Optimalisasi Pelaksanaan Early Warning System (EWS) di Ruang Rawat Inap RS X
Abstract
This study aims to analyze the implementation of Early Warning Score (EWS) in hospitals. The method used is a case report including assessment, problem identification, problem analysis using fishbone, preparation of plan of action (PoA), implementation and evaluation. Data collection was carried out using interviews and field observations. The results showed that the hospital had implemented a system to prevent worsening to patients using a tool called Early Warning Score (EWS), but the application of EWS was still not optimal. The problem was solved using Kurt Lewin's planned change approach with the implementation carried out by making training, case discussions, quizzes and monitoring and evaluating the implementation of EWS in the hospital. In conclusion, increasing competence by providing training, discussions about EWS and conducting monitoring and evaluation can optimize the implementation of EWS in hospitals.
Keywords: Nurse, Patient Safety, Early Warning System, Implementation
References
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Bashir, A., & Safrullah, S. (2022). The Relationship of Policy and Supervision with Nurse’s Compliance with the Application of Early Warning Score (EWS) in Inpatients at Tgk Abdullah Syafi'i Hospital. KESANS: International Journal of Health and Science, 2(1), 11-19. https://doi.org/10.54543/kesans.v2i1.112
Damayanti, R., Trisyani, Y., & Nuraeni, A. (2019). Effects of Early Warning Score (EWS) Tutorial Simulation on Nurses’ Knowledge and Clinical Performance. Nurse Media Journal Of Nursing, 231-241. http://localhost:8080/xmlui/handle/123456789/722
Hutabarat, V., Novieastari, E., & Satinah, S. (2020). Modifikasi Asesmen Early Warning System Upaya Peningkatan Penerapan Keselamatan Pasien. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 6(2), 112-120. https://doi.org/10.33755/jkk.v6i2.166
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Megawati, S. W., Jundiah, R. S., Khotimah, N. I. H. H., & Muliani, R. (2021). Evaluasi Penerapan Early Warning Score di Ruang Rawat Inap Dewasa. Jurnal Keperawatan Muhammadiyah, 6(1). https://doi.org/10.30651/jkm.v6i1.6488
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Pada KMK 1128 tahun 2022 tentang standar akreditasi
Peraturan Menteri No. 11 Tahun 2017 Tentang Keselamatan Pasien
Pertiwi, D. R., Kosasih, C. E., & Nuraeni, A. (2020). Tinjauan Sistematis: Faktor-faktor yang Mempengaruhi Implementasi Early Warning Score (EWS) oleh Perawat di Rumah Sakit. Jurnal Kesehatan, 11(2), 124-132. https://doi.org/10.38165/jk.v11i2.223
Rajagukguk, C. R., & Widani, N. L. (2020). Faktor-faktor yang Berhubungan dengan Kepatuhan Pelaksanaan Monitoring Early Warning Score. Carolus Journal of Nursing, 2(2), 132-148. https://ejournal.stik-sintcarolus.ac.id/index.php/CJON/issue/view/6
Shen, Z., Tang, C., Hu, Y., Cai, Y., Chen, H., Chen, H., ... & Xie, N. (2021). Survey of Nursing Staff’s Training on Early Warning Ability for Inpatients with “Three Infarcts and One Hemorrhage”. Evidence-Based Complementary and Alternative Medicine, 2021. https://doi.org/10.1155/2021/3745523
Sujalmo, P., Setiyarini, S., Walsh, K., & Greenwood, M. (2022). Nurses’ Perception on Initial Implementation of Early Warning System: A Mixed Method Study. Jurnal Keperawatan Soedirman, 17(1), 29-35.
DOI: https://doi.org/10.20884/1.jks.2022.17.1.4927
Triwijayanti, R., & Rahmania, A. (2022). Pengetahuan Perawat dalam Penerapan Early Warning System (EWS) di Ruang Rawat Inap. Jurnal Ilmu Keperawatan dan Kebidanan, 13(1), 12-15. https://scholar.archive.org/work/556afs5a2ff2hn5bthjqp6qojm/access/wayback/https://ejr.stikesmuhkudus.ac.id/index.php/jikk/article/download/887/847
Weiss, S. A., Tappen, R. M., & Grimley, K. (2019). Essentials of Nursing Leadership & Management. FA Davis.
Wianti, A., Setiawan, A., Murtiningsih, M., Budiman, B., & Rohayani, L. (2021). Karakteristik dan Budaya Keselamatan Pasien terhadap Insiden Keselamatan Pasien. Jurnal Keperawatan Silampari, 5(1), 96-102. https://doi.org/10.31539/jks.v5i1.2587
Wigiarti, S. H., Yetti, K., & Mashudi, D. (2020). Optimalisasi Pelaksanaan Supervisi Handover Keperawatan pada Rumah Sakit di Jakarta Selatan. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 6(2), 70-80. https://doi.org/10.33755/jkk.v6i2.164
Astuti, L. P., Trisyani, Y., & Mirwanti, R. (2023). Implementasi Early Warning System (Ews) dalam Mendeteksi Perburukan Akut pada Pasien Dewasa di Ruang Rawat Inap Rumah Sakit. Journal of Telenursing (JOTING), 5(2), 1590-1603.
