scholarly journals Komunikasi, Lingkungan, Gangguan Interupsi, Beban Kerja dan Edukasi Mempengaruhi Medication Error Perawat Di Instalasi Rawat Inap Rumah Sakit

2020 ◽  
pp. 343-353
Author(s):  
Ahmad Safii Hasibuan ◽  
Syamsopyan Ishak ◽  
Erni Yetti R

Keputusan Menteri Kesehatan tentang Standar Pelayanan Minimal menyatakan bahwa diharapkan tidak adanya kejadian kesalahan pemberian obat sebesar 100%, hal itu berarti bahwa seharusnya kejadian kesalahan pemberian obat atau medication error   tidak boleh terjadi satupun dalam pelayanan kesehatan. Terjadinya medication error   di instalasi Rawat Inap RSUD Kota Padangsidimpuan tahun 2015-2017 sebanyak 13 kejadian, meskipun sebagian besar kasus tidak terjadi dampak yang sangat fatal. Penelitian ini bertujuan untuk menganalisis faktor yang berpengaruh terhadap terjadinya medication error   yang dilakukan perawat Instalasi Rawat Inap RSUD Kota Padangsidimpuan. Jenis penelitian ini adalah survei analitik dengan menggunakan pendekatan cross sectional. Populasi adalah seluruh perawat yang secara langsung berinteraksi dengan pasien. sebesar 122 perawat yang terbagi dari 11 ruangan didapat sampel sebanyak jumlah sampel keseluruhan sebanyak 93 perawat. Data diperoleh dengan wawancara menggunakan kuesioner dan dianalisis menggunakan uji regresi logistik berganda dengan α = 0,05 dan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa variabel yang memberikan pengaruh signifikan terhadap variabel terhadap terjadinya medication error   yang dilakukan perawat Instalasi Rawat Inap RSUD Kota Padangsidimpuan adalah variabel kondisi lingkungan dengan nilai p value = 0,002, variable beban kerja dengan nilai p value = 0,007, dan variable edukasi dengan nilai p value = 0,001. Kesimpulan diperoleh bahwa manajemen RSUD Kota Padangsidimpuan perlu memberikan sosialisasi di bidang pengetahuan dan keterampilan mengenai obata-obatan atau farmakologi maupun medication error guna meminimalisir angka kejadian medication error   hingga 0 untuk dapat memenuhi Standar Pelayanan Minimal Rumah Sakit.

