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All Journal Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Bali International Scientific Forum
I Gusti Lanang Made Rudiartha
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Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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EVALUASI PELAPORAN INSIDEN KESELAMATAN PASIEN DI RUMAH SAKIT UMUM DAERAH KARANGASEM: Evaluation of Reporting Patient Safety Incident at Karangasem Regional General Hospital Ni Luh Gede Sekar Adnyani; I Nyoman Adikarya Nugraha; I Gusti Lanang Made Rudiartha
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 8 No. 4 (2022): JIKep | Oktober 2022
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.866 KB) | DOI: 10.33023/jikep.v8i4.1217

Abstract

Pendahuluan: Rumah Sakit Umum Daerah Karangasem telah menerapkan pelaporan insiden keselamatan pasien pada setiap unit pelayanan, namun pelaksanaan pelaporan insiden keselamatan pasien tersebut masih banyak mengalami kendala sehingga diperlukan suatu evaluasi untuk mengetahui permasalahan yang terjadi. Tujuan: untuk mengevaluasi pelaporan insiden keselamatan pasien di RSUD Karangasem. Metode: Jenis penelitian yang digunakan adalah kualitatif dengan menggunakan pendekatan studi kasus, proses pengambilan data dengan teknik wawancara mendalam terhadap 18 partisipan . Tahapan analisis data terdiri dari persiapan analisis data, mencermati data, interpretasi data, verifikasi data serta representasi data. Hasil: RSUD Karangasem telah memiliki pedoman pelaporan insiden keselamatan pasien, namun ketaatan petugas dalam melakukan pelaporan insiden keselamatan pasien masih rendah. Alur pelaporan internal insiden keselamatan pasien sudah dilaksanakan sesuai pedoman, tetapi masih terdapat permasalahan yang ditemui. Faktor yang menjadi penghambat pelaporan insiden keselamatan pasien adalah kurangnya pengetahuan serta adanya pelaporan insiden secara lisan melalui telepon, dan faktor yang menjadi pendukung pelaporan insiden keselamatan pasien yaitu adanya motivasi, serta budaya tidak menyalahkan. Kesimpulan: RSUD Karangasem telah menerapkan pelaporan insiden keselamatan pasien, namun dalam penerapannya masih mengalami kendala, hal ini dikarenakan kurangnya ketaatan petugas dalam melakukan pelaporan insiden keselamatan pasien
Evaluasi Kejadian Diskrepansi Pada Pelaksanaan Rekonsiliasi Obat di RSUD Bali Mandara Rinata, A.A.Ayunda Deva; Ni Putu Aryati Suryaningsih; I Gusti Lanang Made Rudiartha; Ida Bagus Maharjana
Bali International Scientific Forum Vol. 2 No. 2 (2021): Bali International Scientific Forum
Publisher : Bali International University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/bisf.v2i2.280

Abstract

Background: Patients transfer is a vulnerable time during which patient are at high risk of experiencing discrepancies which can lead to medication errors and adverse drug events. In an effort to prevent discrepancies, the hospital applies pharmaceutical service called medication reconciliation which is carried out every time a patient transferred. The implementation of medication reconciliation for internal hospital patients transfer at Bali Mandara Hospital has only been implemented since April 2021. Purpose: This study aims to identify the incidence of discrepancies in patients transferred with and without medication reconciliation. Method: This observational study was conducted by taking patients medical record data and medication reconciliation forms who were transferred from the emergency departement to the inpatient ward (n = 96) on the period of August 2020-February 2022. To justify the identified discrepancies, validity of the study on the incidence of discrepancies was performed with clinical pharmacists. The number of differences in discrepancy in the two groups was compared using the Mann-Whitney U test with p-value≤0,05. Results: The results showed that 169 discrepancies were found in patients who were not reconciled. Meanwhile, 36 discrepancies were found too in patients who were reconciled. The effectiveness of the reconciliation process for internal hospital transfer had a significant value 0,000 (p<0,05). The most common category of discrepancies in both groups was omission (96,09%) followed by an inappropriate dose (3,03%). Conclusion: It can be conclude the number of discrepancies in patients without medication reconciliation was higher. There needs to be consistency in a structured and proactive medicaton reconciliation process during patient transfer in hospital.
Co-Authors I Nyoman Adikarya Nugraha Ida Bagus Maharjana Made Krisna Adi Jaya Ni Luh Gede Sekar Adnyani Ni Luh Santiyani Dewi Ni Putu Aryati Suryaningsih Rinata, A.A.Ayunda Deva