Analisis Potensi Kejadian Medication Errors pada Fase Prescribing dalam Pelayanan Resep Pasien Rawat Jalan di Rumah Sakit Bhayangkara Brimob: Analysis of the Potential Incidence of Medication Errors in the Prescribing Phases in Outpatient Prescription Services at Bhayangkara Brimob Hospital

Septi Tri Astuti; Eka Pebi Hartianty; Rahayu Wijayanti

doi:10.35760/jff.2025.v3i2.136

Penulis

Septi Tri Astuti Universitas Gunadarma Penulis
Eka Pebi Hartianty Universitas Gunadarma Penulis
Rahayu Wijayanti Universitas Pancasila Penulis

DOI:

https://doi.org/10.35760/jff.2025.v3i2.136

Kata Kunci:

Medication errors, Prescribing phase, Prescription assessment

Abstrak

Prescription assessment is an activity that plays an important role in ensuring appropriate drug use and preventing medication errors. Medication errors most often occur in the prescribing phases, which is medication errors that occur during drug prescribing. This study aims to determine the implementation of prescription assessment and the potential incidence of medication errors in the prescribing phase in the assessment of outpatient prescriptions at Hospital Bhayangkara Brimob. The type of research used in this study is non-experimental research using descriptive research methods with retrospective data collection for the period October – December 2023. Sampling was the techniques of purposive sampling and calculated using the slovin formula so as to get minimum sample of 395 prescriptions and the number of samples used in this study was 450 prescriptions. The results showed that there was a potential for medication errors in the prescribing phase based on pharmaceutical and clinical requirements. In pharmaceutical requirements, it was found that the name, form or dosage strength of the drug was no listed by 14% (63 prescriptions), inapproopriate drug dosage by 25,33% (114 prescriptions), and inappropriate use rules by 20% (90 prescriptions). In clinical requirements, duplication of drugs was found at 1,11% (5 prescriptions) and drug interactions at 20,22% (91 prescriptions). Meanwhile, administrative requirements did not identify any potential medication errors. The conclusion of this study is that outpatient prescriptions at Bhayangkara Brimob Hospital still have the potential for medication errors in the prescribing phase based on pharmaceutical and clinical requirements.

Unduhan

Data unduhan tidak tersedia.

Biografi Penulis

Septi Tri Astuti, Universitas Gunadarma

Program Studi Farmasi, Fakultas Ilmu Kesehatan dan Farmasi
Eka Pebi Hartianty, Universitas Gunadarma

Program Studi Farmasi, Fakultas Ilmu Kesehatan dan Farmasi
Rahayu Wijayanti, Universitas Pancasila

Program Studi Farmasi, Fakultas Farmasi

Referensi

[1] Menkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 72 Tahun 2016 Tentang Standar Pelayanan Kefarmasian di Rumah Sakit.

[2] Kemenkes RI. Petunjuk Teknis Standar Pelayanan Kefarmasian di Rumah Sakit. Jakarta: Kementerian Kesehatan RI, 2019.

[3] NCCMERP. What is a Medication Error?

[4] Mahendra AD. The Natural and Prevalence of Medication Errors in a Tertiary Hospital in Indonesia. Int J Curr Pharm Res 2021; 13: 55–58.

[5] Selawati A, Tomi, Kunaedi A. Potensi Medication Error pada Pasien ISPA Anak Rawat Jalan di RSD Gunung Jati Cirebon Tahun 2021. J Pharmacopolium 2022; 5: 279–284.

[6] Menkes RI. Menkes RI No. 129/Menkes/SK/II/2008 Tentang Standar Pelayanan Minimal Rumah Sakit.

[7] Menkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 tentang Keselamatan Pasien.

[8] WHO. Medication Safety in Polypharmacy. 2019.

[9] Reyaan IBM, Kuning C, Adnyana IK. Studi Potensi Interaksi Obat pada Resep Polifarmasi di Dua Apotek Kota Bandung. J Manaj dan Pelayanan (Journal Manag Pharm Pract 2021; 11: 145–152.

[10] Dewi IR, Fitriyani NE, Ayuhan AD. Kajian Administratif dan Farmasetis Serta Klinis Pada Resep Dokter di Apotek Waluyo Purwokerto. J Penelit Sains dan Kesehat Avicenna 2024; 3: 128–137.

