Manajemen Distribusi Obat

Rawat Inap

L. ENDANG BUDIARTI

PERSI JATENG, SEMARANG MG SETOS 9-10 AGUSTUS 2018

 RANTAI DISTRIBUSI OBAT

HOSPITAL SITE

• 9.ORDERING/
• 4.ORDERING/RECEIVING RECEIVING
• 5.STORING • 10.STORING
• 1.ORDER
PABRIK
• 2.PROSES
PHARM
• 6.PREPARATION
DISPENDING
NURSING
• 11. PREPARATION
OBAT
• 3. KIRIM ACY
• 7. DISPENSING UNITFOR
ADMINISTRATION
• 8. TRANSPORTATION TO
NURSE UNIT • 12.ADMINISTRATION
TO PATIENT
The drug distribution system includes all the processes that occur
between the prescription of a drug and the administration of that drug
to the patient

The goal : to ensure that each dose of medication administered to

each patient is exactly that which was intended by the prescriber
4 BASIC TYPE OF MEDICATION DISTRIBUTION SYSTEM

BULK WARD STOCK

INDIVIDUAL MEDICATION ORDER

UNIT DOSE SYSTEM

AUTOMATED MEDICATION DISPENSING

WHO HOSPITAL PHARMACY MANAGEMENT

BULK WARD STOCK  FLOOR STOCK

CEPAT R/-OBAT DIGUNAKAN

REVIEW OBAT/PASIEN TDK DILAKUKAN

BAIK UNTUK EMERGENCY, HIGH VOLU-LOW COST

LOKASI BISA LANGSUNG DEKAT PASIEN

PENGENDALIAN TIDAK MUDAH

PROSES FLOOR STOK

• OBAT, ALKES
FARMASI • LOKASI OBAT,
• DITETAPKAN ALKES
• MENYIAPKAN
• RUANG/INSTALASI • MEMELIHARA
• MENGGANTI
• MINTA RESEP JIKA
PENGELUARAN
ADA
STANDA • SUPERVISI
PENGELUARAN
RUANG
R
FLOOR STOCK

TOTAL FLOOR STOCK PARTIAL FLOOR STOCK

INDIVIDUAL MEDICATION ORDER
SATU REJIMEN OBAT

OBAT SESUAI RESEP INDIVIDUAL PASIEN

DILAKUKAN REVIEW RESEP

PATIENT MEDICATION PROFILE MUTAKHIR

DIMUNGKINKAN PENGENDALIAN PERSEDIAAN

ADA INTERVAL WAKTU DISPENSING

PROSES INDIVIDUAL PRESCRIPTION

• MENULIS RESEP
PASIEN • APOTEKER REVIEW RESEP
OBAT, ALKES • MENYIAPAKN DISPENSING
• MEMBAWA RESEP KE • DISPENSING
• SESUAI REJIMEN FARMASI • KONSELING
• MENDAPAT OBAT • DOKUMENTASI
SESUAI JUMLAH DLM
RESEP
FARMAS
DOKTER • MEMBAYAR
• MENGGUNAKAN
I
INDIVIDUAL PRESCRIPTION
 UNIT DOSE SYSTEM
OBAT SIAP PER UNIT/PACKAGE/INDIVIDU PASIEN

INSIDEN MEDICATION ERRORS RENDAH

REJIMEN OBAT SEGERA TERKOREKSI JIKA ADA PERUBAHAN

SISA OBAT DAPAT SEGERA DIKEMBALIKAN

MUDAH DETEKSI ADANYA KEBOCORAN/HILANG

BIAYA AWAL DAN BIAYA TIAP DISTRIBUSI MAHAL VS EFESIEN

WASTE DAN PERSEDIAAN
PROSES FLOOR STOK

FARMAS
• MENULIS OBAT, ALKES/HARI
• INSTRUKSI STOP/TERUS
• MONITORING
I
• APOTEKER : REVIEW RESEP
• PERAWAT : CEK 6 BENAR
• MEMBERIKAN OBAT PER
PASIEN
• OBAT TERBAGI DALAM SETIAP • MONITORING
DOSIS/WAKTU MINUM
PALING SIAP DIGUNAKAN
• DOKUMENTASI
• TRANSPOR KE BANGSAL

DOKTER RUANG
UNIT DOSE
DISPENSING
UDD - TEKNOLOGI
AUTOMATED MEDICATION DISPENSING
KONEKSI TEKNOLOGI ANTAR PUSAT FARMASI DAN DISPENSING
DI WARD

PELACAKAN DAN KONTROL PENGOBATAN SECARA INDIVIDU

MUDAH

MEDICATION ERRORS RENDAH

BIAYA AWAL TINGGI

OBAT DAPAT TERSEDIA DI WARD DAN MUDAH DIAKSES

WHO HOSPITAL PHARMACY MANAGEMENT
Delivery of medications

medication carts dumbwaiters Pneumatic tubes

should protect drug products from breakage and theft

MEDICATION
ADMINISTRATION
RECORD
• Patient safety can be severely compromised if flaws in
the design of the drug distribution system create
increased opportunities for error.

• The contribution of safe, accurate, well-designed and

efficient drug distribution systems to patient care
cannot be underestimated
 MEDICATION ERRORS – TYPE DISTRIBUSI

Pharm World Sci 1999;21(1): 25-31. © 1999 Kluwer Academic Publishers. Printed
in the Netherlands.
 MEDICATION ERRORS – PROSES
PENGGUNAAN OBAT

Pharm World Sci 1999;21(1): 25-31. © 1999 Kluwer Academic Publishers. Printed
in the Netherlands.
 MEDICATIOIN ERRORS - SEVERITY

Pharm World Sci 1999;21(1): 25-31. © 1999 Kluwer Academic Publishers. Printed
in the Netherlands.
• The leadership role of the pharmacist in developing, implementing
and managing improved drug distribution systems that demonstrate
an ability to enhance patient safety is one that clearly needs to be
embraced.
APOTEKER
SUPERVISI
PENYIMPANAN OBAT
CONTROLLED DRUG
HIGH ALERT MEDICINE
 BENCHMARKING
The Canadian Society of Hospital Pharmacists endorses
the Unit-Dose/Intravenous Admixture system
as the drug distribution system of choice in organized health care
settings

BACKGROUND
• The system by which drugs move from the pharmacy to the patient involves a
number of different health care workers and multiple steps.
• At each of these steps, the opportunity for misadventure and patient harm
exists
2003/04 Hospital Pharmacy in Canada Annual Report
2003/04 Hospital Pharmacy in Canada Annual Report
2003/04 Hospital Pharmacy in Canada Annual Report
DISKUSI : APAKAH KITA AKAN
MENGGUNAKAN SATU TIPE
DISTRIBUSI ?
BENCHMARKING
SEMUA RESEP : REVIEW OLEH
APOTEKER
CATATAN PENGOBATAN PASIEN
CENTRAL UNIT DOSE DISPENSING
TEKNOLOGI PEMBAGI OBAT
TOTAL PRESCRIPTION
REVIEW
DAN
KONTROL RESEP
TERIMA KASIH