Diversi dalam Kerangka Restorative Justice pada Penanganan Anak yang Berhadapan dengan Hukum

Riyadi Riyadi
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Abstract

Clinical Pathways is a measurement tool for hospitals to deliver health services in maintaining quality and monitoring costs. Dengue fever is a tropical infectious disease with typical symptoms that should have standardized treatment patterns. However, in RSIA Kenari Graha Medika, the treatment of dengue fever cases is considered not efficient and effective enough. This study aims to determine the compliance rate in the implementation of Clinical Pathway for pediatric patients with a diagnosis of Dengue Fever at RSIA Kenari Graha Medika. The method used was qualitative with descriptive observational using Clinical Pathway compliance form data from medical records and hospital information systems from September 2022 to February 2023. Inclusion criteria were pediatric patients who were treated with a single diagnosis of Dengue Fever in accordance with WHO clinical criteria, namely Fever, Malaise, Peripheral bleeding disorders and had laboratory examination results with Platelet values below 100,000 / mm3. The things that are assessed in Clinical Pathways compliance are length of stay, administration of therapy and supporting examinations. Based on the results of the study LOS has no influence on clinical pathway. Meanwhile, pharmacy and lab showed that pharmacy and lab had a positive and significant effect on clinical pathway. It is hoped that there will be further research related to this study, namely looking for the relationship of the lack of compliance rates with the costs incurred during treatment.
临床路径是医院在提供卫生服务方面保持质量和监测成本的一种衡量工具。登革热是一种具有典型症状的热带传染病,应该有标准化的治疗模式。然而,在RSIA Kenari Graha Medika,对登革热病例的治疗被认为不够高效和有效。本研究旨在确定在RSIA Kenari Graha Medika诊断为登革热的儿科患者实施临床路径的依从性。采用定性和描述性观察方法,使用临床路径依从性表数据,这些数据来自医疗记录和医院信息系统,时间为2022年9月至2023年2月。纳入标准是根据who临床标准,即发热、不适、外周出血障碍,且实验室检查结果血小板值低于100,000 / mm3,以登革热单一诊断治疗的儿科患者。在临床路径中评估依从性的东西是住院时间,治疗的管理和支持检查。根据研究结果,LOS对临床路径没有影响。同时,药学和实验室对临床路径产生了积极而显著的影响。希望本研究能有进一步的相关研究,即寻找不遵医嘱率与治疗费用之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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