Jonnefi Jonnefi
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摘要

临床路径是医院实现良好临床治理的重要文件和工具。在印度尼西亚,该文件也是医院认证委员会(KARS)的医院认证标准版本必须满足的要求之一。本研究的目的是确定在Permata Bekasi医院对伤寒儿科患者实施CP对临床结果、住院时间和抗生素使用的有效性。为临床结果的CP实施提供信息和科学数据,可为合理制定儿科伤寒患者抗生素使用规划和规范提供参考资料。本研究采用定量方法,采用CP实施后前后结合的方法,利用二手资料,即对Permata Bekasi医院住院的伤寒患者病历进行回顾性分析。CP前以5 ~ <10岁年龄组最多(29.8%),CP后以5 ~ <10岁年龄组最多(34.7%),可见该年龄组伤寒确诊率高于其他年龄组。与实施CP前相比,实施CP后的有效性可以减少CP建议的平均住院时间。
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Implementasi Clinical Pathway dengan Analisa Penggunaan Antibiotika, Pasien Anak dengan Demam Tifoid Rawat Inap
Clinical Pathway (CP) is an important part of the documents and tools to realize good clinical governance in hospitals. In Indonesia, this document is also one of the requirements that must be met in the Hospital Accreditation Standard version of the Hospital Accreditation Commission (KARS). The aim of this study was to determine the effectiveness of implementing CP in pediatric patients with typhoid fever on clinical outcomes, length of stay, use of antibiotics at Permata Bekasi Hospital. Providing information and scientific data regarding the implementation of CP on clinical outcomes and can be used as a reference material in making programs and regulation of antibiotics used for pediatric patients with typhoid fever in a rational manner. The research used is a quantitative method with a pre and post approach after the implementation of CP using secondary data, namely medical records of patients with typhoid fever hospitalized at Permata Bekasi Hospital retrospectively. The age group before CP was the most aged 5 - <10 years (29.8%), as well as the group after CP the most aged 5 - <10 years (34.7%), it can be concluded that the age range was diagnosed with typhoid fever more than the age of the other patients. The effectiveness of CP implementation after CP can reduce the average length of stay according to CP recommendations compared to before CP implementation.
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