Efektivitas Penerapan Integrated Clinical Pathway (ICP Terkait Manajemen Risiko Terhadap Kualitas Pelayanan Di Rumah Sakit : A Literature Review

Penulis

  • Hadira - departemen manajemen keperawatan, prodi S2 Keperawatan, fakultas keperawatan, universitas hasanuddin, makassar, Indonesia
  • Syahrul Syahrul departemen manajemen keperawatan, prodi S2 Keperawatan, fakultas keperawatan, universitas hasanuddin, makassar, Indonesia
  • Rini Rachmawaty departemen manajemen keperawatan, prodi S2 Keperawatan, fakultas keperawatan, universitas hasanuddin, makassar, Indonesia

DOI:

https://doi.org/10.30651/jkm.v5i2.3807

Kata Kunci:

Clinical pathway, Risk Management, Quality of Care

Abstrak

Objective : Clinical pathway is a process that involves multidisciplinary health professionals focusing on patient care in accordance with procedures on an ongoing basis, and with the application of clinical pathways in hospitals will have a plan in treating patients so that services are expected to be more effective, quality, quality maintained with controlled costs. Clinical Pathway as a risk evaluation mechanism evaluation tool to detect active and latent errors (latent / system errors) and near misses in Clinical Risk Management in order to maintain and improve patient safety. The purpose of writing this systematic review is to see the effectiveness of the application of clinical pathways related to risk management to service quality.

Method: The search was carried out using a data base in writing a systematic review namely; Pubmed, Proquest, Willey and secondary searching, journals restricted to the last 15 years and other publications related to the topic of writing. The journals obtained used surveys and statistical descriptions to see the effectiveness of the application of clinical pathways to the quality of services in hospitals.

Results: Overall the results of several research surveys of the 7 articles reviewed showed a significant positive correlation between the application of clinical pathways and the reduction in clinical risk of patient care in hospitals. There has been a stratification of the reduction in the number of days of hospitalization of patients and the index of hospitalization costs of patients in the hospital on the application of clinical flow so that it explicitly prevents over procedures such as the number of laboratory tests, number of consultations and medicines.

Conclusion: The development of clinical pathway is proven to be able to improve multidisciplinary intra and inter communication, good teamwork and efficient maintenance planning. It also will automatically improve patient output, improve patient safety and provide patient satisfaction regarding service quality. To maintain optimal results and prevent the possibility of the impact of risks in clinical procedures, it is necessary to have intense, ongoing monitoring and commitment from the hospital and health workers in the implementation of clinical pathways in hospitals.

Biografi Penulis

Hadira -, departemen manajemen keperawatan, prodi S2 Keperawatan, fakultas keperawatan, universitas hasanuddin, makassar, Indonesia

departemen manajemen keperawatan, prodi S2 Keperawatan, fakultas keperawatan, universitas hasanuddin, makassar, Indonesia

Syahrul Syahrul, departemen manajemen keperawatan, prodi S2 Keperawatan, fakultas keperawatan, universitas hasanuddin, makassar, Indonesia

departemen manajemen keperawatan, prodi S2 Keperawatan, fakultas keperawatan, universitas hasanuddin, makassar, Indonesia

Rini Rachmawaty, departemen manajemen keperawatan, prodi S2 Keperawatan, fakultas keperawatan, universitas hasanuddin, makassar, Indonesia

departemen manajemen keperawatan, prodi S2 Keperawatan, fakultas keperawatan, universitas hasanuddin, makassar, Indonesia

Referensi

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Bleser, L. De, Depreitere, R., Waele, K. De, Vanhaecht, K., Vlayen, J., & Sermeus, W. (2006). Defining pathways. Journal of Nursing Management, (July), 553–563.

Briner, M. (2013). Clinical risk management in hospitals : strategy , central coordination and dialogue as key enablers, 19, 363–369. https://doi.org/10.1111/j.1365-2753.2012.01836.x

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Croucher, M. (2005). An evaluation of the quality of integrated care pathway development in the UK National Health Service. Journal of Itegrated Care Pathways, 0, 6–12.

Denbo, J. W., Bruno, M., Dewhurst, W., Kim, M. P., Tzeng, C., Aloia, T. A., … Katz, M. H. G. (2018). Risk-stratified clinical pathways decrease the duration of hospitalization and costs of perioperative care after pancreatectomy. Surgery, 0, 1–8. https://doi.org/10.1016/j.surg.2018.04.014

Firmanda, D. (2006). Clinical Pathways Kesehatan Anak. Sari Pediatri, 8(3), 195–208.

Genovese, C., Belvis, A. G. D. E., Rinaldi, M., Manno, V., Squeri, R., Fauci, V. L. A., & Tabbi, P. (2018). Quality and management care improvement of patients with chronic kidney disease : from data analysis to the definition of a targeted clinical pathway in an Italian Region, 305–310.

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Ismail, A., Sululng, S., Aljunaid, syed M., Yahaya, N. H., Harunarasyid, H., Maskon, O., … Nor, I. M. (2012). Clinical Pathways : Development and Implementation at a Tertiary Hospital in Malaysia. International Jurnal of Public h Health Reasearch, 2(2), 153–160.

Manser, T., Frings, J., Heuser, G., & Dermott, F. M. (2016). The German clinical risk management survey for hospitals : Implementation levels and areas for improvement in 2015. Theriogenology, 114, 28–38. https://doi.org/10.1016/j.zefq.2016.06.017

Mutawalli, L. (2018). Sistem Audit Clinical Pathway di Rumah Sakit Islam Harapan Anda Kota Tegal. Pascasarjana, Program Teknologi, Fakultas Indonesia, Universitas Islam.

Rezkiki, F., Dharma, S., & Yasmi. (2018). PENGARUH PENERAPAN NURSING CLINICAL PATHWAY TERHADAP LAMA HARI RAWAT PASIEN STROKE NON HEMORAGIK. Jurnal Ipteks Terapan, 1, 9–18.

Romeyke, T., & Stummer, H. (2012). Clinical Pathways as Instruments for Risk and Cost Management in Hospitals - A Discussion Paper, 4(2), 50–59. https://doi.org/10.5539/gjhs.v4n2p50

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Vanhaecht, K., Bollmann, M., Bower, K., Gallagher, C., Gardini, A., Moody, K., … Whittle, C. (2006). INTEGRATED CARE PATHWAYS Prevalence and use of clinical pathways in 23 countries - an international survey by the European Pathway Association, 200, 28–34.

Yang, J. A. H. W. (2015). Clinical pathways in China – an evaluation. International Journal of Health Care Quality Assurance Article.

Unduhan

Diterbitkan

2020-04-05

Terbitan

2020: EDISI KHUSUS

Bagian

Artikel

Lisensi

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