scholarly journals Pencegahan Perilaku Medication Error (ME) Melalui Peningkatan Pengetahuan Perawat

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Lilis Suryani
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Medical Error ◽  
Institute Of Medicine ◽  
Chi Square

Medication errors (ME) merupakan ancaman terhadap keselamatan pasien. Kejadian ME  dapat  merugikan pasien, hal ini dapat diakibatkan karena pemakaian obat, tindakan, dan perawatan yang sebenarnya dapat dicegah. Institute of Medicine (IOM) melaporkan bahwa sekitar 44.000-98.000 orang meninggal karena medical error.  Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan perawat dengan perilaku pencegahan medication error. Metode penelitian ini adalah deskriftif analitik dengan desain crossectional. Sampel yang digunakan sebanyak 61 responden di ruang unit gawat darurat dan ruang j RSU X di Karawang. Data dianalisis dengan  menggunakan uji chi-square (x2) pada tingkat kemaknaan 95% (α 0,05). Analisis statistic menunjukan hasil bahwa ada hubungan pengetahuan perawat dengan perilaku pencegahan medication error P = 0,002 < dari α = 0,05. Saran bagi pelayanan kesehatan diharapkan dapat meningkatkan pengetahuan perawat sehingga tidak terjadi medication error.

scholarly journals Exploring Nurses' Knowledge of Medication Error Reporting

2020 ◽  
Author(s):  
Karina Santos
Keyword(s):  
Critical Care ◽  
Medication Error ◽  
Medication Errors ◽  
Thinking Skills ◽  
Critical Care Nurses ◽  
Near Miss ◽  
Error Reporting ◽  
Care Hospital ◽  
Institute Of Medicine ◽  
Medication Error Reporting

Managing the care of critically ill patients is a highly complex and stressful position requiring high levels of critical thinking skills and judgment. Medical errors, including medication errors continue to happen in hospitals across the nation. Despite decades of focus and efforts on this area from the Institute of Medicine and other national and federal agencies, literature suggests that medication errors in critical care are highly prevalent and underreported. The purpose of this project was to explore the knowledge base of critical care nurses in relation to medication error reporting. A survey was created, which included 10 questions that were relevant to medication errors and reporting of these in the critical care setting. No demographical data was collected on respondent nurses to protect anonymity and privacy. A total of 77 completed surveys were collected from ten critical care units at a large academic acute care hospital in Rhode Island. The results of the survey showed that the majority of nurses had no knowledge of the hospital’s policy or the official definition of a medication error as adopted by the facility. A significant number of nurses weren’t aware that near miss events are medication errors. This project found that critical care nurses and their patients would benefit from enhanced education programs aimed at closing these knowledge gaps. Providing clarification, guidelines and detailed policies and procedures may enhance their confidence, efficacy and skills to be able to adequately and consistently report all near miss events and actual medication errors thereby improving the overall culture of safety and patient outcomes.

scholarly journals PENYEBAB MEDICATION ERROR PADA FASE ADMINISTRASI DI RUMAH SAKIT X [CAUSES OF MEDICATION ERROR IN THE ADMINISTRATION PHASE IN X HOSPITAL]

2020 ◽  
Vol 8 (1) ◽  
pp. 96
Author(s):  
Christi Adriana ◽  
Antonius Nugraha ◽  
Deborah Siregar ◽  
Elfrida Silalahi
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Quantitative Research ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Hospital Length ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Phase Errors

