Manajemen Mutu Pengendalian Infeksi Pasca Operasi Dalam Meningkatkan Keselamatan Pasien di RS DKH Kedungwaringin Kabupaten Bekasi
DOI:
https://doi.org/10.58812/jmws.v5i08.3842Kata Kunci:
Manajemen Mutu, Pencegahan dan Pengendalian Infeksi, Perioperatif, Keselamatan Pasien, PDCA, Safety CultureAbstrak
Infeksi pascaoperasi merupakan salah satu indikator penting keselamatan pasien dan mutu pelayanan rumah sakit yang dipengaruhi oleh efektivitas penerapan pencegahan dan pengendalian infeksi (PPI) perioperatif. Penelitian ini bertujuan menganalisis implementasi manajemen mutu PPI perioperatif, mengidentifikasi kendala, serta merumuskan strategi perbaikan di RS DKH Kedungwaringin Kabupaten Bekasi. Penelitian menggunakan pendekatan kualitatif dengan melibatkan 23 partisipan yang terdiri atas pasien, manajemen rumah sakit, dan tenaga kesehatan. Data diperoleh melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis secara tematik dengan perspektif Total Quality Management (TQM), Clinical Governance, Safety Culture, dan siklus Plan-Do-Check-Act (PDCA). Hasil penelitian menunjukkan bahwa implementasi PPI telah berjalan melalui kebersihan tangan, kewaspadaan standar, pemberian antibiotik profilaksis, penempatan pasien, dan WHO Surgical Safety Checklist, tetapi belum konsisten. Kendala utama meliputi keterbatasan sumber daya manusia, sarana-prasarana, pengawasan, serta sistem dokumentasi manual. Strategi perbaikan diarahkan pada penguatan monitoring, edukasi berbasis perubahan perilaku, penyediaan antiseptik, digitalisasi dokumentasi, audit komprehensif, dan pemenuhan sarana secara bertahap. Penguatan siklus PDCA secara berkelanjutan diperlukan untuk meningkatkan kepatuhan PPI, mengendalikan risiko infeksi pascaoperasi, dan memperkuat keselamatan pasien.
Referensi
Agustina, D., Fajriani, A., Lubis, A. S., Anggreini, D., Yani, F. A., & Firzah, N. (2022). Improving health service quality management in hospitals (Literature study). Majalah Kesehatan Indonesia, 3(2). https://doi.org/10.47679/makein.2022101
Alfiandary, A. R., Damayanthie, N., Rooslanda, E., Aprilianti, R. C., Sartika, R. A. D., & Ayubi, D. (2024). Peningkatan mutu layanan kesehatan melalui perbaikan alur pendaftaran UPTD Puskesmas Mekarsari. Jurnal Bidang Ilmu Kesehatan, 14(4), 313. https://ejournal.urindo.ac.id/index.php/kesehatan
Arimbi, E. G. R., & Dhamanti, I. (2023). Impact of implementing a Surgical Safety Checklist in hospital: Literature review. Journal of Public Health Research and Community Health Development, 6(2), 153–160. https://doi.org/10.20473/jphrecode.v6i2.34769
Astrellita, D. A., & Bulqis. (2025). Penerapan siklus Plan-Do Check-Action dalam manajemen mutu terpadu di lembaga pendidikan. Ma'arif Journal of Education, Madrasah Innovation and Aswaja Studies, 4(2), 82–89. https://jurnal.maarifnumalang.id/
Biadała, A., Szablewski, T., Cegielska-Radziejewska, R., Tomczyk, Ł., Połatyńska, O., & Jasiukiewicz, A. (2026). Safety culture and pro-quality awareness of employees as key factors in sustainable management of food sector enterprises. Sustainability, 18(3), 1528. https://doi.org/10.3390/su18031528
Chrisnawati, D. I., Sinaga, S., & Saragih, B. (2023). Implementation of the Surgical Safety Checklist in Central Surgical Unit of Santo Antonius Hospital Pontianak. Formosa Journal of Science and Technology, 2(10), 2705–2724. https://doi.org/10.55927/fjst.v2i10.6240
De Maya-Martínez, A., Cauli, O., Giménez-Espert, M. d. C., & Buigues, C. (2026). Knowledge, attitudes, and compliance about infection prevention and control in nursing students: A systematic review. Diseases, 14(7), 263. https://doi.org/10.3390/diseases14070263