2020 ◽  
Vol 2 (2) ◽  
pp. 71
Author(s):  
Nur Prasetyo Nugroho

 Abstrak                                            Latar belakang: Unit Dose Dispensing (UDD) adalah metode pelayanan farmasi dimana sediaan obat oral dan injeksi pada pasien diberikan dalam bentuk dosis tunggal. Kelebihan dari metode UDD adalah terdapat profil pengecekan obat untuk pasien sehingga insiden medication error tahap dispensing dapat dihindarkan atau dikoreksi terlebih dahulu. Penelitian ini bertujuan untuk mengetahui perbandingan dispensing error di ruangan dengan sistem UDD dan non UDD di RSM Ahmad Dahlan Kediri.Metode: Penelitian ini bersifat observasi analitik studi komparasi dengan desain cross-sectional pada unit rawat inap dengan sistem UDD dan Non UDD di RSM Ahmad Dahlan Kediri selama periode 15-17 November 2018.Hasil: Didapatkan jumlah sampel penelitian sebanyak 336 sampel dengan distribusi 147 (43,2%) sampel dari ruang Non UDD dan 189 (56,8%) sampel dari ruangan UDD. Terjadi dispensing error pada 58 sampel yaitu sebanyak 39 (67%) sampel di ruang Non UDD dan 19 (33%) sampel di ruang UDD. Dispensing error meliputi pemberian etiket yang tidak lengkap sebanyak 40 (69%) kejadian, adanya pemberian obat di luar instruksi sebanyak 15 (24%) kejadian, dan omission atau obat yang kurang sebanyak 4 (7%) kejadian. Pada uji chi-square didapatkan p-value 0,009 (<0,05) yang berarti terdapat perbedaan yang bermakna pada kejadian dispensing error di ruangan dengan sistem UDD dan Non UDD.Kesimpulan: Medication error pada fase dispensing di unit rawat inap dengan sistem UDD lebih rendah dibandingkan dengan unit rawat inap dengan sistem Non UDD.Kata kunci: Dispensing error, Unit Dose Dispensing (UDD), FarmasiAbstractBackground: Unit Dose Dispensing (UDD) is a pharmaceutical service method wherein oral and injection preparations in patients are given in the form of a single dose. The advantage of the UDD method is that there is a profile of drug checking for patients so that the incidence of medication errors in the dispensing phase can be avoided or corrected first. This study was aimed to determine the comparison of dispensing errors in the ward with the UDD and non UDD systems at Ahmad Dahlan Kediri Hospital.Method: This research is analytical observation comparative study with cross-sectional design in the ward with a system of UDD and Non UDD in Ahmad Dahlan Muhammadiyah Hospital Kediri for the period November 15-17th 2018.Result: There were 336 total samples with 147 (43.2%) distribution from Non-UDD ward and 189 (56.8%) from UDD ward. There were 58 dispensing errors namely 39 (67%) samples in the Non-UDD ward and 19 (33%) samples in the UDD ward. Dispensing errors include the administration of incomplete etiquette of 40 (69%) samples, the presence of drugs outside the instructions of 15 (24%) samples, and omission or less of drugs of 4 (7%) samples. In the chi-square test the p-value is 0.009 (<0.05) which means that there were significant differences in dispensing error in the UDD and Non-UDD ward.Conclusion: Dispensing error in the ward with UDD system is lower compared to the ward with Non-UDD system.Key words: Dispensing error, Unit Dose Dispensing (UDD), Pharmacy


2019 ◽  
Vol 8 (1) ◽  
pp. 369-380
Author(s):  
Yulidar Yulidar ◽  
Ermi Girsang ◽  
Ali Napiah Nasution

Dari hasil laporan Komite Keselamatan Pasien Rumah Sakit Royal Prima Jambi salah satu penyebab terjadinya KTD adalah salah identifikasi yang dilakukan oleh petugas kesehatan rumah sakit. Data insiden keselamatan pasien tahun 2017 melaporkan analisis penyebab terjadinya insiden kesalahan dalam pemberian obat dikarenakan komunikasi tidak efektif sehingga terjadi medication error, selain itu juga dikarenakan prosedur tidak dijalankan dengan benar. Untuk mengindari kesalahan dalam identifikasi pasien maka sangat diperlukan gelang identitas pasien yang dibutuhkan untuk membantu mengidentifikasi pasien. Setiap pasien dirumah sakit berhak diidentifikasi secara benar. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi perilaku perawat dalam rangka penerapan pasien safety di Rawat Inap Rumah Sakit Royal Prima Jambi Tahun 2018. Jenis penelitian ini adalah cross sectional. Sampel dalam penelitian ini adalah perawat di ruang keperawatan Bougenvillle, Crysant, Edelweis dan Aster sebanyak 51 responden. Data dianalisis dengan menggunakan Chi-Squere dan Regresi Logistik. Hasil penelitian menunjukkan ada pengaruh yang signifikan antara pengetahuan (p – value = 0,008), sikap (p – value = 0,000), fasilitas (p – value = 0,000), dan pengalaman kerja (p – value = 0,002) terhadap perilaku  perawat dalam rangka penerapan pasien safety di Rawat Inap Rumah Sakit Royal Prima Jambi Tahun 2018  . Dan setelah melakukan uji logistic berganda dari 3 model didapatkan bahwa faktor yang paling dominan berpengaruh terhadap perilaku  perawat dalam rangka pasien safety adalah sikap dengan nilai exponen B 87.535 dengan nilai p = 0,001.


