Handover Sebagai upaya Peningkatan Keselamatan Pasien &lt;i&gt;(Patient Safety)&lt;/i&gt; di Rumah Sakit

Triwibowo, Cecep; Yuliawati, Sulhah; Husna, Nur Amri

doi:10.20884/1.jks.2016.11.2.646

Cited by 10 publications

(15 citation statements)

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“…Komunikasi terhadap berbagai informasi mengenai perkembangan pasien antar profesi kesehatan di rumah sakit merupakan komponen yang fundamental dalam perawatan pasien, ketidakakuratan informasi dapat menimbulkan dampak yang serius pada pasien, dan hampir 70% kejadian sentinel yaitu kejadian yang mengakibatkan kematian atau cedera yang serius di rumah sakit disebabkan karena buruknya komunikasi (Dewi, 2012;Fealy, Munroe, Riordan, Croke, Conroy, McNamara, & Shannon, 2016;Foronda, MacWilliams, & McArthur, 2016;Triwibowo, Yuliawati, & Husna, 2018).…”

Section: Pendahuluanunclassified

Penerapan Introduction, Situation, Background, Assessment and Recommendation (ISBAR) untuk komunikasi efektif antara perawat dan dokter di Rumah Sakit Umum Daerah Cibabat Kota Cimahi

Badrujamaludin

Kumala

2020

J.HolHealth

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ISBAR and effective communication between nurses and doctors Background: The communication errors the main cause of events reported to the United States Joint Commission between 1995 to 2006 of 25000-30000 preventable incidents that cause permanent disability. 11% of these adverse events are due to 6% different communication problems and also because inadequate level of skills. In Indonesia, data on unexpected-events (UEs)) let alone the event of near‐miss events (NMEs) is still scarce, but on the other hand there is an increase in accusations of "mal practice", which is not necessarily in accordance with the final proof, Patient safety targets, the main element of care services to patients is effective communication. At Cibabat hospital uses SBAR communication between nurses and doctors, but there is still an element lacking in the nurse's self-introduction component when calling doctorsPurpose: This study aims to determine the description and effectiveness of ISBAR communication as effective communication between nurses and doctorsMethods: The sample of 79 nurses by survey and another nurses of 45 by observation, it done in ICU and inpatient ward. Surveys Questioners filled up direct by respondents and observation sheets filled up by supervisors through look directly at the moment a communication. The data collected is analyzed by frequency distribution from the results of surveys and all data analized by a statistical test to find the effectiveness of communication with the Wilcoxon TestResults: The survey found that has improved of 80% to 93.3% (ICU) and of 78.1% to 87.5% (Inpatient ward) of the communication component Introduction; by mention the name. Observation results introduction; mention the name of ISBAR communication there was a significant improve from 57.1% to 100% (ICU) and from 20.8% to 79.2% (inpatient ward). Wilcoxon test results were found from observations in ICU with a value of 0.003 (p <0.05) and in the inpatient ward with a value of 0.00 (p <0.05) for the introduction aspect. Therefore, this study found that ISBAR communication more effective than SBAR in terms of mentioning the names in the aspects of IntroductionConclusion: That ISBAR Communication is more effective than SBAR communication in terms of the component of name's Introduction aspect. As a result, ISBAR communication can be implemented as a standard of communication for Cibabat General Hospital and other hospitals.Keywords: ISBAR; Communication; Effective; Nurses and Doctors; HospitalPendahuluan: Kesalahan dalam komunikasi adalah penyebab utama peristiwa yang dilaporkan ke Komisi Bersama Amerika Serikat antara 1995 dan 2006 yaitu dari 25000-30000 kejadian buruk yang dapat dicegah menyebabkan cacat permanen 11% kejadian buruk ini adalah karena masalah komunikasi yang berbeda 6% dan juga karena tidak memadai tingkat ketrampilannya. Di Indonesia data tentang kejadian tidak diharapkan (KTD) apalagi kejadian nyaris cedera (KNC) masih langka, namun di lain pihak terjadi peningkatan tuduhan “mal praktek”, yang belum tentu sesuai dengan pembuktian akhir. Sasaran keselamatan pasien, unsur yang utama dari layanan asuhan ke pasien adalah komunikasi efektif.RSUD Cibabat menggunakan komunikasi SBAR dalam komunikasi dengan dokter, tapi masih ada unsur kurang dalam komponen mengenalakan diri perawat saat menelpon dokterTujuan: Penelitian ini bertujuan untuk mengetahui gambaran dan keefectivan komunikasi ISBAR sebagai komunikasi efektif antara perawat dan dokterMetode: Penelitian ini menggunakan sampel sebanyak 79 perawat untuk survey ruang ICU dan rawat inap dan 45 perawat untuk observasi di ruang ICU dan rawat inap. Questioner di berikan kepada responden survey dan lembar observasi di berikan kepada tim Supervisor rumah sakit dengan melihat langsung komunikasi yang dilakukan. Data yang terkumpul di analisa dengan disribusi frequency dari hasil survey dan observasi dan kemudian data observasi di lakukan uji statsistik untuk melihat keefectivan dengan Uji WilcoxonHasil: Hasil penelitian didapatkan untuk Survey ditemukan bahwa peningkatan dari dari 80% menjadi 93,3%. (ICU) dan 78,1 % menjadi 87,5% (Rawat inap) dari komponen komunikasi Introduction; menyebutkan nama. Hasil observasi Introduction; menyebutkan nama dari komunikasi ISBAR terjadi peningkatan significan dari 57,1 % menjadi 100% (ICU) dan dari 20,8% menjadi 79,2 % (Rawat inap). Uji hasil test wilcoxon ditemukan dari hasil observasi di ruang ICU dengan nilai 0,003 (p< 0.05) dan di ruang rawat inap dengan nilai 0,00 (p< 0,05) untuk aspek introduction. Sehingga dari penelitian ini disimpulkan bahwa Komunikasi ISBAR lebih efective untuk diterapkan dari pada komunikasi SBAR dalam hal komponen Meneyebutkan nama di aspek IntroductionSimpulan: penelitian ini menyimpulkan bahwa Komunikasi ISBAR lebih efective untuk diterapkan dari pada komunikasi SBAR dalam hal komponen menyebutkan nama di aspek Introduction. Sehingga komunikasi ISBAR bisa jadikan standard komunikasi untuk RSUD Cibabat Khususnya dan Rumah sakit lain pada umumnya.

