Komunikasi, Lingkungan, Gangguan Interupsi, Beban Kerja dan Edukasi Mempengaruhi Medication Error Perawat Di Instalasi Rawat Inap Rumah Sakit

  • Ahmad Safii Hasibuan Universitas Aufa Royhan
  • Syamsopyan Ishak Public Health Departement Faculty of Health Universitas Aufa Royhan Padangsidimpuan Indonesia
  • Erni Yetti R 2HealPromotion Departement Midwifery Academy of Sinar Kasih Toraja Tana Toraja Indonesia

Abstract

The Decree of the Minister of Health regarding Minimum Service Standards states that it is hoped that there will be no incidents of drug administration errors by 100%, this means that none of the occurrences of medication errors should occur in health services. There were 13 medication errors in the inpatient installation of Padangsidimpuan City Hospital in 2015-2017, although most cases did not have a very fatal impact. This study aims to analyze the factors that influence the occurrence of medication errors by the nurses in the inpatient installation of the Padangsidimpuan City Hospital. This type of research is an analytic survey using a cross sectional approach. The population is all nurses who directly interact with patients. amounting to 122 nurses divided from 11 rooms obtained a sample of the total sample of 93 nurses. Data obtained by interview using a questionnaire and analyzed using multiple logistic regression test with α = 0.05 and a confidence level of 95%. The results showed that the variables that had a significant influence on the variable on the occurrence of medication errors by the nurses in the Hospital Padangsidimpuan were environmental conditions variables with p value = 0.002, workload variables with p value = 0.007, and educational variables with p value p value = 0.001. The conclusion is that the management of Padangsidimpuan City Hospital needs to provide socialization in the field of knowledge and skills regarding drugs or pharmacology as well as medication errors in order to minimize the number of medication errors to 0 in order to meet the minimum hospital service standards.