2020 ◽  
Vol 8 (1) ◽  
pp. 96
Author(s):  
Christi Adriana ◽  
Antonius Nugraha ◽  
Deborah Siregar ◽  
Elfrida Silalahi

<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>


2018 ◽  
Vol 1 (2) ◽  
pp. 58
Author(s):  
Setia Budi ◽  
Ria Dila Syahfitri

The rate of stroke incidence is about 200 per 100,000 people throughout the world. This study aims to determine the Relation Suffer Stroke With Independence Level In Neurology Polyclinic TK II DR Ak Gani Palembang Year Hospital 2017. The research method used is descriptive quantitative with cross sectional design that is done by interviewing techniques with questionnaires on 42 respondents with Accidental sampling technique. This research was conducted in August 2017. Data analysis used is univariate data analysis and bivariate data analysis with one way anova test result. The results of univariate analysis showed that the duration of the respondents suffering from stroke was between 2.10 years to 3.38 years. Also found that most respondents were at the level of independence f; independent, except bathing, dressing, moving, and one other function with a total of 12 respondents. The results showed that there was a significant relationship between the long suffering stroke with the level of independence with the value of p value 0.025. For that the need for rehabilitation to patients and families of patients in order to help improve the independence of stroke patients in doing their daily activities. Keywords : Long Suffer Stroke, Level of Independence


2018 ◽  
Vol 1 (1) ◽  
pp. 60
Author(s):  
Widya Arisandy

Knowledge is the result of �know� and this is happening after they made a sensing towards an object certain .Sensing towards an object occur through panca human senses the sight , hearing , of smell , taste and touched with own .Knowledge about the implementation of the nurse strategy is obliged to understandable and in understand by a nurse soul .Many things can affect knowledge a nurse soul both internally and externally.Strategy the implementation of the act of nursing is a in made as a guide by a nurse if when interacting with disorder patients hallucinations.The purpose of research to know relations factors internal a nurse with knowledge nurse in the application of the implementation of the strategy in patients with disorder hallucinations in inpatient Rooms Hospital Ernaldi Bahar The Province Of South Sumatera 2017 . The kind of research done is research quantitative by using the method survey analytic approach in cross sectional .Technique the sample collection that is using a technique the sample collection total of sampling , the number of the sample are always 33 people .To research this independent variable consists of education , length of employment and the days of while dependent variable is knowledge nurse about strategy the implementation of the hallucinations . the results of this research was obtained one variable are associated than 3 variable internal factors researched namely working time with the results of p-value 0,011. Researchers hope from the results of this research , nurses can identify any factor that could affect the knowledge nurses and also can be used to understand the science of psychiatric Keywords : Nurses Knowledge, Strategy Implementation Hallucinations


2018 ◽  
Vol 1 (1) ◽  
pp. 43-50
Author(s):  
Juliana Widyastuti Wahyuningsih

Childbirthis a processLabor of opening and depleting the cervix and the fetus down into the birth canal. Birth is a process in which the fetus and amniotic are pushed out through the birth canal. (Sarwono, 2008). According to the World Health Organization (WHO) estimates more than 585,000 mothers annually die during pregnancy or childbirth. Indonesia Health Demographic Survey (SDKI) Survey in 2012, Maternal Mortality Rate in Indonesia is still high at 359 per 100,000 live births. The purpose of this study is the knowledge of maternal knowledge, maternal age, and maternal parity associated with normal birth events at Palembang Bari Hospital 2017. This study used analytical survey method with cross sectional approach. The population in this study were all maternal mothers at the Palembang Bari Hospital in 2017. Sampling in the study was conducted non-randomly with the technique of "Accidental Sampling". Data analysis was done univariat and bivariate with Chi-Square statistical test with significance level α = 0,05. The result of this research shows that there is correlation between mother's knowledge with normal delivery incidence with p value 0,001, there is correlation between mother age with normal delivery incidence with p value 0,009, there is relation between mother parity with normal delivery incidence with p value 0,001. From result of this research hopes healthcare workers can improve normal delivery care services and more often to carry out maternal safety counseling.


