Abstract
Patient safety with surgery becomes the main focus in medical action, as it involves invasive procedure. The surgical team’s obedience is very important to reduce the risk at the surgery procedure. At 2007, WHO has released a method for keep the patient safety in Surgical Safety Checklist (SSC) form, to reduce the patient’s mortality. The purpose from this research is to know the difference of surgical team’s obedience in implementation of surgical safety between elective and emergency surgical patient at Karsa Husada Hospital’s operating room. The research design that used is comparative design with cross-sectional approach, with the amount of sample is 22 person and used the purposive sampling according to the both inclusion and exclusion criteria. The method of collecting data implemented by non-participative observation to the surgical team that conducting the operation each 15 times to both the elective dan emergency surgery patient. The research instrument that used was SSC observation form and it was customized by hospital’s form. The tabulating data that used was analytic comparative technic with Chi Square test. The research’s result show the surgical team’s obedience in surgical safety checklist implementation at elective surgical patient is 80% was scored obey, meanwhile at emergency surgical patient is only 7% was scored obey, and the significance score is 0,000, that means there is a difference of surgical team’s obedience in the implementation of surgical safety between elective and emergency surgery patient. The recommendation given to the surgical team is the team is expected to carry out the surgical safety maximally and don’t missed some of the SSC’s point especially at the both of time out and sign out phase.
 Keywords: Obedience, surgical team, surgical safety, elective, emergency
Highlights
PENDAHULUAN Safe surgery saves lives adalah suatu program yang dibuat oleh World Health Organization (WHO) dan merupakan bagian dari patient safety yang bertujuan untuk menurunkan angka kematian yang terjadi akibat pembedahan
The surgical team’s obedience is very important to reduce the risk at the surgery procedure
The method of collecting data implemented by non-participative observation to the surgical team that conducting the operation each 15 times to both the elective dan emergency surgery patient
Summary
Penelitian ini menggunakan desain penelitian komparatif dengan pendekatan crosssectional. Sampel dalam penelitian ini adalah tim bedah ruang operasi yang melaksanakan tindakan operasi elektif dan emergency masing-masing 15 kasus. Kriteria inklusi yang dimaksud adalah tim bedah yang melaksanakan surgical safety pada tindakan operasi elektif dan tim bedah yang melaksanakan surgical safety pada tindakan operasi emergency dimana keduanya adalah personal yang sama. Variabel dalam penelitian ini adalah kepatuhan tim bedah dalam pelaksanaan surgical safety checklist pada operasi elektif dan kepatuhan tim bedah dalam pelaksanaan surgical safety checklist pada operasi emergency. Definisi operasional dari kepatuhan tim bedah dalam pelaksanaan surgical safety adalah kepatuhan responden (tim bedah) dalam melaksanakan surgical safety, dimulai dari sign in, time out, hingga sign out, serta diobservasi sebanyak satu kali selama masing-masing 15 kali dengan menggunakan lembar SSC pada pasien operasi elektif maupun emergency. Dugaan sementara peneliti mengacu sesuai teori bahwa tidak ada perbedaan kepatuhan tim bedah pada pelaksanaan surgical safety antara pasien operasi elektif dan emergency. Data yang telah dianalisis diuraikan dalam beberapa bentuk diagram dan tabel seperti: distribusi frekuensi usia dan lama kerja, serta tabel silang yang menunjukkan perbandingan perbedaan kepatuhan antara pasien operasi elektif dan emergency
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