Analisis penerapan prinsip keselamatan pasien dalam pemberian obat terhadap terjadinya medication error dirawat inap RS Z Palembang tahun 2020

Suharto, Bernadus Freddy (2021) Analisis penerapan prinsip keselamatan pasien dalam pemberian obat terhadap terjadinya medication error dirawat inap RS Z Palembang tahun 2020. Masters thesis, Universitas Pelita Harapan.

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Abstract

Selama proses pengobatan berlangsung terdapat kesalahan yang mungkin terjadi baik disebabkan oleh tenaga kesehatan maupun pasien. Kesalahan medikasi adalah setiap kejadian yang dapat dicegah, yang dapat mengakibatkan penggunaan medikasi yang tidak seharusnya atau menimbulkan cedera terhadap pasien dalam kontrol tenaga kesehatan, pasien dan consumer. Peran penting perawat di layanan kesehatan yaitu memperhatikan prinsip tujuh benar obat saat memberikan obat kepada pasien. Dari data insiden keselamatan pasien di rumah sakit Z tahun 2019 yang tercatat di bulan Oktober sampai Desember 2019terdapat 10 kasus insiden keselamatan pasien yang 4 di antaranya adalah kesalahan pemberian obat di rawat inap, 1 kasus di rawat jalan dandari data insiden keselamatan pasien tahun 2020, tercatat ada sebanyak 20 kasus insiden keselamatan pasien, 9 diantaranya adalah kasus kesalahan pemberian obat dimana 8 kasus terjadi di rawat inap dan 1 kasus di rawat jalan. Penelitian ini merupakan penelitian kualitatif.Data primer diperoleh melalui wawancara mendalam dengan informan dan observasi.Prinsip keselamatan pasien dianggap sangat penting dalam memberikan pelayanan yang aman kepada pasien yang harus diterapkan di semua bagian di rumah sakit.Mempengaruhi terjadinya insiden keselamatan pasien dimana salah satunya adalah kejadian medication error di unit rawat inap rumah sakit Z saat ini. Faktor faktor yang mempengaruhi terjadinya medication error di rumah sakit Z antara lain adalah faktor leadership, kurangnya jumlah SDM pelayan kesehatan , tingginya turnover perawat, faktor lingkungan tempat kerja yang kurang kondusif, tidak tersedianya SPO pemberian obat dengan prinsip 7 benar, sosialisasi yang tidak dilakukan secara konsisten dan kontinyu serta tidak berjalannya program diklat ataupelatihan. / During the treatment process there are errors that may occur either caused by health workers or patients. Medical errors are any preventable event, which can result in improper use of medical devices or cause injury to patients in the control of health workers, patients and consumers. The important role of nurses in the health service is to pay attention to the principle of seven true drugs when delivering drugs to patients. From patient safety incident data in hospital Z in 2019 recorded in October to December 2019 there were 10 cases of patient safety incidents, 4 of which were drug delivery errors in hospitals, 1 case of outpatient care and from patient safety incident data in 2020, there were 20 cases of patient safety incidents, 9 of which were cases of drug delivery errors where 8 cases occurred in hospitals and 1 case of outpatient care. This research is qualitative research. Primary data is obtained through in-depth interviews with informants and observations. The principle of patient safety is considered very important in providing safe services to patients that must be applied in all parts of the hospital. It affects patient safety incidents where one of them is a medication error in the inpatient unit of Z hospital at this time. Factors that influence the occurrence of medication error in hospital Z include leadership factors, lack of human resources of health workers, high turnover of nurses, factors of the workplace environment that are less conducive, the un availability of SPO drug administration with the principle of 7 correct, socialization that is not carried out consistently and continuously and does not run training or trainingprograms.

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