ANALISIS DATA SISTEM RUJUKAN TERINTEGRASI (SISRUTE) DI INSTALASI GAWAT DARURAT (IGD) INFEKSI RSUP DR. SARDJITO

Ni Kadek Ari Astiti; Happy Indah Kusumawati; Sutono

doi:10.22146/jmpk.v26i1.7008

Ni Kadek Ari Astiti Program Studi S1 Ilmu Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
Happy Indah Kusumawati Departemen Keperawatan Dasar dan Emergency Program Studi S1 Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
Sutono Departemen Keperawatan Dasar dan Emergency Program Studi S1 Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada

DOI: https://doi.org/10.22146/jmpk.v26i1.7008

Keywords: referral, SISRUTE, emergency room

Abstract

Background: The health referral system regulates the delegation of duties and responsibilities of health services in reverse. SISRUTE (Integrated Referral Information System) as a reference for managing national referrals in Indonesia. During the pandemic, most hospitals were overwhelmed with patients; therefore, hospitals were encouraged to optimize the use of SISRUTE.
Objective:This study aims to identify the implementation of SIS-RUTE in the Infectious Emergency Room of RSUP Dr Sardjito.Method:This research used quantitative descriptive research witha retrospective approach.
The sample of this study was secondarydata in the SISRUTE application from June-August 2021.
This study used a total sampling technique. The instrument used worksheets,and data analysis was performed using a univariate method to findout reasons for referrals rejected, reasons for referrals received, and SISRUTE response time.
Result:Referral patients with Social Security Agency for Health(BPJS) were (42%). Most referrals came from Type C Hospital(41.29%) during the afternoon shift (36.8%).
The highest reason forrefusing referrals was limited room (68.03%). The most needed wasthe Intensive Care Unit (ICU) (52.68%). The highest SISRUTE re-sponse time was in the range of 1-5 minutes (59.73%).
Conclusion:The implementation of SISRUTE in the IGD InfectionRSUP Dr. Sardjito Yogyakarta is generally good, with a fast responsetime. Referrals are mostly accepted due to the availability of inpatientrooms.
The reasons for referrals rejected are due to the limited ICUspace.

References

Peraturan Menteri Kesehatan RI. Permenkes RI Nomor 001 tahun 2012. 2012;7(122):1–25.

Humas Sardjito. Workshop Sosialisasi Aplikasi SISRUTE , SIRANAP dan SPGDT Rumah Sakit Se-DIY. 2017;705(0274):8–9.

Dinkes DI Yogyakarta. SPGDT ? APA ITU? Oleh Seksi Kesehatan Dasar, Rujukan dan Kesehatan Khusus Bidang Pelayanan Kesehatan. Dinkes Jogjaprov [Internet]. 2020;10–3. Available from: https://www.dinkes.jogjaprov.go.id/berita/detail/spgdt-apa-itu-oleh-seksi-kesehatan-dasar-rujukan-dan-kesehatan-khusus-bidang-pelayanan-kesehatan

Kemenkes. Sistem Rujukan Terintegrasi. 2019; Available from: http://dvlp.sisrute.kemkes.go.id/

CNBC Indonesia. Jogja Masuk, Ini 5 Provinsi Penyumbang Kasus Covid Terbanyak! CNBCIndonesia.com. 2021;3–6.

Pemerintah Kabupaten Bantul. Daftar Rumah Sakit Rujukan DIY. 2021;(1):2–3. Available from: https://kec-sedayu.bantulkab.go.id/filestorage/berkas/2020/06/Daftar Rumah Sakit Rujukan Di DIY.pdf

RSUP Dr. Sardjito. Laporan Kinerja Semester I Tahun 2021. 2021. 6 p.

Boka B. Inovasi Pelayanan Kesehatan Aplikasi Sistem Rujukan Terintegrasi (Sisrute) Di Dinas Kesehatan Provinsi Sulawesi Selatan. Univ Hasanuddin. 2020;1–62.

