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The Relationship Between Nurse Burnout and Patient Safety Culture with The Quality of Nursing Care in Type B Hospitals in Central Sulawesi 中苏拉威西岛 B 类医院护士职业倦怠和患者安全文化与护理质量之间的关系
Pub Date : 2024-06-12 DOI: 10.46799/jhs.v5i6.1293
Fitria Dewi Susanti, Sri Andarini, K. Putra
The hospital provides health services such as inpatient, outpatient, and emergency departments. The quality of nursing care is crucial as patients rely on nurses to address their complaints. This study aims to determine the relationship between nurse burnout and patient safety culture with the quality of nursing care. An analytical observational design with a cross-sectional study approach was conducted in two Type B Hospitals in Central Sulawesi Province with 235 nurse respondents in the inpatient room, using purposive sampling. Data analysis included the Pearson product-moment test and multivariate modeling. Results indicated a significant relationship between nurse burnout and nursing care quality (p-value <0.05), as well as between patient safety culture and nursing care quality. The dominant variable related to the quality of nursing care was patient safety culture (β = 0.723). The study highlights that nurse burnout negatively impacts the quality of nursing care, whereas a strong patient safety culture improves it. Theoretically, this research expands the understanding of the interplay between nurse burnout, patient safety culture, and nursing care quality, emphasizing the need for organizational support and effective communication. Practically, it suggests that hospital administrators should implement strategies to reduce nurse burnout and foster a positive patient safety culture, such as stress management programs and a supportive work environment, to enhance nursing care quality and improve patient outcomes.
医院提供住院、门诊和急诊等医疗服务。护理质量至关重要,因为病人依赖护士来解决他们的投诉。本研究旨在确定护士职业倦怠和患者安全文化与护理质量之间的关系。研究采用分析性观察设计和横断面研究方法,在中苏拉威西省的两家 B 类医院进行,使用目的性抽样法在住院病房对 235 名护士进行了调查。数据分析包括皮尔逊积矩检验和多元模型。结果表明,护士职业倦怠与护理质量之间以及患者安全文化与护理质量之间存在明显关系(P 值小于 0.05)。与护理质量相关的主要变量是患者安全文化(β = 0.723)。该研究强调,护士职业倦怠会对护理质量产生负面影响,而强大的患者安全文化则会提高护理质量。从理论上讲,这项研究拓展了对护士职业倦怠、患者安全文化和护理质量之间相互作用的理解,强调了组织支持和有效沟通的必要性。在实践中,它建议医院管理者应实施减少护士职业倦怠和培养积极的患者安全文化的策略,如压力管理计划和支持性工作环境,以提高护理质量和改善患者预后。
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引用次数: 0
The Effect of Animated Video Learning on ESI Triage Knowledge and Student Satisfaction of Nursing Polytechnic Health Ministry of Health Makassar 动画视频学习对马卡萨卫生部护理职业技术学院ESI分诊知识和学生满意度的影响
Pub Date : 2024-06-10 DOI: 10.46799/jhs.v5i6.1292
Andi Aridhasari Sudirman, K. Kumboyono, Suryanto Suryanto
Triage at the hospital's Emergency Room (ER) is critical for prioritizing the care of emergency patients. Triage errors can be dangerous and endanger patient safety, so nursing students should have a solid understanding of triage. This study investigates the impact of ESI triage learning media containing PowerPoint and animated films on knowledge, triage decision-making (TDM), and participant satisfaction. The research used a quantitative approach with a Quasi-Experimental pretest-posttest method involving 36 5th semester Diploma Nursing students at the Makassar Ministry of Health Polytechnic. The study was divided into two groups, experimental (animated video learning) and control (PowerPoint learning), to evaluate the effect of treatment on knowledge, triage decision-making, and student satisfaction in ESI triage learning. The results of the data analysis show a significant increase in knowledge about ESI Triage and student satisfaction after the intervention, with significant values ​​of 0.001 and 0.018, respectively (p-value < 0.05). Although there was no significant increase in Triage decision-making abilities between the groups that used animated videos and Microsoft PowerPoint (p = 0.440), the use of animated videos overall increased student responses and satisfaction. MANOVA analysis confirmed that the implementation of animated videos significantly influenced knowledge and satisfaction in students with a p-value <0.05. The use of animated videos increases student knowledge and satisfaction significantly compared to PowerPoint, although it does not affect triage decision-making.