<p><em>Medication error is one of the problems that threaten patients' safety in hospital. Medication errors can occur in some phases, one of them in the administrative phase. Errors that occur when administering medication to patients will have a detrimental effect and endanger the patient whether it causes even minor injury or severe injury. The way to overcome this medication error is by knowing the factors causing medication error in the hospital. The purpose of this study was to analyze the factors causing medication errors in the administration phase in X Hospital. This study was a quantitative research. The design of the study was a cross sectional study. The total sample for this study was 40 nurses. Methods of data collection was taken by observations. Statistical analyses were conducted using chi square. The results showed that the age and education level were not significant with medication error in X Hospital. Length of work has p value = 0 so it is concluded that length of work has a relationship with medication error in X hospital. There is a correlation between length of work with medication error in X hospital. This study recommends to improve the standard of service in hospitals to preventing medication errors in hospital.</em></p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Medication<em> error</em> adalah suatu masalah yang sering muncul di rumah sakit yang mengancam keselamatan pasien di rumah sakit. <em>Medication error</em> bisa terjadi pada beberapa fase salah satunya pada fase administrasi yakni fase <em>medication error</em> yang terjadi pada saat pemberian obat kepada pasien dan akan membawa dampak yang buruk atau merugikan pasien baik itu menyebabkan cedera ringan sampai dengan cedera berat sekalipun. Salah satu cara untuk menangani <em>medication error</em> ini yakni dengan mengetahui faktor penyebab <em>medication error</em> di rumah sakit. Tujuan penelitian ini adalah untuk menganalisis faktor yang menyebabkan terjadinya <em>medication error</em> pada fase administrasi di Rumah Sakit X. Jenis penelitian ini adalah kuantitatif. Desain penelitian yang digunakan adalah cross sectional. Jumlah sampel yang digunakan dalam penelitian ini adalah 40 orang dengan teknik pengambilan sampel jenuh. Instrumen yang digunakan dalam penelitian ini adalah lembar observasi. Analisis data yang digunakan adalah <em>chi square</em>. Hasil penelitian ini adalah terdapat hubungan antara usia dengan kejadian <em>medication error </em>(p-value 1<em>), </em>tidak terdapat hubungan pendidikan dengan kejadian <em>medication error</em> (p value 0,4), terdapat hubungan antara masa bekerja dengan <em>medication error</em> di Rumah Sakit X (p value 0,02).  Rekomendasi dari penelitian ini adalah untuk meningkatkan standar pelayanan yang ada di rumah sakit untuk mengurangi terjadinya <em>medication error</em></p>

scholarly journals Analisis Faktor yang Berhubungan dengan Medication Error Pasien Rawat Inap di Klinik X Kediri

2021 ◽  
Vol 21 (3) ◽  
pp. 1123
Author(s):  
Neni Probosiwi ◽  
Tsamrotul Ilmi ◽  
Nur Fahma Laili ◽  
Henni Wati ◽  
Lintang Bismantara B.G.PS ◽  
...  
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Health Workers ◽  
Health Sector ◽  
Sampling Technique ◽  
Patient Characteristics ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Analysis ◽  
The Relationship

Medicaction error is an important problem in the health sector that can increase mortality, increase the duration of hospitalization, and increase the cost of treatment. Identifying the risk factors for medication errors is an important first step in preventing medication errors. This study aimed to identify the relationship between patient characteristics and medication errors in inpatients at clinic x. The study was conducted qualitatively with a cross-sectional design with recorded data. The study was conducted using clinical record data from July to December. The study sample consisted of 196 patients who met the inclusion criteria with a consecutive sampling technique. Analysis of the relationship between variables was carried out by chi-square analysis with a significance value of 5% (0.05). The results showed that inpatients at clinic x experienced medication errors of 17.86% which consisted of prescribing errors of 2.55% and administrative errors of 15.31%. Patient gender was not significantly associated with medication errors (p> 0.05). Patient age was significantly associated with medication errors (p<0.001). The number of drugs was significantly associated with medication errors (p<0.001). Length of stay was not significantly associated with medication errors (p < 0.05). Drug class was significantly related to medication error. The conclusion is that the patient's age, the number of drugs received by the patient and the class of drugs are factors related to the incidence of medication errors. The patient aspect also contributes to the risk factor for medication errors so that it can be considered in preventing medication errors in health practice by health workers.

Analisis Faktor Perawat Dalam Pelaksanakan Keselamatan Pasien Terhadap Kejadian Medication Administration Error di Rumah Sakit

2020 ◽  
Author(s):  
Bintang Marsondang Rambe
Keyword(s):  
Patient Safety ◽  
Literature Review ◽  
Medication Error ◽  
Medication Errors ◽  
Medication Administration ◽  
Prescribing Error ◽  
Medication Administration Error ◽  
Administration Error

