malang

Rosalina

Mansur

Hidayat

et al. 2018

JMMR

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ABC Hospital has implemented 15 Clinical Pathway, and Typhoid Fever is the most cases that can be served. The inaccuracy of the monitoring report on the implementation of Clinical Pathway has prevented the hospital from taking appropriate actions to improve the implementation of Clinical Pathway Typhoid Fever. This study aims to determine the obstacles of monitoring implementation of Clinical Pathway Typhoid Fever in ABC Hospital. This research is a case study and descriptiveexplorative research, using document review, field observation, interview, and questionnaire for data collection. The research was conducted in the in-patient wards and medical records room of ABC Hospital during September 2017. The respondents of the research include room physicians, head of inpatient rooms, pediatric, internist, pharmacist, nutritionist, and medical record staff. The result show that factors which impeded implementation of Clinical Pathway monitoring in ABC Hospital were the absence of Clinical Pathway team, the incompatibility of the Clinical Pathway Guide content, the absence of SOP of Clinical Pathway filling form, and the lack of socialization. Suggestion for improving monitoring of Clinical Pathway Typhoid Fever are establish a Clinical Pathway team, revise the Guidance of Clinical Pathway, compile SOP of Clinical Pathway filling form, and do socialization. RS ABC telah menerapkan 15Clinical Pathway, dan Typhoid Fever merupakan kasus terbanyak yang dapat dilayani. Ketidakakuratan laporan monitoring pelaksanaan Clinical Pathway menyebabkan rumah sakit tidak dapat mengambil langkah perbaikan pelaksanaan Clinical Pathway Typhoid Fever dengan tepat. Penelitian ini bertujuan untuk mengetahui kendala pelaksanaan monitoring Clinical Pathway Typhoid Fever di RS ABC. Penelitian ini merupakan studi kasus yang dilakukan di ruang rawat inap dan rekam medis RS ABC selama September 2017. Data dikumpulkan melalui pendekatan deskriptif -eksploratif dengan melakukan telaah dokumen, observasi lapangan, wawancara, dan kuesioner. Responden meliputi dokter ruangan, kepala ruang rawat inap, profesional pemberi asuhan, perawat, dan staf rekam medis. Hasil penelitian menunjukkan bahwa faktor-faktor yang menjadi kendala pelaksanaan monitoring Clinical Pathway di RS ABC adalah belum terbentuknya tim Clinical Pathway, ketidaksesuaian isi Panduan Clinical Pathway, belum adanya SPO pengisian form Clinical Pathway, dan kurangnya sosialisasi. Untuk mengatasi kendala tersebut, saran yang diberikan adalah menbentuk tim Clinical Pathway, merevisi Panduan Clinical Pathway, menyusun SPO pengisisan form Clinical Pathway, dan melakukan sosialisasi.

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Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul

Cited by 16 publications

References 13 publications

Analysis of Discharge Planning Implementation at Siloam Hospitals Balikpapan

Analysis of Discharge Planning Implementation at Siloam Hospitals Balikpapan

Critical Success Factors (Csf) Pelaksanaan Clinical Pathway Di Rumah Sakit Umum Daerah Tugurejo Semarang

Evaluating Clinical Pathway Typhoid Fever Monitoring at ABC Hospital Malang

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