Open AccessLeadership, Governance and Resources in the Prevention and Control of Healthcare Associated Infections (HAIs) At Hospital X Yogyakarta
Author(s) -
Totok Sundoro
Publication year - 2021
Publication title -
thejournalish
Language(s) - English
Resource type - Journals
ISSN - 2722-5402
DOI - 10.55314/tsg.v2i2.90
Subject(s) - officer , corporate governance , documentation , medicine , infection control , health care , nonprobability sampling , nursing , control (management) , clinical governance , medical emergency , quality (philosophy) , business , environmental health , political science , management , finance , intensive care medicine , population , philosophy , epistemology , computer science , economics , law , programming language
Hospitals are required to provide quality, accountable and transparent health services, especially for patient safety assurance. Nosocomial infections (Hospital Acquired Infection) or HAIs are infections that occur in patients during hospitalization. The incidence of phlebitis in January 2019 was 13%, September 2019 was 6%. Meanwhile, the Minister of Health Decree No. 29/2008, the standard incidence of HAIs in the hospital should not be more than 1.5%. Leadership, governance and resources have a strong role to play in improving the patient safety system that has been established. The research objective was to analyze the implementation of prevention and control of HAIs on the aspects of leadership, governance, and hospital resources.
This qualitative descriptive case study research with informants consisting of the leadership, the PPI team and hospital staff were taken by purposive sampling with the validity test technique through triangulation. Collecting data by interview, observation and documentation. Data analysis uses data reduction methods, data presentation and conclusion / verification.
Leadership and governance as an effort to prevent and control HAIs in hospitals with the formation of the Infection Prevention and Control Committee (PPI), a Prevention Control Nurse (IPCN) officer was appointed with activities and reports on the results of supervision. However, reports on the results of supervision have not been optimally socialized only in the form of information conveyed through information boards / announcement boards. Resources can be fulfilled properly with the availability of a sufficient number of IPCLNs with their main duties, the availability of budget and supporting facilities while still taking into account the availability of isolation rooms for infectious cases in hospitals that do not yet exist.
It is necessary to socialize the results of supervision and the PPI program through the assignments of the Head of the Inpatient Installation and through the IPCN Nurses in the room as well as the provision of information boards in each room for information media on the results of supervision and the PPI program.