Evaluating Clinical Pathway Typhoid Fever Monitoring at ABC Hospital Malang

Abstract

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.

Impact of Clinical Pathway Implementation of Laparoscopic Appendectomy on Length of Stay, Hospital Cost and Patient Health Outcome at Emc Pekayon Hospital

“…The results of in-depth interviews with triangulation informants are in accordance with several previous studies where the implementation of clinical pathways can improve patient health outcomes, including the application of process aspects with integrated clinical pathways, it is hoped that service quality can be improved at affordable and predictable costs, as well as reducing patient readmissions at home sick (Shanti Rosalina et al 2018); Another study (Sena 2019) at Condong Catur Hospital found that the majority of patient outcomes before the implementation of the clinical pathway were in the cured category of 18 patients with a percentage of 90.0%, as well as the outcomes after CP implementation where 100% of the samples were in the cured category. The results of this in-depth interview are in line with the theoretical studies used in this study, namely a measure of the quality of health services can be seen from clinical outcomes that consider the success of all multidisciplinary aspects of care, related complications, rehabilitation, and recurrence experienced by patients for the same disease condition (Porter 2017 ).…”

Evaluasi Kepatuhan Petugas Kesehatan dalam Implementasi Clinical Pathway di RS Islam Surabaya Ahmad Yani

“…Upaya perbaikan yang dapat dilakukan untuk mengatasi sampel pemeriksaan yang tertukar adalah dengan mewajibkan pemberian label oleh petugas kesehatan. Selain pemebrian label, sampel pemeriksaan juga dilakukan pendataan pada SIM RS guna mengintegrasikan diagnosis awal, sampel pemeriksaan, diagnosis akhir dan pelayanan yang diberikan serta mengurangi kemungkinan kejadian tertukarnya sampel pemeriksaan (14).…”