医院急诊室(ER)的分诊对于优先护理急诊患者至关重要。分诊错误可能很危险,危及患者安全,因此护理专业学生应扎实掌握分诊知识。本研究调查了包含 PowerPoint 和动画电影的 ESI 分诊学习媒体对知识、分诊决策(TDM)和参与者满意度的影响。研究采用了定量方法和准实验性的前测-后测方法,共有 36 名来自望加锡卫生部理工学院的第五学期护理文凭学生参与。研究分为两组,即实验组(动画视频学习)和对照组(PowerPoint 学习),以评估治疗对 ESI 分流学习中的知识、分诊决策和学生满意度的影响。数据分析结果显示,干预后,ESI 分诊知识和学生满意度均有显著提高,显著值分别为 0.001 和 0.018(P 值小于 0.05)。虽然使用动画视频和 Microsoft PowerPoint 的小组在分流决策能力方面没有明显提高(p = 0.440),但使用动画视频总体上提高了学生的反应和满意度。MANOVA 分析证实,动画视频的实施对学生的知识和满意度有显著影响,P 值小于 0.05。与 PowerPoint 相比,使用动画视频能显著提高学生的知识水平和满意度,尽管它不会影响分诊决策。
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引用次数: 0
Comparison of Sensitivity, Specificity, and Accuracy of ISS, RTS, and TRISS Instruments in Predicting Mortality of Trauma Patients 比较 ISS、RTS 和 TRISS 仪器在预测创伤患者死亡率方面的灵敏度、特异性和准确性
Pub Date : 2024-05-08 DOI: 10.46799/jhs.v5i5.1274
Fenny Tianda, K. Kumboyono, Suryanto Suryanto
This study aims to compare the effectiveness of three trauma scoring systems—Injury Severity Score (ISS), Revised Trauma Score (RTS), and Trauma and Injury Severity Score (TRISS)—in predicting mortality among trauma patients at Inche Abdoel Moeis Regional General Hospital Samarinda's emergency room. Trauma assessment tools are crucial for reducing mortality rates and enhancing patient outcomes. While ISS focuses on anatomical factors, RTS integrates physiological parameters, and TRISS combines both for a comprehensive evaluation. Previous research suggests their effectiveness in mortality prediction, albeit with variations in performance. The absence of a dedicated trauma assessment system at the hospital underscores the urgency of this research. By evaluating the performance of ISS, RTS, and TRISS, this study aims to inform clinical practice and enhance trauma patient management, ultimately reducing mortality rates and improving outcomes in the emergency room setting. The study's methodology involves retrospective analysis of trauma patient data, including demographics, injury characteristics, and outcomes. Statistical analysis will compare the performance of the three scoring systems in predicting mortality with implications for trauma care protocols and resource allocation. Results will contribute to evidence-based decision-making in emergency room settings, facilitating more accurate triage and treatment strategies for trauma patients.
