THE EFFECT OF THE HEALTH CARE INFECTION CONTROL COMMITTEE IN PATIENTS WITH URINARY CATHETERS ON COST CONTAINMENT
Main Article Content
Abstract
The high prevalence of healthcare-associated infections threatens hospital services. Urinary tract infections associated with the use of catheters could reach 0.2–4.8 per 1000 catheters/day. In response to this, the Centers for Disease Control and Prevention recommends using the Healthcare Infection Control Practices Advisory Committee (HICPAC) to reduce the incidence of infection in hospitals. To determine the effect of implementing HICPAC on reducing hospital costs for patients with urinary catheters at Delia Hospital, Langkat Regency, in 2019. At the Delia General Hospital in Langkat Regency, Malaysia, quantitative research using a quasi-experimental technique was carried out, in which all patients with urinary catheters were included as respondents. The paired t-test was used to evaluate the data using SPSS software. The results revealed a significant effect of the HICPAC application on the incidence of Catheter-Associated Urinary Tract Infection (CAUTI) in patients during treatment (p = 0.08). The HICPAC method can also reduce the risk of CAUTI by 3.902 times. This study did not evaluate the morbidity and mortality attributable to CAUTI. An assessment of the length of stay, cost analysis, and antibiotic resistance is needed to assess the benefits of the HICPAC guidelines. The use of HICPAC in patients with urinary catheters can reduce the cost of treatment at Delia Hospital, Langkat Regency.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
a). Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Attribution-NonCommercial-ShareAlike 4.0 International that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
b). Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
c). Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
References
Blanck A, Donahue M, Brentlinger L, Dixon Stinger K, Polito C (2014) A quasi-experimental study to test a preven-tion bundle for catheter-associated urinary tract infections [A quasi-experimental study to test a preven-tion bundle for catheter-associated urinary tract infections]. J Hosp Adm 3:101–108. https://doi.org/https://doi.org/10.5430/jha.v3n4p101
Campbell H, Sweatman J (2022) Quality assurance and clinical data manage-ment. In: Rondel RK, Varley SA, Webb CF (eds) Clinical Data Man-agement, 2nd edn. John Wiley & Sons Ltd, New Jersey
Erawati T (2019) Analisis Perbedaan Tarif Rumah Sakit Dan Tarif INA-CBGS Pelayanan Rawat Inap Di RSUP Dr. Sardjito [Analysis of Differences in Hospital Rates and INA-CBGS Rates for Inpatient Services at Dr. Sardjito Hospital]. Universitas Mercu Buana Yogyakarta
Faizah N (2019) Kesesuaian Biaya Riil Ter-hadap Tarif INA-CBG’s pada Pasien JKN Pneumonia Komuniti Pediatrik Rawat Inap Kelas 3 di RSUD Dr. Moewardi [Accordance of Real Costs with INA-CBG’s Tariffs in JKN Pa-tients Pneumonia Pediatric Inpatient Class 3 at RSUD Dr. Moewardi. Online Jurnal STIKES Tujuh Belas Karanganyar 1:23–33
Gunawan G, Harijanto H, Harijanto T (2015) Analisis Rendahnya Laporan Insiden Keselamatan Pasien di Rumah Sakit. Jurnal Kedokteran Brawijaya 28:206–213. https://doi.org/10.21776/ub.jkb.2015.028.02.16
Hadi I (2017) Manajemen Keselamatan Pasien: Teori dan Aplikasi [Patient Safety Management: Theory and Ap-plication]. Deepublish, Yogyakarta
Handayani L, Suharmiati S, Pratiwi N (2018) Unit Cost Rumah Sakit dan Ta-rif INA-CBG’s [Hospital Unit Costs and INA-CBG’s Rates]. Bul Penelit Sist Kesehat 21:219–27. https://doi.org/https://doi.org/10.22435/hsr.v21i4.45
