STRATEGI PENGENDALIAN TERHADAP KEJADIAN MEDICATION ERROR DI FASILITAS PELAYANAN KESEHATAN
Abstract
Medication errors adalah kesalahan dalam pengobatan yang dapat menyebeabkan konsekuensi serius bagi pasien dan penyedia layanan kesehatan karena dapat berkontribusi terhadap tingginya morbiditas dan mortalitas. Kesalahan ini mencakup berbagai tahapan mulai dari peresepan, penerjemahan, peracikan, pemberian, hingga kesalahan administrasi obat. Studi ini dilakukan menggunakan metode observasi dan studi literatur untuk mengidentifikasi serta mengevaluasi faktor penyebab yang berkontribusi terhadap kejadian medication error sehingga akhirnya dapat memberikan rekomendasi strategi pengendaliannya. Faktor penyebab dari medication errors berbeda berdasarkan jenis tahapan dimana medication error ini terjadi. Strategi pengendalian yang dapat dilakukan meliputi evaluasi dan penyesuaian standar prosedur operasional penanganan kejadian medication errors, pengelolaan sumber daya manusia melalui pelatihan dan supervisi, pemanfaatan teknologi dan alat bantu seperi electronic prescribing dan automatic alert, serta aspek manajerial berupa pengaturan penyimpanan dan stok opname berkala.
Keywords
Medication errors, Keselamatan pasien, Manajemen risiko
References
- Alanazi, A., alalawi, W. and Aldosari, B. (2023) ‘An Evaluation of Drug-Drug Interaction Alerts Produced by Clinical Decision Support Systems in a Tertiary Hospital’, Cureus, 15(8), p. e43141. Available at: https://doi.org/10.7759/CUREUS.43141.
- Avery A, Barber N, Ghaleb M, Franklin BD, Armstrong S, Crowe S, et al. (2012) Investigating the prevalence and causes of prescribing errors in general practice: the PRACtICe study. London: General Medical Council.
- Doshmangir, L., Ahsani-Estahbanati, E. and Gordeev, V.S. (2022) ‘OPEN ACCESS EDITED BY Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews’, Frontiers in Medicine [Preprint].
- European Medicines Agency (2014) Good practice guide medication error recording coding reporting assessment. EMA. Available at: www.ema.europa.eu/contact (Accessed: 23 March 2025).
- Kemenkes RI (2016) ‘Peraturan Menteri Kesehatan Republik Indonesia Nomor 72 Tahun 2016 Tentang Standar Pelayanan Kefarmasian di Rumah Sakit’.
- Panagioti, M. et al. (2019) ‘Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis’, BMJ, 366. Available at: https://doi.org/10.1136/BMJ.L4185.
- Phillips, D.P. and Bredder, C.C. (2002) ‘Morbidity and mortality from medical errors: an increasingly serious public health problem’, Annual review of public health, 23, pp. 135–150. Available at: https://doi.org/10.1146/ANNUREV.PUBLHEALTH.23.100201.133505.
- Slawomirski, L. and Klazinga, N. (2022) ‘The economics of patient safety: From analysis to action’, OECD Health Working Papers [Preprint], (145). Available at: https://doi.org/10.1787/761f2da8-en.
- Song, I., Shin, H.N. and Shin, J.Y. (2017) ‘Decrease in use of contraindicated drugs with automated alerts in children’, Pediatrics International, 59(6), pp. 720–726. Available at: https://doi.org/10.1111/PED.13258.
- Tomar, I. and Tomar, B. (2021) ‘A Smart Expiry Date Reminder System for Medicines’, ICIERA 2021 - 1st International Conference on Industrial Electronics Research and Applications, Proceedings [Preprint]. Available at: https://doi.org/10.1109/ICIERA53202.2021.9726728.
- Velo, G.P. and Minuz, P. (2009) ‘Medication errors: prescribing faults and prescription errors’, British journal of clinical pharmacology, 67(6), pp. 624–628. Available at: https://doi.org/10.1111/J.1365-2125.2009.03425.X.
- World Health Organization. (2016) Medication Errors : Technical Series on Safer Primary Care, World Health Organisation (WHO). Geneva: World Health Organization. Available at: https://doi.org/10.1007/978-3-031-35933-0_11.
- Wulandari, L.P.L. et al. (2021) ‘Prevalence and determinants of inappropriate antibiotic dispensing at private drug retail outlets in urban and rural areas of Indonesia: a mixed methods study’, BMJ Global Health, 6(8). Available at: https://doi.org/10.1136/BMJGH-2021-004993.