Hubungan Antara Kelengkapan Alat Triase Dan Overcrowding Terhadap Pelaksanaan Triase Di Instalasi Gawat Darurat (IGD) Di Rumah Sakit Umum Daerah Kota Kendari

ASNAWATI LA ASAMU, Dr. Sri Setiyarini, S.Kp.,M.Kes ; Ariani Arista Putri Pertiwi, S.Kep.,Ns., MAN.,DNP

2023 | Tesis | S2 Magister Keperawatan

Kelengkapan alat triase yang baik dan pelaksanaan triase yang optimal ditunjukkan dengan ketersediaan sarana dan prasarana dalam jumlah yang cukup dan nyaman ketika memberikan pelayanan kepada pasien. Kondisi Overcrowding yang terjadi di ruang IGD dapat menyebabkan kerugian seperti meningkatnya beban kerja, kelelahan staf, kecemasan pasien, medical eror, inefficiency, terabaikannya patient safety, dan terhambatnya pelayanan, yang dapat menyebabkan keterlambatan dalam pemberian pelayanan, waktu tunggu lama, dan ketidakpuasan pasien terhadap pelayanan. Triase merupakan pemeriksaan awal atau skrining secara cepat terhadap semua pasien yang datang di ruang IGD untuk mengidentifikasi status kegawatdaruratannya dan memprioritaskan penanganan yang harus segera ditindaklanjuti dengan kebutuhan medisnya. Tujuan penelitian untuk mengetahui hubungan antara kelengkapan alat triase dan overcrowding terhadap pelaksanaan triase di Instlasi Gawat Darurat (IGD). Jenis penelitian kuantitatif deskriptif analitik, menggunakan pendekatan cross sectional. Penelitian dilakukan pada bulan April-Mei 2023 di Rumah Sakit Umum Daerah Kota Kendari, dengan jumlah responden pada pasien 162 responden dan pada tenaga kesehatan 44 responden. Instrument penelitian ini menggunakaan lembar observasi NEDOCS dan lembar observasi pelaksanaan triase. Analisis data menggunakan uji chi square, dan uji Kendall’s tau_b. Hasil penelitian menunjukkan ada hubungan antara ketersediaan alat triase dengan pelaksanaan triase di ruang IGD dengan nilai p = 0,001 < ?=0,05, dan ada hubungan kondisi overcrowding dengan pelaksanaan triase di ruang IGD dengan nilai p = 0,021 < ?=0,05. Kesimpulan ada hubungan kelengkapan alat triase dan overcrowding terhadap pelaksanaan triase di Instaasi Gawat Darurat (IGD).

Kata Kunci: Kelengkapan Alat Triase, Overcrowding, Pelaksanaan Triase.

The Relationship Between Completeness of Triage Tools and Overcrowding to the Implementation of Triage in the Emergency Department (ED) In Regional Public Hospitals Kendari City 2023. Completeness of good triage tools and optimal triage implementation are indicated by the availability of facilities and infrastructure in sufficient quantities and comfort when providing services to patients. Overcrowding conditions that occur in the emergency room can cause losses such as increased workload, staff fatigue, patient anxiety, medical errors, inefficiency, neglect of patient safety, and obstruction of services, which can cause delays in service delivery, long waiting times, and patient dissatisfaction with services. Triage is an initial examination or rapid screening of all patients who arrive at the emergency room to identify their emergency status and prioritize treatment that must be followed up immediately with their medical needs. The purpose of the study was to determine the relationship between the completeness of triage tools with overcrowding on the implementation of triage in the Emergency Department (ED). This type of quantitative descriptive analytic research, using a cross sectional approach. The research was conducted in April-May 2023 at the Kendari City Regional General Hospital, with the number of respondents on patients 162 respondents and on health workers 44 respondents. This research instrument uses the NEDOCS observation sheet and the triage implementation observation sheet. Data analysis used chi  square test, and Kendall's tau_b test. The results showed there was a relationship between the completeness of triage tools with the implementation of triage in the emergency room with a p value = 0.001 < ? = 0.05, and there was a relationship between overcrowding conditions with the implementation of triage in the emergency room with a p value = 0.021 < ? = 0.05. Conclusion there is a relationship between the completeness of triage tools and Overcrowding on the implementation of triage in the Emergency Department (ED).
Keywords: Completeness Of Triage Tools, Overcrowding, Triage Implementation

Kata Kunci : Kelengkapan Alat Triase, Overcrowding, Pelaksanaan Triase.