Attachment.docx

ANALISIS JURNAL CLINICAL PATHWAY INTERNASIONAL & NASIONAL DENGAN 13 ITEM DAN PICO

Oleh: Kelompok 4A Semester VIII

PROGRAM STUDI S1 KEPERAWATAN FAKULTAS KEPERAWATAN ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH BANJARMASIN 2019

PENYUSUN No.

Nama

NPM

1.

Andro Fugha Nabiring

1614201120612

2.

Abdul Hadi

1614201120600

3.

Intan Nur Karimah

1614201120607

4.

Lily Soleha R

1614201120609

5.

Bella Aldila Erlida

1614201120641

6.

Prayugi Pangesti

1614201120623

7.

Monika Priyanti

1614201120615

8.

Najlianti Rahmah

1614201120617

9.

Siti Niswatin Hasanah

1614201120642

10.

Saidah

1614201120652

ANALISIS JURNAL 13 ITEM

1.

Judul Penelitian: Reducing

Invasive

Care

For

Low-risk

Febrile

Infants

Through

Implementation Of a Clinical Pathway

2.

Alasan Pengambilan Judul Risk stratification can be used to indentify low-risk infants who can be managed as outpatitens without lumbar pucure (LP) or antibiotics.

3.

Tempat dan Waktu Penelitian Tempat Penelitian: Waktu Penelitian:

4.

Peneliti dan Alamat Nama Peneliti: -

Kathryn E. Kasmire

-

Eric C. Hoppa

-

Pooja P. Patel

-

Kelsay N. Boch

-

Tina Sacco

-

Ilana Y. Waynik

Alamat Jurnal: http://pediatrics.aappublications.org/content/143/3/e20181610 Abstrak a. Tujuan Our objective was to reduce invasive interventions for febrile infants aged 29 to 60 days at low risk for serious bacterial infection (SBI) through

implementation of a clinical pathway supported by quality improvement (QI). b. Desain Penelitian

c. Populasi Penelitian The study population consisted of febrile infants aged 29 to 60 days meeting inclusion criteria for the febrile-infant clinical pathway: fever $38.0°C (rectal; before arrival or in the ED) and gestational age $37 weeks. Exclusions included evaluation initiated at an outside ED or recent previous ED visit, history of immunodeficiency, identified focal infection, underlying chronic medical disease, current antibiotic therapy, gestational age ,37 weeks, or a clinical diagnosis of bronchiolitis.

d. Tehnik Pengumpulan Data

e. Hasil Penelitian Of 350 included patients, 220 were pre- and 130 were postpathway implementation. With pathway implementation in July 2016, invasive interventions decreased significantly in low-risk infants, with LPs decreasing from 32% to 0%, antibiotic administration from 30% to 1%, and hospital admission from 17% to 2%. Postimplementation, there were 0 SBIs in lowrisk infants versus 29.2% in high-risk infants. The percentage of high-risk patients receiving care per pathway remained unchanged. Improvement was sustained for 12 months through QI interventions, including order-set development and e-mail reminders. f. Kesimpulan Implementation of a clinical pathway by using QI methods resulted in sustained reduction in invasive interventions for low-risk febrile infants

without missed SBIs. Clinical pathways and QI can be key strategies in the delivery of evidence-based care for febrile infants. g. Jumlah Kata

h. Kata Kunci

5.

Pendahuluan Significant variation in management of febrile infants exists both nationally and within our institution. Risk stratification can be used to identify low-risk infants who can be managed as outpatients without lumbar puncture (LP) or antibiotics. Our objective was to reduce invasive interventions for febrile infants aged 29 to 60 days at low risk for serious bacterial infection (SBI) through implementation of a clinical pathway supported by quality improvement (QI).

6.

Metode Penelitian The evidence-based clinical pathway was developed and implemented by a multidisciplinary team with continuous-process QI to sustain use. Low-risk infants who underwent LP, received antibiotics, and were admitted to the hospital were compared pre- and postpathway implementation with SBI in low-risk infants and appropriate care for highrisk infants as balancing measures.

7.

Instrument Penelitian

8. Saran

9.

Kaidah Penulisan

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11. Implikasi Keperawatan Implementation of a clinical pathway by using QI methods resulted in sustained reduction in invasive interventions for low-risk febrile infants without missed

SBIs. Clinical pathways and QI can be key strategies in the delivery of evidencebased care for febrile infants

12. Rekomendasi A clinical pathway by using QI methods resulted in sustained reduction in invasive interventions for low-risk febrile infants without missed SBIs. Clinical pathways and QI can be key strategies in the delivery of evidencebased care for febrile infants