Bashir, A., & Safrullah, S. (2022). The Relationship of Policy and Supervision with Nurse’s Compliance with the Application of Early Warning Score (EWS) in Inpatients at Tgk Abdullah Syafi'i Hospital. KESANS: International Journal of Health and Science, 2(1), 11-19. https://doi.org/10.54543/kesans.v2i1.112
Damayanti, R., Trisyani, Y., & Nuraeni, A. (2019). Effects of Early Warning Score (EWS) Tutorial Simulation on Nurses’ Knowledge and Clinical Performance. Nurse Media Journal Of Nursing, 231-241. http://localhost:8080/xmlui/handle/123456789/722
Hutabarat, V., Novieastari, E., & Satinah, S. (2020). Modifikasi Asesmen Early Warning System Upaya Peningkatan Penerapan Keselamatan Pasien. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 6(2), 112-120. https://doi.org/10.33755/jkk.v6i2.166
Juniarti, N. H., & Mudayana, A. A. (2018). Penerapan Standar Keselamatan Pasien di Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat. Jurnal Kesehatan Poltekkes Ternate, 11(2), 93-108. https://www.ejournal.poltekkesternate.ac.id/ojs/index.php/juke/article/view/91
Kurniawan, S. B., Rumengan, G., & Nurhayati, N. (2023). Analisis Produktivitas Kerja Perawat di Rumah Sakit UKI Tahun 2023. Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI), 7(3), 303-313.. https://ejournal.urindo.ac.id/index.php/MARSI/article/download/3391/1518
McElroy, T., Swartz, E. N., Hassani, K., Waibel, S., Tuff, Y., Marshall, C., ... & O’Donnell, M. (2019). Implementation Study of A 5-Component Pediatric Early Warning System (PEWS) in An Emergency Department in British Columbia, Canada, to inform provincial scale up. BMC emergency medicine, 19, 1-14. https://doi.org/10.1186/s12873-019-0287-5
Megawati, S. W., Jundiah, R. S., Khotimah, N. I. H. H., & Muliani, R. (2021). Evaluasi Penerapan Early Warning Score di Ruang Rawat Inap Dewasa. Jurnal Keperawatan Muhammadiyah, 6(1). https://doi.org/10.30651/jkm.v6i1.6488
Oyoh, O., Somantri, I., & Sekarwana, N. (2017). Pengalaman Perawat Dalam Pelaksanaan Sistem Pemberian Pelayanan Keperawatan Profesional di RSUD Cibabat: studi fenomenologi. Padjadjaran Nursing Journal, 5(3), 229025. https://doi.org/10.24198/jkp.v5i3.678
Pada KMK 1128 tahun 2022 tentang standar akreditasi
Peraturan Menteri No. 11 Tahun 2017 Tentang Keselamatan Pasien
Pertiwi, D. R., Kosasih, C. E., & Nuraeni, A. (2020). Tinjauan Sistematis: Faktor-faktor yang Mempengaruhi Implementasi Early Warning Score (EWS) oleh Perawat di Rumah Sakit. Jurnal Kesehatan, 11(2), 124-132. https://doi.org/10.38165/jk.v11i2.223
Rajagukguk, C. R., & Widani, N. L. (2020). Faktor-faktor yang Berhubungan dengan Kepatuhan Pelaksanaan Monitoring Early Warning Score. Carolus Journal of Nursing, 2(2), 132-148. https://ejournal.stik-sintcarolus.ac.id/index.php/CJON/issue/view/6
Shen, Z., Tang, C., Hu, Y., Cai, Y., Chen, H., Chen, H., ... & Xie, N. (2021). Survey of Nursing Staff’s Training on Early Warning Ability for Inpatients with “Three Infarcts and One Hemorrhage”. Evidence-Based Complementary and Alternative Medicine, 2021. https://doi.org/10.1155/2021/3745523
Sujalmo, P., Setiyarini, S., Walsh, K., & Greenwood, M. (2022). Nurses’ Perception on Initial Implementation of Early Warning System: A Mixed Method Study. Jurnal Keperawatan Soedirman, 17(1), 29-35.
DOI: https://doi.org/10.20884/1.jks.2022.17.1.4927
Triwijayanti, R., & Rahmania, A. (2022). Pengetahuan Perawat dalam Penerapan Early Warning System (EWS) di Ruang Rawat Inap. Jurnal Ilmu Keperawatan dan Kebidanan, 13(1), 12-15. https://scholar.archive.org/work/556afs5a2ff2hn5bthjqp6qojm/access/wayback/https://ejr.stikesmuhkudus.ac.id/index.php/jikk/article/download/887/847
Weiss, S. A., Tappen, R. M., & Grimley, K. (2019). Essentials of Nursing Leadership & Management. FA Davis.
Wianti, A., Setiawan, A., Murtiningsih, M., Budiman, B., & Rohayani, L. (2021). Karakteristik dan Budaya Keselamatan Pasien terhadap Insiden Keselamatan Pasien. Jurnal Keperawatan Silampari, 5(1), 96-102. https://doi.org/10.31539/jks.v5i1.2587
Wigiarti, S. H., Yetti, K., & Mashudi, D. (2020). Optimalisasi Pelaksanaan Supervisi Handover Keperawatan pada Rumah Sakit di Jakarta Selatan. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 6(2), 70-80. https://doi.org/10.33755/jkk.v6i2.164
Published
2023-12-16
Section
Articles
Copyright (c) 2023 Indah Simanjuntak, Enie Noviestari, Hajjul Kamil, Sarvita Sarvita
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