[11] Surhawinda, Mitra AD, Aliyah SH. Analisis Kelengkapan Resep Secara Administrasi, Farmasetik, dan Klinis di Puskesmas X Kota Sungai Penuh, Jambi. Khazanah Intelekt 2023; 7: 1666–1679.

[12] Cholisoh Z, Damayanti A, Sari DN. Kualitas Penulisan Resep untuk Pasien Pediatri di Rumah Sakit Surakarta. In: University Research Colloqium. 2019, pp. 973–977.

[13] Chusun, Zuzana, Irfan K. Kajian Administratif, Farmasetik, Klinis dan Interaksi Obat dari Resep di Instalasi Gawat Darurat Rmah Sakit X di Jakarta. Farm J Pelayanan Kefarmasian 2023; 10: 25–36.

[14] Pratiwi D, Izzatul M NR, Pratiwi DR. Analisis Kelengkapan Administratif Resep di Apotek Bhumi Bunda Ketejer Praya, Lombok Tengah. J Kesehat Qamarul Huda 2018; 6: 6–11.

[15] Syamsuddin P, Nurlina, Purnamasari M V. Profil Pengkajian Resep Racikan Pediatri Rawat Jalan di Rumah Sakit Mujaisyah Kota Palopo. As-Syifaa J Farm 2024; 16: 52–62.

[16] Anggraini W, Hadriyati A, Sutrisno D. Evaluasi Kelengkapan Administrasi, Farmasetik dan Klinis pada Resep di RSUD H. Abdurrahman Sayoeti Kota Jambi. J Kesehat Tambusai 2022; 3: 64–71.

[17] Qomariah N, Adiana S. Gambaran Kelengkapan Resep Rawat Jalan Pasien BPJS secara Administratif dan Farmasetik di Rumah Sakit X di Bekasi Periode Oktober-Desember 2022. Indones J Heal Sci 2023; 3: 142–148.

[18] Yuliasari V, Aditya M, Susanto H. Evaluasi Penyesuaian Dosis Obat pada Pasien dengan Penyakit Ginjal Kronis di Komunitas Indonesia Kidney Care Club (IKCC). J Ilm SAINSBERTEK 2021; 1: 57–64.

[19] Arif MR, Anggraini L, Supangkat ID. Perbandingan Medication Error Fase Prescribing pada Resep Manual dan Resep Elektronik di Farmasi Rawat Jalan. J Farm Indones AFAMEDIS 2020; 1: 1–8.

[20] Hardani I, Setiadi AAP, Wibowo YI, et al. Analisis Potensi Terjadinya Medication Error pada Resep Pasien Rawat Jalan di Rumah Sakit “X” Kabupaten Malang. MEDFARM J Farm dan Kesehat 2024; 13: 18–31.

[21] Ashinta FA, Khusna K, Pambudi RS. Hubungan Polifarmasi dan Potensi Interaksi Obat Ranitidin Pasien Rawat Inap di RSUD Simo Kabupaten Boyolali. J Farm Sains dan Kesehat 2024; 2: 1–12.

[22] Baxter K (ed). Stockley’s Drug Interactions. Ninth. London: Pharmaceutical Press, 2010.

[23] Romadhoni N, Indria DM, Wibisono N. Hubungan Polifarmasi dengan Potensi dan Tingkat Keparahan Interaksi Obat pada Pola Resep Antihipertensi di Krims. J Bio Komplementer Med 2023; 10: 1–9.

[24] Rosida, Maulani D, Prastiya U. Potensi Interaksi Obat Bisoprolol pada Pasien BPJS Rawat Jalan di Poli Jantung Rumah Sakit Al Huda Banyuwangi. J Ilm Farm Akad Farm Jember 2022; 5: 64–71.

[25] Medscape. Drug Interaction Checker, https://reference.medscape.com/drug-interactionchecker.

[26] Sormin IP, Qoonitah S. Analisis Interaksi Obat Pasien Diabetes Melitus Tipe-2 dengan Komplikasi Hipertensi di Instalasi Rawat Jalan Rumah Sakit “X”. Soc Clin Pharm Indones J 2021; 6: 1–10.