Dewi, H. T., Junando, M., W. S., M. F., & Ismunandar, H. (2025). Literature review: Efektivitas pemberian antibiotik profilaksis dalam mencegah infeksi luka operasi pada bedah ortopedi. Sains Medicina, 4(2), 161–166. https://doi.org/10.63004/snsmed.v4i2.869
Drago, J., Scollo, S., Cosmai, S., Cattani, D., Modena, G., Mancin, S., Morales Palomares, S., Petrelli, F., Marfella, F., Cangelosi, G., Lopane, D., & Mazzoleni, B. (2025). The impact of intraoperative traffic and door openings on surgical site infections: An umbrella review. Surgeries, 6(3), 61. https://doi.org/10.3390/surgeries6030061
Fatimah, D. I., Febrianti, N. Z., & Ernawati, F. (2026). Analisis implementasi PDCA dalam perspektif manajemen mutu terpadu di MAN 1 Boyolali. Jurnal Manajemen dan Pendidikan Agama Islam, 4(4), 18–31. https://doi.org/10.61132/jmpai.v4i4.1974
Gheța, L., Pătru, O., Vîrtosu, M., Grigorescu, A., Brăescu, L., Alsarhan, G., Buriman, D., & Feier, H. (2026). Modifiable perioperative practices for the prevention of postoperative complications after cardiac surgery: A narrative review. Medicina, 62(8), 1469. https://doi.org/10.3390/medicina62081469
Gorišek Miksić, N., Krajnc, Z., Novak, I., Fokter, S. K., Naranđa, J., Moličnik, L., & Moličnik, A. (2026). The development and implementation of new recommendations for perioperative antibiotic prophylaxis duration in elective primary hip and knee replacement surgeries. Journal of Clinical Medicine, 15(10), 3718. https://doi.org/10.3390/jcm15103718
Habboush, Y., Yarrarapu, S. N. S., & Guzman, N. (2024). Infection control. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK519017/
Horgan, S., Hegarty, J., Andrews, E., Hooton, C., & Drennan, J. (2023). Impact of a quality improvement intervention on the incidence of surgical site infection in patients undergoing colorectal surgery: Pre-test–post-test design. Journal of Clinical Nursing, 32(15–16), 4932–4946. https://doi.org/10.1111/jocn.16690
Ikawati, F. R., Ansyori, A., Putra, F. R. A., Fadilla, N., Hidayah, N. P., Seniari, N. M. P., Ariandani, A. N., Adama, B. P., Yahya, M. N., Rizky, Z., & Al Farizi, N. F. (2026). Optimalisasi mutu digitalisasi data medis berdasarkan metode PDCA di RS TNI AD Bhirawa Bhakti. Journal of Innovative and Creativity, 6(1), 18335–18343. https://joecy.org/index.php/joecy
Insyah, M. S., Suryani, E., & Noamperani, S. R. (2023). The relationship between the use of WHO Surgical Safety Checklist and implementation of surgery patient safety. Indonesia Journal of Global Health Research, 5(4).
Juliasih, N. N., Dhamanti, I., Semita, I. N., Wartiningsih, M., Mahmudah, M., & Yakub, F. (2023). Patient safety culture, infection prevention, and patient safety in the operating room: Health workers' perspective. Risk Management and Healthcare Policy, 16, 1731–1738. https://doi.org/10.2147/RMHP.S425760
Kabiesz, P., & Tutak, M. (2024). Developing a culture of safety for sustainable development and public health in manufacturing companies—A case study. Sustainability, 16(17), 7557. https://doi.org/10.3390/su16177557
Machfudiyanto, R. A., Suraji, A., Handayani, T. N., Tuasikal, M. Y. A., & Machfudiyanto, M. A. R. (2026). Measuring safety culture maturity in Indonesian construction projects across design and construction phases. Buildings, 16(1), 124. https://doi.org/10.3390/buildings16010124
Muharani, D., Yorismanto, Hartono, B., & Daud, A. G. (2026). Tinjauan literatur tentang penerapan standar pengendalian mutu obat di RS pemerintah. Journal of Artificial Intelligence and Digital Business (RIGGS), 5(1), 4264–4273.
