Pengelolaan obat High Alert, obat LASA, Obat Emergency dan Obat umum di gudang Farmasi dan Troly emergency di IGD
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Abstract
Proper management of drug storage in hospitals is essential for ensuring quality and patient safety, particularly for high-alert drugs, look-alike sound-alike (LASA) drugs, and emergency drugs. This study evaluates the storage system for these drugs in the Fatmawati Hospital Pharmacy Warehouse according to the PKPO and SKP standards established by the Indonesian Ministry of Health. The evaluation was conducted through direct observation, a document study, and a comparison to Permenkes and Kepmenkes standards. The results show that, while most of the storage system is appropriate, there are still non-conformities, such as high-alert drugs being placed outside the red zone, suboptimal LASA marking, and limited warehouse space. The study recommended improvements to the marking zone, staff training, and layout arrangements. The results showed that 94% of high-alert drug storage was in the excellent category, 70% of LASA drug storage was in the good category, 80% of trolley emergency drug storage was in the good category, and 85.14% of general drug storage was in the good category. Statistical analysis using a t-test revealed that the storage of high-alert, LASA, emergency, and general drugs had a significance value of p > 0.05. These results illustrate that drug storage in the Fatmawati Hospital Pharmacy warehouse meets the standards.
Keywords: Medication Storage, High-Alert Medications, LASA, Emergency Medications, Pharmaceutical Warehouse.
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References
Kementerian Kesehatan RI. (2024). Kepmenkes No. HK.01.07/Menkes/1596/2024 tentang Standar Akreditasi Rumah Sakit.
Kementerian Kesehatan RI. (2016). Permenkes No. 72 Tahun 2016 tentang Standar Pelayanan Kefarmasian di Rumah Sakit.
Kuitunen S, Saksa M, Tuomisto J, Holmstrom A. Medication errors related to high-alert medications in a paediatric university hospital - a cross-sectional study analysing error reporting system data. 2023
FDA. (2023). Tall Man Lettering Differentiation Project.
Kementerian Kesehatan RI. (2017). Permenkes No 11 tahun 2017 Tentang Keselamatan Pasien.
Kementerian Kesehatan RI. (2018). Permenkes No. 47 Tahun 2018 tentang Pelayanan Kegawatdaruratan.
WHO. (2023). Medication Safety for Look-Alike Sound-Alike Medicines..
Arsyad B, Indah S, Nur RH. Gambaran Pengelolaan Penyimpanan Obat di Gudang Farmasi Rumah Sakit Pertamina Cirebon. Open Journal Systems STF Muhammadiyah Cirebon. Medical Sains Vol. 5 No.2, Maret 2021. e-ISSN (2548-2114).
Aji T, Andini N, Melia ER, Eni KS, Diesty AN. Penilaian Sistem Penyimpanan Obat pada Gudang Farmasi Rumah Sakit Swasta di Bantul. Journal of Research in Pharmacy. 2023. e-ISSN : 2774-9967.
Febrianti S. Profil Pengelolaan Emergency Trolley Di Instalasi Gawat Darurat (IGD) Rumah Sakit Umum Daerah Dr.M.Yunus Bengkulu. Jurnal Vokasi Keperawatan (JVK). 2020.
Tuda, I., Tampa’i, R., Maarisit, W., & Sambou, C. (n.d.). Evaluasi Penyimpanan Obat Di Instalasi Farmasi UPTD Puskesmas Tuminting. The Tropical Journal of Biopharmaceutical), (2020)
Zulfitri, Yana S., &Atina H,. Evaluasi Sistem Penyimpanan Sediaan Farmasi Berdasarkan Standar Pelayanan Kefarmasian Rumah Sakit dan Syariat Islam di RSI Sultan Agung Semarang.Indonesian Journal of Pharmacy and Natural Product(2024).
Wayne W. Daniel. Biostatistics: A Foundation for Analysis in The Health Sciences. Edisi 10 (2013).
Satibi. (2014). Manajemen Obat di Rumah Sakit. Manejemen Adminsitrasi Rumah Sakit, (2014).
Bala, F. L., Tampa’I, R., Sambou, C. N., Untu, S. D., & Karauwan, F. A. (2023). Analisis manajemen logistik obat di instalasi farmasi RSUP Prof. DR. R.D. Kandou Manado. Biofarmasetikal Tropis (The Tropical Journal of Biopharmaceutical), 6(1)(2023).
Schepel L, Lehtonen L, Airaksinen M, Reiniluoto. Howto Identify Organizational High-Alert Medications. 2018