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Toxic Epidermal Necrolysis : A Case Report in 9-Year Old Girl Nurwestu Rusetiyanti; RR. Vetria Sekar Damayanti; Ravicka Rakhmayunita; Sugiarsih Sugiarsih
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.30069

Introduction. Toxic Epidermal Necrolysis (TEN) is a acute and severe reactions of skin and mucosa that can lead to serious clinical outcomes and morbidity. TEN is considered to be rare in children and usually has a fatal outcome due to sepsis.Case. 9-year old girl, went to Universitas Gadjah Mada (UGM) Hospital with complaint of erythematous, purpuric rash, blister starting from the neck and also involving the inside of the mouth, lips and eyes, and spreading over the entire body. Three weeks before hospital admission, she received combination of drugs valproate sodium, clonazepam, phenobarbital and piracetam. Two week after, she developed skin rash and progress to develop TEN. Sodium valproate and clonazepam were discontinued, and intravenous methylprednisolone, prophylactic systemic antibiotics, intravenous immunoglobulin (IVIG), intravenous fluid supplement, antipyretic, special wound care at semi sterile room, and supportive medical care fro TEN were administered. She was discharged from hospital in a stable, good condition.Discussion. This case suggests that sodium valproate contributed to the development of TEN. Appropriate case management will give excellent result, and reduce long-term complications.

Evaluation of Expectations and Quality Health Care Based on Patients’ Perspectives in Universitas Gadjah Mada Academic Hospital Sugiarsih Sugiarsih
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.33608

Background: Health services provided by hospitals can be used as capital to improve the image of services and compete with other hospitals in order to be the patients’ preferred choice in solving their health problems. Patients have different perceptions of medical services provided which can be used for describing the quality of hospital services.Methods: This research was a descriptive analytic study with a cross-sectional design, where data retrieval used a questionnaire which measures the patients’ expectations and perceptions of services from the Outpatient, Inpatient and Emergency Departments with 5 dimensions of quality: tangibles, responsiveness, empathy, reliability and assurance. The study population was patients who visited the outpatient, inpatient and emergency departments totaling 5000 samples as calculated by the Slovin formula, with a sample set of 120 respondents selected by random sampling. Data were analyzed using independent sample t tests to determine differences in patients’ expectations and perceptions of services obtained at the time of visit. ANOVA tests were used to analyze data about differences in patients’ expectations and perceptions of the outpatient, inpatient and ER departments. For the descriptive study, the data were analyzed by finding the average of the patients’ responses. Results: Patient expectations of service quality was an important quality dimension which reached an average value of 93.97. The perception of the quality of services reached a value of 84.12. Statistically, there was no difference between the quality of the outpatient, emergency and inpatient departments with p=0.4 (>0.05). There was a statistically significant difference in patient expectations and perceptions of service quality delivered both with p=0.000 (<0.05). Conclusions: According to the perceptions of patients, quality of service at the Universitas Gadjah Mada Hospital is excellent. There was no difference between the quality of service in the outpatient, emergency and inpatient units. There were statistically significant differences between patient expectations and perceptions of service quality.

Identification of Waste Handling Compliance of Sharp Objects at Universitas Gadjah Mada Academic Hospital Yogyakarta Timuryani Nugraheni
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.33618

Background: Health care processes that occur in the hospital cannot be separated from factor control and prevention of infection. One of the biggest challenges of the current hospital is to be able to reduce the number of infections that occur during the delivery of health services in progress.Objective: This research aimed to identify compliance with the infection control policy concerning health workers and sharp objects in order to prevent spread of infection and to decide upon the chain of infection transmission in Universitas Gadjah Mada Academic Hospital, Yogyakarta, Indonesia.Design: This research was a descriptive analytic study. Data were collected by observation methods using a survey instrument in the form of a check list. The processing of data involved factor analysis and narratives in descriptive form with percentages and tables.The study population involved total sampling of 30 percent of the total measures undertaken by syringe healthcare workers who work in the ER, Intensive Care Installation, Operation Room and Midwifery Care Lounge. The sample set included 40 activities. The Observation Sheet was based on the Guide PPI from the 2011 Nurses Association of Infection Prevention and Control.Results: The incidence of needle stick during January - April 2015 increased significantly to 4 events. Rate of compliance officers in managing sharps waste was: 67.5% with 25 % of corporate compliance officers not doing recapping or closure of needles (minimum scale). A sharp object was not given to others as much as 82.5% (Medium scale). When intending to give a sharp object to another person then the container was used as much as 57.5% (minimum scale). Sharps waste were put into a special puncture resistant and waterproof box 97.5% (scale of Good). Safety box 3/4 full of sharps waste was sealed or sealed and thrown into the garbage storage area as much as 75% (minimum scale).Conclusions: The availability of adequate infrastructure, e.g. Safe Injecting SPO, SPO sharps waste management, availability of containers for storing syringe when it will be handed over to another officer, and the availability of adequate safety box needs to be improved. Workers should strictly follow the NSI (Needle Stick Injury) prevention and control program and execute compliance based on SPO guided by the universal precautions and hierarchical control policy.