Nunes, E., Sirtoli, F., Lima, E., Minarini, G., Gaspar, F., Lucas, P., & Primo, C. (2024). Instruments for patient safety assessment: A scoping review. Healthcare, 12(20), 2075. https://doi.org/10.3390/healthcare12202075
Raihan, I. M., Restarie, M. D., Zulaikha, S., & Takdir, M. (2025). Total Quality Management dan siklus PDCA sebagai strategi penguatan mutu pendidikan di Indonesia. Jurnal Pengabdian Masyarakat dan Riset Pendidikan, 3(4), 5518–5530. https://doi.org/10.31004/jerkin.v3i4.1439
Ramos, A., Maurício, R., Pires, S., Mendonça, S., Jerónimo, L., Fonseca, H., Pinto, P., Carvalho, A., Gomes, I., Sá, E., & Nascimento, C. (2026). Research priorities in perioperative nursing across the lifespan: An e-Delphi consensus study. Nursing Reports, 16(8), 273. https://doi.org/10.3390/nursrep16080273
Ranoto, L. Q., Ntimana, C. B., Mamogobo, P., & Maimela, E. (2026). Evaluation of infection prevention and control programs and development of an evidence-based strategy using the WHO multimodal framework in public hospitals, Limpopo Province, South Africa. Hygiene, 6(3), 38. https://doi.org/10.3390/hygiene6030038
Sartelli, M., Bartoli, S., Borghi, F., Busani, S., Carsetti, A., Catena, F., Cillara, N., Coccolini, F., Cortegiani, A., Cortese, F., Fabbri, E., Foghetti, D., Forfori, F., Giarratano, A., Labricciosa, F. M., Marini, P., Mastroianni, C., Pan, A., Pasero, D., … Moro, M. L. (2023). Implementation strategies for preventing healthcare-associated infections across the surgical pathway: An Italian multisociety document. Antibiotics, 12(3), 521. https://doi.org/10.3390/antibiotics12030521
Sartelli, M., Marini, C. P., McNelis, J., Coccolini, F., Rizzo, C., Labricciosa, F. M., & Petrone, P. (2024). Preventing and controlling healthcare-associated infections: The first principle of every antimicrobial stewardship program in hospital settings. Antibiotics, 13(9), 896. https://doi.org/10.3390/antibiotics13090896
Seelbach, C. L., & Brannan, G. D. (2024). Quality management. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK557505/
Shakir, A., Abate, D., Tebeje, F., & Weledegebreal, F. (2021). Magnitude of surgical site infections, bacterial etiologies, associated factors and antimicrobial susceptibility patterns of isolates among post-operative patients in Harari Region public hospitals, Harar, Eastern Ethiopia. Infection and Drug Resistance, 14, 4629–4639. https://doi.org/10.2147/IDR.S329721
Sifanu, M., Taylor, T. K., Kalebaila, K. K., Hayumbu, P., Nabiwa, L., & Linde, S. J. L. (2023). Knowledge, attitude, behavior practices and compliance of workers exposed to respirable dust in a Zambian copper mine. International Journal of Environmental Research and Public Health, 20(18), 6785. https://doi.org/10.3390/ijerph20186785
Tsioutis, C., & Karageorgos, S. A. (2022). Infection prevention and control: Practical and educational advances. Tropical Medicine and Infectious Disease, 7(8), 148. https://doi.org/10.3390/tropicalmed7080148
Woo, R., Shin, J., & Kim, N.-Y. (2025). Research trends and core themes in operating room patient safety: A scope-based keyword network analysis (2020–2024). Healthcare, 13(23), 3164. https://doi.org/10.3390/healthcare13233164
Ying, M., & Allaqtta, M. A. M. (2025). The impact of safety culture, risk mitigation, and sustainability on business performance: The mediating role of employee engagement in Palestinian small and medium-sized enterprises. Sustainability, 17(10), 4361. https://doi.org/10.3390/su17104361
Yuan, M., Tang, T., Zhao, S., Xue, X., & Luo, B. (2024). The factors influencing safety compliance behavior among new-generation construction workers in China: A safety compliance behavior–artificial neural network model approach. Buildings, 14(12), 3774. https://doi.org/10.3390/buildings14123774
Unduhan
Diterbitkan
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2026 Zentika Isnaeni Fajri, A Rohendi, Mira Veranita
Artikel ini berlisensiCreative Commons Attribution-ShareAlike 4.0 International License.
Facebook 
Instagram 
Twitter 
Youtube 
westscience.journals@gmail.com