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Journal : Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML)

MANAJEMEN PENGETAHUAN UNTUK KESELAMATAN PASIEN Hartono Hartono; Rika Subarniati; Widodo J. Pudjirahardjo; FM. Judajana
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 20, No 3 (2014)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v20i3.474

Abstract

Many mistakes are often made in the laboratory such as: confusing results of specimen examination, wrong process of laboratory services and many problems appearing during services can result in patient’s error. The knowledge management can be a systematically way to capture and communicate knowledge to the laboratory technicians in order to minimize errors made in the laboratory. The purpose of this study is to prove that by implementation of patient’s safety using management strategy of knowledge about patient’s safety can increase the performance of laboratory personnel. The study is carried out pre-experimentally by using a pre-post design in a group without a control group comprising 55 respondents. Prior to giving implementation about knowledge of patient’s safety, the study subjects were tested by a pre-test about: the personnel’s potentials (mindset, attitude, awareness and knowledge), quality of work and performance of the personnel. Knowledge management was implemented in several stages, starting from dispersion of knowledge by making: modules, stages of setting up a team, distribution of knowledge by training and executing patient’s safety and acquainting knowledge by routine team meetings, recording, reporting and evaluation of patient’s safety. The increase of potentials, work process quality and personnel performance was post-tested to show a change and implementation effect of knowledge management about patient’s safety. The result showed a significant change in the personnel potentials post implication of knowledge management (p<0.001). A significant change was also shown in increase work quality (p<0.001). The influence of potential increase of work process quality showed a significant correlation (p=0.172, β=01.87). The increase of personnel potentials also influenced the improvement of their performance (p=0.002, β: 0.406). However, the increase of personnel work process quality significantly influenced the improvement of personnel performance (p<0.001, (β=0.581) Based on this study it can be concluded that knowledge management about patient’s safety can influence the increase of potentials and quality of personnel work process. The increase of quality on the personnel work process can significantly influence the improvement of personnel performance as well.
HUBUNGAN ANTARA UMUR, UMUR MULAI SAKIT, LAMA SAKIT DENGAN LED, CRP, DAS28-LED DI ARTRITIS REUMATOID J. Soeroso; FM. Judajana
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 20, No 2 (2014)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v20i2.1072

Abstract

Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease affecting joints with a high disability and prematuredeaths. The successful treatment depends on the monitoring and control of the disease activities. Age, Age at onset and its duration arerelated to the dynamics of the related activities in RA. The objective of the study is to determine the associations between the age, theAge at onset and its duration with the related activity markers like ESR, CRP and DAS28-ESR in RA. A cross sectional study was doneon 44 patients suffering from RA obtained from the Rheumatology Outpatient Clinic at the Dr Soetomo Provincial Hospital, Surabaya.They were diagnosed using the American College of Rheumatology (ACR) Criteria 1987. Kruskal-Wallis tests were used to determine theassociations between age (years), age at onset (years), its duration (months) with ESR (mm/hour), CRP (n) and DAS28-ESR respectively.Analysis results of the Kruskal-Wallis test includes: The age for the high ESR, namely: age ≥20 vs. age <20, p=0.035; age ≥30 vs.age<30, p=0.002; age ≥40 vs. age<40, p=0.000; and age ≥50 vs. age<50, p=0.047. The age for the high DAS28-ESR score namely:age≥30 vs. age<30, p=0.020; and age ≥40 vs age<40, p=0.013. The disease duration for the high ESR namely: disease duration ≥96vs. Disease duration <96, p=0.044. The disease duration for the high CRP namely: disease duration ≥84 vs. disease duration <84,p=0.015 and disease duration ≥96 vs. disease duration <96, p=0.029. All ages at onset segments were not associated with the high ESR,CRP as well as with the high DAS28-ESR. In this study it can be concluded that the age of patients suffering from RA is associated withhigh ESR. The older the age of the patients the higher will be the ESR. Older age is also associated with the high DAS28-ESR. The longerthe disease duration will be related with the high ESR, as well as the high CRP. ESR may be considered as a practical tool for measuringthe disease activity in RA, mainly for outpatients.