IDENTIFICATION OF MEDICATION ERROR IN PRESCRIBING IN PHARMACEUTICAL OUTPATIENT, TAMAN HUSADA BONTANG HOSPITAL PERIOD, 1 MARCH-16 APRIL 2019
DOI:
https://doi.org/10.31674/mjmr.2019.v03i04.002Abstract
Introduction: Prescribing errors is an error that occurs in prescription writing that uses handwriting, thus causing the drug service to be inadequate in terms of dosage, usage rules and indications that can endanger patient safety.
Objective: The purpose of this study was to find out what treatment errors occurred and what was the incident at the outpatient prescribing stage at Taman Husada Bontang Hospital for the period March 1 to April 16 2019. The research conducted was a prospective non-experimental study. The object of research in this study is the clarity of writing, the completeness and variations of prescription writing. The sample used was prescription data from all polyclinics with various illnesses that were included in the Outpatient Pharmacy of Taman Husada Bontang Hospital with a sampling technique namely quota sampling, which was then analyzed descriptively and calculated in the amount of percentage.
Results: The results showed that, there were medication errors at the prescribing stage in the Outpatient Pharmacy of Taman Husada Bontang Hospital for the period 1 March - 16 April 2019. The large percentage of errors in terms of 3 aspects namely, the clarity aspects there were 8 points with the highest parameters in the patient's allergy history of 90.5%, the second highest parameter in the dosage form of the drug is 39.5% and the third highest parameter is in the strength of the drug preparation as much as 28.25%. The completeness aspects of prescription writing are 5 points with the highest parameter in the patient's allergy history of 90.5%, the second highest parameter in the dosage form is 37.25% and the third highest parameter lies in the strength of the drug preparation by 25%. While in the aspects of writing variations of the recipe, there are 2 points out of 4 points, with the highest parameters writing rules of use and maximum frequency of use one day and when the drug is used by 39% and the second highest parameter lies in writing the abbreviation form with the lowest percentage of 4%
Keywords:
Medication error, Hospital, PrescriptionDownloads
References
Aslam, M., Chik, KW, Adji, P. (2003). Clinical Pharmacy. Jakarta: Elex Media Kamputindo. pp 203.
BPOM. Laporan Kinerja Badan Pom. 2014, Retrieve from: https://www.pom.go.id/ppid/2015/R2TN2014.pdfs
Dean B, Barber N, Schachter M. (2000). What is a prescribing error? Qual Health Care. pp 232-237
Gupta A, Waldhauser LK. (1997). Adverse drug reactions from birth to early chi life. Pediatr Clin. pp 79–92.
Kepmenkes RI No. 1027/MENKES/SK/IX/2004, tentang Standar Pelayanan Farmasi di Apotek.Jakarta: Depkes RI
Kusuma., I. (2017). Wear a Mascara and Be a Smart Patient. Yogyakarta: Ga djah Mada University Press. Vol 2, pp-16-18
Natipulu, ER 2017. Identification of Medical Errors (Medication Error) In Phase Prescribing (prescribing) Patients with diabetes mellitus Outpatient Hospital Abdul Wahab Sjahranie In Samarinda period May-June 2017. Scientific Paper. Samarinda: D-III Pharmacy Akadami Pharmacy Samarinda. pp-48.
Nopitasari, R. (2018). Error Identification of Treatment in Phase Peresepan (prescribing Error) In Depo Hospital Outpatient Pharmacy Abdul Wahab Sjahranie Samarinda period 21-31 May 2018. Scientific Paper. Samarinda: D-III Pharmacy Samarinda Pharmacy Academy. pp. 29, 34, 40.
Pediatric pharmacy practice guidelines. (1991). Pediatric pharmacy administrative group committee on pediatric pharmacy practice. Am J Hosp Pharm. pp 2475–2477.
Rahmawati, F, and Octari, RA (2002) . Recipe Writing Study: Overview of the Aspects of Legality and Completeness of Prescriptions in Yogyakarta Municipality Pharmacies. Indonesian Pharmacy Magazine, 13 (2), 86-94. pp 90, 93.
Rouse WB. (2000). Managing complexity: disease control as a complex adaptive system. Inf Knowl Syst Manag. Vol (2): pp 143–165.
Susanti, I. (2003). Identification of Medication Error in Prescribing Phase. Transcribing and Dispensing in the Pharmacy Depot of Inpatient Disease in the Lotus Building, PharmacyInstallation Fatmawati General Hospital, 2013 Period. Jakarta: UIN Syarif Hidayatullah. pp. 52