EFEKTIVITAS PENGGUNAAN CLINICAL PATHWAY BERDASARKAN AVLOS PASIEN SECTIO CAESAREA

Abstract

Clinical pathway diterapkan di Rumah Sakit Baptis Batu Malangtahun 2013 pada kasus apendisitis, dengue haemorrhagic fever, hernia, sectio caesarea, stroke, dan thypoid fever. Audit efektivitas penggunaan clinical pathway ditinjau dari Average Length Of Stay (AVLOS) pada pasien sectio caesareabelum dilakukan secara rutin. Penelitian ini bertujuan mengetahui efektivitas penggunaan clinical pathwayditinjau dari AVLOS pada pasien sectio caesarea. Penelitian deskriptif kualitatif dengan metode sampling jenuh. Data diperoleh melalui metode observasi, studi dokumentasi dan wawancara, uji validitas data menggunakan triangulasi sumber.Hasilnya menunjukkan bahwa sebelum implementasi clinical pathway rata-rata hari perawatan 3,25 hari, pada tahun 2013 sesudah implementasi clinical pathway rata-rata hari perawatan 3,096 hari. Kemudian pada tahun 2015 terjadi peningkatan sesudah implementasi clinical pathway dengan rata-rata hari perawatan menjadi 3,129 hari. Kesimpulannyaadalah AVLOS sebelum dan sesudah implementasi clinical pathway pada pasien sectio caesarea di Rumah Sakit Baptis Batu mengalami peningkatan pada tahun 2015.Tidak adanya tim clinical pathway dan standar operasional prosedur menyebabkan implementasi clinical pathway belum terlaksana sebagaimana mestinya.

Kata kunci: alur klinis, bedah sesar,rekam medis

The clinical pathway was implemented in Batu Malang Baptist Hospital in 2013 in cases of appendicitis, dengue haemorrhagic fever, hernias, caesarean section, stroke, and typhoid fever. The audit of the effectiveness of the use of clinical pathways in terms of Average Length of Stay (AVLOS) in patients with
cesarean section has not been routinely performed. This study aims to determine the effectiveness of the use of clinical pathways in terms of AVLOS in sectio caesarean patients. Qualitative descriptive research with saturated sampling method. Data obtained through observation, documentation and interview methods, test the validity of the data using source triangulation. The results showed that before the implementation of the clinical pathway the average treatment day was 3.25 days, in 2013 after the implementation of the clinical pathway the average day of treatment was 3,096 days. Then in 2015 there was an increase after the implementation of clinical pathways with an average treatment day of 3,129 days. The conclusion is AVLOS before and after the implementation of clinical pathways in sectio caesarean patients at Batu Baptist Hospital experienced an increase in 2015. The absence of a clinical pathway team and standard operating procedures led to the implementation of the clinical pathway not being implemented properly.

Keywords: clinical flow, cesarean section, medical record