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Section: Pendahuluanunclassified

Penerapan Introduction, Situation, Background, Assessment and Recommendation (ISBAR) untuk komunikasi efektif antara perawat dan dokter di Rumah Sakit Umum Daerah Cibabat Kota Cimahi

Badrujamaludin

Kumala

2020

J.HolHealth

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“…Jenis kelamin responden hampir 100% perempuan, dimana perawat sangat identik dengan perempuan atau ibu yang lebih dikenal dengan mother instinct (Potter, P. A., & Perry, 2016 Timbang terima merupakan salah satu cara dalam menyampaikan dan menerima laporan yang berkaitan dengan keadaan pasien yang dilakukan seefektif mungkin (Triwibowo et al, 2016). Dalam Merten et al, (2017) mengemukakan bahwa timbang terima adalah transfer tanggung jawab profesioal atas semua aspek keperawatan pasien.…”

Section: Pembahasanunclassified

Pengaruh Pelatihan Komunikasi ISOBAR (Identify, Situation, Observations, Background, Assesment, Recomendation) Terhadap Pengetahuan dan Kualitas Pelaksanaan Operan Di RSUD Padang Pariaman

Mairosa

Machmud

Jafril³

2019

j. nurs.

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Handover communication is the transfer of information related to the patient for the continuity of care provided. Errors in the transfer of patient information can result in negligence of treatment, inadequate care and death, for this reason a communication framework is needed so that the information conveyed is fast, precise and accurate. ISOBAR is an operative communication framework that is more structured, complete and accurate so that it can support patient safety. This study aims to identify the effect of ISOBAR communication training for the knowledge and quality of handover in Padang Pariaman District Hospital. This research used a quasy experimental Pre-Post Test with Control Group design. The technique of taking samples was systematic random sampling. The sample in this study was the team leader and the person in charge of the shift with a total of 23 intervention groups and 18 control groups. Data collection is done by questionnaire and observation. Analysis of the data used is the Mann-Whitney statistical test to see differences in the intervention and control groups. The results of this study prove that there is an influence of ISOBAR communication training on knowledge (p = 0,000) and the quality of handover (p = 0,000) in the intervention group. It is expected that the Hospital can use ISOBAR communication in handover to improve the quality of human resources and make policies regarding the application of ISOBAR communication in an effort to improve patient safety

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“…This quality can be seen from one of them through the implementation of Handover nurses when weighing receipts between shifts. 4 National Hospital Accreditation Standards (SNARS) 1.1. The Patient Safety Goal (SKP.2.2) requires that the hospital establish and implement a communication process "Handover" and develop effective, timely, accurate, complete, clear and understandable communication methods for recipients.…”

Section: Introductionmentioning

confidence: 99%

Handover Nurse Monitoring and Evaluation In Meeting The SNARS Accreditation Standards 1.1

Yuliastanti

Pohan

Hartiti

2020

SEANR

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Sultan Agung Islamic Hospital Semarang as one of the providers of health, education and research services must be supported by a strong organization and good management. The nurse plays an important role regarding the clinical outcome of the client, especially during the handover the process which has an impact on patient safety and the quality of the hospital. The implementation of monitoring and evaluation of handover in this hospital has never been implemented because there are no working tools and regulations that regulate it as a reference for implementation. This study uses the interviews and observations with the approach carried out on 7 - 19 December 2020. Participants consisted of the Responsible Person / Head of the Room, the Responsible Nurse (PPJA) and the Implementing Nurse (PP) in the Baitul Izzah 2 room of the Sultan Agung Islamic Hospital Semarang. This study found 3 themes were found, namely the absence of monitoring and evaluation of handover nurses, lack of understanding of nurses regarding the implementation of handover monitoring and evaluation, the absence of regulations and work tools regarding the handover monitoring and evaluation. Work tools and regulations are very helpful in the implementation of monitoring and evaluation of handover in providing nursing care in the inpatient room. As well as fulfilling SNARS 1.1 Accreditation standards.

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Handover Sebagai upaya Peningkatan Keselamatan Pasien <i>(Patient Safety)</i> di Rumah Sakit

Cited by 10 publications

References 0 publications

Penerapan Introduction, Situation, Background, Assessment and Recommendation (ISBAR) untuk komunikasi efektif antara perawat dan dokter di Rumah Sakit Umum Daerah Cibabat Kota Cimahi

Penerapan Introduction, Situation, Background, Assessment and Recommendation (ISBAR) untuk komunikasi efektif antara perawat dan dokter di Rumah Sakit Umum Daerah Cibabat Kota Cimahi

Pengaruh Pelatihan Komunikasi ISOBAR (Identify, Situation, Observations, Background, Assesment, Recomendation) Terhadap Pengetahuan dan Kualitas Pelaksanaan Operan Di RSUD Padang Pariaman

Handover Nurse Monitoring and Evaluation In Meeting The SNARS Accreditation Standards 1.1

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