Medication error

Medical error 
Medical error merupakan kejadian yang menyebabkan atau
berakibat pada pelayanan kesehatan yang tidak tepat atau
membahayakan pasien yang sebenarnya dapat dihindari
 Faktor yang
mempengaruhi ME
Faktor terkait tenaga medis
Faktor terkait dengan pasien
1. Kuranganya pelatihan terkait pengobatan
1. Karakteristik pasien seperti kepribadian,
2. Pengetahuan dan pengalaman terkait obat
kemampuan aksara atau kendala bahsa
yang belum memadai
2. Kompleksitas klinis pasien, kondisi fisik
3. Pengetahuan terkait profil pasien yang belum
pasien, poli farmasi dan obat beresiko tinggi
memadai
4. Persepsi resiko yang tidak memadai
5. Beban pekerjaan yang terlalu berat
6. Masalah fisik dan emotional
 prescribing error
4 Fase
01 (kesalahan peresepan) (Adrini TM, 2015)

transcribing erorr
02 (kesalahan penerjemahan resep)

dispensing erorr
03 (kesalahan menyiapkan dan meracik obat)

administration error
04 You can simply impress your audience and add a unique
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1. Kesalahan Peresepan

Hal-hal yang sering terjadi

(Rahmawati dan Oetari, 2002)  

01 Penulisan resep

02 Satuan numerik obat

03 Bentuk sediaan

04 Tidak ada dosis

1. Kesalahan Peresepan (lanjutan)

Hal-hal yang sering terjadi

(Rahmawati dan Oetari, 2002).  

05 tidak ada umur pasien

06 tidak ada nama dokter

07 tidak ada SIP dokter

08 tidak ada tanggal pemberian

 2. Kesalahan Penerjemahan Resep

Tipe-tipe trascribing errors antara lain

1 Kelalaian

1 2
2 Kesalahan interval
3 3 Obat alternatif
4

4 Kesalahan dosis
5
Kesalahan rute
6
Kesalahan informasi detail pasien
3. Kesalahan Menyiapkan dan Meracik Obat

Jenis kasus dispensing error yang terjadi pada layanan

farmasi adalah salah obat, salah kekuatan obat, dan salah
kuantitas
 4. Kesalahan Penyerahan Obat Kepada Pasien
(administration error)

MAE didefinisikan sebagai perbedaan antara

apa yang diterima oleh pasien atau yang
seharusnya diterima pasien dengan apa yang
di maksudkan oleh penulis resep

MAE yang terjadi pada saat pelayanan

farmasi adalah kesalahan waktu
pemberian obat, kesalahan teknik
pemberian obat, dan obat tertukar pada
pasien yang namanya sama (right drug for
wrong patient).
Faktor penyebab ME fase administration meliputi beban
kerja yaitu rasio antara beban kerja dan SDM tidak
seimbang, gangguan bekerja :
1. terganggu dengan dering telepon
2. kondisi lingkungan (jarak unit farmasi)
3. kurangnya komunikasi tenaga kesehatan dan pasien
dalam penggunaan obat
 Upaya pencegahan ME
Peninjauan Kembali pengobatan
dan rekonsiliasi pengobatan.

Sistem informasi otomatis

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