scholarly journals Gambaran Medication Error Pada Resep Pasien Rawat Jalan di RSI Assyifa Sukabumi Periode Juni 2021

2021 ◽  
Vol 1 (11) ◽  
Author(s):  
Astriani Maulida ◽  
Wempi Eka Rusmana
Keyword(s):  
Medication Error ◽  
Cross Sectional

Medication error dapat didefinisikan sebagai kegagalan dalam proses pengobatan dan  terjadinya kesalahan dalam pengobatan yang dapat memengaruhi keselamatan pasien. Medication error dapat terjadi pada 4 fase yaitu prescribing (penulisan resep), transcribing (penerjemahan resep), dispensing (proses penyiapan hingga penyerahan) dan administration (penggunaan). Tujuan penelitian ini adalah untuk mengetahui proporsi kejadian medication error pada fase prescribing, transcribing, dan dispensing di Instalasi Farmasi Rawat Jalan RSI Assyifa Sukabumi. Metode pengambilan data yang digunakan yaitu teknik cross sectional dengan mengamati dan mencatat temuan medication error pada lembar checklist pengamatan yang berisi 27 parameter untuk masing-masing resep. Sampel dalam penelitian ini sebanyak 371 lembar resep pasien yang dilayani di Instalasi Farmasi Rawat Jalan RSI Assyifa Sukabumi selama bulan Juni 2021. Hasil penelitian menunjukkan adanya kesalahan pada beberapa parameter yang berpotensi menyebabkan terjadinya medication error. Pada fase prescribing  yaitu tidak adanya nomor rekam medis pasien sebanyak 100%, tidak ada tanggal lahir/usia pasien 91,64%, tidak ada jenis kelamin pasien 100%, tidak ada tanggal resep 49,87%, tidak ada paraf dokter 100%, dan  tidak  ada bentuk sediaan obat 96,77%. Pada fase transcribingyaitu tidakjelas/lengkap bentuk sediaan sebanyak 96,77%, tidak jelas/tidak lengkap aturan pakai 4,58%, tidak jelas/tidak lengkap usia pasien 91,64%, tidak jelas/tidak lengkap tanggal permintaan 49,87%, tidak jelas/tidak lengkap nama pasien 7,55%, tidak jelas/tidak lengkap nomor rekam medis pasien 100%, tidak jelas/tidak lengkap nama obat 0,27%, dan tidak jelas/tidak lengkap dosis pemberian obat 3,77%. Pada fase dispensing terjadi yaitu salah pengambilan obat sebanyak 1,89%, dan salah/tidak lengkap penulisan etiket 1,35%. Hasil penelitian menunjukkan nilai yang cukup tinggi pada beberapa parameter terutama pada fase prescribing.

Anticoagulant medication errors in hospitals and primary care: a cross-sectional study

2018 ◽  
Vol 31 (5) ◽  
pp. 346-352 ◽  
Author(s):  
Albert R Dreijer ◽  
Jeroen Diepstraten ◽  
Vera E Bukkems ◽  
Peter G M Mol ◽  
Frank W G Leebeek ◽  
...  
Keyword(s):  
Human Factors ◽  
Medication Error ◽  
Medication Errors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medication Process ◽  
Before And After ◽  
Anticoagulant Medication ◽  
Error Reports

Abstract Objective To assess the proportion of all medication error reports in hospitals and primary care that involved an anticoagulant. Secondary objectives were the anticoagulant involved, phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. Additional secondary objectives were the total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month and the proportion of causes of 1000 anticoagulant medication errors (comparing the pre- and post-guideline phase). Design A cross-sectional study. Setting Medication errors reported to the Central Medication incidents Registration reporting system. Participants Between December 2012 and May 2015, 42 962 medication errors were reported to the CMR. Intervention N/A. Main outcome measure Proportion of all medication error reports that involved an anticoagulant. Phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. The total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month (comparing the pre- and post-guideline phase) and the total number of causes of 1000 anticoagulant medication errors before and after introduction of the LSKA 2.0 guideline. Results Anticoagulants were involved in 8.3% of the medication error reports. A random selection of 1000 anticoagulant medication error reports revealed that low-molecular weight heparins were most often involved in the error reports (56.2%). Most reports concerned the prescribing phase of the medication process (37.1%) and human factors were the leading cause of medication errors mentioned in the reports (53.4%). Publication of the national guideline on integrated antithrombotic care had no effect on the proportion of anticoagulant medication error reports. Human factors were the leading cause of medication errors before and after publication of the guideline. Conclusions Anticoagulant medication errors occurred in 8.3% of all medication errors. Most error reports concerned the prescribing phase of the medication process. Leading cause was human factors. The publication of the guideline had no effect on the proportion of anticoagulant medication errors.

