Kemajuan teknologi saat ini, rasanya dimanfaatkan betul oleh Rumah Sakit Bunda. Di RS ini, sejak Desember 2011 telah melayani 50 kasus bedah robotik.

Bedah robotik merupakan proses bedah laparoskopi menggunakan robot yang dilakukan secara khusus oleh tim bedah yang sudah terlatih di RS Bunda, Jakarta.

Ahli bedah robotik pertama di Indonesia Dr. Ivan Rizal Sini, MD, FRANZCOG, GDRM, SpOG menyampaikan rasa syukurnya karena telah berhasil melakukan 50 operasi bedah robotik dalam setahun terakhir.

“Alhamdulillah, hingga saat ini pasien bedah robotik mencapai 50 kasus. Pemikiran untuk melibatkan teknologi yang paling maju ini memang berisiko. Tapi dengan niat memberikan yang terbaik bagi pasien, ini bukti kemajuan dunia pelayanan kesehatan dan kedokteran di Indonesia,” jelas Ivan pada acara ‘Pencapaian 50 Kasus Pertama Badah Robotik di Indonesia’, Kamis (27/6/2013).

Menurut Ivan, hingga saat ini RS Bunda bisa melayani pasien dengan penyakit seperti ginekologi umum (myoma,kista, dan lainnya), urologi (prostat,kanker), dan endrometriosis.

“Adapun untuk risiko, bahwa apapun jenis pembedahan, selalu ada risikonya. Tapi risiko ini bisa diminimalisisir dengan pembedahan minimal invasif termasuk bedah robotik,” tambahnya.

Sumber: liputan6.com

ORLANDO, Fla. — Instead of admitting patients to medical units at the hospital, clinicians at Orlando Regional Medical Center are providing health care to patients in the comfort of their homes. The new twist on modern medicine is being piloted in a project to provide hospital-level care in a patient’s home through home visits, videoconferencing (virtual visit) and telemonitoring (remote vital signs monitoring). The goal is to deliver the same high quality care found in the hospital while in the home setting, but at lower costs and with increased convenience and greater benefits to patients.

Patients in the Emergency Department will be evaluated by a doctor and a case manager to determine if they are candidates for the pilot program. If a patient meets criteria and consents to participate the patient is given a “doctor’s bag” to take home for their hospital stay at home. The small case contains a camera and computer monitor, as well as equipment to monitor vital signs remotely. The technology allows doctors and nurses to monitor a patient’s condition at home just as they would if the patient were in the hospital.

For example, nurses from Orlando Health’s Visiting Nurse Association check will check in with a patient every four to six hours using a telemedicine connection, and make a daily visit.

“Doctors will also check on the patient via teleconference just as they would during daily rounding at the hospital, and they will also be available 24/7 for an emergent situation,” said David Sylvester, vice president, Post Acute Care and Transition Services, Orlando Health.

The study will last four months.

“During the pilot phase of the project, we hope to monitor 40 to 50 patients at home, beginning with a few medical conditions – pneumonia, cellulitis or skin infection, deep vein thrombosis or blood clots,” said Timothy Bullard, MD, chief medical officer, Orlando Regional Medical Center.

The innovative approach to medicine may prove beneficial to patients and the health care industry.

“We hope that caring for patients in their homes instead of in the hospital will allow us to provide a higher level of care while reducing health care costs,” said Dr. Bullard. “Caring for patients in their home environment practically eliminates the chance of a hospital-acquired infection since they won’t be in close proximity to other patients who may be very ill. We also believe it will enhance patient satisfaction by caring for them in an environment that is familiar to them.”

Once patients are discharged from their home setting, medical care will be transitioned to their primary care doctors, as it would when discharged following a traditional hospitalization. Patients will also be evaluated for home health services options.

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About Orlando Health

Orlando Health is a $1.9 billion not-for-profit health care organization and a community-based network of physician practices, hospitals and care centers throughout Central Florida. Physician Associates, one of the largest multi-specialty practices in central Florida, consisting of more than 90 physicians in more than 20 locations, became a member of the Orlando Health family in January, 2013.

The organization, which includes the area’s only Level One Trauma Centers for adults and pediatrics, is a statutory teaching hospital system that offers both specialty and community hospitals. They are: Orlando Regional Medical Center; Dr. P. Phillips Hospital; South Seminole Hospital; Health Central Hospital, South Lake Hospital (50 percent affiliation); St. Cloud Regional Medical Center (20 percent affiliation), MD Anderson Cancer Center Orlando – the first affiliate of one of the nation’s premier cancer centers, The University of Texas MD Anderson Cancer Center in Houston; and the Arnold Palmer Medical Center, which consists of Arnold Palmer Hospital for Children and Winnie Palmer Hospital for Women & Babies. Orlando Health’s areas of clinical excellence are heart and vascular, cancer care, neurosciences, surgery, pediatric orthopedics and sports medicine, neonatology, and women’s health.

Orlando Health is one of Central Florida’s largest employers with nearly 16,000 employees and more than 2,500 affiliated physicians supporting our philosophy of providing high quality care and service that revolves around patients’ needs. We prove this everyday with over 110,000 inpatient admissions and nearly 690,000 outpatient visits each year. In all, Orlando Health serves 1.6 million Central Florida residents and nearly 3,000 international patients annually. Additionally, Orlando Health provides approximately $239 million in support of community health needs.

