scholarly journals Evaluation of Drug Management Achievement in Pharmacy Installation of Langsa General Hospital

2020 ◽  
Vol 8 (1) ◽  
pp. 5-10
Author(s):  
Mauliana M ◽  
Wiryanto W ◽  
Urip Harahap
Keyword(s):  
General Hospital ◽  
Outcome Measures ◽  
Hospital Pharmacy ◽  
Management System ◽  
Qualitative Data ◽  
Drug Selection ◽  
National Formulary ◽  
Drug Management ◽  
Prospective Data ◽  
Drug Availability

Objective: to evaluate the achievements of drug management in Pharmacy Installation of Langsa General Hospital Design: The study used descriptive designs for 2018 data which were retrospective and prospective. Data was collected in the form of quantitative and qualitative data from document observations and interviews with relevant Pharmacy Installation officers. Interventions: the intervened  variable were drug selection, planning and procurement, and distribution. Main outcome measures: the main measurement in this study were suitability of drug items available with the National Formulary, frequency of procurement of each drug item per year,  accuracy of  data on the number of drugs on the stock card, percentage and value of expired and / or damaged drugs, percentage of dead stock and level of drug availability. Results:  drug management system that conformed  to the following standards were the suitability of the available drug items with the National Formulary (88.37%); the accuracy of data on the number of drugs on the stock card (100%) and  drug availability (13 months 14 days).  Drug mangement which were not accordance with standard: the frequency of procurement of each drug item per year; percentage of expired and / damaged drug values (2.64%) and percentage of dead stock (3.24%). Conclusion: it could  be concluded that the management of drugs in Langsa General Hospital Pharmacy Installation had not been fully effective and efficient in accordance with established standards.    

scholarly journals Evaluasi Pengelolaan Obat Di Instalasi Farmasi Rumah Sakit Umum Daerah Provinsi NTB Tahun 2017

2018 ◽  
Vol 15 (2) ◽  
pp. 135-147
Author(s):  
Nur Oktaviani ◽  
Gunawan Pamudji
Keyword(s):  
Drug Distribution ◽  
National Formulary ◽  
Drug Management ◽  
Drug Availability ◽  
Hospital Formulary ◽  
Fund Allocation ◽  
Descriptive Research ◽  
Injection Drugs ◽  
Management Problems ◽  
Turn Over

IFRS is responsible for drug management, namely selection, planning and procurement, distribution and use. Preliminary observations indicate of drug management problems in IFRSUD Province NTB. The aim of the study was to evaluate of drug management in IFRSUD Province NTB.  Descriptive research were taken retrospectively and concurrently. Data in the form of quantitative and qualitative, accompanied by interviews of related parties. All stages of drug management measured using the MOH RI indicator, Pudjaningsih, Permenkes  and WHO then compared with the results of other studies. The results showed that the stage that did not meet the standards were: the stage of selection: conformity with the national formulary; procurement: percentage of available fund allocation, namely the frequency of incomplete SP / Invoice,  percentage of available capital funds with the total needed, frequency of delay in payment by the hospital against the agreed time, the percentage of suitability between drug planning and the reality of each drug; distribution, the accuracy of the amount of drug data on the automatic stock card, Turn Over Ratio, percentage and value of drugs that were damaged / expired, percentage of dead stock; usage: number of drug items per recipe, percentage of antibiotic, and percentage of prescription injection drugs. The results are in accordance with the standards, the stage of selection suitability with hospital formulary; procurement: frequency of procurement of each drug item per year; distribution: namely drug availability level; use, percentage of prescription with a generic name, percentage of drugs that can submitted, percentage of drug that label, and the average time spent serving recipes

scholarly journals Factors Affecting The Drugs Availability on Program Rujuk Balik (PRB) at PRB Drugs Facility in Ex Karesidenan Kediri (Study of Hipertension Drugs)

2018 ◽  
Vol 16 (1) ◽  
pp. 30
Author(s):  
Sri Dias Tuti ◽  
Umi Athiyah ◽  
Wahyu Utami
Keyword(s):  
Term Treatment ◽  
Drug Selection ◽  
Management Support ◽  
Drug Management ◽  
Early Step ◽  
Cross Sectional ◽  
Drug Availability ◽  
Factors Affecting ◽  
Pharmaceutical Management ◽  
Long Term Treatment