Author(s):  
Dr. Mukesh Batra

Background: Leukoderma is an acquired disease of pigmentation which is presented by depigmented areas of different shape and sizes on the skin. In various researches it was reported that these defects in melanocytes occurred due to autoimmune pathway or the complex causation of oxidative stress and genetics. Material & Methods: In the present cross‑sectional prospective study 100 patients who were diagnosed with Leukoderma and controls who were not having depigmentation of skin and without any known clinical disease were enrolled for present study by simple random sampling. Written informed consent was taken from each study participant. Clearance from institutional ethical committee was also taken prior to the study. Results: The prevalence of psychiatric illness among leukoderma group was 22% and among 78% patients we did not found any psychiatric illness. The most common symptom was depression which was present among 22% of patients with Leukoderma and 18% patients with Leukoderma had anxiety symptoms. Among the control group depression was present in 5 % subjects and anxiety symptoms were present in 7% of subjects. The mean WHO-Quality of life scores was low among Leukoderma group in relation to the control group (p value <0.05). On correlation with psychiatric illness, observations were statistically non-significant (p > 0.05) with HAMA-A and HAMA- D. The observations were statistically significant (p < 0.05) with GHQ total and BSA score. Conclusion:  Higher prevalence of psychitric morbidity among patients with leukoderma and it was found associated with duration of disease and BSA scores. The most common symptom was depression which was followed by anxiety symptoms. Key words: Leukoderma, psychiatric illness, anxiety, depression.


2019 ◽  
Vol 11 (2) ◽  
pp. 87-92
Author(s):  
Dwi Indah Iswanti ◽  
Fery Agusman Motuho Mendrofa ◽  
Diyanto Diyanto

Kemandirian bukanlah keterampilan yang muncul secara tiba-tiba tetapi perlu diajarkan dan dilatih pada anak agar tidak menghambat tugas- tugas perkembangan anak selanjutnya. Terutama pada anak yang mengalami retardasi mental akan sangat membutuhkan dukungan dari keluarga. Tujuan penelitian untuk mengetahui hubungan  dukungan keluarga dengan tingkat kemandirian anak retardasi mental di SLB Negeri Semarang. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh orang tua siswa kelas IV-VI di SLB Negeri Semarang yang berjumlah 64 siswa. Teknik sampling yang digunakan adalah total sampling. Dukungan keluarga pada anak retardasi mental sebagian besar adalah mendukung yaitu sebanyak 53,1%, kemandirian anak retardasi mental sebagian besar adalah kurang mandiri yaitu sebanyak 53,1%. Hasil uji statistik menemukan ada hubungan antara dukungan keluarga dengan kemandirian anak retardasi mental di SLB Negeri Semarang, dengan p value sebesar 0,000.   Kata kunci : dukungan keluarga, kemandirian anak retardasi mental THE CORRELATION BETWEEN FAMILY SUPPORT AND THE LEVEL OF INDEPENDENCE OF MENTALLY RETARDED CHILDREN   ABSTRACT Independence is not a skill that emerges suddenly but needs to be taught and trained in children so as not to inhibit the tasks of further child development. Especially for children who are mentally retarded, they will need support from the family. Research objectives to find out the correlation between family support and the level of independence of mentally retarded children in extraordinary school State of Semarang. This study uses a quantitative method with a cross sectional approach. The population in this study were all parents of students in class IV-VI in Semarang State SLB, amounting to 64 students. The sampling technique used is total sampling. Family support for mentally retarded children was mostly supportive, as much as 53.1%, the independence of most mentally retarded children was less independent, which was as much as 53.1%. The results of statistical tests found that there was a correlation between family support and the independence of mentally retarded children in Semarang State SLB, with a p value of 0,000.   Keywords: family support, independence of mentally retarded children


2019 ◽  
Vol 9 (4) ◽  
pp. 413-420
Author(s):  
Amella Gusty ◽  
Dachriyanus Dachriyanus ◽  
Leni Merdawati