Latar Belakang Keselamatan pasien (patient safety) rumah sakit adalah suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman yang meliputi assessment risiko, identifikasi dan pengelolaan hal yang berhubungan dengan risiko pasien, pelaporan dan analisis insiden, kemampuan belajar dari insiden dan tindak lanjutnya serta implementasi solusi untuk meminimalkan timbulnya risiko dan mencegah terjadinya cedera yang disebabkan oleh kesalahan akibat melaksanakan suatu tindakan atau tidak mengambil tindakan yang seharusnya diambil yang dilakukan oleh perawat (Kemenkes, 2011).Salah satu kesalahan yang dapat merugikan pasien adalah medication error. Menurut WHO (2016) medication error adalah setiap kejadian yang dapat dicegah yang menyebabkan penggunaan obat yang tidak tepat yang menyebabkan bahaya kepasien, dimana obat berada dalam kendali profesional perawatan kesehatan. proses terjadi medication error dimulai dari tahap prescribing, transcribing, dispensing,dan administration. Kesalahan peresepan (prescribing error), kesalahan penerjemahan resep (transcribing erorr), kesalahan menyiapkan dan meracik obat (dispensing erorr), dan kesalahan penyerahan obat kepada pasien (administration error). Medication error yang paling sering terjadi adalah pada fase administration / pemberian obat yang dilakukan oleh perawat.Administration error terjadi ketika pemberian obat kepada pasien tidak sesuai dengan prinsip enam benar yaitu benar obat, benar pasien, benar dosis, benar rute pemberian, benar waktu pemberian dan benar pendokumentasian. Secara global, kesalahan pemberian obat (medication errors) sampai saat ini masih menjadi isu keselamatan pasien dan kualitas pelayanan di beberapa rumah sakit (Depkes RI, 2015; AHRQ, 2015). Perawat sebagai bagian terbesar dari tenaga kesehatan di rumah sakit, mempunyai peranan dalam kejadian medication error. Perawat berkontribusi karena perawat banyak berperan dalam proses pemberian obat. Pemberian obat/ Medication Administration adalah salah satu intervensi keperawatan yang paling banyak dilakukan, dengan sekitar 5- 20% waktu perawat dialokasikan untuk kegiatan ini (Härkänen et al.,, 2019). Pemberian obat juga mencakup tugas-tugas lain, seperti menyiapkan dan memeriksa obat obatan, memantau efek obat-obatan, mengedukasi pasien tentang pengobatan, dan memperdalam pengetahuan perawat tentang obat – obatan sendiri (DrachZahavy et al., 2014 dalam Yulianti et al., 2019)Berdasarkan isu tersebut, penulis tertarik untuk melakukan literature review terkait faktor perawat dalam pelaksanakan keselamatan pasien terhadap kejadian medication administration error di Rumah Sakit.

scholarly journals How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis

2020 ◽  
Author(s):  
Peter J Gates ◽  
Rae-Anne Hardie ◽  
Magdalena Z Raban ◽  
Ling Li ◽  
Johanna I Westbrook
Keyword(s):  
Systematic Review ◽  
Medication Error ◽  
Medication Errors ◽  
Meta Analysis ◽  
Error Rates ◽  
Prescribing Error ◽  
Before And After ◽  
Actual Harm ◽  
Computer Based ◽  
Wide Scale

Abstract Objective To conduct a systematic review and meta-analysis to assess: 1) changes in medication error rates and associated patient harm following electronic medication system (EMS) implementation; and 2) evidence of system-related medication errors facilitated by the use of an EMS. Materials and Methods We searched Medline, Scopus, Embase, and CINAHL for studies published between January 2005 and March 2019, comparing medication errors rates with or without assessments of related harm (actual or potential) before and after EMS implementation. EMS was defined as a computer-based system enabling the prescribing, supply, and/or administration of medicines. Study quality was assessed. Results There was substantial heterogeneity in outcomes of the 18 included studies. Only 2 were strong quality. Meta-analysis of 5 studies reporting change in actual harm post-EMS showed no reduced risk (RR: 1.22, 95% CI: 0.18–8.38, P = .8) and meta-analysis of 3 studies reporting change in administration errors found a significant reduction in error rates (RR: 0.77, 95% CI: 0.72–0.83, P = .004). Of 10 studies of prescribing error rates, 9 reported a reduction but variable denominators precluded meta-analysis. Twelve studies provided specific examples of system-related medication errors; 5 quantified their occurrence. Discussion and Conclusion Despite the wide-scale adoption of EMS in hospitals around the world, the quality of evidence about their effectiveness in medication error and associated harm reduction is variable. Some confidence can be placed in the ability of systems to reduce prescribing error rates. However, much is still unknown about mechanisms which may be most effective in improving medication safety and design features which facilitate new error risks.

scholarly journals Medication Error in Anaesthesia – A Review

2016 ◽  
Vol 27 (1) ◽  
pp. 31-35
Author(s):  
Montosh Kumar Mondal ◽  
Beauty Rani Roy ◽  
Shibani Banik ◽  
Debabrata Banik
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Medication Error ◽  
Medication Errors ◽  
Health Problem ◽  
Preventive Measures ◽  
Medical Profession ◽  
Public Health Problem ◽  
Global Public Health ◽  
Global Public Health Problem