PRB drugs service was given to chronically patients who still need long term treatment therefore there was need to guarantee the availability of medicines for their therapeutic needs. The objectives of this research were to know about PRB drug management, to know drug management support, policy, the availability of PRB drugs, and to analize the effects of drug management, drug management support, and policy on drug availability in PRB drug facility in Ex Karesidenan Kediri. Study on the availability of drugs hypertension due to prevalence of hypertension  disease tends to increase from 7.6% in 2007 to 9.5% in 2013. This research used cross sectional approach by giving questionnaires to 18 respondents of PRB drug managers who had fulfilled the inclusion criteria. Those respondents were measured on the capability in PRB drug managements and assessment of PRB drug management support and policy. The questionnaires were valid and reliable. The management, management support, and policy score were tested for effect on PRB drug availability for Hypertension by using multiple linear regression. From this research, it was known that PRB Drug Management, PRB Drug Management Supporting Assessment, and PRB Policy by PRB drug managers in drug service facilities in Ex Karesidenan Kediri were mostly categorized as good enough.  The availability of PRB drugs at PRB drugs facility with stock calculations indicated the ability to provide PRB medication to serve PRB prescription of hypertension was 28.71%. While the facilitieas that were able to serve an average of 72.67, thus providing substitution drugs beyond the average of PRB stock of 43.95%. The efforts were done for examples, borrowed similar drugs from regular supplies, medicines administered when they were available, or established the similar drugs at prices closed to e-catalogue. The results of the analysis showed that simultaneously PRB Drug Management factors, PRB Drug Management Supports, and PRB Policy have significant effects on PRB Drug Availability (p<0.10). PRB drug management had the greatest effects on the availability (p<0.10), especially in the case of Drug Selection (p<0.10). Selection of drugs was the first step to be done from a cycle of drug management, where the early step was the step that most determine the next steps. The pharmaceutical management framework affected the availability of PRB drugs, particularly the Drug Management factor, especially in the drug selection step. Drug selection was an early step of the drug management cycle that determined the next step.

scholarly journals Antiepileptic Drug Management in Hospitalized Epilepsy Patients With Nil Per Os Diets: A Retrospective Review

2018 ◽  
Vol 9 (2) ◽  
pp. 65-70
Author(s):  
Anna M. Bank ◽  
Jong Woo Lee ◽  
Alexa N. Ehlert ◽  
Aaron L. Berkowitz
Keyword(s):  
Antiepileptic Drug ◽  
Medical Center ◽  
Academic Medical Center ◽  
Management Strategies ◽  
Hospital Setting ◽  
Drug Selection ◽  
Drug Management ◽  
Oral Medications ◽  
Academic Medical ◽  
Patients With Epilepsy

Background and Purpose: Antiepileptic drug (AED) management in patients with epilepsy who cannot take their usual oral medications is a common neurologic dilemma in the hospital setting. Strategies to maintain seizure control in patients with nil per os (NPO, nothing by mouth) diet orders include continuation of oral AEDs despite NPO nutrition orders, administration of intravenous AED(s), or temporary administration of benzodiazepines. The frequency with which these strategies are used and their effectiveness in preventing in-hospital seizures is unknown. Methods: We conducted a retrospective cohort study to determine AED management strategies and seizure frequency in hospitalized epilepsy patients with NPO diet status admitted to an academic medical center between 2001 and 2016. Clinical documentation was reviewed. Antiepileptic drug selection (medication and route of administration) and presence or absence of seizures were recorded. Results: We identified 199 admissions during which epilepsy patients had NPO diet orders. Antiepileptic drug management strategies included continuation of oral medications (50.3% of admissions), intravenous AED monotherapy (22.1%), intravenous AED polytherapy (12.6%), benzodiazepines (1.0%), holding AEDs (4.5%), or a combination (9.5%). Seizures occurred during 14 admissions. Treatment with AED polytherapy prior to admission and changing the patient’s AED regimen during admission were associated with increased odds of seizures during admission ( P = .0028; P = .0114). Conclusions: These results suggest that patients’ home oral AED regimens should be continued when possible in order to minimize the frequency of seizures during hospitalizations.

