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Journal : Majalah Kedokteran Sriwijaya

Analisis Faktor Yang Mempengaruhi Medication Error Pada Pasien Kemoterapi Di RSUP DR.Mohammad Hoesin Palembang Lulu Gloria; Yowono Yowono; Ngudiantoro Ngudiantoro
Majalah Kedokteran Sriwijaya Vol 49, No 4 (2017): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v49i4.8521

Abstract

Medication error adalah kesalahan yang terjadi dalam proses pengobatan pasien yang berpotensi merugikan pasien ketika pengobatan berada di bawah pengawasan petugas kesehatan yang sebetulnya dapat dicegah. Tujuan penelitian ini adalah untuk menganalisis faktor risiko yang mempengaruhi terjadinya medication error (prescribing dan dispensing) pada petugas yang menangani pasien kemoterapi di RS Mohammad Hoesin. Desain penelitian ini adalah analitik  dengan rancangan crossectional (potong lintang). Populasi pada penelitian ini adalah resep kemoterapi, Dokter dan Tenaga Teknis Kefarmasian yang ada di TPO Kemoterapi dan Rawat Inap  RS. Moh.Hoesin pada bulan Mei dan Juni tahun 2017. Pengambilan sampel dilakukan secara purposive dengan jumlah sampel sebanyak 792 resep, 58 Dokter dan 55 Tenaga Teknis Kefarmasian . Analisis data menggunakan uji chi square dan analisis regresi binery logistic. Uji statistik dengan menggunakan analisis regresi logistic  diketahui bahwa variabel yang berpengaruh terhadap medication error pada pasien kemoterapi di RSUP Dr.Mohammad Hoesin Palembang tahun 2017 adalah variabel beban kerja petugas(p-value= 0,027; PR= 2,853; 95% CI= 1,126-7,224), pendidikan petugas (p-value= 0,006; PR= 17,260; 95% CI= 2,281-130,602) dan jenis kelamin petugas (p-value= 0,003; PR= 6,926; 95% CI= 1,892-25,363) Dokter dan Tenaga Teknis Kefarmasian. Dan sebagai faktor konfounding adalah variabel pengalaman kerja(p-value 0,0001), jadwal kerja(p-value 0,0001), dan komunikasi(p-value 0,002). Kejadian medication error dapat diintervensi dengan pelatihan tentang obat-obatan kepada Dokter dan Tenaga Teknis Kefarmasian, memperbaiki rasio antara sumber daya manusia dengan beban kerja, meningkatkan pendidikan Tenaga Teknis Kefarmasian serta menerapkan database obat-obatan dan aplikasi resep secara elektronik.
POLLUTING FACTORS IN RUBBER PLANTS THAT INTERFERE WITH HEALTH Ferly Oktriyedi; Irfannuddin Irfannuddin; Ngudiantoro Ngudiantoro; M. Hatta Dahlan
Majalah Kedokteran Sriwijaya Vol 53, No 2 (2021): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/mks.v53i2.14696

Abstract

Production of natural rubber can have a detrimental effect on health. Hazardous pollution products from natural rubber industry are ammonia and sulfides which can be in the form of gas, solid/rubber crump, and liquid waste. These pollutants occur due to sub-standard PRPM management processes and the use of non-recommended clotting agents such as sulfuric acid, alum potassium, and Triple Super Phosphate (TSP) fertilizer. The natural rubber management process also uses machines that cause noise pollution. The impact of health problems that can occur contact dermatitis, hearing loss, respiratory diseases, and pulmonary parenchyma, and eye irritation.  
ANALYSIS OF LIVER FUNCTION DISORDERS IN CRUMB RUBBER FACTORY WORKERS IN PALEMBANG CITY, SOUTH SUMATRA Ferly Oktriyedi; Irfannuddin Irfannuddin; Ngudiantoro Ngudiantoro; Muhammad Hatta Dahlan
Majalah Kedokteran Sriwijaya Vol 54, No 2 (2022): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/mks.v54i2.17842

Abstract

Workers are required to receive Occupational Safety and Health protection. Work accidents can be influenced by physical, chemical, biological, ergonomic and psychological factors. Natural rubber factory is one of the industries that have risks to these factors. This study used a cross-sectional design. Data analysis used the CHAID (Chi-Square Automatic Interaction) method. P value < 0.05 was considered statistically significant. The results of the study showed that the average concentration of H2S in the air and in solids was above the quality standard and the average concentration of H2S in water was still below the quality standard. The average concentration of NH3 in water and in solids is above the quality standard and the average concentration of NH3 in the air is still below the quality standard. The results of the CHAID method analysis showed that glucose levels were associated with impaired liver function (p = 0.000; chi square = 48.766) and the risk of H2S exposure in the air with impaired liver function (p = 0.007; chi square = 7.944). In addition, 3 segments of liver function disorders were also found, namely Segment 1: Workers with abnormal BBS levels, high air exposure H2S; segment 2: Workers with abnormal glucose levels, low air exposure H2S; segment 3: Workers with normal glucose levels. Based on this segment, it was also found that the percentage of risk of experiencing liver function disorders were workers in segment 2 (36.3%) and segment 1 (17.4%).
Co-Authors Affandi, Azhar Kholiq Ali Amran Anita Desiani Ari Siswanto Armanto, M Edi Arum Setiawan Arum Setiawan Bambang Suprihatin Dahlan, M Hatta Damiri , Nurhayati Dedi Setiabudidaya Desty Rodiah Dwi Setyawan Eddy Ibrahim Edward Saleh Elisa Wildayana Elyantari, Gresi Fauziyah Febriyanti, Indrike FERLY OKTRIYEDI Handayani, Lela Hidayat Pawitan Hidayat Pawitan Hidayat Pawitan Hidayat Pawitan Hikmah Utari Horia Horia Indah Amalia, Indah Irfannuddin Irfannuddin Irfanudin, Irfanudin Irmeilyana Jihan F. Lubis Jihan Farhan Lubis Komang Suryati Laila Hanum Leni Triana Lubis, Jihan F. Lulu Gloria M Yanuar J. Purwanto M. Hatta Dahlan M. Hatta Dahlan M. Yanuar J. Purwanto M. Yanuar J. Purwanto M. Yanuar J. Purwanto M. Yunus Makhalli, Siddiq Mariana Mariana Momon Sodik Imanuddin Muhammad Ardiansyah Muhammad Ardiansyah Muhammad Ardiansyah Muhammad Hatta Dahlan Muhammad Hendri Mukhlizar Nirwan Samsuri Neni Triana, Neni Novrikasari Novrikasari, Novrikasari Nura Malahayati Nurhayati Damiri Oki Dwipurwani Putri, Rizki Eka Rico J. Sitorus Robianto H. Susanto Robiyanto H Soesanto Robiyanto H. Susanto Rostika Flora Rully Marinto Saputra, Erlianto Hona Satria Jaya Priatna, Satria Jaya Septarini Eka Putri Setiabudidaya, D Settings Robiyanto H. Susanto Sri Indra Maiyanti Sri Indra Maiyanti Suratama, Bintang Suryadi Tjekyan Syarifuddin, Fauzi Yusuf Taufik Toha Taufik Toha, Taufik Tri Hastuti Sulistiyo Yowono Yowono Yuanita Windusari Yulifa Handayani Zubaidah R, Zubaidah Zuhdi, Mohd Zulkarnain Zulkarnain