Comparison of Applications of Aloe Vera, Honey, Saliva, and Ovalbumin on Collagen Formation in Wound Healing of Incised Skin in Rats R. Wahyu Kartiko Tomo; Ishandono Dachlan; Dewajani Dewajani
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.33620

Background: Aloe vera, honey, human saliva, and ovalbumin are useful in the wound healing process. Collagen acts as an indicator of wound healing.Objective: This research aimed to compare the effect of Aloe vera, honey, human saliva and ovalbumin on collagen formation in wound healing.Design: This research was a laboratory experimental study on sixty white rats (Rattus novergicus) which were divided into 5 groups. Four groups were cases with skin applications and 1 group was controls with NaCl. We performed general anesthesia procedure, making an incision on skin of back, then the wound was sutured, and on surface of the sutured wound we applied substrate twice a day for six days. On day four and seven, after euthanasia, the sutures were removed, and the incised skin was taken for histological examination. We counted and analyzed the size of collagen with Image Raster tool programs. Data were analyzed with t-test, Mann Whitney, ANOVA and Kruskal Wallis tests, and then with post hoc tests.Results: After day four, the mean area of collagen of Aloe vera group was 55391.19 ± 30939.63, honey 24194.88 ± 43700.39, saliva 25869.86 ± 31608.39, ovalbumin 82459.19 ± 80994.66, NaCl 97658.04 ± 88452.74, with no significant differences between collagen sizes with p=0.125 (˃0.05). Decapitation day seven, significant differences with p=0.017 (˂0.05), in honey group 18601.67 ± 29260.28 and saliva 17560.31 ± 27262.03 than the control NaCl 94126.22 ± 29500.27.Conclusions: Collagen sizes after day four among the groups of Aloe vera, honey, saliva, ovalbumin and saline did not differ significantly. Collagen sizes after day seven of honey and saliva groups were significantly different than the controls.

Correlation of Volume and Intracerebral Site with Hemorrhagic Stroke Mortality Based on CT Scan Andi Rizal; Arif Faisal; Sri Retna Dwidanarti
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.33621

Background: Intracerebral hemorrhage is a bleeding in the brain’s parenchyma that can extend into the ventricles, and in rare cases into the subarachnoid area. The effects of hemorrhage volume are from mild to severe clinical symptoms due to the increased intracranial pressure. Head CT scan is used to rule out other causes than stroke.Objective: This study aimed to determine the correlation of intracerebral hemorrhage volume and hemorrhage site with mortality of hemorrhagic stroke patients based on head CT scan tests.Design: This research used analytic observational methods to conduct a positive correlation assessment of volume and hemorrhage site with mortality in intracerebral hemorrhagic stroke patients. The study used a cross-sectional design with retrospective data. Data were assessed from 55 cases consisting of 29 men and 26 women.Results: The commonest hemorrhage was found in 24 cases (43.6%) in ganglia basalis, 15 cases (27.3%) in lobus parietalis and 8 cases (14.5%) in pons. Blood volume decreased to 25 cc in 35 cases (63.6%), 25-50 cc in 13 cases (23.6%), and decreased to more than 50 cc in 7 cases (12.7%). Correlations of contingency coefficient tests between mortality and hemorrhage site in lobar were (r=0.049, p=0.714), in deep artery territories (r=0.170, p=0.200) and in brain stem (r=0.298, p=0.020). Meanwhile, correlations between mortality and decreased blood volume to 25 cc were (r=0.589, p=0.000), in 25-50 cc (r=0.406, p=0.001) and for blood volume more than 50 cc (r=0.437, p=0.000).Conclusions: There was positive correlation between mortality and hemorrhage site in brain stem while in lobar and in deep artery territories there was no correlation with mortality and hemorrhage site. There were positive correlations between intracerebral hemorrhage volume and mortality with moderate correlation strength.

