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"Surgical site infections are the second most frequent nosocomial infection after catheter infection. They are associated with increase morbidity and mortality, iength of stay in hospital and cost of care. Antibiotic prophylaxis use is addressed to reduce incidence of surgical site infection. The aim of this research was to find out the pattern of antibiotic prophylaxis use; incidence of surgical site infection; association between antibiotic prophylaxis use and incidence of surgical site infection; and other factors that influence the incidence of surgical site infection. This research was carried out in Dr. Cipto Mangunkusumo Hospital Jakarta and it was a retrospective study with cross-sectional design. A total of 220 samples had been taken proportional randomly according to the type of surgery division from 1,841 medical records in 2005. The result showed that the most antibiotic prophylaxis frequently used was cephalosporin (first and third generation). followed by phosphomycin and metronidazole. Most of the patients were given antibiotic prophylaxis in inappropriate time and the duration of use was more than one day. This study found that the incidence of surgical site infection was 8.6% with the highest percentage occurred at orthopedic surgery (23.3%). Statistically, there was no relationship of class. Timing and duration of antibiotic prophylaxis use with incidence of surgical site infection. Adherence of antibiotic prophylaxis use to hospital guideline was not influenced the incidence of surgical site infection. Multivariate analysis with logistic regression analysis showed that the incidence of surgical site infection were influenced by the type of surgery (OR=2.6) and the use of antibiotics during hospitalization prior to surgery (OR=3.2). The conclusion of this research were the incidence of surgical site infection relatively high and class. timing, duration and adherence to hospital guideline of antibiotic prophylaxis use did not influence it. The wound contaminated and the use antibiotics during hospitalization prior to surgery were risk factors for surgical site infection. It was recommended that the hospital management revise the currently used surgical antibiotic prophylaxis guideline which is no longer relevant to the current situation."

"A research had been performed in order to get general description of the service of an oral complementary drug in the nursing ward of IRNA B of Perjan RS Dr. Cipto Mangunkusumo and it evaluated the operation of the oral complementary drug service was, and also found out the correlation of the orderly medication instruction writing of the oral complementary drug, the orderly operation of the process of the oralcomplementary drug procurement, drug preservation, drug preparation, the handover the oral complementary drug to a patient, and Communication, Information and Education (CIE) in the nursing ward of IRNA B relation to the orderly operation of oral complementary drug service procedure. The research used the cross sectional method of survey which was descriptive and analytic in its nature. Theresearch showed that 74,81% of the patients medication instruction writing in prescription did not fit the requirements in administration writing and medication information completely. 67,94% of the patients bought the prescription (76%-100%)form the drug store in RSCM, 42,75% of patients kept the 76%-100% of their drugin the pharmacy depot, 42,75% of patients prepared the 76%-100% of patient prepared the 76%-100% of their drug in unites of doses by the pharmacy depot. 64,12% of the patients were given their drug by nurses directly, and finished to swallow the drug according to its use direction, and there was none of the patients who got CIEservice from a pharmacist. The operation of the oral complementary drug service in the nursing ward of IRNA B was evaluated as less appropriate to the procedure. It could be concluded that there is significant correlation between medication instruction writing, the orderly operation of the process of the oral complementary drugpreservation, the drug preparation, the hand-over the oral complementary drug to a patient in the nursing ward of IRNA B with the orderly operation of oral complementary drug service procedure; and there is no correlation between the procurement ofthe oral complementary drug, the orderly operation of CIE in the nursing ward of IRNA B with the orderly operation of oral complementary drug service procedure."

"Rumah sakit harus selalu berusaha untu.k meningkatkan mutu pelayanannya kepada pasien untuk menjadi yang terbaik di era globalisasi saat ini, Salah satu upaya untuk mengukut mutu pelayanan kesebatan adalah dengan mengukur kepuasan pasien. Saat ini beJum ada instrumen yang sahih dan handal untuk mengukur kepuasan pasien di lnsta1asi Rawat Jalan Poliklinik Kulit dan Kelamin RSCM.Tujuan penelitian adalah untuk mendapatkan instrumen yang sahih dan handa1, untuk mendapatkan gambaran karakteristik pasien dan tingkat kepuasan pasien. Jenis penelitian berupa kualitatif dan kuantitatif dengan pendekatan cross sectional. Sampel dipilih secara acak dengan menggunakan metode systemaric random sampling, Metode pengukuran kepuasan dengan menggunakan konsep ServQual.Penelitian ini menghasilkan instrumen yang sahih dan handal untuk mengukur kepuasan pasien, dengan nilai corrected item total correlation dan Crombach S alpha > 0,361, dan mempunyai bubungan yang kuat dan sempurna (r > 0.5). Sebagian besar responden memiliki persepsi baik terhadsp cilta RS (68,4%). persepsi mabal terhadap tarif(89,55%), ingin kembali berobat ke Poliklinik Kulit dan Kelamin RSCM (86,5%) dan ingin merekomendasikan kepada teman atau keluarga (84,2%). Responden yang puas adalab 18,8% dan yang Hdak puas adalah 81.2%. Nilai kapuasan tertinggi didapat pada aspek empati (0,84) dan teretulah pada aspek ketanggapan (0,80).Diperlihatkan juga adanya bubungan antara persepsi responden terhadap citra RS dengan tingkat kapuason (p=0.036), kepuasan dengan keinginan berobat kembali (p=0.024), kepuasan dengan keinginan merekomendasikan (p=O,Ol3), persepsi terhadap citra RS dengan keinginan berobat kembali (p=O,OOO), persepsi terhadap klinik RS dengan keinginan merekomendasikan klinik."

"Penyalahgunaan psikotropika merupakan salah satu penyebab mengapa penggunaannya harus dievaluasi. Penelitian ini bertujuan untuk mengetahui pola penggunaan dan biaya psikotropika pada pasien rawat inap di Rumah Sakit Dr. Ciptomangunkusumo serta kesesuaiannya terhadap formularium. Penelitian dilakukan dengan metode deskriptif dan pengumpulan data secara retrospektif terhadap data penggunaan psikotropika periode Juli sampai Desember 2005. Variabel penelitian adalah kuantitas penggunaan obat (DDD/shr), kualitas penggunaan obat (DU 90%), biaya dan kesesuaian penulisan resep terhadap formularium. Hasil penelitian menunjukkan total penggunaan psikotropika adalah 24,44 DDD/shr dengan diazepam sebagai psikotropika yang paling banyak digunakan. Sepuluh dari 33 nama generik (30,30%) dan 41 dari 117 nama sediaan (35,04%) yang ada termasuk dalam DU 90%. Biaya total penggunaan sebesar Rp 251.640.151,40 dan rata-rata kesesuaian terhadap formularium berdasarkan nama generik dan nama dagang adalah 81,52% dan 82,02%. Sebagai kesimpulan adalah bahwa pengunaan psikotropika di RSCM selama 6 bulan meningkat dan belum efisien."