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Evidence-based Medicine (EBM)

danMutu Profesi Medis

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UU No. 29/2004Praktik Kedokteran

Psl 44 ayat 3Standar Pelayanan

Kedokteran

SPKPNPK

SPO

Dibuat : ProfesiDisahkan: Menkes

Dibuat & ditetapkan:Pimpinan RS

Panduan Praktik Klinis (PPK)

Dikoordinasikan: Komite MedisDisusun: SMF

RINGKASAN PERATURANMENTERI KESEHATAN

No. 1438/Menkes/Per/IX/2010

PerMenKesNo 1438/IX/2010Standar PelayananKedokteran (SPK)

Berita NegaraTahun 2010 No 464

24 Sept 2010

Algoritme Protokol Prosedur Standing Order

1. Pengertian (Definisi)2. Anamnesis3. Pemeriksaan Fisik4. Kriteria Diagnosis5. Diagnosis

6. Diagnosis Banding7. Pemeriksaan Penunjang8. Terapi9. Edukasi10.Prognosis11. Kepustakaan

DF2010

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LANGKAH LANGKAH

PENYUSUNAN :1. STANDAR PELAYANAN

KEDOKTERAN (SPK)2. PANDUAN PRAKTEK KLINIS

(PPK)BERDASARKAN

EVIDENCE-BASED MEDICINE (EBM)

SPK/PPK

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Usefulness of Medical Practice = Validity X RelevanceEasy to access

Validity Relevance

(Research design) Important ApplicableDiagnostic Cross-sectional Likelihood ratios Self-

assessmentPrognosis Cohort Survival curves Self-

assessmentRCT NNT

erapy ys em c rev ews(Meta-analysis)

Economic analysisClinical decision

analysis

Cost/QALYUtilisation

e -assessment

Harm Cohort/case-control/

case reports

NNH Self-

assessmentGuidelines # Flow-chart

# Cost-effectivenessQI Self-

assessment

Dokumentasi: DF - 1997

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SPK/PNPK PPK

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FORMAT PANDUAN PRAKTIK

KLINIS(PPK)

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FORMAT PANDUAN PRAKTIK

KLINIS

(PPK)

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FORMAT PANDUAN PRAKTIK

KLINIS(PPK)

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CONTOH BUKUPANDUANPRAKTIK

KLINIS (PPK)

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CONTOH BUKUCLINICAL

PATHWAYS

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CONTOH BUKUCLINICAL

PATHWAYS SMF KESEHATAN ANAK

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Evidence-based Practice

EVALUASI1. Topik2. Jadwal Berkala3. Daftar Hadir

Evidence-basedPractice

.5. % Critical Appraisal6. % Diagnosis7. % Prognosis8. % Terapi9. % Profilaksis95% CI: A + 2 SE9. Tindak Lanjut

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EBM

EBM dan Program Patient Safety

SPK/PNPK PPK

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EBM

EBM dalam Kendali Mutu dan Biaya

SPK/PNPK PPK

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Hubungan SPK/PPK/CP & Instrumen Peniaian Peserta Program Pendidikan Dokter/Spesialis

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