A Descriptive Analysis of Patient Safety at Universitas Gadjah Mada Academic Hospital Yogyakarta : A Case Study Using IHI Global Trigger Tool for Measuring Adverse Events Novi Zain Alfajri; Domas Fitria Widyasari; Ratna Dewi Puspita
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.33622

Background: Management of medical treatment is a very complex multi-disciplinary process with many stages. During patient care at Universitas Gadjah Mada Academic Hospital (UGM Academic Hospital) incidents involving patient safety either go unreported or are accidentally found. According to some public health research only about 10-20% of incidents were reported. The purpose of this research aimed to provide data to the management about the level of patient safety and make recommendations to improve service quality, especially to reduce injury and increase patient safety.Methods: Our study was conducted by doing a review of patient medical records of hospitalized adults (n = 60) treated in September 2015 to detect trigger and adverse events using the IHI Global Trigger Tool for Measuring Adverse Events. Group Cares was designed to reflect the adverse events that occurred anywhere in UGM Academic Hopitaltal so that all samples should be reviewed by both modules. All three remaining modules were used if necessary depending on the unit where patients were treated. Technical analysis used in this research was descriptive statistics.Results: The study found 69 incidents / triggers that occurred in 27 patients (n = 60) consisting of 47 incidents in the treatment group, 16 incidents in the surgery group, one incident in intensive care, and 5 incidents at the Emergency Department. Based on the level of injury, the incidents which happened demanded extended day care, requiring more intervention and assistance of disability. No cases of death were reported due to the incidents.Conclusions: The incidence found in all categories according to the modules with the highest incidence was the incidence of treatment and the smallest was in intensive care. Most incidents resulted in extending the duration of treatment and require more intervention. No fatal cases were reported to have resulted in the studied sample.

Information System for Prevention of National Healthcare Insurance Fraud Among Inpatients of Advanced Referral Health Services Budi Santoso; Yulita Hendrartini; Bambang Udji Djoko Rianto; Laksono Trisnantoro
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.33624

Background: The National Health Insurance (JKN) was started from January 1st, 2014, however every year there was a deficit between the income of the Social Security Administrator Healthcare (BPJS Kesehatan) and the money paid to healthcare facilities. One of the causes was the potential for JKN fraud in inpatient services at advanced referral health facilities (FKRTL). As a response, the Ministry of Health, the Corruption Eradication Commission (KPK) and other JKN stakeholders currently are developing a JKN fraud prevention, early detection, investigation and action system.Objective: This research aimed to analyze the implementation of the new information system for potential JKN fraud prevention and detection in inpatient services for JKN participants in RSUP Dr. Soeradji Tirtonegoro as an example of FKRTL.Design: This study used cross-sectional methods in assessing JKN fraud in single episodes of patient care by using JKN fraud indicators in the information system. We identified potential JKN fraud during April-July 2017 from JKN claim data. Reliability of information system was assessed by HOT-Fit research questionnaire (Human Organization Technology and Benefit) and Stata® software.Results: The data shown there was a significant decrease in potential JKN fraud conducted by FKRTL between April-July 2017: in April 14 findings, May 8 findings, June 1 findings, and July there were no findings. Prevention and early detection of potential JKN fraud among hospitalized JKN participants were conducted effectively by using an information system that contains indicators of JKN fraud. Reliability analysis of information system on the patient administration officers (TURP), BPJS Kesehatan officers and hospital internal verification officers resulted in alpha Cronbach value of > 0.8.Conclusions: The results show that the information system is reliable to prevent and early detect potential JKN fraud in inpatient services for JKN participants in FKRTL. Information system is effective and reliable for prevention and early detection potential National Health Insurance fraud in service of inpatient advanced referral health services.

FORMULASI NUTRISI ENTERAL BERBASIS TEPUNG EDAMAME UNTUK ALTERNATIF DIET CAIR PASIEN STROKE Leiyla Elvizahro; Aprillia Dewi Arum Nur Purwandari; Riska Yunida Prastiwi; Syari Ernawati Putri; Vivi Meiliza Majid
Academic Hospital Journal Vol 3, No 01 (2021)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v3i01.57699

Background: At UGM Academic Hospital, the liquid diet that has been given to stroke patients is a high-energy, high-protein and low-sodium enteral commercial formula. Commercial enteral formula has a relatively expensive price so we need a ready-made enteral product at a more affordable price. Hospitals can utilize potential ingredients to produce ready-to-use enteral formulas, one of which is edamame bean flour. Objective: Producing edamame flour-based enteral nutrition products that can be organoleptically acceptable, meet nutritional requirements, and meet the physical requirements of enteral nutrition for stroke patients. Design: Laboratory experimental research with a Completely Randomized Design with four research stage: 1) Making and testing the nutritional value of edamame flour, 2) Formulation of edamame flour-based enteral nutrition, 3) Testing of organoleptic quality, physical properties, and nutritional value and calculating the cost of enteral nutrition edamame flour based, 4) Determination of the selected formula. Results: Edamame flour produced in this study had the highest percentage of nutrient content in the form of protein (31.5%) and antioxidant activity of 69.75%. Based on the calculation of nutritional value, determined 3 formulas, namely formula A (comparison of edamame flour: 1: 4 skim milk), formula B (2: 3), and formula C (1: 2). From the results of testing the nutritional value, physical properties, cost, and level of preference, formula A is determined as the chosen formula. Formula A has a protein content of 21.88%; energy content of 332.54 Kcal / 100 g; viscosity 8.6 cP; osmolality 436 mOsmol / Kg water; and most preferred panelists in terms of taste. Conclusions: Edamame flour formula can be used as an alternative liquid diet for stroke patients with energy and protein content such as commercial stroke formulas.

