Analisis Penerapan Prinsip Keselamatan Pasien Dalam Pemberian Obat Terhadap Terjadinya Medication Error di Rawat Inap Rumah Sakit X Tahun 2018

Lediana Tampubolon, Pujiyanto Pujiyanto

Abstract


ABSTRAK

Kesalahan medikasi adalah kejadian pemberian obat yang dapat menimbulkan cedera kepada pasien yang seharusnya dapat dicegah selama dalam kontrol tenaga kesehatan, dan pasien itu sendiri. Dari 10 fakta WHO mengenai patient safety pada negara berkembang tahun 2017 disebutkan bahwa 1 dari 10 pasien yang dirawat di rumah sakit berisiko terhadap terjadinya medical error dan kesalahan obat yang merugikan. Dari data insiden keselamatan pasien di rumah sakit X tahun 2015 - 2016 tercatat ada 30 kasus insiden keselamatan pasien yang 12 kasus diantaranya adalah kasus kesalahan pemberian obat di rawat inap. Hal ini tidak sesuai dengan standar yang diatur oleh Kemenkes RI tahun 2008 yang menyatakan bahwa insiden di rumah sakit seharusnya zero accident. Desain penelitian yang dipilih adalah penelitian kualitatif yang bertujuan untuk menganalisa faktor faktor apakah yang mempengaruhi penerapan prinsip keselamatan pasien dalam proses pemberian obat oleh perawat di rawat inap rumah sakit X. Dari hasil penelitian didapatkan bahwa faktor yang mempengaruhi penerapan prinsip keselamatan pasien dalam pemberian obat antara lain kurangnya supervisi dari pimpinan, kurangnya jumlah SDM perawat, tingginya turnover perawat, tidak tersedianya SPO pemberian obat dengan prinsip 7 benar, sosialisasi yang tidak dilakukan secara kontinyu dan tidak adanya program diklat atau pelatihan di rumah sakit X.

 

ABSTRACT

Medication error is the incident of a drug provision that can inflicting injury to the patient with should be able to prevent as long as in control of a trained health professional, and of patients itself. From the 10 fact from World Health Organization on patient safety for the developing country in 2017 mentioned that 1 of 10 patients treated at hospital runs the risk against an onset of medical error and drug mistakes that may cause adverse effect. From the data of patient safety incident in hospital X performed from 2015 until 2016 there were 30 cases of patient safety incidents there were 12 cases of them was the case of error in administering medicine in inpatient unit. It is not conforming to standard of which are regulated by the Ministry of Health of Indonesia in 2008 which states that the incident at the hospital supposed to be zero accident. A design of this research is the qualitative study that aimed to analyze factors affecting patient safety in the process of administering medication by nurses in the X hospital for inpatient unit. The result shows that factors affecting the application of patient safety in administering medication are the lack of supervision of leaders, the lack of human resources, nursing turnover, absence of standard procedure of 7 right principle in administering medication, absence of training program for nurses, and also the lack of socialization.


Keywords


inpatient unit; medication error; nurse; patient safety

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References


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DOI: http://dx.doi.org/10.7454/arsi.v4i3.2494

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