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Assessment and Analysis of Medication Errors in the Outpatient Pharmacies of a Private Hospital in Batam Oktaviani, Fifin; Candra, Heldi
Formosa Journal of Science and Technology Vol. 3 No. 8 (2024): August 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjst.v3i8.10599

Abstract

Medication errors are defined as any preventable event that may cause or result in inappropriate medication use or patient harm when the medication is under the control of a healthcare professional, patient or consumer. Medication errors occur when weak medication systems and/or human factors such as fatigue, poor environmental conditions or understaffing affect prescribing, transcription, dispensing, administration and monitoring practices, which can then result in serious harm, disability and even death. The purpose of this study was to evaluate medication errors in outpatients at a private hospital in Batam City. This study is a cross-sectional study with a retrospective data collection technique from outpatient prescription data in January - March 2022 at a private hospital in Batam City. The sample calculation used the Slovin method with 225 samples. The results of the study stated that the incidence of medication errors at the prescribing stage was 58 (37.7%) unreadable prescriptions, 20 (13%) incorrect doses and 5 (3.2%) inappropriate indications, at the transcription stage there were 11 (7.1%) unexpected drug reaction errors, 34 (22%) errors due to drug interactions, at the dispensing stage there were 22 (14.3%) errors in prescribing dosage forms, 2 (1.3%) due to incorrect manufacturing and preparation and 1 (0.6%) due to incorrect administration of damaged drugs. At the administration stage there were 1 (0.6%) errors due to negligence in giving drugs to patients.
Management Evaluation of Expired and Slow-Moving Medications at Hospital X in Batam City Putri Meisa Anggesta; Heldi Candra; Oktaviani, Fifin
Open Access Indonesian Journal of Medical Reviews Vol. 4 No. 1 (2024): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v4i1.504

Abstract

Efficient drug management necessitates a well-structured supply chain to ensure the smooth functioning of health services. The objective of this study is to ascertain the strategies employed for the disposal of expired medications and the handling of slow-moving pharmaceuticals at Hospital X in Batam City. This research is characterized as descriptive-observational, employing a retrospective methodology. Data analysis involves doing qualitative analysis to assess the degree of rationality, followed by quantitative analysis using a formula. The findings of this study indicate that the highest proportion of expired pharmaceuticals occurred in September 2021, accounting for 25.011%. Additionally, the Regional Public Service Agency (RPSA) allocated 17.020% of the budget expenditures, while the Regional Budget (RB) allocated 28.904%. The pharmaceuticals that have the highest expiration rate are injectable preparations, with a proportion of 63.340%. Among these, 41.299% are funded by RPSA, and 74.075% are funded by RB. The highest proportion of expired pharmaceuticals, categorized by therapeutic class, is 16.500% in the antibiotic group. In addition, RPSA allocates 6.729% of the budget funds and RB allocates 37.123% of the budget for this purpose. The highest proportion of expired pharmaceuticals, categorized by therapeutic class, is 16.500% in the antibiotic group. In addition, RPSA allocates 6.729% of its budget funds and RB allocates 37.123% of its budget towards these expired drugs. In the first quarter, there were 57 slow-moving medications, accounting for 84.594% of the budget money from RPSA and 15.406% from RB. The findings of this study indicate that the management of expired pharmaceuticals does not meet the research criterion of less than 1%; however, the management of slow-moving drugs aligns with the research criterion of less than 1%.
Standardisasi Mutu Simplisia Daun Tapak Liman (Elephantopus scaber L.) Berdasarkan Parameter Spesifik dan Nonspesifik Candra, Heldi; Oktaviani, Fifin; Kusumawati, Aldhehita Ari
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Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/jrpi.v3i1.37478

Abstract

This study aimed to standardize simplicia of tapak liman leaves (Elephantopus scaber L.), identify its phytochemical constituents, and evaluate its antibacterial activity against Shigella dysenteriae. The research employed a laboratory experimental design. Simplisia was prepared through sorting, washing, drying, and milling processes, followed by maceration using 96% ethanol. Phytochemical screening was conducted qualitatively, while specific and non-specific parameters were evaluated according to herbal standardization guidelines. Antibacterial activity was tested using the disc diffusion method. The results showed that the simplicia met quality requirements, with water content of 8.5%, drying loss of 9.75%, ash content of 15.1%, water-soluble extract of 15.6%, and ethanol-soluble extract of 11.68%. Phytochemical analysis confirmed the presence of alkaloids, flavonoids, saponins, tannins, phenolics, coumarins, and reducing sugars. The extract exhibited moderate antibacterial activity with inhibition zones ranging from 9.3 to 11.3 mm. These findings support the potential of E. scaber leaves as a candidate for standardized herbal medicine.
Skrining Penyakit Degeneratif Lansia melalui Pemeriksaan Kolesterol, Asam Urat, dan Gula Darah Oktaviani, Fifin; Candra, Heldi; Muliana, Hilda; Kusumawati, Aldhehita Ari; Putri, Lita Riastienanda
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Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/jrpi.v3i1.37474

Abstract

The increasing proportion of the elderly population has led to a shift in disease patterns toward chronic and degenerative non-communicable diseases. This issue is particularly critical in island areas with limited access to health services, where delayed detection of degenerative diseases among older adults is more likely to occur. This community service activity aimed to describe the results of degenerative disease screening as an early detection effort among elderly residents of Pulau Kasu, Belakang Padang District, Batam City. The activity was conducted through health screening of 92 elderly participants by measuring total cholesterol, uric acid levels, and random blood glucose, accompanied by health education and individual counseling. The screening results showed that 41% of participants had elevated cholesterol levels, 29% had increased uric acid levels, and 23% exhibited high random blood glucose levels. These findings highlight the importance of community-based health screening as an initial strategy for preventing and controlling degenerative diseases among the elderly in island communities.