EFEKTIFITAS MEDIA INFORMASI ELEKTRONIK SEBAGAI PROMOSI KESEHATAN PEMBERIAN ASI EKSKLUSIF Budi Susilawati
Academic Hospital Journal Vol 3, No 01 (2021)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v3i01.57850

Latar Belakang: Diseluruh dunia Neonatus yang menerima asi eksklusif setelah tiga atau empat bulan hanya sekitar 35%. Pemerintah Indonesia menetapkan target nasional ASI eksklusif sebanyak 80%. Sayangnya Indonesia gagal mencapai target tersebut karena hanya 30,2% yang dicapai. Tujuan Penelitian: Untuk mengetahui Efektifitas Media Informasi Elektronik Sebagai Promosi Kesehatan Pemberian ASI Eksklusif.. Sumber Data: Sumber data didapatkan dari PubMed dan Science Direct. Kriteria Inklusi: Ibu menyusui, ibu hamil, tenaga kesehatan, Full text, Artikel tahun 20011-2019, jurnal Internasional dan nasional. Studi appraisal dan metode sintesis: Studi apprasial menggunaan JOANNA BRIGGS 8 Question to help you make sense of a Quantitative Research, dan metode sintesis menggunakan modifikasi PEOS. Hasil: Organisasi Kesehatan Dunia merekomendasikan agar bayi disusui secara eksklusif pada enam bulan pertama kehidupan dan praktik ini dilanjutkan hingga usia dua tahun dengan makanan pendamping. Pemberian ASI eksklusif selama enam bulan adalah metode optimal pemberian makanan bayi. Promosi kesehatan merupakan salah satu metode yang digunakan untuk menurunkan masalah kesehatan, beberapa metode yang digunakan adalah penggunaan media leaflet, media film, media audio-visual, Web dan telepon seluler, konten berbasis video dan program Women, Infants, and Children (WIC) yang menyediakan breastfeeding peer counsellors (BPC). Pemilihan metode-metode tersebut diharapkan dapat meningkatkan pengetahuan, sikap, dan perilaku masyarakat terutama ibu untuk memberikan ASI secara eksklusif. Kesimpulan dan Implikasi Hasil: Media elektronik seperti film, media audio visual, website, telepon seluler efekfif digunakan sebagai media promosi kesehatan menyusui.

Unit Cost Calculation for Low Calorie Diet Packages to Support the Nutrition Installation Entrepreneurship of UGM Academic Hospital Pratiwi Dinia Sari
Academic Hospital Journal Vol 3, No 01 (2021)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v3i01.58700

Background: Nowadays, people have the awareness to maintain weight and to eat healthy diet. However, people prioritize practicality in preparing food due to the limited ability to prepare healthy food. Nutrition Installation in Universitas Gadjah Mada Academic Hospital has the potential to become a profit center by developing an entrepreneurship sector, specifically by providing a healthy catering services. To organize a good healthy catering services, preparations need to be done, including those related to human resources, equipment, operating systems, and to-be-applied tariffs. Objective: The purpose of this study was to determine the unit cost of the low-calorie diet package, the product of the entrepreneurship sector of Nutrition Installation. Design: Descriptive research with quantitive approach. This research was held at the Nutrition Installation in UGM Academic Hospital from June to November 2019, with the research steps conducted: 1) Identifying the details of the low-calorie diet package, 2) Identifying the direct cost consisting of direct non-overhead cost and direct overhead cost, 3) Identifying the indirect cost, 4) Calculating the unit cost. Results: The unit cost for a low-calorie diet package is IDR 70.553 per portion consisting of lunch, snack, assessment, and nutritional consultations per package. Conclusions: The unit cost obtained from this study can be used as the basis to determine the tariff for the hospital’s Nutrition Installation’s healthy catering services.

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Arif Faisal

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ahj.rsugm@ugm.ac.id

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Jl. Kabupaten, Kranggahan I, Trihanggo, Kec. Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55291

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Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Arif Faisal

Contact Email academichospitaljournal@gmail.com

Phone +62895413919029

Journal Mail Official ahj.rsugm@ugm.ac.id

Editorial Address Jl. Kabupaten, Kranggahan I, Trihanggo, Kec. Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55291

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

Abstract

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Abstract

Abstract

Abstract

Abstract

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Contact Name
Arif Faisal

Contact Email
academichospitaljournal@gmail.com

Phone
+62895413919029

Journal Mail Official
ahj.rsugm@ugm.ac.id

Editorial Address
Jl. Kabupaten, Kranggahan I, Trihanggo, Kec. Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55291

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA