scholarly journals FAKTOR PENYEBAB MEDICATION ERROR PADA PELAYANAN KEFARMASIAN RAWAT INAP BANGSAL ANAK RSUD TOBELO

PHARMACON ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 159
Author(s):  
Steyfan Benawan ◽  
Gayatri Citraningtyas ◽  
Weny I Wiyono
Keyword(s):  
Medication Error ◽  
Environmental Conditions ◽  
Pediatric Patients ◽  
Health Workers ◽  
Oral Communication ◽  
Drug Preparation ◽  
Prospective Data ◽  
Patient Medication ◽  
Causative Factors ◽  
Concrete Action

ABSTRACT The incidence of Medication Error (ME) is found to be quite high in prescribing pediatric patients. The high problem of ME in pediatric patients shows the need for concrete action to reduce the incidence so the incident that harm pediatric patients can be avoided. The purpose of the research is to know the causes of ME in the prescribing and dispensing phase. This research using descriptive study with prospective data collection techniques. This result showed that causative factors of the ME prescribing phase work disturbances which were disturbed by telephone ringing, include workloads that are health workers unable to solve themselves every job, communication such as lack of good oral communication of doctors and pharmacist about drug use for patients, environmental conditions that were lighting that were less supportive at work, and education namely prescription writing that does not meet the prescription completeness requirements. Factors that cause ME dispensing work disturbances which were disturbed by telephone ringing, communication that is lacking in communication between pharmacist and nurses in preparing patient medication, include workloads that are health workers unable to solve themselves every job, environmental conditions namely the absence of drug preparation, and education rooms preparations of drugs that are not according to the prescription.Keywords: Medication error, hospitalization, pediatric ward. ABSTRAK Kejadian Medication Error (ME) ditemukan cukup tinggi pada resep pasien anak. Tingginya permasalahan ME pada pasien anak menunjukan perlunya tindakan nyata untuk mengurangi kejadian tersebut agar dapat dihindari hal-hal yang merugikan bagi pasien anak. Tujuan penelitian yaitu mengetahui faktor penyebab ME pada fase prescribing dan dispensing. Penelitian ini merupakan penelitian deskriptif dengan teknik pengambilan data secara prospektif. Hasil penelitian menunjukkan bahwa faktor penyebab ME fase prescribing meliputi gangguan bekerja yaitu terganggu dengan dering telepon, beban kerja yaitu tenaga kesehatan tidak mampu mengerjakan sendiri setiap pekerjaan, komunikasi yaitu kurang baiknya komunikasi lisan dokter dan apoteker tentang penggunaan obat untuk pasien, kondisi lingkungan yaitu pencahayaan yang kurang mendukung saat bekerja, dan edukasi yaitu penulisan resep yang tidak memenuhi syarat kelengkapan resep. Faktor penyebab ME fase dispensing meliputi gangguan bekerja yaitu terganggu dengan dering telepon, komunikasi yaitu kurang baiknya komunikasi apoteker dan perawat dalam penyiapan obat pasien, beban kerja yaitu tenaga kesehatan tidak mampu menyelesaikan sendiri setiap pekerjaan, kondisi lingkungan yaitu tidak adanya ruangan penyiapan obat, dan edukasi yaitu penyiapan obat yang tidak sesuai permintaan resep.Kata Kunci: Medication error, rawat inap, bangsal anak.

scholarly journals FAKTOR PENYEBAB MEDICATION ERROR DI INSTALASI GAWAT DARURAT (IGD) RUMAH SAKIT BHAYANGKARA TK.III MANADO

PHARMACON ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 426
Author(s):  
Leydia Angkow ◽  
Gayatri Citraningtyas ◽  
Weny I. Wiyono
Keyword(s):  
Data Collection ◽  
Human Resources ◽  
Medication Error ◽  
Environmental Conditions ◽  
Health Workers ◽  
Phase Error ◽  
Descriptive Study ◽  
Prospective Data ◽  
Work Area ◽  
Drug Names

