Gambaran Efisiensi Kamar Operasi Elektif di Instalasi Kamar Bedah dan Anestesi RSUP Dr Sardjito Yogyakarta

Hari Kiswanto, Martina Sinta Kristanti, S.Kep.,Ns., M.N.,Ph..; Happy Indah K, S.Kep Ns, MNSc.

2024 | Skripsi | ILMU KEPERAWATAN

Latar belakang : Kamar operasi merupakan unit di rumah sakit yang padat modal dan investasi yang membutuhkan efisiensi. Faktor yang mempengaruhi efisiensi meliputi utilisasi kamar operasi, turnover time, waktu underrun dan overrun, ketepatan waktu mulai operasi, lama waktu perawatan anestesi, dan angka pembatalan operasi. . Penelitian ini bertujuan untuk mengetahui gambaran efisiensi kamar operasi elektif di RSUP Dr. Sardjito. Metode : Penelitian ini terdiri dari 95 responden yang diambil dengan teknik purposive sampling pada kamar operasi yang disesuaikan dengan kriteria inklusi dan eksklusi. Penelitian cross sectional ini bersifat analitik deskriptif. Pengumpulan data dilakukan dengan menggunakan lembar observasi pencatatan asuhan keperawatan perioperatif. Analisis data menggunakan analisis univariat.

Hasil : Analisis univariat menunjukkan bahwa performa turnover time pasien kamar operasi baik ( 58,9%), Underrun dan overrun times baik (40%), angka pembatalan operasi sesuai standar (3,72%), lama waktu perawatan anestesi tindakan operasi kecil rata-rata 45 menit, tindakan sedang 88 menit, dan tindakan besar 203 menit. Utilisasi kamar operasi belum efektif (79,67%), ketepatan waktu mulai operasi pertama masih rendah (35,8%) Kesimpulan : Terdapat 2 subvariabel efisiensi kamar operasi yang hasilnya belum sesuai dengan standar, yakni subvariabel utilisasi dan ketepatan waktu mulai operasi pertama.

Background: Operating rooms are units in hospitals that are capital intensive and investment that require efficiency. Factors affecting efficiency include operating room utilization, turnover time, underrun and overrun time, punctuality of operation start, length of anesthesia treatment time, and surgery cancellation rate. This study aims to determine the efficiency of elective operating rooms at Dr. Sardjito Hospital. Method: This study consisted of 95 respondents taken by purposive sampling techniques in operating rooms adjusted to inclusion and exclusion criteria. This cross-sectional research is descriptive analytic. Data collection was carried out using perioperative nursing care recording worksheets. Data analysis using univariate analysis. Results: Univariate analysis showed that the turnover time performance of operating room patients was good (58.9%), underrun and overrun times were good (40%), the cancellation rate was according to standards (0%) in the observed department, the length of anesthesia treatment time for small surgery was on average 45 minutes, moderate action was 88 minutes, and major action was 203 minutes. Operating room utilization has not been effective (79.67%), first case on time starts was low (35.8%) Conclusion: There are 2 subvariables of operating room efficiency whose results are not in accordance with the standard, namely the subvariable utilization and the first case on time starts. 

Kata Kunci : Efisiensi,utilisasi, turnover time, underrun dan overrun, pembatalan operasi, cancellation of surgery, Efficiency, turnover time, underrun and overrun, utilization, cancellation of operations