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Appropriate and rational use of antibiotic is believed to prevent the occurrence of resistance to antibiotic also affect the success of the treatment of pneumonia patients. The irrational use of antibiotic is thought to also be able to cause lengthening of the length of stay in the hospital, thereby affecting the cost of treating pneumonia patients. Riskesdas data for 2018 showed an increase in the prevalence of pneumonia based on diagnosis by health professionals by 2%, while in 2013 it was 1.8%. The purpose of this study was to determine the relationship between the rational use of antibiotic with the clinical outcome of pneumonia patients at the Jakarta Hajj Hospital. This research is a quantitative descriptive-analytic (cross-sectional) study whose data was collected retrospectively using medical records of patients at the Jakarta Hajj Hospital for the period of January 1 2019 to 31 December 2019. Of the 77 samples obtained, 37.7% patients get the right antibiotik, 93.5% of patients get the right dose of antibiotic, 85.7% of patients get antibiotic with the right duration, and 98.7% of patients get antibiotic with the right frequency. Clinical improvement that occurred ≤ fifth day was 88.3% and length of stay ≤ 5 days was 67.5%. The rationality of antibiotik use did not show a significant relationship to clinical outcome (p value > 0.05) and length of stay (p value > 0.05).
ABSTRACT
Tujuan penelitian ini adalah melakukan analisis pengendalian persediaan antibiotik pada tahun 2011 di RSIA Budi Kemuliaan. Desain penelitian yang digunakan Cross Sectional dengan pendekatan kualitatif untuk menganalisis unsur-unsur yang berpengaruh pada efektifitas pengendalian dan pendekatan kuantitatif digunakan untuk melakukan analisis ABC antibiotik pada tahun 2011. Hasil yang didapat dari penelitian ini untuk analisis ABC nilai indeks kritis, kelompok A terdiri dari 8 item obat atau 6,25 % dari seluruh item antibiotik, kelompok B 58 item atau 45,31% dan kelompok C 48,44% atau 62 item antibiotik Untuk evaluasi Formularium, 28 item antibiotik dalam kelompok C dapat dihilangkan. Efektifitas pengendalian belum tercapai, dikarenakan kebijakan yang ada belum cukup dan belum dibakukan menjadi pedoman yang disosialisasikan serta dievaluasi secara rutin dan belum dibakukannya prosedur-prosedur yang berkaitan dengan pengendalian persediaan, serta sistem informasi yang tersedia belum menunjang proses pencatatan dan pelaporan.
The aim of this research is to analyze antibiotics stock control in Budi Kemuliaan Hospital in 2011. This was a cross-sectional study using qualitative approach to analyze some factors influencing control effectivity and quantitative approach to analyze ABC antibiotics in 2011. The result of this study, using ABC analysis of critical index point, showed that Group A consisted of 8 drug items or 6.25% of total antibiotics items, Group B consisted of 58 items (45.31%) and Group C consisted of 62 items (48.44%). Twenty eight itemsin Group C could be deleted from Budi Kemuliaan Hospital?s drug formularium lists.The effectivity of stock control had not been achieved yet because the policy regarding stock controlhad not been established adequately andhad not became a guidance to be socialized and evaluated routinely;there were many procedures of drug stock control had not became SOP (Standard Operating Procedure); and the excellence information system that supported good documentation had not been available yet.
Kata kunci : Kompensasi, Pengembangan Karir, Turnover
This study discusses the Influence of Compensation and Career Development on Turnover Nurse in Inpatient Installation RSUP Fatmawati Year 2017. The purpose of this study is to determine the Effect of Compensation and Career Development on Turnover Nurse in Inpatient Installation RSUP fatmawati Year 2017. This research is a quantitative research with cross sectional approach and data obtained from interviews and questionnaires using linkert scale. The population of this research is all nurses of Inpatient Hospital of Fatmawati Year 2017. The sample used is 82 nurses with simple random sampling method. Data analysis used Test Questionnaire Validity, Test Questionnaire Reaction, Correlation Test, and Linear Regression Test simple by using SPSS 20,0 for windows. The result of the research shows that Compensation has negative, strong, and significant effect, 82% toward nurse turnover and career development have negative and weak effect on nurse turnover at RSUP Fatmawati hospital about 18%.
Keywords : Compensation, Career Development, Turnover
