HUBUNGAN PRAKTEK KESELAMATAN PASIEN PADA TINDAKAN PEMBEDAHAN DENGAN SURGICAL SAFETY CHECKLIST WHO TERHADAP LUARAN KLINIS DI RSUD MUNTILAN KABUPATEN MAGELANG
Background: The number of surgery in the world is very large, almost double exceeds the birth rate per year. The high rate of complications and death due to surgery was supposed to be a global health concern. The incidence of undesirable post-surgical hospital almost half are preventable. The World...
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| Main Authors: | , |
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| Format: | Theses and Dissertations NonPeerReviewed |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2013
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| Subjects: | |
| Online Access: | https://repository.ugm.ac.id/126948/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=67187 |
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| Institution: | Universitas Gadjah Mada |
| Summary: | Background: The number of surgery in the world is very large, almost double
exceeds the birth rate per year. The high rate of complications and death due to
surgery was supposed to be a global health concern. The incidence of undesirable
post-surgical hospital almost half are preventable. The World Health Organization
to introduce surgical safety checklist that aims to improve patient safety and
decrease complications and death due to surgery.
Objective: measure the relationship of patient safety practices by WHO surgical
safety checklist on the incidence of clinical outcomes post surgery.
Method: This type of research is an observational prospective longitudinal
research design. The subjects of this study is all performed major surgery in the
period April to June 2013 in the Central Surgical Installation Muntilan Hospital
Magelang District. The observation done with instruments WHO surgical safety
checklist and assessment of clinical outcomes up to 30 days post surgery. The data
were analyzed with the approach of univariate, bivariate and multivariate.
Results and Discussion: Complications occurred in 32 subjects (12.5%), the most
complications is surgical site infection (SSI) 27 subjects (10.5%). The Result of
multivariate analysis on factors surgery obtained factors were significantly related
to the occurrence of clinical outcomes that length of stay in hospital (RR = 3.98,
95% CI: 1.78 to 8.89585) (p = 0.001). On multivariate analysis on SSC, subjects
who did not receive prophylactic antibiotics before surgery has a significant risk
of 2.59 times compared to the SSI subjects who received antibiotic prophylaxis
(RR = 2.59, 95% CI: 1.06 to 6.28) (p = 0.036).
Conclusion and Recommendation: there is a relationship between the practice
of surgery with the WHO surgical safety checklist with the clinical outcomes of
surgical site infection. Need to do the implementation of WHO surgical safety
checklist on any of surgery in the hospital. |
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