Penerapan Metode Six Sigma dalam Pencegahan dan Pengendalian Infeksi di Rumah Sakit: Systematic Review

waluyo waluyo

Abstract


Latar belakang: Pencegahan dan pengendalian infeksi menjadi prioritas bidang kesehatan saat ini, dan mengurangi kejadian infeksi merupakan salah satu indikator kualitas layanan yang diberikan. Tujuan: untuk menguji bukti yang ada tentang penerapan metode six sigma dalam pencegahan maupun pengendalian kejadian infeksi di rumah sakit. Metode: database digunakan untuk mengidentifikasi artikel yang sesuai diperoleh dari Scopus, Pubmed, Ebscohost dan Summon terbatas untuk publikasi 5 tahun terakhir dari 2014 hingga 2019, bahasa inggris, dan fulltex article. Tinjauan literatur menggunakan kata kunci “ Six Sigma, Prevention Infection”. Dalam pencarian artikel menggunakan "AND". Hanya 8 artikel yang memenuhi kriteria inklusi. Ulasan ini berasal dari 8 artikel tersebut. Hasil: penerapan metode six sigma memberikan manfaat yang beragam. Pencegahan dan penurunan kejadian infeksi ulkus decubitus, Central Line Associated Blood Stream Infection, Surgical Site Infection, Ventilator Associated Pneumonia, menurunkan kejadian healthcare associated infections, mengurangi lama hari rawat, meningkatkan kepatuhan kebersihan tangan, mengurangi biaya perawatan dan meningkatkan keselamatan pasien. Simpulan: metode six sigma efektif mencegah dan mengendalikan infeksi di rumah sakit. Saran: rumah sakit menerapkan metode ini untuk pencegahan dan pengendalian infeksi
Kata kunci: six sigma; infeksi; rumah sakit

References


Montella E, Di Cicco MV, Ferraro A, Centobelli P, Raiola E, Triassi M, et al. The application of Lean Six Sigma methodology to reduce the risk of healthcare–associated infections in surgery departments. J Eval Clin Pract. 2017;23(3):530–9.

Kemenkes R. Peraturan Menteri Kesehatan RI No 27 tahun 2017: Pedoman Pencegahan dan Pengendalian Infeksi di Fasilitas Pelayanan Kesehatan. Jakarta; 2017.

Loftus K, Tilley T, Hoffman J, Bradburn E, Harvey E. Use of Six Sigma strategies to pull the line on central line-associated bloodstream infections in a neurotrauma intensive care unit. J Trauma Nurs. 2015;22(2):78–86.

Swensen, SJ., GS, Kaplan., GS, Meyer. Controlling healthcare costs by removing waste: what American doctors can do now. BMJ Qual Saf. 2011;20(6):534–7.

Soemohadiwidjojo AT. Six Sigma: Metode Pengukuran Kinerja Perusahaan Berbasis Statistik. Cet. 1. Andriansyah, editor. Jakarta: Raih Asa Sukses; 2017. iv + 156 hal.

Donovan EA, Manta CJ, Goldsack JC, Collins ML. Using a Lean Six Sigma Approach to Yield Sustained Pressure Ulcer Prevention for Complex Critical Care Patients. J Nurs Adm. 2016;46(1):43–8.

Kles CL, Murrah CP, Smith K, Baugus-wellmeier E, Hurry T, Morris CD. Achieving and Sustaining Zero. 2015;(October):265–72.

Mcbeth CL. Interprofessional Approach to the Sustained Reduction in Ventilator-Associated Pneumonia in a Pediatric Intensive Care Unit. 2018;38(6):36–47.

Improta G, Cesarelli M, Montuori P, Santillo LC, Triassi M. Reducing the risk of healthcare ‐ associated infections through Lean Six Sigma : The case of the medicine areas at the Federico II University Hospital in Naples ( Italy ). 2018;(September 2017):338–46.

Kuwaiti A Al, Subbarayalu AV. Reducing Hospital-acquired Infection Rate using the Six Sigma DMAIC Approach Define , Measure , Analyze , Improve and Control model Define Phase. 2017;260–7.

Chassin MR, Mayer C, Nether K. Improving Hand Hygiene at Eight Hospitals in the United States. Jt Comm J Qual Patient Saf [Internet]. 2015;41(1):4–12. Available from: http://dx.doi.org/10.1016/S1553-7250(15)41002-5

CDC. Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [CAUTI] and Non-Catheter-Associated Urinary Tract Infection [UTI] and other Urinary System Infection [USI]) Events. 2017.

Tyson AF, Campbell EF, Spangler LR, Ross SW, Reinke CE, Passaretti CL, et al. Implementation of a Nurse-Driven Protocol for Catheter Removal to Decrease Catheter-Associated Urinary Tract Infection Rate in a Surgical Trauma ICU. J Intensive Care Med [Internet]. 2018;xx:1–7. Available from: https://doi.org/10.1177/0885066618781304

Monaghan , S. F. , Heffernan , D. S. , Thakkar , R. K. , Reinert SE, Machan , J. T. , Connolly , M. D. , Cioffi WG. The development of a urinary tract infection is associated with increased mortality in trauma patients . J Trauma Inj Infect Crit Care. 2011;71(6):1569 – 1574.

Ferguson A. Implementing a CAUTI Prevention Program in an Acute Care Hospital. Urol Nurs. 2018;38(6):273–81.

Hultman CS., D, van Duin., Sickbert-Bennett, E. Systems-based practice in burn care: prevention, management, and economic impact of health care-associated infections. Clin Plast Surg. 2017;44(4):935–42.




DOI: http://dx.doi.org/10.33846/sf.v11i2.643

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