International Journal of Health Sciences
Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences

Observational Study of High-Alert and Look-Alike Sound-Alike (LASA) Medication Storage Systems at The Pharmacy Installation of Ratnasari Sehat 2 Primary Clinic, Ciwidey

Sinta NR (Politeknik Piksi Ganesha)
Dewi Wulantresna (Politeknik Piksi Ganesha)



Article Info

Publish Date
27 Aug 2026

Abstract

Medication safety in pharmaceutical services requires rigorous management of high-alert and Look-Alike Sound-Alike (LASA) medicines because identification and dispensing errors may cause serious patient harm. This study evaluated the storage system for high-alert and LASA medicines at the Pharmacy Installation of Ratnasari Sehat 2 Primary Clinic, Ciwidey. A descriptive quantitative design was applied to 54 respondents consisting of pharmacists, pharmacy technical personnel, pharmacy administration and logistics staff, and supporting health professionals. Data were collected using Likert-scale questionnaires, direct observation with a checklist, and documentation review. The findings showed that 92% of respondents expressed positive responses regarding understanding of high-alert medication risks and LASA identification. Furthermore, 90% positively assessed the effectiveness of layout, lighting, warning labels, and Tall Man Lettering. Operational challenges related to workload and interprofessional coordination were acknowledged by 86% of respondents. Direct observation confirmed the use of red High Alert labels, yellow LASA labels, physical separation of LASA medicines, Tall Man Lettering, and shelf boundary markings. Concentrated potassium chloride 7.46% was not stocked at the clinic, while an updated High Alert and LASA medication list was not available at the workstation. Overall, the storage system met most patient-safety indicators, but managerial improvement is required through updated visual references, workload evaluation, and sustained monitoring.

Copyrights © 2026






Journal Info

Abbrev

IJHS

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

International Journal of Health Sciences (IJHS) is an international peer-reviewed journal published by the Association of Teachers and Lecturers throughout Indonesia. This Journal of Health Sciences is open access and aims to share and promote the quality of community services by applying science ...