Evaluasi Kejadian Diskrepansi Pada Pelaksanaan Rekonsiliasi Obat di RSUD Bali Mandara
Kata Kunci:
Kata kunci : Diskrepansi obat, Pindah Ruangan, Rekonsiliasi ObatAbstrak
Latar belakang: Transfer internal rumah sakit (pindah ruangan) merupakan waktu rentan pasien berada pada risiko tinggi mengalami diskrepansi yang dapat mengakibatkan medication error dan adverse drug events. Dalam upaya mencegah kejadian diskrepansi, rumah sakit menerapkan standar pelayanan kefarmasian yaitu rekonsiliasi obat yang dilakukan setiap kali terjadi perpindahan ruangan pasien. Pelaksanaan rekonsiliasi obat pada pasien pindah ruangan di RSUD Bali Mandara baru dilaksanakan per bulan April tahun 2021. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi kejadian diskrepansi pada pasien yang dilakukan dan tidak dilakukan rekonsiliasi obat. Metode: Penelitian ini merupakan penelitian observasional dengan pengambilan data secara retrospektif. Pasien yang dipindahkan dari IGD ke ruang rawat inap (n = 96) dibagi menjadi dua kelompok 1) pasien yang tidak dilakukan rekonsiliasi obat, dan 2) dilkakukan rekonsiliasi obat. Untuk membenarkan perbedaan yang teridentifikasi, validitas penelitian terhadap kejadian diskrepansi dilakukan dengan Apoteker klinis. Jumlah perbedaan kejadian diskrepansi pada dua kelompok dibandingkan menggunakan uji Mann-Whitney U dengan p-value ≤0,05. Hasil: Hasil menunjukkan 169 diskrepansi ditemukan pada pasien yang tidak dilakukan rekonsiliasi. Sementara itu, ditemukan 36 diskrepansi pada pasien yang dilakukan rekonsiliasi. Efektivitas proses rekonsiliasi obat pindah ruangan memiliki nilai signifikan sebesar 0,000 (p<0,05). Kesimpulan: Dapat disimpulkan bahwa jumlah kejadian diskrepansi pada pasien yang tidak dilakukan rekonsiliasi obat lebih tinggi. Perlu adanya konsistensi dalam proses rekonsiliasi obat yang terstruktur dan proaktif selama transfer internal rumah sakit.
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