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Jurnal Farmasi Klinik - Best Practice (JFKlin)
Published by Rumah Sakit Umum Pusat Fatmawati
ISSN : 3032467X     EISSN : 29647584     DOI : 10.58815
Core Subject : Health, Science,
Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Jurnal Farmasi Klinik - Base Practice (JFKlin) is a peer-reviewed journal published by RSUP Fatmawati. It focus on the field of health sciences with the specialty of pharmaceutical sciences, pharmaceutical services in hospitals and community. JFKlin has been published twice a year in Indonesian and started from 2022 JFKlin will be fully published in Open Journal System (OJS).
Arjuna Subject : Pharmacology, Toxicology and Pharmaceutics - Farmakologi
Articles 33 Documents
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Gambaran Penerapan Interprofessional Collaboration (IPC) DI RSUP Fatmawati Tahun 2021 Haryani, Setianti
Jurnal Farmasi Klinik Best Practice Vol 2 No 1 (2023): Jurnal Farmasi Klinik Best Practice
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v2i1.25

Abstract

Pemberian pelayanan kesehatan yang prima harus selalu diusahakan oleh setiap rumah sakit kepada pasien agar terciptanya tujuan rumah sakit yakni meningkatkan kualitas dan mempertahankan standar pelayanan. Pelayanan yang terdapat di rumah sakit merupakan pelayanan yang menggabungkan banyak disiplin ilmu kesehatan sehingga berpotensi menimbulkan pelayanan yang tumpang tindih, konflik antar profesional bahkan kesalahan dalam penatalaksanaan pasien. Penerapan InterProfessional Collaboration (IPC) sangat penting untuk dilakukan karena IPC dinilai mampu mensinergikan dan mengefektifkan perawatan yang diberikan kepada pasien untuk mewujudkan Patient Safety di rumah sakit. Tujuan dari penelitian ini adalah untuk melihat gambaran penerapan IPC di RSUP Fatmawati pada tahun 2021 berdasarkan aspek penerapan komunikasi, birokrasi, sumber daya dan disposisi, serta hubungan antara faktor jenis kelamin, umur, pendidikan terakhir, jenis profesi, dan lama praktek Profesional Pemberi Asuhan (PPA). Metode yang digunakan dalam penelitian ini adalah purposive sampling, yakni teknik penentuan sampel berdasarkan pertimbangan peneliti atau evaluator tentang sampel mana yang paling bermanfaat dan representative, subjek dalam penelitian ini adalah PPA yang bekerja di 7 KSM, Komite Keperawatan, dan KTKL. Hasil penelitian ini penerapan IPC di RSUP Fatmawati masuk kedalam kategori yang sangat baik, dengan persentase Tingkat Capaian Responden (TCR) rata-rata sebesar 84,53%, tidak terdapat hubungan antara jenis kelamin, tingkat umur, pendidikan terakhir, jenis profesi, serta lama praktek profesional terhadap penerapan IPC dan penerapan IPC di RSUP Fatmawati ditinjau dari beberapa aspek penerapan meliputi komunikasi, birokrasi, sumber daya, serta disposisi masuk kedalam kategori yang sangat baik, dengan perolehan Tingkat Capaian Responden (TCR) masing-masing secara berturut-turut yakni ; 87,95%; 84,69%; 80,51%; serta 83,89%. Kata kunci : IPC, rumah sakit, komunikasi, birokrasi, disposisi, sumber daya
Evaluasi Penggunaan Klorokuin Atau Oseltamivir Terhadap Fungsi Ginjal Pasien COVID- 19 di RSUP Fatmawati Jakarta Tahun 2020 Juwita, Agnes
Jurnal Farmasi Klinik Best Practice Vol 2 No 1 (2023): Jurnal Farmasi Klinik Best Practice
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v2i1.26