本研究旨在比较三种创伤评分系统--伤害严重程度评分(ISS)、修订创伤评分(RTS)和创伤与伤害严重程度评分(TRISS)--在预测萨马林达Inche Abdoel Moeis地区综合医院急诊室创伤患者死亡率方面的有效性。创伤评估工具对于降低死亡率和提高患者治疗效果至关重要。ISS侧重于解剖因素,RTS则综合了生理参数,而TRISS则将两者结合起来进行综合评估。以往的研究表明,尽管它们的性能存在差异,但在预测死亡率方面都很有效。由于医院缺乏专门的创伤评估系统,因此这项研究显得尤为迫切。通过评估 ISS、RTS 和 TRISS 的性能,本研究旨在为临床实践提供依据,并加强创伤患者的管理,最终降低死亡率并改善急诊室的治疗效果。研究方法包括对创伤患者数据进行回顾性分析,包括人口统计学、损伤特征和预后。统计分析将比较三种评分系统在预测死亡率方面的表现,并对创伤护理方案和资源分配产生影响。研究结果将有助于在急诊室环境中进行循证决策,促进为创伤患者制定更准确的分诊和治疗策略。
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引用次数: 0
Experience of Breastfeeding And Exclusive Breastfeeding For Women With Physical Disabilities: Scoping Review 身体残疾妇女的母乳喂养和纯母乳喂养经验:范围审查
Pub Date : 2024-05-08 DOI: 10.46799/jhs.v5i5.1273
Ririn Ririn, Mufdlilah Mufdlilah, Endang Koni Suryaningsih
The study aims to investigate the scientific evidence concerning breastfeeding and exclusive breastfeeding experiences among women with physical disabilities. Exclusive breastfeeding entails providing only breast milk to infants from birth to 6 months old, excluding any other food or drinks except medications and vitamins. However, breastfeeding is not halted after exclusive breastfeeding; it continues until the child is two years old. Utilising the scoping review method, the research employed the Population, Concept, and Context (PCC) framework. Six articles meeting the inclusion criteria were identified from a pool of 1,553 articles from PubMed, ScienceDirect, Wiley, and Research Rabbit databases. These articles shed light on the challenges, experiences, barriers, and support systems related to breastfeeding and childcare encountered by women with physical disabilities. The research on breastfeeding experiences among women with physical disabilities reveals both facilitators and barriers. Facilitators include adaptations, peer support, and necessary equipment, while barriers encompass insufficient support, health considerations, and milk production and latching challenges. These findings underscore the importance of tailored support and access to information for women with physical disabilities who aim to breastfeed effectively. Implementing such support mechanisms can contribute to improving breastfeeding rates among this demographic, thus promoting the health and well-being of both mothers and infants while addressing societal attitudes toward disability issues.
这项研究旨在调查有关肢体残疾妇女母乳喂养和纯母乳喂养经历的科学证据。纯母乳喂养是指从婴儿出生到 6 个月大期间只提供母乳,除药物和维生素外,不提供任何其他食物或饮料。不过,纯母乳喂养后母乳喂养并不会停止,而是会一直持续到婴儿两岁。本研究采用范围审查法,采用了人群、概念和背景(PCC)框架。从 PubMed、ScienceDirect、Wiley 和 Research Rabbit 数据库中的 1553 篇文章中筛选出六篇符合纳入标准的文章。这些文章揭示了肢体残疾妇女在母乳喂养和育儿方面遇到的挑战、经验、障碍和支持系统。有关肢体残疾妇女母乳喂养经历的研究揭示了促进因素和障碍。促进因素包括适应性、同伴支持和必要的设备,而障碍则包括支持不足、健康考虑以及乳汁分泌和吮吸方面的挑战。这些发现强调了为身体残疾妇女提供有针对性的支持和信息的重要性,以便她们有效地进行母乳喂养。实施此类支持机制有助于提高这一人群的母乳喂养率,从而促进母婴的健康和福祉,同时解决社会对残疾问题的态度问题。
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引用次数: 0
Differences Between Discovery Learning And Case-Based Learning Using Animated Videos On Critical Thinking Skills In Start Triage Among Undergraduate Nursing Students 使用动画视频进行发现式学习与案例式学习对护理专业本科生起始分诊中批判性思维能力的影响差异
Pub Date : 2024-05-07 DOI: 10.46799/jhs.v5i5.1269
Rystika Angga Sari, Retno Larasati, Yati Sari Hayati
The 2004 disaster in Aceh underscores the need to strengthen disaster triage preparedness. Triage would be more accurate when considering human resource factors. Students are educated nurse candidates who will serve the community through their ability to think critically. Innovative learning opens opportunities to sharpen critical thinking in students' preparedness for emergency disaster situations. This study analyzes the differences between discovery learning and case-based learning on critical thinking in START Triage among undergraduate nursing students. This quasi-experimental study used a pre-test and post-test design involving 40 undergraduate nursing students selected through purposive sampling and divided into two groups: control and intervention. Data collection utilized the Critical Thinking Disposition Inventory questionnaire. The results of the Paired T-test revealed differences in critical thinking ability in START Triage before and after receiving discovery learning and case-based learning. Furthermore, the independent T-test results indicated a significant influence of case-based and discovery learning on critical thinking ability in START Triage. Case-based learning utilizing animated videos significantly impacted nursing students' critical thinking ability in START Triage. Using animated videos as a basis for case-based learning provides a foundation for educational institutions to integrate into learning activities and disaster simulation exercises to enhance the quality of Triage services.
