Prevention and Control of Blood Stream Infection Using the Balanced Scorecard Approach
ABSTRACT: to obtain
formulation of an effective and effcient strategy to overcome blood stream
infection (BSI). Methods: operational research design with qualitative and
quantitative approach. The study was divided into two stages. Stage I was an
operational research with problem solving approach using qualitative and quantitative
method. Stage II was performed using quantitative method, a form of an
interventional study on strategy implementation, which was previously
established in stage I. The effective and effcient strategy for the prevention
and control of infection in neonatal unit Cipto Mangunkusumo (CM) Hospital was
established using Balanced Scorecard (BSC) approach, which involved several
related processes. Results: the BSC strategy was proven to be effective and
effcient in substantially reducing BSI from 52.31o/oo to 1.36o/oo in neonates
with birth weight (BW) 1000-1499 g (p=0.025), and from 29.96o/oo to 1.66o/oo in
BW 1500-1999 g (p=0.05). Gramnegative bacteria still predominated as the main
cause of BSI in CMH Neonatal Unit. So far, the sources of the microorganisms
were thought to be from the environment of treatment unit (tap water flter and
humidifying water in the incubator). Signifcant reduction was also found in
neonatal mortality rate weighing 1000-1499 g at birth, length of stay,
hospitalization costs, and improved customer satisfaction. Conclusion:
effective and effcient infection prevention and control using BSC approach
could signifcantly reduce the rate of BSI. This approach may be applied for
adult patients in intensive care unit with a wide range of adjustment.
Author: Rinawati Rohsiswatmo,
Sarah Rafka, Putri M.T. Marsubrin
Journal Code: jpkedokterangg140283