MAKASSAR — Revan Adiyaksa Amir akhirnya meninggal dunia di Rumah Sakit Akademis Makassar sekitar pukul 01:15 WITA Kamis dinihari setelah sebelumnya ditolak sejumlah Rumah Sakit (RS) milik pemerintah dan swasta dengan alasan ruangan perawatan penuh.

“Sebelumnya anak saya, saya bawa ke dokter umum karena mengalami muntaber, kemudian dibawa ke Rumah Rakit Umum Daya untuk mendapat perawatan, kemudian dirujuk ke RSU Wahidin Sudirohusodo, tetapi di tolak dengan alasan ruang PICU penuh pasien,” ujar Nirma, ibu kandung Revan di Makassar, Kamis.

Usai menguburkan anaknya di Tempat Pemakaman Umum (TPU) Panaikang dia menuturkan, awalnya Revan mengalami sakit dan muntah muntah kemudian di bawa ke dokter umum pada 21 Juni 2013. Tidak ada perubahan kemudian dirinya membawa anaknya ke RSUD Daya pada Senin 24 Juni 2013.

Setelah dirawat beberapa hari, lanjut Nirma, kondisi Revan menurun dan terlihat tertidur, namun setelah dicek dokter, ternyata almarhum dalam kondisi kritis dan bukan tertidur.

Pihak RSUD Daya kemudian langsung merujuk ke RS Regional Wahidin Sudirohudo mengunakan ambulan pada Rabu 26 Juni malam, namun tiba di RS tersebut pihak RS hanya memeriksa Revan didalam ambulan alasannya ruang perawatan anak Pediatric Intensive Care Unit (PICU) sedang penuh.

Tidak ingin anaknya tersiksa karena dalam kondisi kritis, dia bersama suaminya (Amir) yang bekerja serabutan kemudian membawa anaknya ke Rumah Sakit Ibnu Sina. Sayangnya, pihak rumah sakit tersebut juga mengatakan alasan yang sama dan tidak menerima Jaminan Kesehatan Daerah (Jamkesda).

Nirma kemudian kembali membawa anaknya ke Rumah Sakit Awal Bros, lagi-lagi pihak rumah sakit mengatakan tidak punya ruangan khusus, dan tidak menerima peserta Jamkesda. Sekitar pukul 11:40 WITA anaknya kemudian dibawa ke RS Akademis dan akhirnya diterima dan ditangani.

Akan tetapi takdir berkata lain, usaha Nirma menyelamatkan anak keduanya akhirnya sirna dan Revan meninggal dunia pada pukul 01:15 WITA karena kekurangan cairan dan kondisinya sangat lemah.

“Anak saya sudah tidak sadar waktu dibawa ke beberapa rumah sakit. Dan saya belum tahu harus membayar pakai apa di rumah sakit Akademis, KTP dan KK disuruh simpan sebagai jaminan, saya hanya pasrah saja pak, kami ini orang miskin,” ucapnya terbata dirumah orang tuanya Perumahan Haji Kalla II/24 Kelurahan Panaikang, Kecamatan Panakukang.

Dikonfirmasi terpisah, Direktur RS Wahidin Sudirohusudo Prof Dr Abdul Kadir mengatakan pihaknya telah menangani pasien sesuai prosedur, hanya saja kondisi anak tersebut sudah kritis dan mesti dirawat intensif diruangan khusus karena mulai kehabisan cairan.

“Dari laporan saya terima, kondisi pasien sudah parah dengan kesadaran menurun, tetapi ruang PICU dengan 13 tempat tidur sedang penuh, lalu orang tuanya membawa ke rumah sakit lain setelah ditelepon dokter jaga ke beberapa rumah sakit, jadi kami tidak menolak,” bantahnya.

Sumber: republika.co.id

A hospital in Cumbria has been criticised for failing to meet national standards for care following an inspection by the health watchdog.

The Care Quality Commission (CQC) carried out an unannounced inspection at West Cumberland Hospital in Whitehaven in May.

It found action was needed in the care and welfare of patients, staffing and record-keeping.

A hospital spokesman said there was “no excuse” for not meeting the standards.

The inspection found there were not enough qualified and experienced staff to meet patients’ needs and patients’ care was “inadequate at times”.

It also found records were not being correctly maintained meaning patients were at risk of “unsafe or inappropriate” care and treatment.

However, the majority of patients said they were “satisfied” with the care and treatment they received at the hospital, according to the report.

‘Long journey’

Senior managers said plans were in place to rectify many of the issues around staffing and record keeping at the hospital.

Acting director of nursing Chris Platton said: “There can be no excuses for not meeting the expected standards set out in this report.

“[It is] unacceptable that both our staff and patients have historically endured standards of care which fall way below that of which any of us would expect from the NHS for our loved ones.”

He said that since September, 102 more nurses had been appointed to ensure there was greater flexibility in workforce planning.

Mrs Platton added: “There is no doubt that we are on a long journey relating to improving the quality of the services we deliver and the feedback, so far, from this inspection shows that we are taking steps in the right direction and beginning to make a difference.”

MP for Copeland and shadow health minister Jamie Reed said: “Today’s report raises some deeply worrying concerns that need to be put right without delay.

“It is right that they have recognised where the failings were occurring and this must result in better patient care – this is the central priority.”

Northumbria Healthcare NHS Foundation Trust is in the process of taking over the hospital as well as Cumberland Infirmary in Carlisle.

Source: bbc.co.uk