Khoirunnisa dr. E. Hambatan dalam Implementasi SISRUTE di Masa Pandemi Covid-19. 2020.

Notoatmodjo S. Metode Penelitian Kesehatan. Jakarta: PT Rineka Cipta; 2012.

Kementerian Kesehatan. Rekap Tempat Tidur Covid di RS 15 Juli 2021. 2021;(1):1–3. Available from: https://www.kemkes.go.id/downloads/resources/download/Ketersediaan-Tempat-Tidur-RS-Covid19/BOR-RS-30-JUNI-2021.pdf

Depkes RI. Indikator Kinerja Rumah Sakit. 2005.

Carenzo L, Dalla Corte F, Haines RW, Palandri C, Milani A, Aghemo A, et al. Return to Work After Coronavirus Disease 2019 Acute Respiratory Distress Syndrome and Intensive Care Admission: Prospective, Case Series at 6 Months From Hospital Discharge. Crit Care Med. 2021 Nov;49(11):e1157–62.

Bardi T, Pintado V, Gomez-Rojo M, Escudero-Sanchez R, Azzam Lopez A, Diez-Remesal Y, et al. Nosocomial infections associated to COVID-19 in the intensive care unit: clinical characteristics and outcome. Eur J Clin Microbiol Infect Dis. 2021;40(3):495–502.

Mochamat Helmi. situasi kerja tim medis intensive care unit berfokus pada 4s (space, stuff, staff, system) dalam menghadapi lonjakan jumlah pasien kritis covid-19. 2019;

Sandhu P, Shah AB, Ahmad FB, Kerr J, Demeke HB, Graeden E, et al. Emergency Department and Intensive Care Unit Overcrowding and Ventilator Shortages in US Hospitals During the COVID-19 Pandemic, 2020-2021. Public Health Rep. 2022;137(4):796–802.

Elezkurtaj S, Greuel S, Ihlow J, Michaelis EG, Bischoff P, Kunze CA, et al. Causes of death and comorbidities in hospitalized patients with COVID-19. Sci Rep. 2021 Feb;11(1):4263.

Czajkowska-Malinowska M, Kania A, Kuca PJ, Nasiłowski J, Skoczyński S, Sokołowski R, et al. Treatment of acute respiratory failure in the course of COVID-19. Practical hints from the expert panel of the Assembly of Intensive Care and Rehabilitation of the Polish Respiratory Society. Adv Respir Med. 2020;88(3):245–66.

King WP, Amos J, Azer M, Baker D, Bashir R, Best C, et al. Emergency ventilator for COVID-19. PLoS One [Internet]. 2020;15(12 December):1–19. Available from: http://dx.doi.org/10.1371/journal.pone.0244963

Wu C, Chen X, Cai Y, Xia J, Zhou X, Xu S, et al. Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China. JAMA Intern Med. 2020 Jul;180(7):934–43.

Fraser S, Baranowski R, Patrini D, Nandi J, Al-Sahaf M, Smelt J, et al. Maintaining safe lung cancer surgery during the COVID-19 pandemic in a global city. eClinicalMedicine. 2021;39.

Tuot DS, Leeds K, Murphy EJ, Sarkar U, Lyles CR, Mekonnen T, et al. Facilitators and barriers to implementing electronic referral and/or consultation systems: A qualitative study of 16 health organizations. BMC Health Serv Res [Internet]. 2015;15(1):1–10. Available from: http://dx.doi.org/10.1186/s12913-015-1233-1

Alshami M, Almutairi S, Househ M. The implementation experience of an electronic referral system in saudi arabia: a case study. Stud Health Technol Inform. 2014;202:138–41.

Irianto SE, Djamil A, Aryono AC. Pembelajaran Implementasi Sistem Rujukan Terintegrasi (SISRUTE) di Rumah Sakit Umum Daerah X. J Peduli Masy. 2021;3(4):207–12.