scholarly journals Individual Circadian Preference, Shift Work, and Risk of Medication Errors: A Cross-Sectional Web Survey among Italian Midwives

2020 ◽  
Vol 17 (16) ◽  
pp. 5810
Author(s):  
Rosaria Cappadona ◽  
Emanuele Di Simone ◽  
Alfredo De Giorgi ◽  
Benedetta Boari ◽  
Marco Di Muzio ◽  
...  
Keyword(s):  
Medication Error ◽  
Shift Work ◽  
Medication Errors ◽  
Preference Assessment ◽  
Early Morning ◽  
Healthcare Personnel ◽  
Self Perception ◽  
Perception Of Risk ◽  
Cross Sectional ◽  
Circadian Preference

Background: In order to explore the possible association between chronotype and risk of medication errors and chronotype in Italian midwives, we conducted a web-based survey. The questionnaire comprised three main components: (1) demographic information, previous working experience, actual working schedule; (2) individual chronotype, either calculated by Morningness–Eveningness Questionnaire (MEQ); (3) self-perception of risk of medication error. Results: Midwives (n = 401) responded “yes, at least once” to the question dealing with self-perception of risk of medication error in 48.1% of cases. Cluster analysis showed that perception of risk of medication errors was associated with class of age 31–35 years, shift work schedule, working experience 6–10 years, and Intermediate-type MEQ score. Conclusions: Perception of the risk of medication errors is present in near one out of two midwives in Italy. In particular, younger midwives with lower working experience, engaged in shift work, and belonging to an Intermediate chronotype, seem to be at higher risk of potential medication error. Since early morning hours seem to represent highest risk frame for female healthcare workers, shift work is not always aligned with individual circadian preference. Assessment of chronotype could represent a method to identify healthcare personnel at higher risk of circadian disruption.

Knowledge and Attitude toward Medication Error among Pharmacists

2020 ◽  
pp. 001857872096541
Author(s):  
Ruzmayuddin Mamat ◽  
Siti Asarida Awang ◽  
Siti Azlina Mohd Ariffin ◽  
Zahida Zakaria ◽  
Mastura Hanim Che Zam ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Medication Error ◽  
Cross Sectional Study ◽  
Public Health Care ◽  
Favorable Attitude ◽  
Cross Sectional ◽  
Survey Knowledge ◽  
Health Care Institutions ◽  
Knowledge And Attitude

Objective: This study aimed to evaluate knowledge and attitude toward medication error (ME) among pharmacists working in public health care institutions. Methods: A cross-sectional study was conducted among pharmacists working in public health care institutions. Respondents were randomly recruited from 5 hospitals and 25 primary healthcare clinics in the state of Pahang, Malaysia. A set of self-administered questionnaires was used to assess their knowledge and attitude, distributed as a web-based survey. Knowledge and attitude toward ME reporting were assessed using five-point Likert-scale. This study was conducted between May and July 2019. Results: A total of 186 respondents participated in the study. A majority of respondents were female (n = 144). About 90% of the respondents had good score on knowledge on ME. Only 25.4% of the respondents had favorable attitude toward ME reporting. Female pharmacists ( P = .001), more experienced pharmacists ( P = .012) and those working in primary health clinics ( P = .014) were associated with more favorable attitude. Knowledge did not correlate well with attitude toward ME reporting (r = 0.08, P = .29). Conclusion: Despite having good knowledge on ME, the attitude toward ME reporting was still very poor among the pharmacists.

