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All Journal Jurnal Farmasi Udayana 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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Perbandingan Kualitas Layanan Kefarmasian Di Puskesmas Berstandar ISO dan Non-ISO Kota Denpasar Made Krisna Adi Jaya; Ni Luh Santiyani Dewi; I Gusti Lanang Made Rudiartha
Jurnal Farmasi Udayana Vol. 10, No 1, Tahun 2021
Publisher : Departement of Pharmacy, Faculty of Mathematics and Natural Science, Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JFU.2021.v10.i01.p06

Abstract

Background: Primary Health Care (puskesmas in Indonesian) is a facilities/infrastructure used to improve health status and health development. Pharmaceutical services at puskesmas are always in the spotlight of the community and tend to be negative in stigma. The community paradigm, especially in Denpasar, tends to state that pharmaceutical services at ISO-standard puskesmas are better than non-ISO. However, this does not mean that non-ISO health centers in Denpasar City do not provide optimal services to the community. Based on this problem, research needs to be conducted to assess the extent of differences in the quality of pharmaceutical services in ISO and non-ISO health centers in Denpasar. Objective: This study aims to compare the quality of pharmaceutical services in ISO and non-ISO puskesmas including the waiting time for drug services, the incidence of Drug Related Problems (DRP), and the level of patient satisfaction. Methods: An analytic observational study was conducted by observing 184 respondents who used the health services at the puskesmas in Denpasar. Waiting time was observed from the patient submitting a prescription until getting the medicine; DRP was observed by the number of drug interactions, patient adherence to therapy and the incidence of Adverse Drug Reaction (ADR); and patient satisfaction using the satisfaction questionnaire. Results: The waiting time for drug services showed that the ISO puskesmas was superior to non-ISO (p <0.05) while the DRP incidence and patient-related satisfaction were not significantly different (p> 0.05). Conclusion: Non-ISO Puskesmas in Denpasar showed the quality of pharmaceutical services that were comparable to Puskesmas with ISO standards. Keywords: Drug Services, Drug Related Problem, Patients Satisfaction, Primary Health Care
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