EFFECTIVENESS PRE-DECISION TIME AND EMERGENCY RESPONSE TIME 2 IN THE REDUCTION OF OPERATING AREA INFECTION Elsye Maria Rosa1,*, Yunus2, Fitri Arofiati3, Arlina Dewi4, Sagiran5, Pamudji Utomo6
1,3Department of Nursing, Master of Nursing, Universitas Muhammadiyah Yogyakarta, Indonesia
2,4Department of Public Health, Master of Hospital Administration, Universitas Muhammadiyah Yogyakarta, Indonesia
5Department of Surgical, Medical and Health Science Faculty, Universitas Muhammadiyah Yogyakarta, Indonesia
6Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Indonesia
Abstract
Background: The effectiveness of the response time in the hospital emergency room in surgery decisions needs speed and accuracy to avoid infection, disability, and even death.
Purpose: To determine the effectiveness of Pre-Decision-Time and Emergency Response Time2 in open fractures lower limb grade I-II against the incidence of infection in the surgical area
Methods: A mixed-method that combined quantitative and qualitative methods with a retrospective analytical approach. The population for one the year 2019 was 261 emergency surgery patients and a sample of 101 patients with Grade I-II inclusion criteria by taking medical record data for extremity cito surgery under the Emergency Room of Prof. Orthopedic Hospital. Dr.R. Soeharso Surakarta.
Results: Chi-square test (fisher) with p-value <0.05 showed a statistically significant relationship between pre-decision time and infection in operation. There was still an incidence of infection in 5% of the 101 respondents studied. Pre-Decision Time and Emergency Response Time2 affected infection, meaning that Pre-Decision Time and Emergency Response Time2 had a quick and precise impact on emergency operations.
Conclusion: The faster the response for Pre-Decision Time and Emergency Response Time 2, the lower the incidence of infection