Harijanto T (2015) Faktor-Faktor yang Mempengaruhi Rendahnya Pelaporan Insiden di Instalasi Farmasi RSUD Ngudi Waluyo Wlingi [Factors Affect-ing the Low Incident Reporting at the Pharmacy Installation of Ngudi Waluyo Wlingi Hospital]. Jurmal Kedokteran Brawijaya 28:214–220. https://doi.org/https://doi.org/10.21776/ub.jkb.2015.028.02.17
Insani T, Sundari S (2018) Analisis Pelaksanaan Keselamatan Pasien oleh Perawat [Analysis of Patient Safety Implementation by Nurses]. J Health Studi 2:84–95
Institute for Healthcare Improvement How-to Guide: Prevent Catheter-Associated Urinary Tract Infection. Cambridge, Massachusetts, USA
Kementerin Kesehatan RI (2017) Peraturan Menteri Kesehatan Republik Indone-sia Nomor 27 Tahun 2017 Tentang Pedoman Pencegahan dan Pengen-dalian Infeksi di Fasilitas Pelayanan Kesehatan [Regulation of the Minister of Health of the Republic of Indonesia Number 27 of 2017 concerning Guideli
Kim J (2022) Statistical methods for health data analysis. Springer, New York
Lilissuriani, Saputra I, Ruby M (2017) Perbedaan biaya riil rumah sakit dan tarif ina-cbg untuk kasus katastropik dengan penyakit jantung koroner pada pasien rawat inap peserta jaminan kesehatan nasional di RSUZA [Differ-ences in real hospital costs and ina-cbg rates for catastrophic cases with. J Kesehat Masy 3:198–205
Liu H, Lee S (2023) Advanced statistical techniques in clinical research. Else-vier, Amsterdam
Mulyanto E, Puspitowati N (2013) Analisis Perbedaan Tarif Riil dengan Tarif Pa-ket Indonesian Case Base Groups (INA-CBG’S) Pada Klaim Jamkesmas Pasien Rawat Inap [Analysis of the Difference between Real Tariffs and Indonesian Case Base Groups (INA-CBG’S) Package Rates on Inpatient Jamkesm. J Keperawatan dan Kesehat Masy 2:101–102
National Health and Medical Research Council (2010) Australian Guidelines for the Prevention and Control of In-fection in Health care. NHMRC—ICG Project Team, Canberra
Permatasari D (2013) Efektivitas Penyulu-han Sadari Terhadap Tingkat Penge-tahuan Siswi SMA Negeri 2 di Keca-matan Pontianak Barat Tahun 2013 [The Effectiveness of Awareness Ex-tension on the Knowledge Level of SMA Negeri 2 Students in West Pon-tianak District in 2013]. Jurnal Mhs PSPD FK Univ Tanjungpura 3:102–122
Rahayuningrum I, Tamtomo D, Suryono A (2017) Analisis Tarif Rumah Sakit Dibandingkan Dengan Tarif Indone-sian Case Based Groups Pada Pasien Rawat Inap Peserta Jaminan Kesehatan Nasional Di Rumah Sakit [Analysis of Hospital Rates Compared to Indonesian Case Based Groups Rates for Inpatients Participan. Pro-siding Seminar Nasional Int 1:214–23
Society for Clinical Data Management (2021) Good clinical data manage-ment practices (GCDMP)
Suhartoyo S (2018) Klaim Rumah Sakit Kepada BPJS Kesehatan Berkaitan Dengan Rawat Inap dengan Sistem INA–CBGs [Hospital Claims To BPJS Health Regarding Hospitalization with the INA–CBGs System]. Adminitrative Law Gov J 1:79–92. https://doi.org/https://doi.org/10.14710/alj.v1i2.182-195
Taha H, Raji S, Khallaf A, Hija SA, Mathew R, Rashed H, Du Plessis C, Allie Z, Ellahham S (2017) Improving Cathe-ter Associated Urinary Tract Infection Rates in the Medical Units. BMJ Qual-ity Improv Program 6:u209593.w7966. https://doi.org/http://doi.org/10.1136/bmjquality.u209593.w7966
Undang-Undang Republik Indonesia Nomor 36 Tahun 2009 (2009) Undang-Undang Republik Indonesia Tentang Kesehatan [Law of the Republic of In-donesia on Health]