Background: Diarrhea is the fourth largest cause of death among children aged less than 5 years. One of the causes of diarrheal diseases in infants is a milk bottle that is not hygiene. Purpose: This study aimed to analyze how to maintain the hygiene of milk bottles in preventing the incidence of diarrhea in infants in Sidotopo Village, Semampir District, Surabaya City. Methods: This study was an observational analytic study with a cross sectional study design. The population in this study were mothers who had children under five in Sidotopo Village, Semampir District, Surabaya City. The research sample was taken using simple random sampling method with calculations based on Slovin formula so that the samples obtained were 60 toddlers. Data collection was conducted from 2 January - 5 February 2018 Data collection using questionnaires and in-depth interviews. Data analysis using the chi-square test. Results: This study showed that the technique of maintaining the hygiene of milk bottles can prevent the incidence of diarrhea in infants (p <0.05). The results of the chi square test showed a significant relationship between the technique of washing hands with soap using soap and not using soap with the incidence of diarrhea (p = 0.03), but the results of testing on the behavior of hand washing habits of mothers with diarrhea showed insignificant results (p = 0.27). Conclusion: There is a relationship between techniques in maintaining the hygiene of milk bottles with efforts to prevent the occurrence of diarrhea in Sidotopo Village, Semampir District, Surabaya City.
Background: Healthcare Associated Infections (HAIs) are infections that patients caught during medical treatment and health care. Prevention and control of infection will lead to patient safety, which ultimately has an impact on efficiency, management of health care facilities, and improvement of service quality. Infection can be controlled by identifying the causes. One method to achieve this goal is the Root Cause Analysis (RCA).Aim: This study aims to analyze the implementation of Root Couse Analysis (RCA) conducted by the Infection Prevention and Control Committee at the Mother and Child Hospital of Kendangsari MERR Surabaya.Method: This is a quantitative observational research that utilizes descriptive data analysis. This study is a cross sectional study and its results are presented narratively.Results: Results show that the Joint Commission International Standard 2015 version of RCA was not fully implemented at the Mother and Child Hospital of Kendangsari MERR Surabaya. Some methods, such as the fishbone and Plan-Do-Study-Action (PDSA), were not implemented. Limited resources became the contributing factor.Conclusion: Infection Prevention and Control Committee at the Mother and Child Hospital of Kendangsari Merr Surabaya has implemented 9 out of 21 RCA steps of the Joint Commission International Standard 2015. The hospital needs to use other methods as an addition to the 5 Why’s in implementing RCA, such as fishbone diagrams and Plan-Do-Study-Action (PDSA), for problem solving planning. Keywords: Root Cause Analysis (RCA), HAIs, Infection prevention and control.
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