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All Journal Medical Journal of Indonesia MPI (Media Pharmaceutica Indonesiana) The Indonesian Journal of Public Health JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA E-Dimas: Jurnal Pengabdian kepada Masyarakat JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) JSFK (Jurnal Sains Farmasi & Klinis) Jurnal Inovasi Hasil Pengabdian Masyarakat (JIPEMAS) Jurnal Farmasi Indonesia JFIOnline An-Nadaa: Jurnal Kesehatan Masyarakat Jurnal Layanan Masyarakat (Journal of Public Service) Jurnal Farmasi Komunitas Indonesian Journal of Pharmacy and Natural Product Borneo Journal of Pharmacy
Elida Zairina
Departemen Farmasi Praktis, Fakultas Farmasi, Universitas Airlangga, Surabaya, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Mapping the Prevalence and Most Common Types of Potentially Inappropriate Medications (PIMs) in Older Adults with Polypharmacy: A Decade-Long Scoping Review in Nursing Home Settings I Gede Iswara Pranidhana Putra; Rista Fauziningtyas; Elida Zairina
Indonesian Journal of Pharmacy and Natural Product Vol. 8 No. 02 (2025): Indonesian Journal of Pharmacy and Natural Product
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijpnp.v8i02.4340

Abstract

Polypharmacy among older adults significantly influences the prevalence of potentially inappropriate medication (PIMs). Most existing studies have focused on community-dwelling older adults and primary health care settings. However, a comprehensive overview of the use of PIMs among older adults in nursing homes is still lacking. This study aimed to map the scientific evidence regarding the prevalence and most commonly reported PIMs in nursing homes. This scoping review was conducted based on a literature search of four electronic databases on July 29, 2025. We included observational studies published in English that reported the prevalence and types of PIMs in older adults residing in nursing homes. A total of 1,030 records were identified, and 13 studies fulfilled the inclusion criteria. The prevalence of PIM among older adults in nursing homes varied widely, ranging from 27.2% to 96.3%. Benzodiazepines and proton pump inhibitors were the most frequently reported PIMs. All the included studies were conducted in middle- and high-income countries. Future research should address the geographical evidence gap by conducting studies in underrepresented regions, particularly in low- and middle-income countries, to improve the generalizability of the findings.
Profil Kepuasan Pasien terhadap Pelayanan Resep menggunakan SERVQUAL, Importance-Performance Analysis, dan Customer Satisfaction Index Berliana, Shefilla Mangestiti; Yuda, Ana; Rahem, Abdul; Zairina, Elida; Hermansyah, Andi; Nugraheni, Gesnita; Sulistyarini, Arie; Athiyah, Umi
MPI (Media Pharmaceutica Indonesiana) Vol. 8 No. 1 (2026): JUNE
Publisher : Fakultas Farmasi, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24123/mpi.v8i1.8399

Abstract

Kepuasan pasien merupakan indikator penting mutu pelayanan kefarmasian, khususnya pada pelayanan resep se- bagai titik interaksi langsung antara apoteker dan pasien. Penelitian ini bertujuan menggambarkan profil kepuasan pasien terhadap pelayanan resep pada konteks apotek pendidikan berdasarkan lima dimensi SERVQUAL, yaitu tangibles, reliability, responsiveness, assurance, dan empathy, serta mengidentifikasi kesenjangan harapan-kinerja dan prioritas perbaikan layanan. Desain penelitian adalah observasional analitik dengan pendekatan cross-sectional. Pengumpulan data dilakukan pada Oktober- November 2024 terhadap 100 pasien yang menerima pelayanan resep dan memenuhi kriteria inklusi. Sampel dipilih dengan accidental sampling. Instrumen berupa kuesioner Likert 1-5 yang mengukur harapan (importance) dan kinerja (performance). Analisis data dilakukan menggunakan statistik deskriptif, analisis gap, Importance-Performance Analysis (IPA), dan Customer Satisfaction Index (CSI). Mayoritas responden adalah perempuan (66%), berusia 21-30 tahun (37%), berpendidikan SMA/SMK sederajat (58%), dan mahasiswa (57%). Rata-rata skor harapan sebesar 4,73 dan skor kinerja 4,52. Seluruh dimensi menunjuk- kan gap negatif, dengan gap terbesar pada reliability (-0,39) dan terkecil pada tangibles (-0,08). Nilai CSI keseluruhan 91,43% atau kategori sangat puas. Namun, beberapa indikator klinis seperti penjelasan cara penyimpanan obat (-1,18), efek samping obat (-0,83), dan waktu diskusi terapi (-0,36) masih menunjukkan kesenjangan yang bermakna secara praktis. Pasien secara umum sangat puas terhadap pelayanan resep, tetapi hasil gap dan IPA menunjukkan bahwa mutu layanan belum sepenuhnya memenuhi harapan pasien pada aspek informasi klinis dan komunikasi terapi. Perbaikan perlu diarahkan pada standardisasi konseling obat, penguatan peran apoteker, dan pengaturan waktu diskusi agar pelayanan resep tidak hanya dinilai memuaskan, tetapi juga mendukung keamanan penggunaan obat. Patient satisfaction is an important indicator of the quality of pharmaceutical services, particularly prescription services, where direct interaction between pharmacists and patients occurs. This study aimed to describe patient satisfaction with prescription services in a teaching pharmacy context based on the five SERVQUAL dimensions: tangibles, reliability, responsiveness, assurance, and empathy, and to identify expectation-performance gaps and service improvement priorities. This study used an analytical observational design with a cross-sectional approach. Data were collected from October to November 2024 among 100 patients receiving prescription services who met the inclusion criteria. Samples were obtained using accidental sampling. The instrument was a 1-5 Likert-scale questionnaire measuring expectations (importance) and performance. Data were analyzed using descriptive statistics, gap analysis, Importance-Performance Analysis (IPA), and the Customer Satisfaction Index (CSI). Most respondents were female (66%), aged 21-30 years (37%), had a senior high school/vocational school education (58%), and were students (57%). The overall mean expectation score was 4.73 and the mean performance score was 4.52. All SERVQUAL dimensions showed negative gaps, with the largest gap in reliability (-0.39) and the smallest in tangibles (-0.08). The overall CSI was 91.43%, indicating a very satisfied category. However, clinically important indicators such as drug storage instructions (-1.18), explanations of adverse effects (-0.83), and time for therapy discussion (-0.36) showed meaningful practical gaps. Patients were generally very satisfied with prescription services; however, the gap analysis and IPA findings indicate that service quality had not fully met patient expectations, particularly in clinical information and therapeutic communication. Improvement should focus on standardizing medication counseling, strengthening pharmacists roles, and allocating adequate discussion time so that prescrip- tion services are not only perceived as satisfactory but also support medication safety.
Expert Validation of a Medication Error Assessment Tool in the Integrated Medicine Management Model for Geriatric Patients with CHF Welinda Dyah Ayu; Umi Athiyah; Elida Zairina
Borneo Journal of Pharmacy Vol. 9 No. 1 (2026): Borneo Journal of Pharmacy
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjop.v9i1.10465