Abstract

Coronavirus Disease2019 (COVID-19) is a new type of coronavirus (SARSCoV-2) that resembles a case of pneumonia. This virus was first discovered in Wuhan, China. In the early period of COVID-19 in March 2020 there was a significant increase in active cases and death cases in Indonesia. There is no therapeutic treatment for COVID-19, so the use of chlorouin or oseltamivir and other drugs being tested has the potential for COVID-19. The use of drugs outside of indications can cause a decrease in function in several organs of the body, especially in the kidneys because many drugs are excreted through the kidneys. The purpose of the study was to evaluate the suitability of therapy using chloroquine or oseltamivir with the standard COVID-19 Treatment Protocol and its effect on kidney function of COVID-19 patients at the inpatient installation of Fatmawati Hospital for the period March-June 2020. The research method was descriptive observational through tracing the medical records of COVID-19 patients. with the study subjects being inpatients with confirmed COVID-19 aged 18 years who received chloroquine or oseltamivir and had normal kidney function at Fatmawati Hospital. The effect of the use of chloroquine or oseltamivir using a pre and post design which will be analyzed using a paired t test to see levels before and after use on kidney function parameters. (57 patients) standard. A total of 49.56% (56 patients) who were not suitable for therapy included a mismatch of dosage and duration of administration. The results of the Wilcoxon Test analysis on the concomitant use of chloroquine or oseltamivir serum urea and creatinine levels had Asymp values. Sig. (2-tailed) < 0.05 means that the use of chloroquine or oseltamivir affects the patient's kidney function.
Identifikasi Medication Error Pada Fase Dispensing Sediaan Aseptik Kemoterapi Di RSUP Fatmawati Periode Maret-April 2023 Pangaribuan, Mutiara
Jurnal Farmasi Klinik Best Practice Vol 2 No 2 (2023): Jurnal Farmasi Klinik Best Practice
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v2i2.28

Abstract

Medication error is an error in the use of drugs that has the potential to harm patient safety during the treatment process. Treatment with the parenteral route is more at risk of causing errors compared to other routes of administration because the drug goes directly to the blood vessels. The purpose of this study was to identify the incidence of medication error in the dispensing phase of chemotherapy aseptic preparations from March 15th to April 14th, 2023. This research method is observationally prospective with total sampling techniques based on chemotherapy protocols and drug storage forms observed for one month of work and data processing with descriptive analysis. There are 360 sample recipes that have been observed. The result of this study was that there was no identification of medication errors at the dispensing stage of aseptic chemotherapy preparations at Fatmawati Hospital. There was no medication error in the dispensing phase of chemotherapy aseptic preparations based on the type of incident and no medication error based on the risk grading matrix. Keywords: Medication error, dispensing, aseptic chemotherapy, RSUP Fatmawati
Evaluasi Penggunaan Antihipertensi dan Faktor Risiko Pada Ibu Hamil Preeklampsia di Rumah Sakit Fatmawati Jakarta Selatan Tahun 2021 Ramadhani, Gabriela
Jurnal Farmasi Klinik Best Practice Vol 2 No 2 (2023): Jurnal Farmasi Klinik Best Practice
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v2i2.30

Abstract

Preeclampsia is defined as hypertension accompanied by proteinuria, occurring after 20 weeks gestation and requiring appropriate antihypertensive therapy. This study aims to determine the use of antihypertensive drugs in preeclampsia patients and to determine the relationship between preeclampsia and patient characteristics (age, gestational age and disease history). The sample research method is total sampling and analyzed descriptively with observational and cross-sectional study designs. The results of the study were 71 patients who received antihypertensive therapy. Nifedipine (29.6%) and metidopa (12.8%) were the most widely used drug choices. The results of drug use efficacy, drug efficacy (92.9%), dose consistency (100%), frequency consistency (100%), suitability of therapy duration (100%) based on clinical practice guidelines for KSM Obsetetri and Gynecology Fatmawati Hospital. Age, gestational age, hypertension comorbidities and diabetes mellitus are demographic profiles related to therapeutic outcomes (p < 0.05). The conclusion of giving antihypertensives to preeclampsia pregnant women is in accordance with the guidelines for clinical practice of KSM Gynecology Fatmawati Hospital and maternal age, gestational age, hypertension comorbidities and diabetes mellitus have a significant relationship with the incidence of preeclampsia while comorbidities of obesity, asthma, and kidney disease are not associated with the incidence of preeclampsia. Keywords: Pregnant women; Preeclampsia; Antihypertensive
PROFIL PENGELOLAAN VAKSIN COVID-19 DI RUMAH SAKIT UMUM PUSAT (RSUP) FATMAWATI JAKARTA Kusuma, Rano
Jurnal Farmasi Klinik Best Practice Vol 2 No 2 (2023): Jurnal Farmasi Klinik Best Practice
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v2i2.31

