Setyowati Soeharto, Setyowati
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EFEKTIFITAS VITALPAC EARLY WARNING SCORING SEBAGAI DETEKSI DINI PERBURUKAN PASIEN ACCESS BLOCK DI IGD dr. ISKAK TULUNGAGUNG Ahmad, Zaky Soewandi; Soeharto, Setyowati; Fathoni, Mukhamad
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Jurnal Kesehatan Mesencephalon

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Abstract

Abstract : The prolongation of length of stay access block patients in emergency department (ED) can cause the risk of deterioration. Currently there is no study to prove the accuracy of any early warning system on a group of patient who are waiting for inpatient beds in ED. The purpose of this study was to validate the performance of detecting patient deterioration using  vitalpac early warning scoring (ViEWS) for inpatient beds in ED. This prospective, an observational study was carried out over 1 month in ED of Dr.Iskak Hospital in adult and older patient presenting to the ED. The VIEWS were calculated using the recorded physiological parameters of patient. Deterioration  were used as the primary outcomes. Out of a total of 75 access block patients, 24% of them had deterioration in ED. Result analysis from Test of Contingency Coefficient in this research represented that significant correlation between ViEWS value with deterioration of access block patients which is p-value <0,05. Comparative results in AUC represented that ViEWS had AUC value (0,967), sensitivity (0,889), specificity (0,965). The conclusion is the composite ViEWS was perform well in detection of early deterioration in ED.Keyword : vitalpac early warning scoring, deterioration, access block Abstrak : Memanjangnya lama waktu tinggal pasien access blockdi IGD dapat menyebabkan resiko perburukan. Saat ini belum ada penelitian yang dapat membuktikan efektifitas dari deteksi dini pada pasien yang menunggu rawat inap di instalasi gawat darurat (IGD). Tujuan penelitian ini adalah untuk mengetahui efektifitas vitalpac early warning scoring (ViEWS)sebagai deteksi dini pasien access blockdi IGD. Penelitian ini adalah penelitian observasional analitik dengan desain studi prospektif yang dilakukan selama 1 bulan di IGD RSUD Dr. Iskak Tulungagung.Skoring VIEWSmenggunakan parameter fisiologis pasien.Outcome utama dari penelitian ini adalah perburukan pasien access block dalam 24 jam.Dari 75 pasien access block, 24% diantaranya mengalami perburukan di IGD. Hasil analisis Uji Koefisien Kontigensi penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai VIEWS dengan perburukan pasien access block dengan p-value< 0,05. Hasil komparatif AUC menunjukkan bahwa ViEWS memiliki nilai AUC (0,967), sensitivitas (0,889), spesifitas (0,965) Oleh karena itu ViEWS efektif sebagai deteksi dini perburukan pasien di IGD.Kata Kunci : vitalpac early warning scoring, perburukan, access block
EFEKTIFITAS VITALPAC EARLY WARNING SCORING SEBAGAI DETEKSI DINI PERBURUKAN PASIEN ACCESS BLOCK DI IGD dr. ISKAK TULUNGAGUNG Ahmad, Zaky Soewandi; Soeharto, Setyowati; Fathoni, Mukhamad
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Jurnal Kesehatan Mesencephalon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.805 KB)

Abstract

Abstract : The prolongation of length of stay access block patients in emergency department (ED) can cause the risk of deterioration. Currently there is no study to prove the accuracy of any early warning system on a group of patient who are waiting for inpatient beds in ED. The purpose of this study was to validate the performance of detecting patient deterioration using  vitalpac early warning scoring (ViEWS) for inpatient beds in ED. This prospective, an observational study was carried out over 1 month in ED of Dr.Iskak Hospital in adult and older patient presenting to the ED. The VIEWS were calculated using the recorded physiological parameters of patient. Deterioration  were used as the primary outcomes. Out of a total of 75 access block patients, 24% of them had deterioration in ED. Result analysis from Test of Contingency Coefficient in this research represented that significant correlation between ViEWS value with deterioration of access block patients which is p-value <0,05. Comparative results in AUC represented that ViEWS had AUC value (0,967), sensitivity (0,889), specificity (0,965). The conclusion is the composite ViEWS was perform well in detection of early deterioration in ED.Keyword : vitalpac early warning scoring, deterioration, access block Abstrak : Memanjangnya lama waktu tinggal pasien access blockdi IGD dapat menyebabkan resiko perburukan. Saat ini belum ada penelitian yang dapat membuktikan efektifitas dari deteksi dini pada pasien yang menunggu rawat inap di instalasi gawat darurat (IGD). Tujuan penelitian ini adalah untuk mengetahui efektifitas vitalpac early warning scoring (ViEWS)sebagai deteksi dini pasien access blockdi IGD. Penelitian ini adalah penelitian observasional analitik dengan desain studi prospektif yang dilakukan selama 1 bulan di IGD RSUD Dr. Iskak Tulungagung.Skoring VIEWSmenggunakan parameter fisiologis pasien.Outcome utama dari penelitian ini adalah perburukan pasien access block dalam 24 jam.Dari 75 pasien access block, 24% diantaranya mengalami perburukan di IGD. Hasil analisis Uji Koefisien Kontigensi penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai VIEWS dengan perburukan pasien access block dengan p-value< 0,05. Hasil komparatif AUC menunjukkan bahwa ViEWS memiliki nilai AUC (0,967), sensitivitas (0,889), spesifitas (0,965) Oleh karena itu ViEWS efektif sebagai deteksi dini perburukan pasien di IGD.Kata Kunci : vitalpac early warning scoring, perburukan, access block
ANALYSIS OF FACTORS AFFECTING THE APPLICATION OF AUSTRALASIAN TRIAGE SCALE (ATS) IN EMERGENCY DEPARTEMENT NGUDI WALUYO WLINGI HOSPITAL Firdaus, Mohammad Nur; Soeharto, Setyowati; Ningsih, Dewi Kartikawati
Jurnal Ilmu Keperawatan Vol 6, No 1 (2018)
Publisher : Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya

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Abstract

Indonesia doesn’t have a national standard for triage system which means implementation in eachhospital can be different. Nurses have an important role in the application of triage. The AustralasianTriage Scale method (ATS) is one of the triage system in the world used in some countries includingIndonesia but it is very difficult to implementation in overcrowded emergency departement. Nurses ratioand unstandard triage room make the ATS standart times is difficult to achieve. The aim of this study wasto analyze the various factors affecting Australasian Triage Scale (ATS) in emergency departement NgudiWaluyo Wlingi Hospital. We used quantitative research with cross sectional approach and the respondentare 28 nurses in Emergency Departement Ngudi Waluyo Wlingi Hospital. Univariate analysis is used toknow the description of each variable. Fisher test to determine the relationship between variables.Logistic regression analysis to determine the most dominant factor affecting the application ofAustralasian Triage Scale. Fisher test result show p-Value as follows: performance factor (leadership), p =0.028 &lt; α = 0,05, client factor (waiting time) p = 0.011 &lt; α = 0,05, equipment factor (triage documentation)p = 0,036 &lt; α = 0,05, staff requirements factor (education) ) p = 0.013 &lt;α = 0,05, staff requirements factor(training) p = 0.036 &lt;α = 0,05 The result of logistic regression shows staff requirements factor (education)p = 0.019 &lt; α = 0.05 with OR 0.059. In conclusion there is a significant affecting between performanceleadership factor, waiting time factor, triage documentation factor,education factor, training factor on theapplication of ATS and education is a dominant factor to predict the accuracy of the application of ATS.Keywords: leadership factor, waiting time factor, triage documentation factor,education factor,training factor, application of ATS