2004 年发生在亚齐的灾难凸显了加强灾难分流准备工作的必要性。如果考虑到人力资源因素,分流会更加准确。学生是受过教育的护士候选人,他们将通过批判性思维能力为社会服务。创新学习为学生做好紧急灾难情况下的准备提供了锐化批判性思维的机会。本研究分析了发现式学习和基于案例的学习对护理本科生在 START 分诊中批判性思维的影响。这项准实验研究采用前测和后测设计,通过目的性抽样选出 40 名护理专业本科生,分为对照组和干预组。数据收集采用了批判性思维处置问卷。配对 T 检验结果显示,在接受发现式学习和案例式学习前后,START 分诊的批判性思维能力存在差异。此外,独立 T 检验结果表明,案例式学习和发现式学习对 START 分诊的批判性思维能力有显著影响。利用动画视频进行的案例式学习对护生在 START 分诊中的批判性思维能力有显著影响。将动画视频作为案例式学习的基础,为教育机构将其融入学习活动和灾难模拟演练以提高分诊服务质量奠定了基础。
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引用次数: 0
Application of Logistics Management in Disaster Management at Cianjur Regional General Hospital in 2023 2023 年建茹尔地区综合医院在灾害管理中应用物流管理
Pub Date : 2024-05-06 DOI: 10.46799/jhs.v5i5.1265
Ayu Laili Rahmiyati, Elda Permatasari, Suhat Suhat, Asep Dian Abdilah
Disaster logistics management is an effort to arrange logistics raw materials in the implementation of disaster management, which consists of planning, procurement, storage, distribution, transportation, and receiving. Cianjur Hospital is one of the health facilities affected by the Cianjur earthquake; due to the earthquake, almost all parts of the hospital were damaged, so some health services were carried out in emergency tents. The purpose of this study was to obtain an analysis of the disaster logistics management system at RSUD Cianjur. The design used is qualitative with a descriptive approach. The informants in this study were 5 employees of Cianjur Hospital. Data collection is carried out through in-depth interviews, document studies, and observations. Analysis data processing uses data reduction analysis, data presentation, and conclusions. The results showed that the disaster logistics management system at Cianjur Hospital had appropriate planning, but there was little difficulty meeting needs. At the time of procurement and/or receipt, there is a discrepancy in needs and an unclear identity of the sender. There are two logistics warehouses, namely inside the building and in the emergency tent, but the warehouse security in the emergency tent is less safe and the place is inadequate. In distribution, there is speed, accuracy, and the amount of distribution that is sometimes not right. It is recommended that hospitals optimize the performance of each human resource as well as write SOPs regarding disaster logistics management systems.