Abstract

Covid-19 has been a pandemic that has caused numerous casualties over the past three years. The government's efforts to reduce the outbreak and loss of life involve implementing vaccination for the public. Vaccines are biological products that are highly sensitive and easily damaged, thus requiring special handling in their management. RSUP Fatmawati is the main hospital in South Jakarta that carries out Covid-19 vaccinations. Good vaccines are also based on good management. This study aims to examine the management profile of Covid-19 vaccines in accordance with the management standards stated in the “Pedoman CDOB 2020” and “KMK No. HK.01.07-MENKES-4638-2021 tentang JUKNIS Pelaksanaan Vaksinasi Dalam Rangka Penanggulangan Pandemi Covid-19”. This research adopts a descriptive cross-sectional research method. Data collection is done prospectively using approaches such as direct observation or data collection. The results of the study indicate that the conformity of Covid-19 vaccine management with the sources obtained a score of 77.3%. The delivery indicator received a score of 75%, the storage indicator received a score of 75,6%, and the Covid-19 vaccine criteria indicator received a score of 71,4%. Meanwhile, the conformity with the “Pedoman CDOB 2020” obtained a score of 77.5%, and the “KMK No. HK.01.07-MENKES-4638-2021 tentang JUKNIS Pelaksanaan Vaksinasi Dalam Rangka Penanggulangan Pandemi Covid-19” received a score of 76,9%. Some aspects did not conform to the sources, such as the lack of supporting facilities such as humidity meters and malfunctioning temperature thermometers, lack of maintenance for equipment, and monitoring only being performed twice a day. It is recommended to pay attention to the condition and maintenance of the Covid-19 vaccine storage facilities, and temperature monitoring of the vaccines should be conducted at least three times a day.
Analisis Biaya Pengobatan Pasien COVID-19 di RSUP Fatmawati Periode Juli - Desember 2021 Irani, Mutia
Jurnal Farmasi Klinik Best Practice Vol 2 No 2 (2023): Jurnal Farmasi Klinik Best Practice
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v2i2.32