A Standard Set of Outcome Measures for the Comprehensive Appraisal of Cleft Care

2017 ◽  
Vol 54 (5) ◽  
pp. 540-554 ◽  
Author(s):  
Alexander C. Allori ◽  
Thomas Kelley ◽  
John G. Meara ◽  
Asteria Albert ◽  
Krishnamurthy Bonanthaya ◽  
...  
Keyword(s):  
Health Care ◽  
Outcome Measures ◽  
Comparative Effectiveness ◽  
Cleft Lip ◽  
Effectiveness Research ◽  
Data Standards ◽  
Prospective Data ◽  
Treatment Protocols ◽  
Multidisciplinary Working ◽  
Standard Set

Care of the patient with cleft lip and/or palate remains complex. Prior attempts at aggregating data to study the effectiveness of specific interventions or overall treatment protocols have been hindered by a lack of data standards. There exists a critical need to better define the outcomes- particularly those that matter most to patients and their families-and to standardize the methods by which these outcomes will be measured. This report summarizes the recommendations of an international, multidisciplinary working group with regard to which outcomes a typical cleft team could track, how those outcomes could be measured and recorded, and what strategies may be employed to sustainably implement a system for prospective data collection. It is only by agreeing on a common, standard set of outcome measures for the comprehensive appraisal of cleft care that intercenter comparisons can become possible. This is important for quality-improvement endeavors, comparative effectiveness research, and value-based health-care reform.

scholarly journals PEMANFAATAN LEARNING MANAGEMENT SYSTEM (LMS) BERBASIS EDMODO MATERI FLUIDA DINAMIS UNTUK PENINGKATAN MINAT DAN PRESTASI BELAJAR FISIKA SISWA SEKOLAH MENENGAH

2019 ◽  
Vol 3 ◽  
pp. 155
Author(s):  
Intan Firda Alifiyanti ◽  
Finda Hadiatin Afifah ◽  
Nurmutmainna Ramadoan
Keyword(s):  
Management System ◽  
Qualitative Data ◽  
Learning Management System ◽  
Cognitive Tests ◽  
Research Subjects ◽  
Learning Achievement ◽  
Physics Learning ◽  
Digital Era ◽  
Learning Management ◽  
Practice Questions

<p class="AbstractEnglish"><strong>Abstract:</strong>. The 2013 curriculum has the policy to reduce and even eliminate homework, so students can use their time at home to study according to their own desires, cooking, farming, art, and other positive activities. The reality shows different things, students use mobile phones, play games, or watch television which causes students to have more difficulty understanding the lesson, lack of interest in learning, practice questions, and improve learning achievement. In fulfilling the additional intake of lessons for students, it is necessary to manage distance learning called the learning management system. This study aims to increase interest and learning achievement using Edmodo as LMS. The research subjects were the eleventh-grade student in Ngawi, East Java totaling 31. The study was conducted in October using classroom action research methods. Data collection with observation and questionnaire techniques as qualitative data, as well as student cognitive tests as quantitative data. The results showed that the utilization of Edmodo on fluid dynamics could increase the interest and achievement of physics learning of the eleventh-grade students. Therefore, the utilization of Edmodo needs to be introduced and used by students in the current era digital era.</p><p class="KeywordsEngish"><strong>Abstrak:</strong> Kurikulum 2013 memiliki kebijakan untuk mengurangi dan bahkan menghilangkan pekerjaan rumah, sehingga siswa dapat menggunakan waktu mereka di rumah untuk belajar sesuai dengan keinginan mereka sendiri, memasak, bertani, seni, dan kegiatan positif lainnya. Kenyataannya menunjukkan hal yang berbeda, siswa menggunakan ponsel, bermain <em>game</em>, atau menonton televisi yang menyebabkan siswa memiliki lebih banyak kesulitan memahami pelajaran, kurangnya minat dalam belajar, latihan soal, dan meningkatkan prestasi belajar. Dalam memenuhi tambahan asupan pelajaran bagi siswa, perlu untuk mengelola pembelajaran jarak jauh yang disebut sistem manajemen pembelajaran. Penelitian ini bertujuan untuk meningkatkan minat dan prestasi belajar menggunakan Edmodo sebagai LMS. Subyek penelitian adalah siswa kelas XI di Ngawi, Jawa Timur sebanyak 31. Penelitian dilakukan pada bulan Oktober menggunakan metode penelitian tindakan kelas. Pengumpulan data dengan teknik observasi dan kuesioner sebagai data kualitatif, serta tes kognitif siswa sebagai data kuantitatif. Hasil penelitian menunjukkan bahwa pemanfaatan Edmodo pada fluida dinamis dapat meningkatkan minat dan prestasi belajar fisika siswa kelas XI. Oleh karena itu, pemanfaatan Edmodo perlu diperkenalkan dan digunakan oleh siswa di era digital era saat ini.</p>

scholarly journals 1ISG-030 Biologics utilisation and its efficiency through a hospital pharmacy centralised management system

