skip to main content

Analisis Perilaku Organisasi Pada Imlpementasi Clinical Pathway Pasien Dengan ST-Elevasi Miokard Infark (STEMI) Di RSUP Dr. Kariadi Semarang

Muhammad Mukhlis Sujudi  -  RSUP dr. Kariadi Semarang, Indonesia
Sutopo Patria Jati orcid scopus  -  Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia
*Farid Agushybana orcid scopus publons  -  Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia

Citation Format:
Abstract

Implementation of CP (clinical pathway) as the main requirement for quality control and hospital costs is important in providing services. CP implementation is influenced by many factors. As many as 90% of filling in CP was not policies and SOPs based. This study aims to determine organizational behavior towards the implementation of CP in patients with STEMI at dr. Kariadi Semarang. This research was a qualitative descriptive study. Collecting data through in-depth interviews and observations. Interviews were conducted to 6 informants who were selected using purposive sampling technique. Data were analyzed descriptively and presented in narrative form. The results showed that the implementation of CP in dr. Kariadi Semarang has been carried out since 2012 and has undergone adjustments to the KARS standard in the Guidelines for the Preparation of Clinical Practice Guidelines and Clinical Pathways in Integrated Care according to the 2012 Hospital Accreditation Standard Edition I. The hospital director assigned the Director's Decree No. HK.00.01/I.IV/600/2016, No. KP.08.02/I.IV/434/2016, No. HK.00.01/I.IV/432/2016 and SOPs to support CP implementation. The adequacy of the workforce needs to be reconsidered. Compliance with CP implementation has not been maximized. Barriers to the implementation of CP was limited human resources, CP has not been integrated with RME in real time, recapitulation of CP was retrospective, evaluation of compliance by yanmed has not been audited by the Medical Committee on a regular basis, PPA compliance, consistency of medical record writing, and patient condition. Monitoring, evaluation and communication need to be developed to optimize the implementation of CP.

Note: This article has supplementary file(s).

Fulltext View|Download |  Research Instrument
Pedoman Wawancara
Subject Perilaku Organisasi, Implementasi, Clinical Pathway, Pasien dengan ST-Elevasi Miokard Infark (STEMI)
Type Research Instrument
  Download (10KB)    Indexing metadata
Keywords: Implementation; Clinical Pathway; Patients with STEMI

Article Metrics:

  1. Presiden Republik Indonesia. Undang-Undang Nomor 44 Tahun 2009 tentang Rumah Sakit. Kementerian Hukum dan Hak Asasi Manusia RI Jakarta; 2009
  2. Nurfarida I, Yoga BHY, Agusno M. Efektivitas Pelayanan Selama Penerapan Clinical Pathway Skizofrenia Rawat Inap di RSUP dr. Sardjito Yogyakarta. J Manaj Pelayanan Kesehat. 2014;17(1):9–13
  3. Firmansyah Y, Widjaja G. Pemberlakuan clinical pathway dalam pemberian layanan kesehatan dan akibat hukumnya (the application of clinical pathway in health care and its legal consequences). J Med Hutama. 2022;3(2):1913–46
  4. Rivany R. Indonesia Diagnosis Related Groups. Kesmas Natl Public Heal J. 2009;4(1):3
  5. RSUP dr. Kariadi. Laporan akuntabilitas kinerja tahun 2021 RSUP dr. Kariadi Semarang. RSUP dr. Kariadi. Semarang; 2022
  6. Perhimpunan Dokter Spesialis Kardiovaskular Indonesia. Pedoman Tatalaksana Sindrom Koroner Akut. 3rd ed. Jakarta: Centra Communications; 2015
  7. Bambari HA, Panda AL, Joseph VFF. Terapi Reperfusi pada Infark Miokard dengan ST-Elevasi. e-CliniC. 2021;9(2):287–98
  8. Vogel B, Claessen BE, Arnold S V., Chan D, Cohen DJ, Giannitsis E, et al. ST-segment elevation myocardial infarction. Nat Rev Dis Prim. 2019;5(39):1–20
  9. Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia No. 4 Tahun 2018 tentang Kewajiban Rumah Sakit dan Kewajiban Pasien. Kementerian Kesehatan Republik Indonesia, Permenkes No. 4 Tahun 2018 Jakarta; 2018
  10. Anggara C, Arini M, Jennie IM, Administrasi M, Sakit R, Yogyakarta UM, et al. Evaluasi Implementasi Clinical Pathway DHF Anak Pada RS Tipe D Di Yogyakarta. Jambura J Heal Sci Res. 2021;3(2):226–40
  11. Pujihastuti A, Hastuti NM, Yuliani N. Penerapan Sistem Informasi Manajemen Rumah Sakit dalam Mendukung Pengambilan Keputusan Manajemen. J Manaj Inf Kesehat Indones. 2021;9(2):191–200
  12. Muntari M, Djawoto D, Suwitho S, Oetomo HW. Pengaruh Kualitas SIMRS dan Lingkungan Kerja Non Fisik terhadap Kinerja Pegawai dan Person-Organization Fit (Studi Kasus pada Rumah Sakit Islam Jemursari Surabaya). J Ilmu Manaj. 2020;8(3):658–74
  13. Taalongonan E, Lengkong FD, Laloma A. Implementasi Kebijakan Pelayanan Kesehatan Masyarakat Miskin di Rumah Sakit Umum Daerah Kota Bitung. J Adm Publik. 2016;3(38):1–11
  14. Rahmaddian T, Semiarty R, Lita RP. Evaluasi Implementasi Kebijakan Standar Pelayanan Minimal Unit Radiologi Rumah Sakit Umum Daerah (RSUD) Dr. Rasidin Padang. J Kesehat Andalas. 2019;8(3):583–9
  15. Mulyadi D. Studi Kebijakan Publik dan Pelayanan Publik konsep dan Aplikasi Proses Kebijakan Publik Berbasis Analisis Bukti untuk Pelayanan Publik. Revisi. Bandung: CV. Alfabeta; 2018
  16. Rizky W, Darmaningtyas N, Yulitasari BI. Hubungan Jumlah Tenaga Perawat dengan Beban Kerja Perawat Pelaksana di Ruang Rawat Inap Kelas III RSUD Wates. Indones J Hosp Adm. 2018;1(1):38–42
  17. Ananta PG, Dirdjo MM. Hubungan Antara Beban Kerja Dengan Kinerja Perawat Di Rumah Sakit: Suatu Literature Review. Borneo student Res. 2021;2(2):928–33
  18. Febrina T, Edward Z, Nasution N. Hubungan Beban Kerja Dengan Kinerja Perawat Di Instalasi Rawat Inap Rumah Sakit Harapan Bunda Kota Batam. J Kesehat Saelmakers PERDANA. 2020;3(2):1–11
  19. Agus TP, Suratri MAL, Fajarwati T. Studi Kasus di Indonesia: Kepatuhan Pengisian Clinical Pathway Stroke Iskemik dan STEMI di Beberapa Rumah Sakit Tahun 2019. Media Penelit dan Pengemb Kesehat. 2021;31(4):319–26
  20. Sari DR. Audit Implementasi Clinical Pathway Diare Akut di Rumah Sakit Anak dan Bunda Harapan Kita Tahun 2016. J Adm Rumah Sakit. 2017;3(2):115–26
  21. Alfajri N., Nurmastuti H. Implementasi Case Management System Di Rumah Sakit. Yogyakarta: UGM Press; 2017

Last update:

No citation recorded.

Last update: 2024-05-27 13:39:21

No citation recorded.