灾害物流管理是在实施灾害管理过程中安排物流原材料的工作,包括计划、采购、储存、分发、运输和接收。建茹尔医院是受建茹尔地震影响的医疗机构之一;由于地震,医院的几乎所有部分都遭到了破坏,因此一些医疗服务只能在应急帐篷中进行。本研究的目的是对建茹尔研究与发展中心的灾难后勤管理系统进行分析。本研究采用定性描述的方法。本研究的资料提供者是 Cianjur 医院的 5 名员工。数据收集通过深入访谈、文件研究和观察进行。分析数据处理采用数据还原分析、数据展示和结论。结果显示,仙居医院的灾难后勤管理系统有适当的规划,但在满足需求方面存在一定困难。在采购和/或接收时,存在需求不一致和发送方身份不明确的情况。有两个后勤仓库,即大楼内和应急帐篷内,但应急帐篷内的仓库安全性较差,场所不足。在配送方面,存在速度、准确性、配送量有时不到位等问题。建议医院优化每个人力资源的绩效,并编写有关灾难物流管理系统的 SOP。
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引用次数: 0
The Difference of Implementation Between Reflexology Massage and Combination of Exercises With Reflexology Massage for Elderly With Insomnia 对失眠老人实施反射按摩与反射按摩结合运动的区别
Pub Date : 2024-02-25 DOI: 10.46799/jhs.v5i2.1225
Hafna Rosyita, Dewi Atika Putri, Anindini Winda, Dwi Ratna Sari Handayani, M. Subu, RM Alfian
Introduction: The older people have various health problem and one of them is insomnia. Physiologic changes of aging, environmental conditions, and chronic medical illnesses contribute to insomnia among elderly. Insomnia in this population is associated with decreased memory, impaired concentration, and impaired functional performance. Objective: The objective of this study was to investigate the condition of insomnia among elderly after being given combined exercise with reflexology and reflexology only before and after the intervention. Method: This research used a quasi-experimental design with pre-post design with the control group. Sampling was carried out systematically during the study period with samples was taken according to inclusion criteria. The target number of samples is set using the difference formula average. The instruments that measure Imsonia used is PIRS. Data analysis was carried out on all subjects in both groups A and B with analysis statistics measuring the difference between PIRS before and after intervention. Results: The results of the Mann-Whitney test before the intervention in group A obtained a mean rank of 16.07. Before the intervention in group B obtained a mean rank of 19.45. Statistically, it showed that the difference was not significant, p=0.33 (p>0.05). The results of the Mann-Whitney test after intervention in group A had a mean rank of 22.10 and after intervention in group B had a mean rank of 14. 93. Statistically showed a significant difference, p=0.04 (p<<0.0) Conclusion: We found that there was a change in the condition of insomnia before and after the combination intervention (group A). The average decrease in insomnia scores for the elderly was carried out using the Pittsburg Insomnia Rating Scale (PIRS) questionnaire> However, there was no change in the condition of insomnia. statistically significant. Likewise, in group B, the average insomnia score decreased and was statistically significant
导言老年人有各种健康问题,其中之一就是失眠。衰老的生理变化、环境条件和慢性疾病是导致老年人失眠的原因。老年人失眠与记忆力下降、注意力不集中和功能障碍有关。研究目的本研究的目的是调查老年人在接受运动与反射疗法相结合和仅接受反射疗法干预前后的失眠状况。研究方法本研究采用前-后设计的准实验设计,对照组为研究对象。在研究期间,根据纳入标准有系统地抽取样本。目标样本数是根据平均差值公式确定的。测量失音的工具是 PIRS。对 A 组和 B 组的所有受试者进行了数据分析,分析统计了干预前后 PIRS 的差异。结果干预前,A 组的 Mann-Whitney 检验结果为 16.07。B 组干预前的平均值为 19.45。从统计学角度看,差异不显著,P=0.33(P>0.05)。干预后,A 组的平均排名为 22.10,B 组的平均排名为 14.93。从统计学角度看,两者有明显差异,P=0.04(P 然而,失眠情况没有变化。同样,在 B 组中,失眠症的平均得分也有所下降,且在统计学上有意义
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引用次数: 0
Formulation of Recipes and Organoleptic Properties of Tinuktuk as Simalungun Traditional Food 作为 Simalungun 传统食品的 Tinuktuk 的配方和感官特性
Pub Date : 2024-02-22 DOI: 10.46799/jhs.v5i2.1228
Novriani Tarigan, Jansen Silalahi, Urbanus Sihotang
Tinuktuk is a traditional spice sauce of the  simalungun ethnic group. It is believed as a traditional health icon  To search the best formulation of ingredients', to search the best production process and to evaluate its organoleptics properties. The search for formulation ingredients is an exploratory qualitative study with participant observation method. The organoleptic test was carried out by fifty untrained panelists on a scale of 1 (dislike) to 5 (very like). Organoleptic values ​​including taste, aroma, texture and color Six formulations of tinuktuk, containing of 8 to 15 ingredients. Three kinds of production process:  first by mashing the fresh ingredients and then roasting them. The second process is mashing the rosated material. The third is a combination of both processes. These processes could be distingueished by the organoleptic values. The incremented values resulted from T5, T1, T3 formulations. T3 formula contains 15 ingredients use the third production process. This value could be taken as a reference for tinuktuk standard.