Abstract

Geriatric patients with congestive heart failure (CHF) face an elevated risk of medication errors due to physiological changes, polypharmacy, and comorbidities. Integrated Medicine Management (IMM) is a multidisciplinary model designed to minimize drug-related problems through structured interventions during admission, hospitalization, and discharge. This study aimed to validate a medication error checklist developed for the IMM model, specifically for hospitalized older adults with CHF. A descriptive, quantitative design was applied, with expert-based content validation. A purposive sample of eight healthcare professionals, including physicians, clinical pharmacists, and senior nurses, was recruited. Each checklist item was assessed for relevance using a 4-point Likert scale. Content validity was evaluated using the Item-Level Content Validity Index (I-CVI) and the Scale-Level CVI (S-CVI/Ave). All nine items obtained I-CVI values of ≥0.875, with seven items achieving a full consensus (I-CVI = 1.00). The overall S-CVI/Ave was 0.97, indicating excellent content validity. The checklist integrates global safety frameworks, including the STOPP/START criteria, the WHO Medication Without Harm initiative, ISMP's high-alert medication guidance, and The Joint Commission's reconciliation protocols. Core components address reconciliation, therapy duplication, high-risk drugs, and discharge education. The validated checklist demonstrates strong content validity and clinical relevance for detecting medication-related problems in hospitalized geriatric CHF patients. Integration into digital platforms such as MINE (Medicine IN gEriatric) may enhance interprofessional collaboration, reduce preventable errors, and promote safer pharmacotherapy across care transitions.
Co-Authors A. Hafidz Kurniawan Abd Aziz, Nur Izzah Abdul Rahem, Abdul Achmad Aziz Choiri Agustia, Syafa Habiba Ahmad Sufie, Muhammad Luqman Nurhakim Aiman Zumaroh Ummi Robihah Aldo Julio Sylvester Manting Alfionita Isnaini Alifa Putri Syaharany Amaliya Firdausy Allisya Fathatul Fauziyah Almira Alodia Alvira Eka Widyasari Alyajilan Alyajilan Amalia Tusholecha Amalia, Diagram Fuzzy Ana Yuda Andi Hermansyah Angelina Margaretha Ardiani Anggria Caesary Anisa Ikrimatun Nikmah Annisa Arifatul Fitriyah Annisa Septiana Ahmad Aprilia Nur’aini Rizma Putri Aqilah, Nida Faizatul Ardiana, Alma Dita Ardio Harya Firmansyah Arie Sulistyarini Arindie Provellia, Clarissa Aufa Defriananda Baiq Khuwailidia Kartikasari Balqis Sofea Binti Borhan Berliana, Shefilla Mangestiti Binti Gulam Manaver, Asamah Nurul Huda Binti Hasbullah, Rabiatul Adawiyah Citra Aulia Silvia Dahlui, Maznah Devita Ardina Prameswari Dhamanti, Inge Diansanto Prayoga Dica Ramadhani Dika Herian Saputra Divi Aulia Rahmi Diyna Rusayliya Purwanto Djazuly Chalidyanto Dwi Novita Sari Elvia Mei Nadilasari Fakhrina Fauzul Minnah Faradisa Umahati Farah Najla Farisa Firosyida Fathimah Haura Fatia Hilyatunnisa Fauzia, Firdha Fawwaz Syarifaturrohmah Febby Fani Shafira Fidya Dwi Lestari Firdaus, Favian Rafif Firdausa Rahmah Fithri Yuniasari Fitri Amalia Siswanto