SISTEM INFORMASI SURVEILANS INFEKSI LUKA OPERASI UNTUK MEMBANTU PENGAMBILAN KEPUTUSAN KLINIS DAN ADMINISTRASI DI KAMAR OPERASI BADAN RUMAH SAKIT UMUM DAERAH DR. H. SOEWONDO KENDAL (Manfaat Untuk Perbaikan Mutu Pelayanan Tindakan Bedah)

Abstract

Nosocomial infection control is one of the efforts to increase the quality of hospital services. One of the nosocomial infection controls is surgical wound infection surveillance. Introductory research showed that the surgical wound infection surveillance in BRSUD dr. H. Soewondo Kendal had not been maximally carried out because of the late and inaccurate data processing as well as the incompleteness and difficulty of accessing the data and information. The objective of this research was to find out the information system design of surgical wound infection surveillance which meets the needs of clinical and administrative decision making in Operation Room of BRSUD dr. H. Soewondo Kendal. This reaserch was a qualitative descriptive research using in-depth interview to get a system model and to apply SDLC (System Development Life Cycle). The research design was the repeated treatment design of quasi-experiment. The analysis was done through content analysis towards the result of the interview, descriptive analysis towards the result of the try out, and quantitative analysis to find out the perfonnance difference between the old system and the new one. The subjects of this research were the head of the hospital, the medical chief committee, the chief committee of nosocomial infection control, the head of central operation installation, operator doctors, and surveillance officers. The object of this research was surveillance information system of surgical wound infection to support the clinical and administrative decision making in Operation Room of Badan Rumah Sakit Umurn Daerah (BRSUD) dr. H. Soewondo Kendal. The result of this research is an information system design of surgical wound infection surveillance including input and output design, database, and interface. Then, it is continued with the system building which finally results in surveillance information system of surgical wound infection to support the clinical and administrative decision making in Operation Room of Badan Rumah Sakit Umum Daerah (BRSUD) dr. H. Soewondo Kendal. It can be concluded that surveillance information system of surgical wound infection can overcome the weaknesses of the old system in simplicity, acceptability, accessibility, representativeness, and timeliness. The performance evaluation of the respondents shows that they extremely agree with the new system and there is a significant difference between the old system and the new one. It is suggested to develop other study of nosocomial infection surveillance. Pengendalian infeksi nosokomial merupakan salah satu upaya untuk meningkatkan mutu pelayanan di rumah sakit. Salah satu kegiatan pengendalian infeksi nosokomial adalah surveilans Infeksi Luka Operasi. Studi pendahuluan menunjukkan bahwa surveilans Infeksi Luka Operasi di BRSUD dr. H. Soewondo Kendal belurn berjalan dengan maksimal disebabkan oleh keterlambatan dan tidak akuratnya proses pengolahan data, ketidaklengkapan dan kesulitan mengakses data dan informasi. Tujuan penelitian ini adalah untuk mengetahui rancangan sistem informasi surveilans Infeksi Luka Operasi yang sesuai dengan kebutuhan pengambilan keputusan klinis dan administrasi di Kamar Operasi BRSUD dr. H. Soewondo Kendal. Penelitian ini adalah penelitian deskriptif kualitatif rnenggunakan wawancara mendalam untuk mendapatkan model sistem dan menerapkan SDLC (System Development Life Cycle). Rancangan penelitian adalah kuasi eksperimental The Repeated Treatment Design. Analisis yang digunakan adalah Content analysis terhadap hasil wawancara dan analisis deskriptif terhadap hasil uji coba serta analisis kuantitatif untuk mengetahui perbedaan kined a antara sistem lama dan sistem bam. Subyek penelitian meliputi Kepala Badan (Direktur), Ketua Komite Medis, Ketua Panitia Pengendalian Infeksi Nosokomial, Kepala Instalasi Bedah Sentral, Dokter Operator dan Petugas Surveilans. Obyek penelitian ini adalah Sistem Informasi Surveilans Infeksi Luka Operasi untuk membantu pengambilan Keputusan Klinis dan Administrasi di Kamar Operasi Badan Rumah Sakit Dr. H. Soewondo Kendal. Hasil Penelitian ini adalah rancangan sistem informasi Surveilans Infeksi Luka Operasi meliputi rancangan input dan output, basis data dan interface. Kemudian dilakukan pembangunan sistem dan dihasilkan sistem informasi Surveilans Infeksi Luka Operasi Untuk Membantu pengambilan Keputusan Klinis dan Administrasi di Kamar Operasi Badan Rumah Sakit Dr. H. Soewondo Kendal. Disimpulkan bahwa Sistem Informasi Surveilan ILO dapat mengatasi kelemahan sistem lama dalam hal kesederhanaan, aksebtabilitas, aksesibilitas, kerepresentatifan dan ketepatan waktu. Dari evaluasi kinerja responden menyatakan sangat setuju dengan sistem bam dan ada perbedaan yang signifikan antara sistem lama dan sistem baru. Disarankan dikembangkan untuk surveilans infeksi nosokomial yang lain.