Tinuktuk 是 simalungun 族的一种传统香料酱。它被认为是一种传统的健康标志。寻找配方成分是一项探索性定性研究,采用的是参与观察法。感官测试由 50 名未经培训的小组成员进行,评分从 1 分(不喜欢)到 5 分(非常喜欢)。感官价值包括口感、香气、质地和颜色 六种锡努克图克配方,包含 8 至 15 种配料。三种生产工艺:第一种是将新鲜配料捣碎,然后烘烤。第二道工序是将烘焙过的原料捣碎。第三种是两种工艺的结合。这些工艺可以通过感官值来区分。T5、T1 和 T3 配方的感官值都有所提高。T3 配方含有 15 种成分,采用了第三种生产工艺。该值可作为锡努克图克标准的参考值。
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引用次数: 0
Socialization and Counseling About Health Traditional/Complementary Alternative Medicine for Mothers Pregnant 为怀孕母亲提供有关健康的社会化和咨询 传统/辅助替代医学
Pub Date : 2024-02-20 DOI: 10.46799/jhs.v5i2.1226
RM Alfian, Hafna Rosyita, Hernayanti Hernayanti, Koniasari Koniasari, Anindini Winda Amalia, Dwi Ratna Sari Handayani
Introduction: Health traditional / CAM (Complementary and Alternative Medicine) has Lots of Mothers interested in pregnant to overcome several complaints and objections to comfort during pregnancy. Besides they feel worried about consuming therapy However attention exists several side effects requires enough information Objective:  Know description effort counseling about health traditional or CAM to Mother Pregnant Method: studies literature about counseling /educational use of Health traditional or CAM for Mothers pregnant. Library data collection, or object research his research dug through diverse information bibliography. Using secondary data, via several related articles with health traditional /CAM. The analysis uses an annotation bibliography, which can be interpreted as a list of sources used in something study given a conclusion related to what is written in it Results: Review from the article as many as 5 and with the essence society uses a type of health method traditional / CAM to avoid the effect of side treatment Because the public considers treatment traditional/complementary relatively safer. There are many types of methods during pregnancy medicines and herbal plants. However, it means without risk rise, a pregnant must have competent knowledge about the utilization of therapy safe complement during pregnancy That reason CAM is used because CAM is easily obtained and cheaper costs. Conclusion: Socialization and Counseling health traditional /CAM required concerning utility type/modality Health Traditional /CAM safety or side effect necessary attention and condition Mother pregnant That Alone. Counseling involves husband, family, and energy health and midwives at the Community Health Center. Furthermore, more exploration carries on about the perception and meaning use health traditional. Next expected can increase synergy between service health conventional and health traditional/CAM.
