Analysis of Patient Safety Management Implementation Towards the Occurrence of Post-Tooth Extraction Infection in Oral Surgery Clinic at RSGM IIK Bhakti Wiyata Kediri

Abstract

The holy principles of pests and surgical principles are required when action is taken. Bacterial infection is one of the most common and most frequent complications. In the revocation action of RSGM IIK Bhakti Wiyata Kediri put patient safety as the main priority in health service. Post-tooth extraction infection may occur because the equipment and room are not sterile, the operator does not follow the existing SOP, inappropriate drug administration and the patient's own condition.
 The purpose of the study is to analyze the implementation of patient safety management on post-tooth extraction infection of Oral Surgery patients at RSGM IIK Bhakti Wiyata Kediri.
 Method used in this research is quantitative, Descriptive Observational as the process of data collection using Transversal Study design (Cross Sectional). The population of 112 person was taken at the oral surgery clinic of RSGMP IIK Bhakti Wiyata Kediri from 18 January to 18 February 2018. All the respondents were observed and examined from preparation of tooth extraxtion to control. The sampling technique used is Random Sampling by lottery technique By using Slovin formula, error rate of 2% obtained 107 samples.
 The result of multiple linear correlation analysis was obtained by equipment patient safety (0) (p-value = 0,000 <α = 0,05), place extraction patient safety (X2) (p-value = 0,000 <α = 0,05) (p = 0,401> α = 0,05) post-extraction instruction (X4) (p = 0,007 <α = 0,05). There is significant influence of patient safety of equipment (X1), place extraction patient safety (X2 and tooth extraction instruction, while tooth-extraction operator (X3) ) (p-value = 0.401> α = 0.05) had no significant effect on post-tooth extraction infection.R square value of 38 , 5%, means that the influence of the 4 variables is 38.5%, and the rest explained other variables that are not studied in this study. It is found that post-tooth extraction infection after the control is 17.8% .The most dominant influence is place extraction variable.

Ozone water or chloroxylenol: The comparison of disinfection effectiveness against the number of bacterial colonies in dental extraction instruments at the USU Dental and Oral Hospital

“…11 Based on the Kruskal Wallis statistical test results the effectiveness of ozone water, 4.8% chloroxylenol and negative control (Aquadest) on the number of bacterial colonies in mandibular tooth extraction forceps was significantly different, with a significance value of p = 0.000 (p < 0.05) (Table 2). 4 Based on the results of a further using the Mann-Whitney U test comparing disinfection effectiveness between groups treated with ozone water disinfection and negative control (Aquadest), the significance value was p = 0.000 (p < 0.05). 18 Ozone water was more effective as a disinfection agent compared to negative control on the number of bacterial colonies in dental extraction instruments at the USU Dental and Oral Hospital, as indicated by the lower average value of bacterial counts in the ozone water group, which was 4.00 AE 4.32 CFU/mL.…”

“…at the time of tooth extraction. 4 Disinfectants have different abilities and susceptibility depending on the number and type of bacteria present in the patient's oral cavity; the duration of exposure and the concentration of the disinfecting agents also affect the ability to kill microorganisms. 8 The decrease in the number of different bacterial colonies in each treatment is also influenced by open environmental conditions, environmental temperature, and humidity both during sampling and when processing samples in the laboratory, ozone generator output, and operator negligence.…”

“…3 These must be aseptic at the time of tooth extraction to avoid bacterial infection, which is one of the complications that can occur as a result of tooth extraction. 4 If the tooth extraction instrument is contaminated, microorganisms can be transmitted to dentists, nurses, or other patients who will be infected with diseases. 4 According to the American Dental Association (ADA), it is estimated that dentists and patients may be exposed to around 40 types of infectious diseases when carrying out dental treatment procedures.…”

“…4 If the tooth extraction instrument is contaminated, microorganisms can be transmitted to dentists, nurses, or other patients who will be infected with diseases. 4 According to the American Dental Association (ADA), it is estimated that dentists and patients may be exposed to around 40 types of infectious diseases when carrying out dental treatment procedures. Therefore, it is necessary to exercise prevention by disinfecting dental extraction instruments.…”

“…4.8% chloroxylenol works by denaturing proteins, changing the permeability of cell walls and causing cell leakage. 4.8% chloroxylenol is one of the most widely used disinfectants in dentistry. 4.8% chloroxylenol is one of the phenol groups, and works by denaturing proteins, changing the permeability of cell walls and causing cell leakage.…”