2019 ◽  
Author(s):  
J Feio ◽  
S Poitier ◽  
F Machado ◽  
B Vandewalle ◽  
V Andreozzi ◽  
...  
Keyword(s):  
Hospital Pharmacy ◽  
Management System

scholarly journals Sistem Pengelolaan Terhadap Pura Tirta Empul Sebagai Daya Tarik Wisata Pusaka Di Tampak Siring Gianyar

2018 ◽  
Vol 5 (2) ◽  
pp. 322
Author(s):  
Ni Made Sumaeni ◽  
I Gusti Agung Oka Mahagangga
Keyword(s):  
Management System ◽  
Qualitative Data ◽  
Positive Impact ◽  
Heritage Tourism ◽  
Secondary Data ◽  
Tourist Attraction ◽  
Literature Study ◽  
Management Functions ◽  
Or Manager

The purpose of this study was to determine the management system to Pura Tirta Empul as a tourist attraction in Tampak Siring Gianyar heritage. Background underlying this study is the hallmark and uniqueness of Pura Tirta Empul. The type of data used is qualitative data and quantitative data with the source of primary and secondary data obtained through observation, interview and literature study. Determination of informants using purposife sampling techniques. Analysis of the data used by the process of descriptive qualitative analysis conducted through data reduction, data presentation and conclusions. Management systems to Pura Tirta Empul as a tourist attraction in Tampak Siring Gianyar heritage in this study using POAC management includes planning, organizing, actuating, and controlling. Results from this study is the strength of a leader or manager in executing management functions POAC management system as well as it has been implemented in Pura Tirta Empul. Good management of a positive impact on managers such as the number of tourists is increasing.   Keywords:system management, tourist attraction, heritage tourism

scholarly journals Impact evaluations of drug decriminalisation and legal regulation on drug use, health and social harms: a systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e035148
Author(s):  
Ayden I Scheim ◽  
Nazlee Maghsoudi ◽  
Zack Marshall ◽  
Siobhan Churchill ◽  
Carolyn Ziegler ◽  
...  
Keyword(s):  
Systematic Review ◽  
Outcome Measures ◽  
Data Extraction ◽  
Legal Regulation ◽  
Law Reform ◽  
Inclusion Criteria ◽  
Drug Availability ◽  
Drug Law ◽  
Before And After ◽  
The Usa

ObjectivesTo review the metrics and findings of studies evaluating effects of drug decriminalisation or legal regulation on drug availability, use or related health and social harms globally.DesignSystematic review with narrative synthesis.Data sourcesWe searched MEDLINE, Embase, PsycINFO, Web of Science and six additional databases for publications from 1 January 1970 through 4 October 2018.Inclusion criteriaPeer-reviewed articles or published abstracts in any language with quantitative data on drug availability, use or related health and social harms collected before and after implementation of de jure drug decriminalisation or legal regulation.Data extraction and synthesisTwo independent reviewers screened titles, abstracts and articles for inclusion. Extraction and quality appraisal (modified Downs and Black checklist) were performed by one reviewer and checked by a second, with discrepancies resolved by a third. We coded study-level outcome measures into metric groupings and categorised the estimated direction of association between the legal change and outcomes of interest.ResultsWe screened 4860 titles and 221 full-texts and included 114 articles. Most (n=104, 91.2%) were from the USA, evaluated cannabis reform (n=109, 95.6%) and focussed on legal regulation (n=96, 84.2%). 224 study outcome measures were categorised into 32 metrics, most commonly prevalence (39.5% of studies), frequency (14.0%) or perceived harmfulness (10.5%) of use of the decriminalised or regulated drug; or use of tobacco, alcohol or other drugs (12.3%). Across all substance use metrics, legal reform was most often not associated with changes in use.ConclusionsStudies evaluating drug decriminalisation and legal regulation are concentrated in the USA and on cannabis legalisation. Despite the range of outcomes potentially impacted by drug law reform, extant research is narrowly focussed, with a particular emphasis on the prevalence of use. Metrics in drug law reform evaluations require improved alignment with relevant health and social outcomes.

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