Appendicitis Clinical Pathway Implementations Compliance Evaluation in Hospital
Abstract: Clinical pathway
(CP) is a collaborative guidance for patients treatments that focused on
diagnosis, clinical problems, and stages of care. CP implementation becomes a
guideline on hospital quality and safety improvement for the patient services.
Method: The research used a descriptive-qualitative mixed methods. Primary data
collected through medical record and secondary data is done by interview and
observation by using CP format. Results: From medical records total, 23 cases
were found that met the inclusion criteria. The acute appendicitis case in
adults is more than children in number (3,6:1). Acute appendicitis CP
compliance is 86%. There are three problems in CP compliance of acute
appendicitis i.e doctor's visit adherence (physician in charge of patient 87%,
0% anesthesia), 65% adherence therapy compliance, and 52% inpatient admission.
The root of the problem is the lack of socialization, monitoring, and
evaluation of established standards. Some activity variations may occur during
each process from time to time that will produce a variety of the outcomes as
well. How to reduce process variation is to standardize. The process of
standardization includes the preparation, socialization, monitoring, control,
evaluation and revision of thew standards. CP profit is that it could reduce
variation, is a professional requirement, and the basis for quality measurement.
Implementation of good standards will ensure the safety of patients and the
healthcare providers. Conclusion: Almost all employees have conducted medical
record (MR) in accordance with clinical pathway criteria as well, but the CP
sheet is not included in the MR
Keywords: clinical pathway;
appendicitis; hospital management
Penulis: Adi Indra Wijaya,
Arlina Dewi, Ekorini Listiowati
Kode Jurnal: jpkesmasdd170439