ABSTRACTPatients who enter the ECU room need fast and appropriate help, but in reality there are reports of Medication Errors in the ECU. The purpose of this research is to find out the causes factors of Medication Error in the prescribing and dispensing phase. This research is a descriptive study with prospective data collection using questionnaires. The results showed that the factors causing Medication Error on prescribing phase error included the workloads that were unbalanced of workloads and human resources (HR), interruptions which were interrupted by ringing the telephone, communication such as the incomplete writing of drug names, environmental conditions such as the temperature working area was less supportive while working, and education, namely prescription writing that does not meet the prescription completeness requirements. Factors that causes Medication Error on dispensing phase include workloads of health workers are not able to solve on the every of their own job, interruptions that interrupting working by telephone ringing, environmental conditions on the work area temperature is less supportive when working, education such as preparation of drugs that are not in recipe request, and communication, namely the communication system regarding the stock of pharmaceutical supplies in the Pharmacy Installation did not run smoothly.Keywords: Causes, Medication Error, Emergency Room, Bhayangkara Hospital.ABSTRAKPasien yang masuk IGD perlu pertolongan yang cepat dan tepat, namun kenyataannya terdapat pelaporan kejadian Medication Error di IGD. Tujuan penelitian yaitu mengetahui faktor penyebab Medication Error pada fase prescribing dan dispensing. Penelitian ini merupakan penelitian deskriptif dengan pengambilan data secara prospektif menggunakan kuisioner. Hasil penelitian menunjukkan bahwa faktor penyebab Medication Error fase prescribing meliputi beban kerja yaitu beban kerja dan SDM tidak seimbang, gangguan/interupsi bekerja yaitu terganggu dengan dering telepon, komunikasi yaitu penulisan nama obat tidak lengkap, kondisi lingkungan yaitu suhu area kerja kurang mendukung saat bekerja, dan edukasi yaitu penulisan resep yang tidak memenuhi syarat kelengkapan resep. Faktor penyebab Medication Error fase dispensing meliputi beban kerja yaitu tenaga kesehatan tidak mampu menyelesaikan sendiri setiap pekerjaan, gangguan/interupsi bekerja yaitu terganggu dengan dering telepon, kondisi lingkungan yaitu suhu area kerja kurang mendukung saat bekerja, edukasi yaitu penyiapan obat yang tidak sesuai permintaan resep dan komunikasi yaitu sistem komunikasi mengenai stok perbekalan farmasi di Instalasi Farmasi tidak berjalan lancar. Kata Kunci: Faktor penyebab, Medication Error, Instalasi Gawat Darurat, Rumah Sakit Bhayangkara

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 Analisis Faktor Yang Mempengaruhi Peran Perawat Dalam Pencegahan Medication Error Diruang Rawat Inap Rumah Sakit Awal Bros Batam

2019 ◽  
Vol 15 (2) ◽  
pp. 130
Author(s):  
Novi Yulianti ◽  
Hema Malini ◽  
Sri Muharni
Keyword(s):  
Medication Error ◽  
Health Workers ◽  
P Value ◽  
Inpatient Ward ◽  
High Care ◽  
Unit Dose ◽  
Unit Dose Dispensing ◽  
Relationship Of ◽  
The Relationship

AbstractMedication Error is an event that not only can harm the patient but also may endanger the safety of patients conducted by health workers, especially for patient safety. This study aims to examine and analyze the role of factors that contribute to the nurse's role in preventing medication error in hospitals Awal Bros Batam. This research method is quantitative using observational analytic study design to examine the relationship between the two variables studied. This research was conducted on a sample of 73 nurses at the Awal Bros Batam inpatient room consisting of six general rooms and two high-care units. The results of this study indicate that the statistical test showed p-value = 0.042; thus, there is no significant correlation between the perception of the workload with the role of nurses. There is a significant relationship of knowledge to the role of nurses p-value = 0.014, no significant association between the attitudes of nurses with nurse's role p-value = 0.009. The further recommendation to the hospital improves medication safety at the inpatient ward Awal Bros Batam Hospital, to use unit-dose dispensing system (UDD), as well as the use of electronic in the form of barcodes. Keywords: The role of the nurse, the perception of the workload, medication error AbstrakMedication error adalah peristiwa yang tidak hanya dapat membahayakan pasien tetapi juga dapat membahayakan keselamatan pasien yang dilakukan oleh petugas kesehatan, terutama untuk keselamatan pasien. Penelitian ini bertujuan untuk menguji dan menganalisis faktor-faktor yang berkontribusi terhadap peran perawat dalam mencegah Medication error di rumah sakit Awal Bros Batam. Metode penelitian ini adalah kuantitatif dengan menggunakan desain penelitian analitik observasional untuk menguji hubungan antara kedua variabel yang diteliti. Penelitian ini dilakukan pada sampel 73 perawat di ruang rawat inap di Rumah Sakit Awal Bros Batam yang terdiri dari enam kamar umum dan dua unit perawatan tinggi. Hasil penelitian ini menunjukkan bahwa uji statistik menunjukkan p-value = 0,042; dengan demikian, terdapat hubungan yang signifikan antara persepsi beban kerja dengan peran perawat, terdapat hubungan yang signifikan  antara pengetahuan dengan peran perawat (p-value = 0,014), dan terdapat yang signifikan antara sikap perawat dengan peran perawat (p-value = 0,009). Rekomendasi lebih lanjut ke rumah sakit meningkatkan keamanan obat di bangsal rawat inap Rumah Sakit Awal Bros Batam, untuk menggunakan unit-dosis dispensing system (UDD), serta penggunaan elektronik dalam bentuk barcode.Kata kunci:  :  The role of the nurse, the perception of the workload, medication error