导言:传统/CAM(补充和替代医学)健康疗法让很多有兴趣怀孕的母亲在怀孕期间克服了一些抱怨和异议。此外,她们还担心使用疗法会产生副作用,这需要足够的信息: 了解对怀孕母亲进行传统或 CAM 保健咨询的努力情况 方法:研究有关对怀孕母亲进行传统或 CAM 保健咨询/教育的文献。图书馆数据收集,或通过各种信息书目对研究对象进行研究。使用二手数据,通过几篇与传统保健/CAM 相关的文章。分析中使用了注释书目,可以将其解释为研究中使用的资料来源列表,并给出了与其中所写内容相关的结论:从多达 5 篇的文章中审查并结合本质社会使用一种传统/CAM 保健方法来避免副作用的影响,因为公众认为传统/辅助治疗相对更安全。有许多类型的方法在怀孕期间的药物和草药植物。然而,这意味着没有风险的上升,孕妇必须具备在怀孕期间使用安全补充疗法的相关知识,这也是使用 CAM 的原因,因为 CAM 容易获得且成本较低。结论社会化和咨询健康传统/CAM 需要关于实用类型/方式的健康传统/CAM 安全性或副作用的必要关注和条件母亲怀孕。咨询涉及丈夫、家庭、社区卫生中心的健康和助产士。此外,还需要对使用传统保健方法的看法和意义进行更多的探讨。预计下一步将加强传统保健服务与传统保健/CAM 之间的协同作用。
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引用次数: 0
Implementation of Risk Management in The Medical Records Work Unit Reviewed From National Standards For Hospital Accreditation Through A Systematic Literature Review Approach 通过系统文献综述法,从《医院评审国家标准》审视病历工作部门的风险管理实施情况
Pub Date : 2024-02-17 DOI: 10.46799/jhs.v5i2.1223
Khairunnisa Khairunnisa, Nina Rahmadiliyani
The hospital, there is no denying the possibility of unwanted or unexpected negative impacts in work activities, one of which is in the medical records work unit. The aim of the research is to determine the implementation of risk management in the medical records work unit in terms of the National Hospital Accreditation Standards. The research method used was a Systematic Literature Review with a search strategy using Google Scholar results criteria with the keywords "Risk management of medical records work units OR Risk management of medical records work units based on SNARS". The research results were obtained from an in-depth analysis of 6 journal articles, there was a link between the journal articles reviewed and the implementation of risk management in the medical records work unit in terms of the National Hospital Accreditation Standards where the problems found on average occurred in MIRM 12 Standards related to the determination of diagnosis code standards , procedure/action codes, symbols, abbreviations and their meanings, MIRM Standard 13 relating to the provision of medical records for each patient in hospitals, MIRM Standard 13.2 relating to hospital regulations which identify those who have the right to fill in patient medical records and determine the contents of medical records and format medical records, MIRM Standard 13.3 relates to filling in medical records by Professional Care Providers (PPA) by writing identification after the recording is made and MIRM Standard 13.4 relates to performance improvement efforts and hospitals regularly evaluating or reviewing medical records. The risk levels in the medical records work unit from these articles show that the risk categories are "Acceptable" (the intensity of risk is reduced to a minimum) to "Substantial" (requires technical improvement).
不可否认,医院在工作活动中可能会产生不必要或意想不到的负面影响,病历工作部门就是其中之一。本研究的目的是根据《国家医院评审标准》确定病历工作部门风险管理的实施情况。采用的研究方法是系统文献综述,搜索策略是使用谷歌学术结果标准,关键词为 "病历工作单位的风险管理或基于 SNARS 的病历工作单位的风险管理"。研究结果来自对 6 篇期刊论文的深入分析,所查阅的期刊论文与根据《国家医院评审标准》在病历工作单位实施风险管理之间存在联系,其中发现的问题平均出现在《国家医院评审标准》第 12 条标准中,该标准涉及诊断代码标准、程序/操作代码、符号、缩写及其含义的确定;《国家医院评审标准》第 13 条标准涉及在医院为每位患者提供病历;《国家医院评审标准》第 13 条标准涉及医院规章制度,该规章制度确定了医院中那些需要对病历进行风险管理的人员。MIRM 标准 13.3 涉及专业护理人员 (PPA) 在记录后通过书面标识填写医疗记录,MIRM 标准 13.4 涉及绩效改进工作和医院定期评估或审查医疗记录。从这些条款中可以看出,医疗记录工作单位的风险等级分为 "可接受"(风险强度降到最低)到 "重大"(需要技术改进)。
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引用次数: 0
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Jurnal Health Sains
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