Kontribusi Kelengkapan Pengisian Formulir Rekonsiliasi Obat terhadap Penggunaan Obat Rasional pada Pasien Rawat Inap di RSU X Bekasi
AbstractDrug reconciliation is needed to get rational treatment therapy. The purpose of this study was to analyze the relationship between the completeness of filling out the form of drug reconciliation and rational drug use at Bekasi X Hospital. The study design used a cross-sectional comparative study to compare between 56 completed drug reconciliation forms and 133 incomplete drug reconciliation forms. Sampling is done in total sampling. The research sample that fulfilled the inclusion criteria was 189 forms (40.6%) of all (466) drug reconciliation forms in November 2015-end April 2016 at X Hospital Bekasi. Data was analyzed using Chi-square test. The results showed that the largest percentage of filling out drug reconciliation forms was incomplete (70.4%), carried out by the pharmacist (56.1%) and not signed by a doctor (63.5%). Percentage of rational drug use by 7.9%, with details: correct diagnosis 53.4%, correct indication 53.4%, correct selection of medicine 33.9%, correct dosage 8.5%, exactly how to administer 37.6%, on time giving 13.8% and correct time giving 14.8%. There is no significant relationship between the completeness of filling out the drug reconciliation form, the types of health workers, the presence/absence of a doctor's signature and rational drug use in inpatients (p> 0.05).Tthere is no significant relationship between the completeness of filling out the reconciliation form and rational drug use in inpatients at Bekasi X Hospital (p> 0.05)
1. Republik Indonesia. Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 Tentang Rumah Sakit.
2. Republik Indonesia. Peraturan Menteri Kesehatan RI Nomor 72 Tahun 2016 tentang Standar Pelayanan Kefarmasian di Rumah Sakit.
3. Mueller SK, Sponsler KC, Kripalani S, Scnipper JL. Hospital-based medication reconciliation practices. Arch Intern Med. 2012;172(7):1057-69
4. World Health Organization. The Rational use of drugs: Report of the Conference of Experts.1985
5. Pronovost P, Weast B, Schwarz M, Wyskiel R M, Prow D, Milanovich SN, et. al. Medication reconciliation: a practical tool to reduce the risk of medication errors. Journal of critical care. 2003;18(4):201-5.
6. Rozich JD, Resar RK. Medication safety: One organization’s approach to the challenge. JCOM. 2001;8(10):27- 34
7. Okere AN, Gessert C, Renier C, Swanoski M. Effects of medication reconciliation service provided by student pharmacists in a tertiary care emergency department. Innovations in pharmacy;2013;4:1-9.
8. Steeb D, Webster L. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc. 2012;52(4):43–52.
9. Komisi Akreditasi Rumah Sakit. Instrumen Akreditasi Rumah Sakit: Standar Akreditasi Versi 2012. 2012; (12):142-165.
10. Benson, J M, Snow G. Impact of medication reconciliation on medication error rates in community hospital cardiac care units. Hospital Pharmacy. 2012;47(12):927-32.
11. Super TM, Phillips SW, Coffey RP, Patterson S. Impact of pharmacist facilitated discharge medication reconciliation. Pharmacy. 2014;2(3):222-30.
12. Strunk LB, Matson AW, Steinke D. Impact of a Pharmacist on medication reconciliation on patient admission to a veterans affairs medical center. Hospital Pharmacy. 2008; 43(8):643-49.
13. Midlov P, Bahrani L, Seyfali M, Hoglund P, Rickhag E, Eriksson T. The effect of medication reconciliation in elderly patients at hospital discharge. International journal of clinical pharmacy. 2012;34(1):113-19.
14. Jansen PAF, Brouwers JRBJ. Clinical pharmacology in old persons. Scientifica. 2012;(6):1-17.
15. Supardi S, Surahman. Metodologi penelitian untuk mahasiswa farmasi. Jakarta: Trans Info Media; 2014.
16. Kennelty KA, Chewning B, Wise M, Kind A, Roberts T, Kreling D. Barriers and facilitators of medication reconciliation processes for recently discharged patients from community pharmacists' perspectives. Research in Social and Administrative Pharmacy. 2015;11(4):517-30.
17. Kementerian Kesehatan Republik Indonesia. Kurikulum Pelatihan Penggunaan Obat Rasional (POR). Jakarta; 2011.
18. Catalonia Ministry of Health. Rational drug use. Medication management in the complex chronic patient: reconciliation, revision, deprescription and adherence. 2014;(4):4-22
19. Leguelinel-Blache G, Arnaud F, Bouvet S, Dubois F, Castelli C, Roux-Marson, C, et al. Impact of admission medication reconciliation performed by clinical pharmacists on medication safety. European Journal of Internal Medicine. 2014;25(9):808-14.
20. Brahma D, Marak M, Wahlang J. Rational use of drugs and irrational drug combinations. The Internet Journal of Pharmacology. 2012;10(1): 1-5.
21. Scordo KA. Teaching students about the WHO guide to good prescribing. The Nurse Practitioner. 2014;39(3):51-4.
Copyright (c) 2020 Jurnal Kefarmasian Indonesia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.