Medication error is a major cause of morbidity and mortality in medical profession . There is an increasing recognition that medication errors are causing a substantial global public health problem, as many result in harm to patients and increased costs to health providers.Anaesthesia is now safe and routine, yet anaesthetists are not immune from making medication errors and the consequences of their mistakes may be more serious than those of doctors in other specialties. Steps are being taken to determine the extent of the problem of medication error in anaesthesia. In this review, incidence, types, risk factors and preventive measures of the medication errors are discussed in detail.Journal of Bangladesh Society of Anaesthesiologists 2014; 27(1): 31-35

scholarly journals Medication Errors: Scope and prevention strategies

2012 ◽  
Vol 1 (2) ◽  
pp. 54 ◽  
Author(s):  
Luigi Brunetti ◽  
Dong-Churl Suh
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Health Concern ◽  
Prevention Strategies ◽  
Error Prevention ◽  
Integration Of Technology ◽  
Significant Public Health Concern ◽  
Significant Public Health ◽  
Safety Systems ◽  
Improve Patient

Background: Medication errors are a significant public health concern.  Although significant advances have been made, errors are still relatively common and represent an opportunity for healthcare improvement.Methodology/Principal Findings: Since the publication of To Err is Human, medication errors have been under tremendous scrutiny.  Organizations have moved towards a non-punitive approach to evaluating errors.  This approach to medication errors has aided in identifying common pathways to medication errors and improving understanding regarding the anatomy of a medication error.  As a result, prevention strategies have been developed to target common themes contributing to errors.  Error prevention strategies may target common contributors of medication errors, broadly grouped as performance lapses, lack of knowledge, and lack or failure of safety systems.  Strategies to thwart medication errors range from process improvement to integration of technology in the health care environment.Conclusions/Significance:  Organizations should devote resources to address medication error prevention strategies in an effort to improve patient outcomes and decrease morbidity and mortality associated with medication errors.

scholarly journals Observational Study of Medication Error in Outpatient Pharmacy RSUP Dr. Hasan Sadikin Bandung

2017 ◽  
Vol 15 (2) ◽  
pp. 210
Author(s):  
Viki Hestiarini ◽  
Lia Amalia ◽  
Eni Margayani
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Drug Information ◽  
Data Entry ◽  
Care Process ◽  
Analysis Method ◽  
Risk Priority Number ◽  
Effect Analysis ◽  
Root Cause ◽  
Cause Of Failure

Medication error can occur at all stages, starting from prescribing, dispensing and administration of drugs. This study aims to assess the medication errors that occur in the pharmaceutical care process and analyze the cause of failure using the root cause analysis method, to improvement action and decrease the incidence of medication errors. The data were completeness prescription, frequency of dispensing error and completeness of drug information. The number of sample was 1100 prescriptions Prescribing errors were found the potential injury 15.69±11.51% and near missed error 0.5±0.55%. At dispensing stage, occur 427 incidences (9.71%), consist of two incidences (0.04%) for validation assessment regulations, 224 incidences (5.09%) of data entry, 113 incidences (2.57%) of retrieval of drugs, 19 incidences (0.43%) of fi ll in drugs, 69 incidences (1.57%) of fi nal check. At dispensing stage, near missed 330 incidences (7.51%) of near missed and 97 incidences (2.21%) of potential injury. Failure mode and effect analysis calculate of risk priority number, the drug retrieval (RPN 210) and data entry (RPN 126) were analyzed root cause of the analysis for man, material, method, facility and environment.

scholarly journals GAMBARAN KEJADIAN MEDICATION ERROR DI INSTALASI GAWAT DARURAT RSU ELIM RANTEPAO

PHARMACON ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 152
Author(s):  
Priskha Widiastuti ◽  
Gayatri Citraningtyas ◽  
Jainer P Siampa
Keyword(s):  
Data Collection ◽  
Medication Error ◽  
Medication Errors ◽  
Health Personnel ◽  
Dosage Form ◽  
Emergency Services ◽  
Descriptive Analysis ◽  
Medical Record Number ◽  
Prospective Data ◽  
Prescription Date

