DAFTAR ISI

HALAMAN JUDUL......................................................................................i

LEMBAR PENGESAHAN..............................................................................ii

KATA PENGANTAR....................................................................................iii

DAFTAR ISI..................................................................................................iv

BAB I PENDAHULUAN................................................................................1

1.1. Latar Belakang...................................................................................1

1.2. Rumusan Masalah..............................................................................2

1.3. Tujuan Pembahasan...........................................................................3

BAB II TINJAUAN PUSTAKA.....................................................................4

2.1. Jalur Distribusi Obat di Indonesia.....................................................4

2.1.1. Distribusi Obat......................................................................4

2.1.2. Cara distribusi obat yang baik (CDOB)......................................5

2.2. Patient Safety...........................................................................................11

2.2.1. Definisi Patient Safety...........................................................11

2.2.2.Tujuan Sistem Patient Safety................................................13

2.2.3. lsu, Elemen dan Akar Penyebab Kesalahan yang Paling Umum
dalam Patient Safety.......................................................................13

2.2.4. Standard Keselamatan Pasien................................................15

2.2.5. Sembilan Solusi Life –Saving Keselamatan Pasien Rumah

Sakit...............................................................................................20

2.2.6 Implementsi Patient Safety............................................................24

iv
 2.3. Medication Error......................... ..................................................26

2.3.1 Definisi Medication Error.............................................................26

2.3.2 Klasifikasi Medication Error......................................................27

2.3.3 Teori Tentang Error................................................................29

2.3.4 Permasalahan dalam Pemberian Obat...........................................29

2.3.5 Produk dan Sistem yang Mencetus Terjadinya Error....................31

2.4 Aspek Hukum Terhadap Pasien Safety..............................................31

2.5 Contoh Kasus...................................................................................34

BAB III PENUTUP.....................................................................................39

3.1. Kesimpulan................................................................................39

3.2. Saran........................................................................................40

DAFTAR PUSTAKA..................................................................................41