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

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

PHARMACON ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 159
Author(s):  
Steyfan Benawan ◽  
Gayatri Citraningtyas ◽  
Weny I Wiyono

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.


PHARMACON ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 152
Author(s):  
Priskha Widiastuti ◽  
Gayatri Citraningtyas ◽  
Jainer P Siampa

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


2021 ◽  
Vol 3 (1) ◽  
pp. 12-31
Author(s):  
Nanda Rafsanjani ◽  
Charoline Cheisviyanny

This study aims to describe why the village goverment is late in submitting the village budget accountability report (APBDes) in West Pasaman Regency. This research is classified as a descriptive study. Sampling based on research objectives and data collection methods using interviews. This research was conducted in villages that were late in reporting the accountability for the realization of the (APBDes) in West Pasaman Regency. This study found that there are four obstacles that cause the village apparatus cannot make the report timely: quality of human resources, facilities & infrastructure, community participation, internal control. It suggested for further research to increase the sample and focus on comparing villages that are late and not late in reporting the budget realization accountability.


2020 ◽  
Vol 11 (1) ◽  
pp. 120-128
Author(s):  
Laurensia Yunita ◽  
Ika Mardiatul Ulfa

Latar Belakang: Pencapaian akseptor Kb Aktif di Banjarmasin Selatan berjumlah 7.835 orang (119,4%) yaitu dari Puskesmas Pekauman 6.498 orang (57,2%), Puskesmas Kelayan Timur 500 orang (9,8%), Puskesmas Pemurus Baru 379 orang (7,4%), Puskesmas Pemurus Dalam 133 orang (4,6%), Puskesmas Kelayan Dalam 196 (32,7%), dan Puskesmas Beruntung Raya 129 orang (7,7%). Dari data tersebut bahwa di Banjarmasin Selatan memiliki 6 Puskesmas dan Puskesmas yang memiliki akseptor Kb Aktif terbanyak adalah Puskesmas Pekauman. Akseptor KB Aktif yang menggunakan Kondom sebanyak 12 orang (0,089%), suntik sebanyak 819 orang (6,06%), dan pil sebanyak 1098 orang (8,15%). Kebanyakan Aseptor KB tidak mengetahui apa itu kontasepsi jangka panjang, mereka hanya tau kontrasepsi pil, suntik, impant dan IUD tetapi tidak bisa membedakan mana untuk jangka panjang serta keamannanya bagi akseptor KB.Tujuan: Mengetahui pengetahuan akseptor KB tentang penggunaan kontrasepsi jangka panjang di wilayah kerja Puskesmas Pekauman.Metode: Penelitian ini merupakan penelitian diskriftif untuk mengetahui penegtahuan akseptor KB tentang kontrasepsi jangka panjang. Teknik pengambilan sampel adalah Acidental Sampling dengan jumlah sampel sebanyak 30 responden.Hasil: Dari 30 responden sebanyak 60% pengetahuan aksepor baik tentang kontrasepsi jangka panjang, sedangkan 40 % pengetahuan aksepor cukup tentang kontrasepsi jangka panjang.Simpulan: Peranan tenaga kesehatan dalam melakukan penyuluhan tentang alat kontrasesi jangka panjang harus dilakukan dengan maksimal mengingat akseptor kb yang berbeda-beda latarbelakang pengetahuan dan pendidikannya, sehingga capaian pengguna MKJP dapat terpenuhi.Kata Kunci: Akseptor, Kontrasepsi, KB, PengetahuanAbstract Background: Achievement of active Kb acceptors in South Banjarmasin amounted to 7,835 people (119.4%), namely from the Pekauman Health Center 6,498 people (57.2%), the East Kelayan Health Center 500 people (9.8%), the Health Center Pemurus Baru 379 people ( 7.4%), Health Center Pemurus Dalam 133 people (4.6%), Health Center Kelayan Dalam 196 (32.7%), and Health Center Beruntung Raya 129 people (7.7%). Health center Pekauman acceptors of active birth control using condoms were 12 people (0.089%), injected 819 people (6.06%), and 1098 people (8.15%) pills. Most contraception acceptors do not know what long-term contraception is, they only know the contraceptive pill, injection, impant and IUD but cannot distinguish which for the long term and its safety for family planning acceptors.Objective: Knowing the knowledge of family planning acceptors about contraceptive use in the work area of the Health center Pekauman.Method: This research is a descriptive study to study the knowledge of family planning acceptors about long-term contraception. The sampling technique is accidental sampling with a total sample of 30 respondents.Results:Of the 30 respondents, 60% of acceptor knowledge is good about long-term contraception, while 40% of acceptor knowledge is enough about long-term contraception.Conclusion: The role of health workers in conducting counseling about long-term contraction tools must be carried out with a maximum ofacceptors who have different background knowledge and education, so that the achievements of MKJP users can be fulfilled. Keywords: Acceptor, Contraception, KB, Knowledge