Abstract

Pandemi COVID-19 telah menyebabkan berbagai rumah sakit di dunia mengalami kesulitan dalam memberikan pelayanan karena jumlah pasien melonjak dengan waktu singkat. Pandemi yang meluas dengan mortalitas yang tinggi di berbagai belahan negara mengakibatkan rawat inap pasien karena penyakit COVID-19 menjadi tinggi sehingga biaya perawatannya pun mengalami peningkatan. Tujuan penelitian ini adalah untuk melakukan analisis biaya pengobatan pasien rawat inap COVID-19 di Rumah Sakit Umum Pusat Fatmawati Jakarta. Penelitian ini merupakan penelitian non-eksperimental dengan rancangan penelitian observasional cross sectional. Data yang digunakan adalah data sekunder yang berasal dari data rekam medis dan tagihan biaya rill pasien sebanyak 96 sampel dalam periode Juli – Desember 2021. Analisis dilakukan dengan menggunakan IBM SPSS versi 26 untuk menguji signifikansi antara variabel jenis kelamin, usia, status komorbid, Length of Stay (LOS), dan derajat keparahan dengan total biaya langsung pasien COVID-19. Hasil penelitian menunjukkan rata-rata total biaya pasien COVID-19 berdasarkan derajat keparahannya yaitu pasien COVID-19 derajat ringan sebesar Rp.21.465.727, pasien COVID-19 derajat sedang sebesar Rp. 22.920.429, dan pasien COVID-19 derajat berat yaitu sebesar Rp.67.379.194. Adapun variabel yang berhubungan signifikan adalah status komorbid (p – value 0,017), Length of Stay (LOS) (p – value 0,000), dan derajat keparahan (p – value 0,000). Sedangkan variabel yang tidak berhubungan signifikan yaitu jenis kelamin (p – value 0,363) dan usia (p – value 0,099). Kesimpulan pada penelitian ini adalah faktor yang berpengaruh terhadap peningkatan biaya pengobatan pasien COVID-19 di RSUP Fatmawati Jakarta adalah status komorbid, Length of Stay (LOS) dan derajat keparahan.
EVALUASI KEJADIAN IKUTAN PASCA IMUNISASI (KIPI) VAKSIN COVID-19 DI RUMAH SAKIT UMUM PUSAT (RSUP) FATMAWATI Maruf, Hanin
Jurnal Farmasi Klinik Best Practice Vol 2 No 2 (2023): Jurnal Farmasi Klinik Best Practice
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v2i2.33

Abstract

Administering the COVID-19 vaccination, local reactions such as swelling at the injection site, redness, headache and fever can also occur. Several researchers have found side effects in each type of COVID-19 vaccine with the first and second doses, but there has been no research on vaccines with the first and second booster doses. The aim of this research is to find out the type of COVID-19 booster vaccine at Fatmawati General Hospital and to find out the degree of PostImmunization Adverse Events (AEFI) in this type of vaccine. This research is a quantitative descriptive study with a cross sectional research design with data collection carried out prospectively using primary data and obtained directly through filling out online questionnaires by respondents. The sampling technique uses the Total Sampling method, namely all respondents who have met the inclusion criteria are taken as research samples, however, there is a minimum sample size of 100 respondents. Based on the data obtained, of the 100 respondents there were 56% recipients of the Pfizer booster vaccine and 44% recipients of the Indovac booster vaccine. From the percentage results for each booster vaccine, there were 56% of respondents who experienced AEFI, namely 23% AEFI for the Indovac booster vaccine and 33% for the Pfizer booster vaccine. In this study there were degrees of AEFI, namely mild degree (0%), moderate degree (14.3%) and severe degree (85.7%). The majority of booster vaccine recipients at Fatmawati General Hospital are women.
FAKTOR TATALAKSANA PASIEN TERKONFIRMASI COVID-19 DI RUMAH SAKIT UMUM DAERAH KABUPATEN MERAUKE Wahdana, Rayhan Akbar
Jurnal Farmasi Klinik Best Practice Vol 3 No 1 (2024): Jurnal Farmasi Klinis Best Practice Volume 3 No. 1 Juni 2024
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v3i1.36