References

1. Wildani, H., Badiran, M. & Hadi, A. J. Hubungan Kualitas Pelayanan Kesehatan Rawat Jalan Dengan Tingkat Kepuasan Pasien Peserta Jaminan Kesehatan Nasional Di RSU Muhammadiyah Sumatera Utara. J. Komunitas Kesehat. Masy. 2020;1(1):7–21.
2. Angkow L, Citraningtyas G, Wiyono WI. Faktor Penyebab Medication Error Di Instalasi Gawat Darurat (IGD) Rumah Sakit BhayangkarA TK. III Manado. Pharmacon. 2019;28(2):426-433.
3. Benawan S, Citraningtyas G, Wiyono WI. Faktor Penyebab Medication Error Pada Pelayanan Kefarmasian Rawat Inap Bangsal Anak RSUD Tobelo. Pharmacon. 2019;8(1):159-167.
4. Nursing I of M (US). C on the RWJFI on the F of. The Future Of Nursing: Leading Change, Advancing Health. National Academies Press Washington; 2011.
5. Agyemang REO, While A. Medication Errors: Types, Causes And Impact On Nursing Practice. Br Journal Nursing. 2016;19(6):380–385.
6. Hansen LB. Medication Errors. Am J Pharm Educ. 2017;71(3):59-69.
7. Williams DJP. JR Coll. Physicians Edinb. Ed. 2017;37:343–346.
8. Fowler SB, Sohler P, Zarillo DF. Bar-code Technology For Medication Administration: Medication Errors And Nurse Satisfaction. Medsurg Nursing. 2019;18(2):103–110.
9. Aronson JK. Medication Errors: Definitions And Classification. Br J Clin Pharmacol. 2015;67(6):599–604.
10. Sanjaya GY, Hidayat AW. Pemantauan Obat Dan Perbekalan Kesehatan Di Indonesia: Tantangan Dan Pengembangannya. J Manaj Dan Pelayanan Farm. Journal Manag Pharm Pract. 2016;6(2):159–168.
11. Sukapti S, Dwiyanti D. Peresepan Obat Generik dan Faktor-faktor yang Mempengaruhinya pada Instalasi Rawat Jalan Rumah Sakit Pemerintah di Propinsi Sumatera Barat. JKMA (Jurnal Kesehat Masy Andalas) (Andalas J Public Heal. 2018;5(1):21–72.
12. Mubarok F, Koesoemo GS, Wiyono S. Optimalisasi Ketepatan Pemberian Obat dengan Penerapan Prosedur dan Komunikasi SBAR dalam Pelaksanaan Clinical Handover Perawat di Instalasi Rawat Inap RSUD Kota Depok Periode Juli 2019. InSeminar Nasional Riset Kedokteran 2020 Mar 31 (Vol. 1, No. 1).
13. Khairurrijal MA, Putriana NA. Medication Erorr Pada Tahap Prescribing, Transcribing, Dispensing, dan Administration. Majalah Farmasetika. 2018;2(4):8-13.
14. Indonesia PMKR. Peraturan Menteri Kesehatan Republik Indonesia Nomor 58 Tahun 2014 tentang Standar Pelayanan Kefarmasian Di Rumah Sakit. Jakarta Depkes RI. 2015;8:47–48.
15. Perwitasari DA, Abror J, Wahyuningsih I. Medication errors in outpatients of a government hospital in Yogyakarta Indonesia. Int J Pharm Sci Res Rev. 2018;1(1):8–10.
16. Sidempuan RP. Profil RSUD Kota Padang Sidempuan. Profil Rumah Sakit. 2017.
17. Sugiyono MPK. Kualitatif, dan Kombinasi (Mixed Methods). Bandung Alf. 2013.
18. Budihardjo VS. Faktor Perawat Terhadap Kejadian Medication Administration Error Di Instalasi Rawat Inap. J Administrasi Kesehatan Indonesia. 2017;5(1):52–61.
19. Yulianti N, Malini H, Muharni S. Analisis Faktor Yang Mempengaruhi Peran Perawat Dalam Pencegahan Medication Error Diruang Rawat Inap Rumah Sakit Awal Bros Batam. NERS Jurnal Keperawatan. 2019;15(2):130-139.
20. Brigitta IR, Dhamanti I. Literature Review: Analysis of Causes and Efforts to Prevent Medication Administration Error (MAE) in Hospitals. Unnes Journal of Public Health. 2020;9(2):23-31.
21. Alfah R, Megariani TV. Sistem E–Prescribing Dan Barcode System Untuk Resep Obat Di Rumah Sakit. Jurnal Teknologi Informasi Universitas Lambung Mangkurat (JTIULM). 2018;3(2):59-70.
22. Donsu YC. Faktor Penyebab Medication Error Pada Pelayanan Kefarmasian Rawat Inap Bangsal Anak Rsup Prof. Dr. Rd Kandou Manado. Pharmacon. 2016;5(3):20-28.
23. Sari PN. Faktor-Faktor Yang Berkaitan/Berhubungan Dengan Medication Error Dan Pengaruhnya Terhadap Patient Safety Yang Rawat Inap Di Rs. Pondok Indah–Jakarta Tahun 2012–2015. Soc Clinichal Pharmacy Indones J. 2017;2(1):1–9.
24. Yusriani Y, Alwi MK. Buku Ajar Promosi Kesehatan Dan Pemberdayaan Masyarakat. Book & Articles Of Forikes. 2018 Mar 31;9:1-59.
25. Johari H, Shamsuddin F, Idris N, Hussin A. Medication Errors Among Nurses In Government Hospital. J Nurs Heal Sci. 2016;1(1):18–23.
26. Bayang AT, Pasinringi S. Sangkala, 2013, Faktor Penyebab Medication Error di RSUD Anwar Makkatutu Kabupaten Bantaeng, E-Journal Program Pascasarjana Universitas Hasanuddin. 2018;8(2):49-57.
Published
2020-10-25
How to Cite
Hasibuan, A., Ishak, S., & Yetti R, E. (2020). Komunikasi, Lingkungan, Gangguan Interupsi, Beban Kerja dan Edukasi Mempengaruhi Medication Error Perawat Di Instalasi Rawat Inap Rumah Sakit. Window of Health : Jurnal Kesehatan, 343-353. https://doi.org/https://doi.org/10.33368/woh.v0i0.368
Section
Articles