20Jun 2019

ANALYSIS OF EARLY WARNING SYSTEM SCORE IMPLEMENTATION AT INPATIENT ROOM IN SILOAM HOSPITALS BALIKPAPAN.

  • Master of Hospital Administration Management, Hasanuddin University, Indonesia.
  • Public Health Faculty, Hasanuddin University, Indonesia.
Crossref Cited-by Linking logo
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

This study aims to analyze the implementation of EWS according to standards and the factors that influence the implementation of EWS inpatient care Siloam Hospitals Balikpapan. The object in this study was Inpatient Room at Siloam Hospitals Balikpapan (SHBP). This type of research used the qualitative method and field research. Primary data were obtained from in-depth interviews with structural and functional staff related to inpatient room. Secondary data were obtained in the form of EWS for inpatient patient which measures in April-May 2019. Qualitative analysis is used to see the relationship between factors (communication, resources, disposition, and bureaucratic structure) on EWS implementation. The results of the study showed that (1) The implementation of EWS hospitalized by SHBP has not yet run according to the standards. Completeness of documents that are closely related to the implementation of the EWS SOP that has been set is still 81%; (2) The implementation of EWS Monitoring inpatient services at SHBP has been carried out even though it has not been contained in the EWS implementation policy on how the EWS monitoring is carried out by the development Nursing initiative aimed at getting an overview of the results of the EWS implementation inpatient care at SHBP. The description of EWS implementation monitoring is hospitalized by SHBP in total, 87% consisting of eight forms related to EWS as much as 86% and officers\' knowledge about EWS is 81%; (3) Factors influencing the implementation of EWS hospitalized by SHBP consist of communication, resources, disposition and bureaucratic structure.

  1. Alam, N. et al. (2014) ?The impact of the use of the Early Warning Score (EWS) on patient outcomes: A systematic review?, Resuscitation. doi: 10.1016/j.resuscitation.2014.01.013.
  2. Arikunto, S. (2006) Prosedur Penelitian Suatu Pendekatan Praktik. Jakarta: Rineka Cipta.
  3. Bhuyan, A., Jorgensen, A. and Sharma, S. (2010) ?Taking the Pulse of Patents:The Policy Implementation Assessment Tool.?, Scientific American.
  4. Carberry M, Clement P, and H. E. (2014) ?How helpful are early warning scores Title?, Nursing Times. Brentford: Nursing Times, 110, p. 110. Available at: https://www.nursingtimes.net/Journals/2014/01/10/x/m/m/150114-How-helpful-are-early-warning-scores.pdf.
  5. Edwards, G. C. (1980) Implementing public policy. Politics a. Washington, D.C: Congressional Quarterly Press.
  6. Handoko, T. H. (2012) ?Manajemen Personalia & Sumberdaya Manusia?, in Manajemen Personalia & Sumberdaya Manusia.
  7. Ijaz, A.U., et al. (2009) ?Early Warning Scoring System and in-hospital Mortality?, P J M H S, VOL.3 NO.2, p. 96. Available at: https://pdfs.semanticscholar.org/01cf/d04047d6429db515a5cd59fcb5d8831bcb82.pdf.
  8. Ilyas, Y. (2004) ?Perencanaan SDM Rumah Sakit?, Teori, Metoda dan Formula, Fakultas Kesehatan Masyarakat Universitas Indonesia, Depok, Jawa Barat.
  9. KARS (2012) Standar Akreditasi Rumah Sakit. 2012th edn. Jakarta: Kementerian Kesehatan Republik Indonesia.
  10. KARS (2017) Standar Nasional Akreditasi Rumah Sakit. Edisi 1. Jakarta: Kementerian Kesehatan Republik Indonesia.
  11. Kusnadi, D. (2012) ?Perubahan Status Kelembagaan dan Kualitas Pelayanan Pasien Rumah Sakit?, Kesmas: National Public Health Journal. doi: 10.21109/kesmas.v7i2.64.
  12. Maupin, J. M. (2009) ?Early warning system cuts code blues by 50%?, 129?31(November 1, 2009). Available at: https://www.reliasmedia.com/articles/114684-early-warning-system-cuts-code-blues-by-50.
  13. Mercy, C. (2005) Design, Monitoring and Evaluation Guidebook. Prescott: National Processing Center.
  14. Mthethwa, R. M. (2012) ?Critical dimensions for policy implementation?, African Journal of Public Affairs.
  15. Nadkami, V.M, et al (2006) ?First documented rhythm and clinical outcome form in-hospital cardiac arrest among children and adult?, Journal of the American Medical Association, 295, pp. 50?57.
  16. Nawawi, I. (2009) Public Policy, Analisis,Strategi Advokasi Teori dan Praktek. Surabaya: PMN.
  17. Roza, S. H. (2018) ?Analysis of policy implementation of local public service agency in hospital?, International Journal of Community Medicine and Public Health, 5. doi: http://dx.doi.org/10.18203/2394-6040.ijcmph20184774.
  18. Shekelle, P. G. (2013) ?Nurse-patient ratios as a patient safety strategy: A systematic review?, Annals of Internal Medicine.
  19. Sitohang, E. (2014) ?PRINSIP HUKUM DALAM TATA KELOLA RUMAH SAKIT?, Yuridika.
  20. Wibawa, S. (2010) Evaluasi Kebijakan Publik. Jakarta: Raja Grafindo Offset.
  21. Williams, et al. (2012) ?National Early Warning Score (NEWS): Standardising the assessment of acute-illness severity in the NHS.?, London: The Royal College of Physicians. doi: 10.1109/ICRA.2011.5980070.
  22. Wirawan (2012) Evaluasi:Teori, Model, Standar, Aplikasi, dan Profesi. Depok: PT Raja Grafindo Persada.
?

[Dina Noviesca Rorimpandey, Fridawati Rivai and Masyita Muis. (2019); ANALYSIS OF EARLY WARNING SYSTEM SCORE IMPLEMENTATION AT INPATIENT ROOM IN SILOAM HOSPITALS BALIKPAPAN. Int. J. of Adv. Res. 7 (Jun). 777-785] (ISSN 2320-5407). www.journalijar.com

Dina Noviesca Rorimpandey
Public Health Faculty of Hasanuddin University

DOI:

Article DOI: 10.21474/IJAR01/9279      
DOI URL: http://dx.doi.org/10.21474/IJAR01/9279

Download Full Paper

Download PDF No. of Downloads: 36 | No. of Views: 132