ABSTRACT Medication Error is an event that is detrimental to the patient due to errors in the administration of drugs during the handling of health personnel, which can actually be prevented. Data on incidents of medication errors at Elim Hospital, Rantepao in 2017 were 85 cases (0.085% of the total 98,892 prescription sheets served). This study aims to determine the incidence and the percentage of medication errors during the prescribing and dispensing phase in the Emergency Installation of Elim Hospital ,Rantepao. This research is a descriptive analysis with prospective data collection. The results showed that medication errors which occurred at prescribing stage included no prescription doctor's name was 9.19%, no medical record number was 6.13%, no doctor's initial was 99.61%, patient's name was not clear was 0.57% , there was no patient age, was 6.89%, no concentration / dosage was 2.68%, no dosage form was 52.10%, and no prescription date was  1.72%. While medication errors at the dispensing stage include taking the drug was 0.38% and the lack of drug prepared was 0.19%. Based on the results of the study, it can be concluded that the biggest occurrence of medication errors in Emergency Services at Elim Hospital, Rantepao was occurred in the prescribing phase.Keywords: medication error, prescribing, dispensing, Emergency Installation ABSTRAKMedication Error adalah kejadian yang merugikan pasien akibat kesalahan dalam pemberian obat selama penanganan tenaga kesehatan, yang sebetulnya dapat dicegah.  Data insiden kejadian medication error RSU Elim Rantepao pada tahun 2017 yaitu sebanyak 85 kasus (0,085 % dari total 98.892 lembar resep yang dilayani). Penelitian ini bertujuan menentukan kejadian dan persentase medication error pada fase prescribing dan dispensing di Instalasi Gawat Darurat RSU Elim Rantepao. Penelitian ini merupakan penelitian yang bersifat analisis deskriptif dengan pengumpulan data secara prospektif. Hasil penelitian menunjukkan bahwa medication error yang terjadi pada tahap prescribing meliputi tidak ada nama dokter penulis resep 9,19%, tidak ada nomor rekam medik 6,13%, tidak ada paraf dokter 99,61%, nama pasien tidak jelas 0,57%, tidak ada usia pasien 6,89%, tidak ada konsentrasi/dosis sediaan 2,68%, tidak ada bentuk sediaan 52,10 %, dan tidak ada tanggal pembuatan resep 1,72%. Sedangkan medication error pada tahap dispensing meliputi salah pengambilan obat 0,38% dan obat ada yang kurang 0,19%. Berdasarkan hasil penelitian maka dapat disimpulkan bahwa kejadian medication error di Instalasi Gawat Darurat RSU Elim Rantepao terbesar yaitu terjadi pada fase prescribing.Kata-kata kunci : medication error , prescribing, dispensing, Instalasi Gawat Darurat

scholarly journals American Pharmacists Attitudes and Behaviors Regarding Medication Error Disclosure

2020 ◽  
Vol 11 (4) ◽  
pp. 23
Author(s):  
Jennifer Mazan ◽  
Margaret Lett ◽  
Ana Quiñones-Boex
Keyword(s):  
Patient Safety ◽  
Medication Error ◽  
Random Sample ◽  
Medication Errors ◽  
Response Rate ◽  
Community Pharmacists ◽  
Full Disclosure ◽  
Attitudes And Behaviors ◽  
Error Disclosure ◽  
And Behaviors

Background: Patient safety places emphasis on full disclosure, transparency, and a commitment to prevent future errors. Studies addressing the disclosure of medication errors in the profession of pharmacy are lacking. Objective: This study examined attitudes and behaviors of American pharmacists regarding medication errors and their disclosure to patients. Methods: A 4-page questionnaire was mailed to a nationwide random sample of 2,002 pharmacists. It included items to assess pharmacists’ knowledge of and experience with medication errors and their disclosure. The data was collected over three months and analyzed using IBM SPSS 22.0. The study received IRB exempt status. Results: The response rate was 12.6% (n = 252). The average pharmacist respondent was a 57-year old (+ 12.1 years), Caucasian (79.8%), male (59.9%), with a BS Pharmacy degree (73.8%), and licensed for 33 years (+ 12.8 years). Most respondents were employed in a hospital (26.4%) or community (31.0 %) setting and held staff (30.9%), manager (29.1%), or clinical staff (20.6%) positions.  Respondents reported having been involved in a medication error as a patient (31.0%) or a pharmacist (95.5%). The data suggest that full disclosure is not being achieved by pharmacists. Significant differences in some attitudes and behaviors were uncovered when community pharmacists were compared to their hospital counterparts.  Conclusion: There is room for improvement regarding proper medication error disclosure by pharmacists.

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