2021 ◽  
Vol 2 (8) ◽  
pp. 1008-1013
Author(s):  
Hadi Priatmoko ◽  
Yuyun Yunengsih ◽  
Sali Setiatin

The role of coders is important for hospitals. The available coders to achieve harmony in a job. As a process to get the number of hours of work needed to complete the workload in a certain time an analysis of the workload is needed.This study was conducted to calculate the number of PMIK personnel needed at Hospital X Palembang according to workload analysis. This was a descriptive study with qualitative approach. Data collection is using observation and interview to the Coder employee at X Hospital Palembang.The education qualification of Coder employees at X Hospital Palembang are 4 (four) PMIK with Associate’s Degree of Medical Records. Human Resources SDM of SIK’s calculation (Case Mix) uses the medical workload analysis (ABK-Kes) method are 4 (four) PMIK and at X Hospital Palembang there are 4 (four) PMIK, so that the amount is still relatively safe to complete tasks according to the existing workload. The conclusion of this study is the number of PMIK coders in Hospital X Palembang there are 4 (four) PMIK coders. Calculation of HRK needs in the SIK (Case Mix) section using the Health Workload Analysis (ABK-Kes) method of 4 (four) PMIK and in X Palembang Hospital there are 4 (four) PMIK so that the number of officers is still relatively safe to complete tasks according to existing workloads.


2021 ◽  
Vol 16 (1) ◽  
pp. 86-95
Author(s):  
Yudo Dwiyono ◽  
Widyatmike Gede Mulawarman ◽  
Panji Ongko Pramono ◽  
Nur Agus Salim ◽  
Muhammad Ikhsan

This research aims to describe national examination based on CBT  methods that looked at human resources, infrastructures, students, strategies, and national examination weakness based on CBT implementation at Vocational School 1 North Sangatta. This research is a descriptive study with a qualitative approach. Data collection techniques can be done through observation, interviews, questionnaires, and documentation. This research was conducted at Vocational School 1 North Sangatta. The results show that: (1) national examination based on Computer Based Test implementation methods clearly: preparation step, planning step and the implementation step. (2) the weakness of national study based on Computer Based Test implementation methods are technique and non-technique problems. This problem is solved by (a) increase electricity supply, (b) hold and repair hardware of computer which not suitable with qualifications, (c) register for the remedial test. Non-technique problems are solved by training the students to prepare for the national examination.           Keywords: implementation CBT, computer based test, national examination


2021 ◽  
Author(s):  
Sarah Ackerman ◽  
Jerilyn Hoover ◽  
Lauren Heinrich ◽  
Erin Dunlap ◽  
Ohvia Muraleetharan ◽  
...  

Abstract The Global Strategy on Human Resources for Health: Workforce 2030 has called for the improvement of health workforce data and implementation of health workforce registries. It is critical to capture the health workforce supported by donors in order to have a complete understanding of the health workforce across countries. The United States Agency for International Development (USAID) developed an innovative pilot human resources for health (HRH) data collection system (including a data entry template and structured dataset) to collect HRH data for the health workforce supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). The pilot system filled HRH data gaps in nine key countries, providing valuable insight for program planning. The implementation details of this exercise can be used as a case study on collecting and applying data on health workers, including those supported by donor funding.


2008 ◽  
Vol 18 (2) ◽  
pp. 87-98 ◽  
Author(s):  
Vinciya Pandian ◽  
Thai Tran Nguyen ◽  
Marek Mirski ◽  
Nasir Islam Bhatti

Abstract The techniques of performing a tracheostomy has transformed over time. Percutaneous tracheostomy is gaining popularity over open tracheostomy given its advantages and as a result the number of bedside tracheostomies has increased necessitating the need for a Percutaneous Tracheostomy Program. The Percutaneous Tracheostomy Program at the Johns Hopkins Hospital is a comprehensive service that provides care to patients before, during, and after a tracheostomy with a multidisciplinary approach aimed at decreasing complications. Education is provided to patients, families, and health-care professionals who are involved in the management of a tracheostomy. Ongoing prospective data collection serves as a tool for Quality Assurance.


2020 ◽  
Vol 2 (3) ◽  
pp. 145-150
Author(s):  
Syaifuddin Syaifuddin ◽  
Wildan Suharso

