Analysis of Efficiency and Effectiveness of Elective Clean Surgical Operations without the use of Antibiotics at Serang Bengala Hospital

Moch Subarkah; Cicilia Windiyaningsih; Abdul Aziz

Moch Subarkah Universitas Respati Indonesia
Cicilia Windiyaningsih Universitas Respati Indonesia
Abdul Aziz Poltekes Kemenkes Jakarta III

Keywords: clean elective surgery, use of antibiotics, cost efficiency and effectiveness

Abstract

The cost of Elective Clean Surgery (OBBE) services has increased almost throughout the world, caused by several factors, one of which is the use of antibiotics, which will affect morbidity, mortality and costs.

This research was conducted at Benggala Hospital Serang to discuss the comparison of the efficiency and effectiveness of the results of Elective Clean Surgery (OBBE) services with and without antibiotics. This retrospective study used patient medical record data for the period April 2022 to March 2023, then the data was analyzed descriptively quantitatively using SPSS and Microsoft Excel. The results of the research show that the cost efficiency of antibiotics and injection service fees saved is IDR 250,000.00 per patient, so in a year the average OBBE service at Benggala Hospital saves IDR. 145,750,000.00. The time saved for preparing and administering antibiotic injections is an average of 15 minutes per patient. For the effectiveness of the research results, it shows that no infections occurred in patients during and after elective clean surgical operations, which was 100% or as many as 25 OBBE service patients without antibiotics were in the safe category without infection, the blood test results included Hemoglobin, Leukocytes and Platelets for all patients in the normal safe category, there was no significant increase in body temperature, the average wound healing time was 10 days. Research data shows that the patient's condition has improved 100%, 0% have not recovered, 0% have died. The conclusion of the research results, if the results of this research are applied, then the efficiency and effectiveness of OBBE without antibiotics can be achieved, it is very useful so it becomes important information for specialist surgeons and hospital directors. Meanwhile, other patients avoided antibiotic resistance.

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