Kinerja perawat merupakan hasil yang dicapai dalam melaksanakan asuhan keperawatan di rumah sakit. Terciptanya asuhan keperawatan yang optimal sangat diperlukan dukungan dari pihak rumah sakit salah satunya adalah menciptakan kualitas kehidupan kerja baik bagi perawat. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas kehidupan kerja terhadap kinerja perawat pelaksana di RSUD Teluk Kuantan. Jenis penelitian kuantitatif dengan pendekatan cross sectional. Jumlah sampel 120 responden yang diperoleh melalui proportionate simple random sampling. Hasil penelitian menunjukkan kualitas kehidupan kerja perawat RSUD Teluk Kuantan berada pada kategori sedang, kinerja perawat berada pada kategori kurang baik. Berdasarkan analisis kedua variabel teridentifikasi bahwa tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana dengan  p value 0,817. Dimensi work context merupakan komponen yang memiliki hubungan dengan kinerja perawat pelaksana dengan p value 0,008, dimensi work life  tidak berhubungan secara signifikan dengan kinerja perawat. Kesimpulan penelitian diketahui tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana. Ada hubungan dimensi work context dengan kinerja perawat pelaksana. Tidak ada hubungan dimensi work life dengan kinerja perawat.   Kata kunci: kualitas kehidupan kerja, kinerja, perawat pelaksana   THE RELATIONSHIP BETWEEN THE QUALITY OF WORK LIFE AND THE PERFORMANCE OF IMPLEMENTERS NURSES   ABSTRACT Nurse performance is the result achieved in implementing nursing care in a hospital. The creation of optimal nursing care is very much needed support from the hospital, one of which is to create a good quality of work life for nurses. This study aims to determine the relationship between the quality of work life and the performance of nurses at the Kuantan District Hospital. This type of quantitative research with cross sectional approach. The number of samples of 120 respondents obtained through proportionate simple random sampling. The results showed that the quality of work life of nurses at the Kuantan District Hospital was in the medium category, the nurses' performance was in the unfavorable category. Based on the analysis of the two variables, it was identified that there was no relationship between the quality of work life with the performance of implementing nurses with a p value of 0.817. The work context dimension is a component that has a relationship with the performance of nurses implementing with p value 0.008, the dimension of work life does not significantly correlate with nurse performance. The conclusion of the research is that there is no relationship between the quality of work life and the performance of the implementing nurses. There is a relationship between the dimensions of the work context and the performance of the nurses. There is no relationship between the dimensions of work life and nurse performance.   Keywords: quality of work life, performance, implementers nurse


2019 ◽  
Vol 9 (2) ◽  
pp. 135-140
Author(s):  
Qurrotul Aeni ◽  
Andriyani Mustika Nurwijayanti ◽  
Muhammad Khabib Burhanuddin Iqomh

Introduction: anxiety is a condition that will be experienced by children who experience hospitalization and must get attention and management. Anxiety during hospitalization that is not properly addressed will hinder treatment and affect child development. The purpose of the study: to determine the relationship between therapeutic communication nurses and the anxiety of preschool children due to hospitalizationMethod: The study design used descriptive correlation with a cross-sectional approach. The number of samples is 31 with purposive sampling. Collecting research data using a questionnaire.Results: The results showed a majority of therapeutic communication was 61.3%, anxiety in children due to hospitalization of 100% with severe anxiety was 58.1%, there was a relationship between therapeutic communication and children's anxiety (p = 0.001). Suggestions need to be carried out further research on the factors that influence the low therapeutic communication in nurses.Discussion: The results of the statistical analysis using the Spearman's Rho test got p value 0.001 (p <0.05) the relationship between therapeutic communication and the anxiety of pre-school age children who experienced hospitalization, therapeutic communication can be used as an action to prevent anxiety due to hospitalization in pre-school age children.Suggestion: need to do further research on the factors that influence the low therapeutic communication in nurses Keywords: therapeutic communication, anxiety, hospitalization.  


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