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Journal : Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal)

The Benefits of Electronic Health Record (EHR) on Operating Room Efficiency: Literature Review Juita, Juita; Herawati, Tuti
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 11 No 04 (2021): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 11 Number 4 Desember 20
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (386.308 KB) | DOI: 10.33221/jiiki.v11i04.1508

Abstract

Background:The Electronic Health Record (EHR) system is a systematic collection of health information based on electronics and integrated with information systems in the hospital network. The use of the EHR system is very important in a comprehensive strategy to improve the quality of health and patient safety, especially in the operating room. Purpose: to find out the benefits of using EHR on operating room efficiency which includes treatment costs, OR efficiency metrics, turn over time, documentation time and nursing quality. Method: This literature review was searched through relevant evidence-based studies usingdatabase at PROQUEST, Science Direct, Scopus, Elsevier from 2017-2021. Results:The EHR system has a cost-saving impact on the average operating room cost of 36-37 dollars per minute and can reduce costs during pre, intra and post surgery. For the FPIR value from the data of 27,403 cases after post-implementation to 9,630 cases, it means that there are no missing patients to enter the operating room, while at the time of delay the FCOTSin pre-implementation of EHR was 1972 cases or (7.20%) and post-implementation 377 cases (3.91%). Meanwhile, the turn over time (TOT) after post implementation showed a significant increase of 53 minutes, p < 0.001. The introduction of the EHR also had an impact on increasing documentation time for nurses from 23% to 35%. In addition, it also provides benefits to the quantity and quality of nursing. Conclusion: The usefulness of the EHR system contributes to increasing the efficiency of the operating room so that it can provide effectiveness in service and quality of care. Nurses are expected to be able to input the EHR system and service agencies can implement these technological developments
The Benefits of Early Mobilization on Post-Abdominal Surgery: A Review of Literature Juita, Juita; Yona, Sri; Maria, Riri
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 01 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 01 March 2023
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i01.2377

Abstract

Background: post-abdominal surgery and postponed physical recovery are significant problems. Thus, early mobilization is important to treat the post-surgical procedure, facilitate recovery, and prevent further complications. Objectives: this literature review was to find the benefits of early mobilization on post-abdominal surgery. Methods: the researchers took the data from PubMed, EBSCOhost, ProQuest, Science Direct, and Scopus, published from 2017-2022 with the predetermined keywords. The searching method applied the Prefered Reporting Items for Systematic Review and Meta-Analysis, PRISMA guideline. The researchers conducted the research in November 2022. Articles selected with criteria for publication in International Journals within the last five years, in English, using experimental research designs, randomized controlled trials (RCTs), quasi-experiments, and cohort studies. Results: the researchers found 57.990 articles from various data sources. They were Pubmed (n = 43), EBSCOHost (n = 1.223), Science Direct (n = 325.800), ProQuest (n=30.279), and Scopus (n=645). After promoting the first screening step, the researchers eliminated some obtained journal articles. The only articles published within five recent years with full-text conditions were 162 articles. Then, the researchers screened the articles based on the second and third criteria: having open access and writing in English. The results were 10 articles. Then, the researchers checked the duplications and screened the titles and the abstract, resulting in six articles. The results showed that the analyses of six articles stated that early mobilization, from the post of day 0 or 24 hours after the abdominal surgery could improve the respiratory function with SpO2 and SaO2 increase. The mobilization could also reduce the length of stay and make the cost more efficient. Conclusion: The mobilization provided many advantages to reducing post-abdominal surgery complications, morbidity, and mortality.