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All Journal Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan Indonesian Journal of Global Health Research
Mey Apriansyah
Universitas Setia Budi
Health Professions Nursing Public Health

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The Role of Pharmacy Management in Improving Patient Safety through the Prevention of Medication Errors: A Literature Review Novega Diyan Al Amanah Amanah; Nevi Nur Fitriasari Fitriasari; Mey Apriansyah; Wahyu Purwanto; Ika Purwidyaningrum
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.1878

Abstract

Medication errors remain a major challenge in patient safety within healthcare facilities and may occur at any stage of the medication use process, including prescribing, preparation, dispensing, administration, and therapeutic monitoring. Such errors have the potential to cause adverse clinical outcomes, increase healthcare costs, and compromise the quality of care. Pharmacy management plays a strategic role in preventing medication errors through the development and implementation of integrated, patient safety–oriented medication management systems. This literature review aims to examine and synthesize findings from scientific journals concerning the role of pharmacy management in improving patient safety through the prevention of medication errors. The literature search was conducted using a narrative review approach of open-access scientific journal articles published within the period of 2019–2024 and retrieved from PubMed Central, Frontiers, BMC Journals, PLOS ONE, and DOAJ. The search was performed using combinations of keywords with Boolean operators as follows: (“pharmacy management” OR “pharmaceutical services” OR “medication management system”) AND (“medication errors”) AND (“patient safety”). A total of 285 records were identified through database searching. After the removal of duplicates and other ineligible records, 180 articles were screened, of which 80 were excluded. Subsequently, 100 full-text articles were assessed, and 30 studies were finally included in this review. articles comprised primary research studies relevant to pharmacy management, medication errors, and patient safety. The findings indicate that the role of pharmacy management in preventing medication errors can be categorized into several key themes, including the management of dispensing and drug distribution systems, optimization of clinical pharmacists’ roles in patient care, implementation of standard operating procedures in medication management, and the utilization of pharmacy technologies and information systems. An integrated pharmacy management approach has been reported to contribute to reducing the incidence of medication errors and enhancing patient safety across various healthcare settings. This review concludes that strengthening pharmacy management constitutes a critical component in efforts to improve patient safety and to develop safer healthcare delivery systems.  
Pola Penggunaan Antibiotik dan Resistensi Bakteri di Rumah Sakit: Literature Review Iin Riana; Khofifah Ali Safitri; Mey Apriansyah
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 3 (2026): Mei : OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i3.2255

Abstract

Antimicrobial resistance is a persistent threat to hospital care, particularly when empirical therapy relies on broad-spectrum antibiotics without continuous evaluation of local use and susceptibility patterns. This literature review aimed to synthesize evidence from four Indonesian hospital-based studies regarding antibiotic utilization, rationality assessment, and bacterial resistance profiles. A structured narrative review was conducted using four selected articles provided by the author. Data were extracted for study design, setting, population, antibiotic evaluation method, dominant antibiotic classes, rationality indicators, resistance profile, and stewardship implications. The four studies were descriptive and hospital-based, using retrospective records, concurrent observation, ATC/DDD with DU 90%, qualitative rationality criteria, and antibiogram data. The synthesis showed a consistent concentration of antibiotic use in broad-spectrum groups, especially third-generation cephalosporins, penicillins, quinolones, and macrolides. In a Bandung public hospital, total antibiotic consumption reached 95,719.01 DDD, with penicillins, cephalosporins, quinolones, macrolides, and sulfonamides included in the DU 90% segment. In intensive care, ceftriaxone was the most frequently used antibiotic and most rationality indicators were appropriate, although clinically significant drug interactions were still identified. In pediatric acute respiratory infection inpatients, cefotaxime and ceftriaxone dominated empirical therapy. Resistance mapping in Denpasar highlighted relevant Gram-positive and Gram-negative pathogens and recommended antibiotics according to susceptibility levels. Overall, the reviewed evidence supports an integrated antimicrobial stewardship model combining ATC/DDD-DU 90% surveillance, qualitative rationality evaluation, antibiogram-based empirical guidance, and periodic feedback to prescribers.
Co-Authors Iin Riana Ika Purwidyaningrum Khofifah Ali Safitri Nevi Nur Fitriasari Fitriasari Novega Diyan Al Amanah Amanah Wahyu Purwanto