Analysis of All-Terrain Vehicle Trauma Data: Implications for Increased Regulation and Injury Prevention

2017 ◽  
Vol 83 (4) ◽  
pp. 348-353
Author(s):  
Cathy V. Ho ◽  
James R. Dunne ◽  
Wesley R. Stroud ◽  
Alvaro H. Fonseca ◽  
Frank E. Davis ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Pediatric Patients ◽  
Head Injuries ◽  
Prospective Data ◽  
Helmet Use ◽  
Closed Head Injuries ◽  
Closed Head ◽  
Recreational Vehicles ◽  
Injured Patients ◽  
Motorcycle Crashes

To determine the incidence and severity of all-terrain vehicle crashes (ATVCs) compared with motorcycle crashes (MCCs) in all critically injured patients. Prospective data were retrospectively reviewed on 1840 patients involved in ATVCs and MCCs admitted to a rural level one trauma center over 16 years. ATVC patients (n = 655) were younger (25 vs 38, P < 0.0001), more likely female (20% vs 11%, P < 0.001), less severely injured (13.5 vs 16, P < 0.0001), had similar Glasgow Coma Score (13.3 vs 13.4, p = NS), less helmet use (6% vs 69%, P < 0.0001), more closed head injuries (59.7% vs 54.3%, P < 0.05), more facial injuries (16.9% vs 12.5%, P < 0.05), and lower mortality rate (2.8% vs 5.9%, P < 0.01) compared with MCC patients (n = 1172). Pediatric patients involved in ATVC were more common (29.8% vs 4.8%, P < 0.001), had decreased helmet use (12% vs 59%, P < 0.001) and decreased mortality (3.5% vs 14.3%, P < 0.01). Further injury prevention efforts regarding helmet use and increased regulations regarding ATVCs are needed to decrease the morbidity associated with these recreational vehicles.

scholarly journals PENGETAHUAN DAN SIKAP TENAGA KESEHATAN TERHADAP PELAPORAN DAN SISTEM PELAPORAN MEDICATION ERROR DI RSU MONOMPIA GMIBM KOTA KOTAMOBAGU

PHARMACON ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 360
Author(s):  
Dwi Baluntu ◽  
Weny I. Wiyono ◽  
Marina Mamarimbing
Keyword(s):  
Health Services ◽  
Medication Error ◽  
General Hospital ◽  
Medication Errors ◽  
Health Workers ◽  
Disciplinary Action ◽  
Qualitative Descriptive ◽  
Quality Of Health Services ◽  
Depth Interviews

ABSTRACT This research to determine the knowledge and attitudes of health workers regarding reporting and reporting systems of medication errors has been carried out. Medication errors is any event that can cause or resulted  in improper health services or harm to patients that actually can be avoided. This research is a qualitative descriptive study using in-depth interviews with data analysis conducted using thematic analysis. The results showed that the health workers at Monompia General Hospital GMIBM Kotamobagu did not understand the reporting of medication errors, decision making to report medication errors was determined by the severity of the result of errors and lack of reporting due to fear of disciplinary action and fear of losing their jobs. Monompia General Hospital GMIBM Kotamobagu City continues to strive to improve the quality of health services, but the limitations of facilities and infrastructure as well as human resources were the obsracles. Keywords : Knowledge, Medication Errors, Reporting System ABSTRAK Telah dilakukan penelitian untuk mengetahui pengetahuan dan sikap tenaga kesehatan mengenai pelaporan dan sistem pelaporan medication error. Medication error merupakan setiap kejadian yang dapat menyebabkan atau berakibat pada  pelayanan kesehatan yang tidak tepat atau membahayakan pasien yang sebenarnya dapat dihindari. Penelitian ini merupakan penelitian yang bersifat deskriptif kualitatif menggunakan wawancara mendalam dengan analisis data yang dilakukan menggunakan tematik analisis. Hasil penelitian menunjukan bahwa tenaga kesehatan  di RSU Monompia GMIBM Kota Kotamobagu belum memahami mengenai pelaporan medication error, pengambilan keputusan untuk melaporkan kesalahan pengobatan ditentukan oleh tingkat keparahan hasil dari kesalahan dan minimnya tingkat pelaporan disebabkan karena tenaga kesehatan takut tindakan disiplin serta takut kehilangan pekerjaan. RSU Monompia GMIBM Kota Kotamobagu terus berupaya untuk meningkatkan mutu pelayanan kesehatan, tetapi keterbatasan sarana dan prasarana serta sumber daya manusia menjadi kendala tesendiri. Kata kunci : Pengetahuan, Medication error, sistem pelaporan