scholarly journals KNOWLEDGE AND ATTITUDE OF MEDICATION ERROR AMONG NURSES IN FEDERAL NEURO-PSYCHIATRIC HOSPITAL, CALABAR

2021 ◽  
Vol 1 (6) ◽  
pp. 20-44
Author(s):  
Edet Okon Umoh ◽  
Blessing Oduenyi Opue
Keyword(s):  
Staff Development ◽  
Medication Error ◽  
Survey Design ◽  
Sampling Technique ◽  
Working Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significance Level ◽  
Adequate Knowledge ◽  
Knowledge And Attitude

This study was conducted to assess knowledge and attitude of medication among Nurses in Federal Neuropsychiatric Hospital, Calabar. Three (3) research questions were raised and one hypothesis formulated to direct the study. The descriptive cross-sectional survey design was used to study a total of one hundred and two (102) nurses selected from the study area using the stratified random sampling technique. A well developed and structured questionnaire was used for data collection. The questionnaire was duly validated and its reliability ensured. Data collected were analyzed using descriptive statistics of frequency count, simple percentage, mean, weighted mean, and standard deviation. The study hypothesis was tested using Pearson Product Moment Correlation Coefficient analysis with its significance level set at 0.05. Findings of the study revealed that majority (73.6%) of the nurses used for the study had adequate knowledge of medication error, and majority (72.6%) had positive attitude towards prevention of medication error in the Hospital. Factors that affect safe medication practices among the nurses include: individual negligence, excessive workload, inadequate staff strength, poor working environment, lack of staff development and training, lack of equipment and supplies, non-regular review of patient’s drugs by doctors, and prescription of under dosage drug by doctors. There is a statistically significant and positive relationship between knowledge and attitude of nurses towards prevention of medication error. Based on these findings, it was recommended that government should employ more qualified nurses to increase the strength of nurses in the Hospital and improve the nurse-patient ratio to avoid excessive workload which is a strong and significant contributing factor to medication error among nurses in the Hospital.

scholarly journals Perbandingan Dispensing Error di Ruang Perawatan dengan Sistem Unit Dose Dispensing (UDD) dan Non Unit Dose Dispensing (Non UDD) di RSM Ahmad Dahlan Kota Kediri

2020 ◽  
Vol 2 (2) ◽  
pp. 71
Author(s):  
Nur Prasetyo Nugroho
Keyword(s):  
Medication Error ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Drug Checking ◽  
Chi Square Test ◽  
Unit Dose ◽  
Unit Dose Dispensing ◽  
Dispensing Error ◽  
Dispensing Errors

 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

scholarly journals IDENTIFIKASI MEDICATION ERROR FASE COMPOUNDING PADA PASIEN ANAK RAWAT JALAN DI RSUD LABUANG BAJI MAKASSAR

Media Farmasi ◽  
2019 ◽  
Vol 13 (2) ◽  
pp. 22
Author(s):  
Raimundus Chalik ◽  
Rusli Rusli ◽  
Nurul Hasanah
Keyword(s):  
Medication Error ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Compounding error adalah suatu kesalahan yang terjadi pada proses peracikan, peracikan obat umumnya menjadi solusi terhadap keterbatasan formula obat untuk anak, yang berkaitan dengan medication error (ME). Tujuan penelitian ini untuk mengidentifikasi kejadian ME fase compounding. Penelitian ini merupakan penelitian observasional deskriptif rangcangan penelitian adalah cross sectional study. Hasil penelitian menemukan bahwa terjadi kesalahan pada Kebersihan alat dan meja racik 19,33%, obat tumpah pada saat pembuatan kapsul/puyer 14,66%, tidak mencuci tangan/memakai sarung tangan pada saat meracik obat 19,33%, perhitungan obat yang kurang akurat (seperti dibelah) 13,33%, dosis kurang karena menempel pada mortir dan blender 13,33%, dan meracik menggunakan blender 11,33%. hasil penelitian menyimpulkan bahwa terjadi medication error pada fase compounding. Kata kunci : medication error, compounding error

scholarly journals IDENTIFIKASI MEDICATION ERROR FASE DISPENSING PADA PASIEN ANAK DI RSUD LABUANG BAJI MAKASSAR

Media Farmasi ◽  
2020 ◽  
Vol 16 (1) ◽  
pp. 84
Author(s):  
Raimundus Chalik ◽  
Asyhari Asyikin ◽  
Muh.Nurda Hadi Muchtar
Keyword(s):  
Medication Error ◽  
Pediatric Patient ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Probability Sampling ◽  
Dispensing Error