Fitriani Rosyana Gitacahyani Fitriyah, Arina Wilda Five Nadia Pasaribu Gabriella Wilhelmina Targanski Gesnita Nugraheni Guasin, Nurshafiqah Gusti Ayu Manik Suartha Putri Halisa Naura Imamah Hamidah, Khusnul Fitri Hana Ameli Widyasari Hasanuddin, Nur Hafifah Hasna Salvinia Ofanti Hermansyah, Andi Hermawan, Joshua El'Nissi Husada, Fathur Rahman Digda Putra I Gede Iswara Pranidhana Putra Indana Tri Rahmawati Indiarto Lukman Susetiya Ismawantri, Putu Isrini Qaidatul Ilmi Istna Nur Ainul Yaqin Jenni Marlena Jeremy Moses Prawadi Jessica Immanuel Gunawan Junaidi Khotib Kendra Anindya Gantari Putri Khoirunnisa Latansa Syakiroh Lasmaria Sopaheluwakan Leng Xiao Qian Libriansyah Libriansyah Lilla Sapta Ratri Lina Dwi Setiyarini Liza Pristianty Lutfiatur Rohmah Mahmudin, Ahmad Amin Maria Carmelita Ayunda Ardiadne Marsha Fendria Prastika Martanto, Tri Wahyu Maulana Khusnul Ghina Md Noor, Nurul Fathin Athirah Melisa Ramadhaniar Melissa Izzati Mellyana, Fransisca Mirzario Aryananda Verrian Mohd Idrus, Sharifah Nurul Fatin Afiqah Muhammad Agus Muljanto Muhammad Atoillah Isfandiari Muhammad Haqqi Shiddiq Muhammad Izatul Ammar Muhammad Jabbar Falih Muhammad Muamar Fathoni Muhammad Mufid Ulil Aidi Muhammad Rizky Widodo Muhammad Syawal Munawaroh, Putri Dinatul Nabila Berlianti Nadea Kalila Yasmin Nadhifah Dhia Zahrah Nadya Amaliah Nafiisa Aaliyah Fathar Nailul Fithriyah Najwa Shifa Sahara Natasha Vine Angelique Naufal Hafizalwan Naurah Syafiqah Larasati Nayyara, Danish Aulia Siti Ni Made Millania Laksmi Dewi Nida Inva Tassya Niken Ayu Setyaningrum Noor Annisa Mones Nur Ahmad Syaifullah Nurfarah Wahidah Nurhidayati Rusmadi NURIL MAGHFIROH Nurul Nikmah Nuruz Zahrina Mursyida Owen Gunawan Putra Pratama, Tiar Hanif Putri Amelia Rooswita Putri Antika Yusniasari Putri Rizqiyah Putri, Anindita Pratama Putri, Anindita Pratama Putri, Sukma Isna Rahma Rachmad Luisa Rahmada Lovita Rarasati, Putri Razali, Nur Aina Farhah Rheyta Safira Maulidia Rika Putri Septiawati Rista Fauziningtyas, Rista Rizella Fitriani Rosita, Efrita Mega Rosita, Efrita Mega Rusmadi, Nurhidayati Sabariman, Jevon Samuel Safira Izza Maharani Safriella Salsabila Madania Sagita Putri Ramadhina Salsabila Qatrunnada Arka Prameswari Samirah Samirah, Samirah Santosa, Nadya Rachmania Sasmita , Anggininda Salsabila Dwi Septi Anggraini SETIAWAN, Catur Dian Setijawan, Danella Athaillah Putri Shafa Azaria Shafira Muti Ardiana Shah Faisal Shamsul Anuar, Nur Qamarina Shandhiyaa Sherly Putri Andini Sherly Suci Margaretha Shobikha Bariroh Siregar, Miranda Yosephine Saulina Sisca Melani Panggono Sonia Futti Ameldy Sucya Rahmawati Sukorini, Anila Impian Syahrani Madiha Putri Syeila Rahmadina Syifa’ul Lailiyah Syifa’ul Lailiyah Tanujaya, Angeline Felisca Thinni Nurul Rochmah Umi Athijah Umi Athiyah Utomo, Febriansyah Nur Vita Maulinda Asa Angembani Wahyu Mega Tri Susanty Wahyu Utami Welinda Dyah Ayu Wibisono, Cahyo Winda Fatmasari Wulandari, Melly Yaniar Nur Hidayah Yasmin Azzahra Yuhan Adelina Wihda Fikriyah Yuliana Yuliana Yunita Nita Yusilah Yussi Ananda Yusuf Alif Pratama Zahra Aisha Hafizah Zahra, Fathimatuz Zenita Dwi Rahmaudina