Pendataan yang bersifat manual menjadikan permasalahan pada proses dilakukannya pendataan, hal ini juga terjadi pada Dinas Pendidikan dan Kebudayaan Kota Pasuruan dimana pendataan masih bersifat manual dengan keterbatasan jumlah Sumber Daya Manusia (SDM) yang ditugaskan untuk melakukan pendataan, oleh karena itu pada kegiatan pengabdian ini dilakukan pelatihan sistem informasi untuk meningkatkan waktu pendataan dan mengurangi kompleksitas dalam proses pendataan pada pegawai di Dinas Pendidikan dan Kebudayaan Kota Pasuruan. Pelatihan sistem informasi yang dimaksud adalah sistem informasi pendataan berbasis masyarakat, yang berisikan data dasar yang diperlukan oleh Pemerintah Daerah dalam rangka penyusunan rencana pembangunan. Data informasi tidak akan memberikan manfaat jika tidak dijadikan sebagai bahan acuan dalam penyusunan rencana pembangunan sehingga pelatihan dan pendampingan perlu dilakukan untuk tercapainya tujuan.Kata Kunci : Sistem Informasi, Berbasis Masyarakat, PendataanABSTRACT Manual data collection causes problems in the data collection process, this also occurs in the Pasuruan City Education and Culture Office where data collection is still manual with a limited number of Human Resources (HR) assigned to collect data, therefore this service activity is carried out information system training to increase data collection time and reduce complexity in the data collection process for employees at the Pasuruan City Education and Culture Office. The information system training referred to is a community-based data collection information system, which contains basic data required by the Regional Government in the framework of formulating development plans. Information data will not provide benefits if it is not used as a reference in the preparation of development plans so that training and assistance are needed to achieve the goals.Keywords : Information System, Community Based, Data Collection 


2019 ◽  
Vol 2 (2) ◽  
pp. 265-278
Author(s):  
Diah Rina Miftakhi ◽  
Nurjanah Nurjanah

describe the implementation of an integrated quality management component consisting of the quality of services provided by the school, human resources in teaching, the school environment, and learning process  in SLB YPAC Pangkalpinang.               The method used in this study, namely by using a naturalistic qualitative approach. Data collection is done through observation, interviews, and documentation. The subjects of this study include the principal, teachers, employees, and students. The validity of the data is done by triangulation, and deeper observation. Analysis of the data used is the interactive analysis model of Miles and Huberman through data collection, data reduction, data presentation, and conclusion drawing.              The results showed that: (a) the quality of services to students in SLB YPAC Pangkalpinang had met good service standards. This can be seen from the services in the form of facilities and infrastructure which are quite complete in schools; (b) the quality of human resources in the education process shows good teacher resources. This can be seen from the teacher data which shows that the teaching staff at SLB YPAC Pangkalpinang 95% of educators with S1 qualifications in the field of education; (c) the quality of the environment in SLB YPAC Pangkalpinang is already good. This can be seen from the very strategic location of the school because the location of the school is in the middle of the city so that it is easily accessible by the community; (d) the quality of the learning process carried out by teachers at Pangkal Pinang YPAC SLB is good. This can be seen from the realization of the form of activities through learning planning by preparing lesson plans for each subject, then implementing learning, which includes strategies and methods used by teachers in delivering learning material, and evaluation of learning. Keywords: Integrated quality management, student achievement     ABSTRAK Tujuan dalam melaksanakan penelitian ini  adalah untuk melihat pelaksanaan serta mendeskripsikan implementasi  komponen Manajemen Mutu Terpadu yang terdiri dari kualitas layanan yang diberikan sekolah, sumber daya manusia dalam mengajar, lingkungan sekolah, dan proses pembelajaran di SLB YPAC Pangkalpinang. Metode yang digunakan dalam penelitian ini, yaitu dengan menggunakan pendekatan kualitatif naturalistik. Pengumpulan data dilakukan melalui observasi, wawancara, dan dokumentasi. Subyek penelitian ini antara lain kepala sekolah, guru, pegawai, dan peserta didik. keabsahan data dilakukan dengan triangulasi, dan pengamatan yang lebih mendalam. Analisis data yang digunakan adalah model analisis interaktif Miles dan Huberman melalui kegiatan pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa: (a) mutu layanan terhadap peserta didik di SLB YPAC Pangkalpinang sudah memenuhi standar layanan yang baik. Hal ini dilihat dari layanan yang berupa fasilitas sarana dan prasarana yang sudah cukup lengkap di sekolah; (b) mutu sumber daya manusia dalam proses pendidikan menunjukkan sumber daya guru yang baik. Hal ini dapat dilihat dari data guru yang menunjukkan bahwa tenaga pengajar di SLB YPAC Pangkalpinang 95% pendidik berkualifikasi S1 bidang kependidikan; (c) mutu lingkungan yang ada di SLB YPAC Pangkalpinang sudah baik. Hal ini terlihat dari letak sekolah yang sangat strategis karena lokasi sekolah yang berada di tengah kota sehingga mudah dijangkau oleh masyarakat; (d) mutu proses pembelajaran yang dilakukan oleh guru di SLB YPAC Pangkalpinang sudah baik. Hal ini dapat dilihat dari realisasi bentuk kegiatan melalui perencanaan pembelajaran dengan menyusun RPP setiap mata pelajaran, kemudian pelaksanaan pembelajaran, yang meliputi strategi dan metode yang digunakan guru dalam menyampaikan materi pembelajaran, dan evaluasi pembelajaran.


Sign in / Sign up

Export Citation Format

Share Document