Dispensing error adalah kesalahan yang terjadi atau berpotensi terjadi sejak proses penyiapan hingga penyerahan obat kepada pasien. Dispensing error merupakan salah satu komponen medication error yang terjadi di Rumah Sakit yang dapat merugikan pasien. Tujuan penelitian ini untuk mengidentifikasi kejadian medication error fase dispensing pada pasien anak. Penelitian ini merupakan penelitian observasional deskriptif dengan rangcangan cross sectional study. Sampel sebanyak 100 lembar resep pasien anak yang ditentukan secara probability sampling. Penelitian ini dilaksanakan pada bulan Mei – Juli 2019 di RSUD Labuang Baji Makassar. Hasil penelitian menemukan bahwa terjadi kesalahan pada parameter salah mengambil obat (2%), ada obat yang kurang  (5%), sedangkan untuk parameter pemberian obat diluar instruksi, obat rusak/kadaluarsa, pemberian etiket yang tidak lengkap, salah pasien, informasi obat kepada pasien salah tidak ditemukan dispensing error. Hasil penelitian menyimpulkan bahwa terjadi dispensing error pada kategori salah mengambil obat dan obat kurang.Kata kunci : medication error, dispensing error, pediatric patient, RSUD Labuang Baji

scholarly journals Prescription audit to evaluate the pattern and errors in a tertiary care hospital

2019 ◽  
Vol 8 (12) ◽  
pp. 2650
Author(s):  
Poonam Patel ◽  
Murtuza Bhora ◽  
Akash Vishwe ◽  
P. Nyati ◽  
S. Tripathi ◽  
...  
Keyword(s):  
Medication Error ◽  
Tertiary Care ◽  
Training Session ◽  
Total Duration ◽  
Public Health Issue ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prescription Audit ◽  
Common Mistake ◽  
Essential Components

Background: Medication errors are widespread public health issue. Prescription errors commonly results in medication error. Prescription error can be largely avoidable this study was performed with aim to point out the common mistake in the prescription which may endanger patients.Methods: Our study was cross-sectional and observational, performed in Index Medical College. 320 prescriptions were reviewed. Analysis was done for presence or absence of essential components of prescription like prescriber information’s, patients information’s, details of drug like its dosage form, strength, frequency, total duration of treatment, warnings or instruction for use. The observed data was expressed in number and percentage.Results: Patient information was complete 315 (98.44%) in prescriptions. Prescriber’s information were present in 284 (88.75%). Legibility was seen in 240 (75%). Use of generic drug, capital letters for drug name, warning are seen in 9 (2.81%), 39 (12.19%), 3 (0.94%) respectively. Completeness in terms of the name of drug, dose, strength, route, frequency, duration and dosage forms of prescribed drugs was seen in 252 (78.75%) prescriptions.Conclusions: Properly framed and written prescription can largely prevent medication error. Regular prescription audit must be carried out so that common mistake can be identified and corrective measure with the help of training session, workshop can be taken.

scholarly journals Analisis faktor-faktor yang mempengaruhi perilaku perawat dalam rangka penerapan pasien safety di Rawat Inap Rumah Sakit Royal Prima Jambi Tahun 2018

2019 ◽  
Vol 8 (1) ◽  
pp. 369-380
Author(s):  
Yulidar Yulidar ◽  
Ermi Girsang ◽  
Ali Napiah Nasution
Keyword(s):  
Medication Error ◽  
P Value ◽  
Cross Sectional

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.

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