Kinerja Instalasi Farmasi Rumah Sakit X Purwokerto Ditinjau Dari Perspektif Proses Bisnis Internal Balanced Scorecard “Average Dispensary TIME Dan Waktu Pemberian Informasi Obat

IFRS (Instalasi Farmasi Rumah Sakit) X Purwokerto adalah salah satu rumah sakit milik pemerintah yang bergerak pada pelayanan publik. IFRS X sebagai salah satu organisasi yang memasuki lingkungan industri kesehatan yang kompetitif harus dapat meningkatkan kinerja dan memberikan pelayanan terintegrasi secara lebih efektif, efisien, dan inovatif. Penelitian ini bertujuan untuk mengetahui proses bisnis internal IFRS X berdasarkan perspektif balanced scorecard, meliputi ratarata dispensing time, dan rata-rata waktu pemberian informasi obat. Desain penelitianini adalah cross sectional. Data kuantitatif didapatkan dari lembar observasi pada resep untuk rata-rata dispensing tim

Penambahan Ciprofloksacin Intravena Terhadap Ceftriakson Sebagai Terapi Antibiotik Empiris Pada Pasien Pneumonia Rawat Inap: Perbandingan Biaya Dan Efektivitas

In clinical practices the aim of adding antibiotics treatment was to improve the outcomes. The objectiveof this study was to assess whether adding intravenous ciprofloxacin could bear more benefit despitethe cost of treatment than that of intravenous ceftriaxone for hospitalized pneumonia. This retrospectivestudy devided patients with pneumonia into two groups; first, patients received intravenous ceftriaxonetherapy only (CTX group), second, patients received combination of intravenous ceftriaxone plusciprofloxacin (CTXCP group). There were 171 patients recruited, 106 patients received CTX treatmentand 65 patients received CTXCP. The data were matched between groups by age, gender, level of paymentand comorbidities. The total cost of treating hospitalized pneumonia with CTXCP was higher than CTX(p=0,000). Meanwhile, the length of stay (LOS) and length of stay antbiotic related (LOSAR) were shorterin CTX group than CTXCP (11,32 vs 13,15 days, p=0,14 and 9,26 vs 12,09 days, p=0,000). Moreover, thesuccess rate and first line clinal failure avoided (CFA) in CTX group were better than CTXCP (81,13% vs66,15%, p=0,027 and 71,79% vs 44,62%, p=0,000). This research concluded that adding ciprofloxacinintravenous as empiric treatment of hospitalized pneumonia did not improve outcomes but significantlyincreased the cost of treatment

Evaluasi Penggunaan Antibiotika Profilaksis Dari Aspek Ketepatan Jenis, Waktu Dan Durasi Pemberian Pada Pasien Instalasi Bedah Sentral Sebuah Rumah Sakit Swasta Di YOGYAKARTA

Surgical site infection is one of surgical infection that frequently happened in hospital sothat the use of antibiotic prophylaxis must be safe. The research was conducted to know incidenceof adverse event at USAge of antibiotic prophylaxis in surgery installation. We use concordancesheet of antibiotic prophylaxis either from accuracy aspect of the drug type, administration time,duration of USAge. Result analysis in the form of calculation relative risk of USAge of antibioticdissected pre prophylaxis to risk the happening of surgical site infections cases. Result thisresearch show that relative risk value of USAge of antibiotic to case of infection of operation hurtevaluated from inaccurate of type antibiotic 1,12 ( CI 95 %: 0,138-9,1), inaccurate aspect of gift time5,8 ( CI 95 % : 1,024 - 32,86) and from inaccurate aspect of duration of gift 3,21 ( CI 95 % : 1,043 -9,9)

Analisis Kinerja Instalasi Farmasirumah Sakit X Purwokertoditinjau Dari Perspektif Customer Balanced Scorecard “Keterjaringan Pasien”

IFRS X Purwokerto merupakan salah satu rumah sakit pemerintah sebagai pelayanan publik. Pengelolaan keuangan IFRS X Purwokerto dikelola dengan sistem Badan Layanan Umum. Persentase pasien memiliki dampak terhadap pendapatan rumah sakit. Persentase pasien adalah salah satu pengukuran perspektif pelanggan pada metode balanced scorecard. Desain penelitian yang digunakan adalah studi kasus deskriptif. Data kuantitatif diperoleh dari dokumen penerimaan rawat jalan pada Desember 2008, dan dari data administrasi rumah sakit. Data kualitatif diperoleh dari wawancara dengan Kepala Departemen Farmasi Rumah Sakit X Purwokerto. Data kuantitatif dianalisis sebagai rata-rata persentase pasien yang dihadapi, dan data kualitatif adalah deskriptif analisis. Hasil menunjukkan rata-rata persentase pasien yang ditemui pada pasien rawat jalan IFRS X Purwokerto adalah 71,84%. Kepala Departemen Farmasi Rumah Sakit X Purwokerto mengatakan untuk mengoptimalkan persentase pasien perlu kerjasama semua segmen, dari stakehoulders (direktur dewan rumah sakit X Purwokerto dan pemerintah), dan perbaikan terus-menerus dari proses internal IFRS X Purwokerto

Pengaruh Penambahan Semen terhadap Kuat Geser Lempung Sebelum dan Sesudah Penjenuhan

Soil is a material that very influential in the contruction work. Major issues in soft soil are low bearing capacity and high settlement condition. One of soil stabilitation effort is mixing PCC cement in specific content by the soil to improve shear strength. This research aims to study UCS and CBR values of mixed clay and cement at 2%, 3%, 4% and 5% content variations on soaked condition. The result showed that increasing cement content until 5% mixture raising soil dry density still optimum mouisture content decrease. While over 5% cement mixture showed contrary behavior. UCS and CBR values not influenced by soaking process

Analisis Pengaruh Parameter Permeabilitas Smear Zone terhadap Penurunan Konsolidasi (Studi Kasus di PLTU -Pekanbaru, Riau)

Vertical drain is soil improvement method that aims to reduce the pore water pressure in soft ground so as to accelerate the consolidation process and time reduction in water-saturated soft soil. Tools vetikal precast drainage installation (Prefabricated Vertical Drain, PVD) is called a mandrel with a diameter of 60 to 70 cm2. Installation PVD candisturb the arrangement of soil around the walls of the mandrel, there by reducing the permeability of the soil that can slow down the process of consolidation. This study analyzes the disturb smear zone permebilityof consolidation settlement.This research showed the influence of smearzone permeability (kh/ks) very influence of consolidation settlement. Keys word :Vertical drain, Smear zonepermeabilit

Pengaruh Spasi pada Performa Prefabricated Vertical Drain (PVD) dalam Perbaikan Tanah Lunak

Soil condition heaps of times be a problem in a construction work, it is cause the condition soft soil layer have low permeability. Soft ground improvement with vertical drain is complex analysis for consolidation, got in on space of prefabricated vertical drain (PVD). Space is influential at times of settlement. If space too small then it's not economical, because it will more point to installation PVD. So, did analysis comparison Chai et al method and average method. This comparison between the two method give the result is not to be different, so installation PVD should be with space 1,5 m. it's from the result with soil data of PLTU Riau