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PHARMACIST COMPETENCY IMPROVEMENT IN STERILE DISPENSING AT HEALTH FACILITY SERVICES IN LAMPUNG Prof. Dr. Retno Sari, M.Sc., Apt.; Dewi Isadiartuti; Muhammad Agus Syamsur Rijal; Dini Retnowati; Dinda Monika Nusantara Ratri; Nuzul Wahyuning Diyah; Tutik Sri Wahyuni
Jurnal Layanan Masyarakat Vol. 7 No. 1 (2023): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v7i1.2023.114-122

Abstract

Sterile dosage forms are pharmaceutical preparations that require to be free of microorganisms and particles. In health services, sterile preparations often undergo a series of changes in form from their original conditions to new products through dissolution or mixing with other sterile preparations. To maintain sterility, sterile preparation dispensing skills are needed. Regulation of the Minister of Health of the Republic of Indonesia No. 72 of 2016 and No. 74 of 2016 concerning Pharmaceutical Service Standards in Hospitals and Health Centers are intended to improve the quality of pharmaceutical services, guarantee legal certainty for pharmacists and protect patients and the public from irrational drug use in the context of patient safety. Pharmaceutical service standards in hospitals cover the management of pharmaceutical preparations, medical devices, consumable medical materials and clinical pharmacy services. One of the standards in clinical pharmacy services is aseptic/sterile dispensing sterile. The community service aims to increase the knowledge and skills of pharmacists at Bandar Lampung health facilities and its surroundings in managing sterile preparations.The community service is held through a webinar with a zoom platform followed by discussion and aseptic dispensing demonstration. The sterile dispensing demonstration are carried out by dividing the participants into four groups in the breakout room and each group was guided by a facilitator. In this activity, participants were provided with material on formulation, compatibility, and stability of pharmaceutical preparations, dispensing sterile preparations, aseptic techniques, and problems in sterile dispensing sterile at the hospital. The activity was attended by 63 pharmacists from 25 hospitals in Bandar Lampung and its surroundings, also academics in Tanjung Karang. The evaluation results showed an increase in participants' knowledge of 19,3% and participants expected that activities could be carried out periodically with various topics. The activities are expected to improve the patient's health status and enhance the role of the Faculty of Pharmacy, Airlangga University in the National Health System.
An ABC-VEN Analysis for Outpatient Medicines Use in the Department of Internal Medicine at Universitas Airlangga Teaching Hospital Zedny Norachuriya; Suprapti, Budi; Dinda Monika Nusantara Ratri; Cahyo Wibisono Nugroho; Yosiyanita Safari
JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Vol. 11 No. 2 (2024): JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jfiki.v11i22024.184-191

Abstract

Background: Application of the ABC-VEN method in evaluating drug planning can increase efficiency and ensure optimal medicine availability and stable access to medications. Objective: To analyze ABC-VEN combinations to examine the profile of medicine use in the internal medicine department. Methods: This was an observational study with retrospective prescription data from outpatients in the Internal Medicine Department from January to March 2020. Collected data included the type, number of medicines, and medicine prices. Patients undergoing chemotherapy and retroviral therapy for HIV were excluded from the study. Subsequently, an ABC-VEN analysis was performed. Results: Of 4,242 prescription samples, 188 types of medicines were used. Based on the drug use evaluation with ABC analysis, category A contained 23 items (12.17%), category B contained 35 items (18.52%), and category C contained 130 items (69.31%). The ABC analysis for investment value found that category A contained eight items (4.23%), category B contained 22 items (11.64%), and 158 items (84.13%). Based on the VEN analysis, Group V had six medicine items, Group E had 152 medicine items, and Group N had 30 medicine items. The ABC-VEN investigation showed that there were eight, 151, and 29 items of medicines in Categories I, I, and III, respectively. Conclusion: Although there are medicines that are highly used, their investment value is quite low. The use of the ABC-VEN method to evaluate medicine use is crucial for organizing and controlling the medicine supply.
Medication Adherence, Quality of Life, and Rehospitalization in Post-Acute Coronary Syndrome Patients Yustiana; Nilamsari, Wenny Putri; Susilo, Hendri; Dinda Monika Nusantara Ratri; Bawole, Fatresye Mariati
JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Vol. 12 No. 2 (2025): JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jfiki.v12i22025.195-207

Abstract

Background: Post-ACS patients often face an increased likelihood of mortality, rehospitalization, and diminished quality of life as a consequence of poor medication adherence. Objective: This study aimed to evaluate the level of adherence to medication in post-ACS patients and its relationship with quality of life and rehospitalization rates. Methods: A cross-sectional, observational, single-center, prospective study conducted at Universitas Airlangga Teaching Hospital, Surabaya. Compliance with medication was evaluated using the Adherence Refill Medication Scale-7 (ARMS-7) questionnaire, while quality of life was measured using the Short Form-36 (SF-36) Quality of Life questionnaire. Rehospitalization rates were obtained through direct interviews and medical record observations within 45 days of hospital discharge. Results: In total, 39 patients participated in this study, with overall adherence rates of 35.89% for all prescribed medications, 53.85% for antiplatelets, 38.46% for statins, 55.56% for beta-blockers, and 58.06% for ACEIs/ARBs. Among the quality-of-life dimensions, social functioning had the highest score (93.01 ± 15.89), whereas physical role functioning had the lowest score (40.39 ± 35.18). Within 45 days of hospital discharge, 26% of the patients experienced rehospitalization. Statistical analysis indicated a positive correlation between adherence to all prescribed medications and physical role functioning in relation to QoL (p = 0.038). In addition, overall medication adherence was negatively correlated with the risk of rehospitalization (p = 0.019). Conclusion: Total medication adherence was associated with improved physical function and rehospitalization events. Providing education can lead to better therapeutic outcomes, improved quality of life, and reduced rehospitalization in patients.