Abstract

Tatalaksana pasien terkonfirmasi positif Covid-19 merupakan pedoman terhadap tindakan dalam menangani orang yang terkonfirmasi positif Covid-19 melalui pemeriksaan PCR SWAB sesuai dengan derajat keparahannya. Tujuan penelitian untuk mengetahui faktor tatalaksana pasien terkonfirmasi Covid-19 di RSUD Kabupaten Merauke. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Populasi dalam penelitian ini adalah tenaga medis tatalaksana pasien terkonfirmasi positif Covid-19 di RSUD Merauke. Sampel dalam penelitian berjumlah 105 orang yaitu dokter umum (n=4), dokter spesialis (n=8), perawat (n=87), dan bidan (n=6) yang diperoleh dari pengisian kuesioner. Teknik sampling menggunakan simple random sampling. Analisis data yang digunakan berupa analisis univariat dan bivariat dengan menggunakan uji statistik yakni uji chi square. Hasil penelitian yakni perempuan paling dominan (87,6%) dalam melaksanakan tatalaksana pasien terkonfirmasi Covid-19 dengan usia dewasa awal yaitu 26-35 tahun (73,4%) dan memiliki masa kerja baru <6 tahun (37,2%). Kemampuan SDM di Rumah Sakit Umum Daerah Kabupaten Merauke sebagian besar (61%) berkategori baik dan beban kerja berlebih (71,4%). Fasilitas tatalaksana pasien terkonfirmasi Covid-19 di Rumah Sakit Umum Daerah Kabupaten Merauke memenuhi syarat pedoman (72,4%). Hasil pengujian dari penelitian menunjukkan bahwa terdapat hubungan antara fasilitas (p=0,033;PR:2,970) dengan tatalaksana pasien terkonfirmasi Covid-19. Namun tidak terdapat hubungan kemampuan sumber daya manusia kesehatan (p=0,763;PR:1,168), dan beban kerja (p=0,149;PR:2,116) dengan tatalaksana pasien terkonfirmasi Covid-19 di Rumah Sakit Umum Daerah Merauke. Kata Kunci :Tatalaksana, Fasilitas, Covid-19
Evaluasi Kepatuhan Terapi Obat pada Pasien Diabetes Melitus di Rawat Jalan RSUP Fatmawati Rahmawati, Intan Rizqi; Dwi Yulianti
Jurnal Farmasi Klinik Best Practice Vol 3 No 1 (2024): Jurnal Farmasi Klinis Best Practice Volume 3 No. 1 Juni 2024
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v3i1.39

Abstract

Patient compliance in carrying out treatment has an important role in the success of treatment. Therefore, researchers need to evaluate compliance with diabetes mellitus medication use. This research is a cross-sectional observational study with prospective data collection. The research was conducted at the Outpatient Clinic of Fatmawati Hospital in September 2023 – November 2023 using the MMAS-8 method on 57 patients. From the results, it is known that there is a significant relationship between level of education, medical therapy, disease complications, behaviour of health workers, comorbidities and Hba1c on the level of patient compliance. The outcome of the study showed patients with a high level of compliance is 42.1% and a low level of compliance is 47.4%. Patients with high compliance had 38.6% polypharmacy in their medication therapy; had disease complications 33.3%; felt that the behaviour of health workers was friendly 42.1%; have no comorbidities 22.8%; and controlled HbA1C 40.3%.
Gambaran Efek Samping Obat Sitotoksik pada Pasien Kanker yang Menjalani Kemoterapi di RSUP Fatmawati Jakarta 2023 Sinukaban, Satriani
Jurnal Farmasi Klinik Best Practice Vol 3 No 1 (2024): Jurnal Farmasi Klinis Best Practice Volume 3 No. 1 Juni 2024
Publisher : RSUP Fatmawati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58815/jfklin.v3i1.41

Abstract

Cancer is a non-communicable disease which is characterized by uncontrolled cell division in the body. In 2022 in Indonesia, breast cancer will rank first at 16.2%, followed by lung cancer at 9.5%, then cervical cancer at 9%, colorectal cancer at 8.7%, liver cancer at 5.8%, and other cancers at 50.7%. One of the treatment methods in Patients suffering from cancer receive chemotherapy. Chemotherapy is a treatment using drugs that can inhibit or kill cancer cells which involves a combination of two or more drugs that are cytotoxic and can cause side effects in patients, which is usually called DRP (drug related problem). This research aims to find out the picture side effects of cytotoxic drugs in patients undergoing chemotherapy. This research was carried out using a descriptive retrospective method, using MESO pharmacist report data in the cancer center room and there were 38 patients who experienced side effects from cytostatic drugs. Of the 38 patients, the largest disease was ovarian cancer, 13 of them, the most frequently used therapy regimen was a combination of Paclitaxel and Carboplatin, 15, the most common side effect experienced by chemotherapy patients was dyspnea which occurred in 21 patients. And the antidote that is often used is Dexamethasone injection in 27 cases.

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