Difference Between the Measured and Ordered Dose of Catecholamine Infusions

1995 ◽  
Vol 29 (11) ◽  
pp. 1095-1100 ◽  
Author(s):  
Elizabeth M Allen ◽  
Don H Van Boerum ◽  
Alice F Olsen ◽  
J Michael Dean
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Critically Ill Patients ◽  
Pediatric Patients ◽  
Tertiary Care ◽  
Pediatric Intensive Care ◽  
Hemodynamic Instability ◽  
Drug Preparation ◽  
Catecholamine Concentration

Objective: To measure the actual concentrations of dopamine, dobutamine, and epinephrine in infusates prepared for patients, and to compare these concentrations with those of the dopamine HCl, dobutamine, and epinephrine HCl infusates that had been prescribed to evaluate drug preparation accuracy. Design: Prospective, unblind study. Setting: Pediatric intensive care unit in a tertiary-care teaching hospital. Participants: All dopamine, dobutamine, and epinephrine infusions ordered for patients during the 2-month study period were eligible for inclusion in the study. Measurements: Daily samples of dopamine, dobutamine, and epinephrine infusates that were prepared for 41 pediatric patients were obtained; the infusate catecholamine concentration was measured by HPLC and compared with the ordered concentration. The concentration then was multiplied by the rate of infusion to determine the catecholamine dose. Main Results: There were significant differences between the measured doses of dopamine, dobutamine, and epinephrine and the dopamine HCl, dobutamine, and epinephrine HCl doses (p = 0.0001, p = 0.039, and p = 0.0009, respectively) that had been ordered because of preparation inaccuracies. Failure to account for the HCl salt in the stock drug accounted for some, but not all, of the inaccuracy of the dopamine HCl and epinephrine HCl infusates. There was a wide interday variability in the measured catecholamine dosage in patients receiving the same dose for 3 days or more. Conclusions: There are daily fluctuations in the preparation of dopamine, dobutamine, and epinephrine infusates that could alter the amount of drug actually delivered to critically ill patients and potentially contribute to their hemodynamic instability.

scholarly journals Environmental Management Physical Conditions and Complaints in The Health Workers in The Garment Production Gresik

2016 ◽  
Vol 8 (1) ◽  
pp. 25
Author(s):  
Sajidah Baswedan ◽  
Lilis Sulistyorini
Keyword(s):  
Work Environment ◽  
Environmental Conditions ◽  
Health Workers ◽  
Simple Random Sampling ◽  
Health Complaints ◽  
Cross Sectional ◽  
Job Requirements ◽  
Physical Conditions ◽  
Production Space ◽  
The Republic

Abstract: Physical conditions in the work environment is something that must be kept clean,  because if the environmental conditions are not good, then it will result in the workers’ health. This study aims to determine whether the management of the physical  environmental conditions in the garment production in Gresik are in accordance with the Decree of the Minister of Health of the Republic of Indonesia Year 2002  Number 1405  About  the Job Requirements  Environmental Health Office and Industrial. This research uses descriptive and observational study using evaluative  method. The results of the study will be treated descriptively. This study used a cross sectional approach. Sample size is 50 people who are working in garment  production space in Gresik are taken  randomly  using  simple random  sampling. Obtained result is said to be good for the environment and are eligible for health complaints while ineligible said. Sheet observation shows that there are still some things about the application of the physical  environmental conditions that are less  in accordance with the regulations, among others,  waste, noise, and toilet. Management of the physical  environmental conditions in garment  production space in Gresik can be categorized in accordance with applicable regulations.Keywords: physical  conditions, health complaints

Lunar Cycles and Violent Behaviour

1998 ◽  
Vol 32 (4) ◽  
pp. 496-499 ◽  
Author(s):  
Cathy Owen ◽  
Concetta Tarantello ◽  
Michael Jones ◽  
Christopher Tennant
Keyword(s):  
Full Moon ◽  
Health Workers ◽  
Lunar Cycle ◽  
Future Research ◽  
Lunar Phase ◽  
Violent Behaviour ◽  
Prospective Data ◽  
The Face ◽  
Area Health ◽  
Rate Behaviour

Objective: It is commonly believed that the full moon exerts an influence on violence and aggression in psychiatric settings. The literature to date is contentious. This study used a robust methodology to examine the hypothesis that there was an increased frequency of violent and aggressive behaviour among hospitalised psychiatric clients at the time of the full moon. Method: Prospective data were collected in five inpatient psychiatric settings across the Northern Sydney Area Health Service. Morrison's hierarchy of violence and aggression was used to rate behaviour. Lunar phases were clearly defined and Poisson regression used to examine relationships between lunar phase and violence. Extraneous temporal variation was considered. Results: No significant relationship was found between total violence and aggression or level of violence and aggression and any phase of the moon. Conclusion: Future research could profitably examine the implications of a belief in the lunar effect among health workers in the face of evidence that no relationship exists between violence, aggression and the lunar cycle.

scholarly journals Renal 99mTc-DMSA pharmacokinetics in pediatric patients

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Donika Plyku ◽  
Michael Ghaly ◽  
Ye Li ◽  
Justin L. Brown ◽  
Shannon O’Reilly ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Radiological Protection ◽  
Imaging Data ◽  
Nuclear Medicine Imaging ◽  
Prospective Data ◽  
Clinical Imaging ◽  
Imaging Time ◽  
Pediatric Dose ◽  
Age Range ◽  
Fractional Uptake

Abstract 99mTc-DMSA is one of the most commonly used pediatric nuclear medicine imaging agents. Nevertheless, there are no pharmacokinetic (PK) models for 99mTc-DMSA in children, and currently available pediatric dose estimates for 99mTc-DMSA use pediatric S values with PK data derived from adults. Furthermore, the adult PK data were collected in the mid-70’s using quantification techniques and instrumentation available at the time. Using pediatric imaging data for DMSA, we have obtained kinetic parameters for DMSA that differ from those applicable to adults. Methods We obtained patient data from a retrospective re-evaluation of clinically collected pediatric SPECT images of 99mTc-DMSA in 54 pediatric patients from Boston’s Children Hospital (BCH), ranging in age from 1 to 16 years old. These were supplemented by prospective data from twenty-three pediatric patients (age range: 4 months to 6 years old). Results In pediatric patients, the plateau phase in fractional kidney uptake occurs at a fractional uptake value closer to 0.3 than the value of 0.5 reported by the International Commission on Radiological Protection (ICRP) for adult patients. This leads to a 27% lower time-integrated activity coefficient in pediatric patients than in adults. Over the age range examined, no age dependency in uptake fraction at the clinical imaging time was observed. Female pediatric patients had a 17% higher fractional kidney uptake at the clinical imaging time than males (P < 0.001). Conclusions Pediatric 99mTc-DMSA kinetics differ from those reported for adults and should be considered in pediatric patient dosimetry. Alternatively, the differences obtained in this study could reflect improved quantification methods and the need to re-examine DMSA kinetics in adults.

scholarly journals Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review

2021 ◽  
Vol 31 (4) ◽  
pp. 12
Author(s):  
Firman Prastiwi ◽  
Titin Andri Wihastuti ◽  
Dina Dewi Sartika Lestari Ismail
Keyword(s):  
Systematic Review ◽  
Psychological Factors ◽  
Health Workers ◽  
Hemodialysis Patients ◽  
Situational Factors ◽  
Effective Management ◽  
Physiological Factors ◽  
Factors Associated ◽  
Causative Factors ◽  
Review Protocol

<p>Fatigue is the primary complaint most frequently reported by patients on hemodialysis. The importance of knowing the factors related to fatigue is a strategy that can be carried out by health workers in optimally applying interventions to reduce patient fatigue problems. This systematic review aimed to determine the factors associated with fatigue in patients undergoing hemodialysis. The systematic review method began by identifying research articles in the Pubmed, ProQuest, Ebsco, and ScienceDirect databases in 2011–2020. Review protocol was using PRISMA. Based on the results of the analysis, it was obtained 23 articles that discussed demographic factors, physiological factors, socioeconomic factors, situational factors, and psychological factors that could be associated with fatigue in hemodialysis patients. There is much to learn about fatigue in patients undergoing hemodialysis, including causative factors, assessment of severity, and effective management of fatigue so that it can be used as a benchmark for determining appropriate interventions.</p>

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