* Corresponding Author
EVALUASI PHARMACY SUPPORT SYSTEM DALAM IDENTIFIKASI DRUG RELATED PROBLEMS PADA PASIEN PEDIATRIK RAWAT JALAN
https://doi.org/10.22146/jmpf.261 Irnayanti Irnayanti(1*), Tri Murti Andayani(2), Fita Rahmawati(3)
(1)
(2)
(3)
(*) Corresponding Author
Abstract
Tujuan penelitian ini adalah untuk mengetahui nilai diagnostik software Pharmacy Support System (sensitivitas, spesifisitas, nilai duga positif dan nilai duga negatif) dalam mengidentifikasi DRPs, prevalensi dan jenis DRPs potensial yang diidentifikasi oleh apoteker dengan bantuan PSS pada pasien pediatrik rawat jalan.
Penelitian ini merupakan penelitian observasional dengan desain crosssectional di RS PKU Muhammadiyah Yogyakarta dan RSUD Kabupaten Sleman. Data yang diambil secara retrospektif pada bulan Oktober-Desember 2014 sebanyak 198 pasien yang digunakan sebagai rujukan untuk uji diagnostik. Kriteria inklusi yaitu pasien pediatrik rawat jalan usia 0-18 tahun yang mendapatkan terapi. Data dianalisa menggunakan crosstabs (tabel IIx2) untuk mendapatkan nilai diagnostik.
Hasil penelitian menunjukkan DRPs potensial yang diidentifikasi oleh apoteker dengan PSS terjadi pada 125 (63,13%) pasien pediatrik rawat jalan dengan angka kejadian sebesar 232 kejadian DRPs. PSS memiliki sensitivitas 96,5%; spesifisitas 62,5%; nilai duga positif 66,4%; dan nilai duga negatif 95,8%.
Kata kunci: DRPs, pediatrik, pharmacy support system, uji diagnostik
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UntitledReferences
Arfania, M., 2015. 'DRPs pada Pasien Pediatrik di Instalasi Rawat Jalan RS PKU Muhammadiyah Yogyakarta dan RSUD Kabupaten Sleman',Tesis. Program Pascasarjana Universitas Gadjah Mada, Yogyakarta.
Bedouch, P., Allenet, B., Grass, G., A., Labarère, J., Brudieu, E., Bosson, J.-L., dkk., 2009. Drug-Related Problems in Medical Wards with a Computerized Physician Order Entry System. Journal of Clinical Pharmacy and Therapeutics, 34: 187–195.
Berner, E.S. (Editor), 2007. Clinical Decision Support Systems: Theory and Practice, 2nd ed, Health informatics. Springer, New York, NY.
Depkes RI, 2009. Pedoman Pelayanan Kefarmasian Untuk Pasien Pediatrik. Direktorat Bina Farmasi Komunitas dan Klinik, Departemen Kesehatan RI, Jakarta.
Doormal, J.E., Rommers, M.K., Kosterink, J.G.W., Teepe-Twiss, I.M., Haaijer-Ruskamp, F.M., dan Mol, P.G.M., 2010. Comparison of Methods for Identifying Patient at Risk of Medication-related Harm. Quality and Safety in Health Care, 19: .
Holdsworth, M.T., Fichtl, R.E., Raisch, D.W., Hewryk, A., Behta, M., Mendez-Rico, E., dkk., 2007. Impact of Computerized Prescriber Order Entry on the Incidence of Adverse Drug Events in Pediatric Inpatients. Pediatrics, 120: 1058–1066.
Kaushal, R., Bates, D.W., Landrigan, C., McKenna, K.J., Clapp, M.D., Federico, F., dkk., 2001. Medication Errors and Adverse Drug Events in Pediatric Inpatients. JAMA, 285: 2114–2120.
Kirk, R.C., Li-Meng Goh, D., Packia, J., Min Kam, H., dan Ong, B.K.C., 2005. Computer Calculated Dose in Paediatric Prescribing. Drug Safety, 28: 817–824.
Kuperman, G.J., Bobb, A., Payne, T.H., Avery, A.J., Gandhi, T.K., Burns, G., dkk., 2007. Medication-related Clinical Decision Support in Computerized Provider Order Entry Systems: A Review. Journal of the American Medical Informatics Association, 14: 29–40.
Murti, B., 1997. Prinsip Dan Metode Riset Epidemiologi. Gadjah Mada University Press, Yogyakarta.
Nurpeni, H., 2006. 'Identifikasi Drug Related Problems Potensial Pada Resep Dokter Anak di Instalasi Rawat Jalan Rumah Sakit Panti Rapih Yogyakarta', Skripsi. Universitas Gadjah Mada, Yogyakarta.
Rashed, A.N., Neubert, A., Tomlin, S., Jackman, J., Alhamdan, H., AlShaikh, A., dkk., 2012. Epidemiology and Potential Associated Risk Factors of Drug-Related Problems in Hospitalised Children in the United Kingdom and Saudi Arabia. European Journal of Clinical Pharmacology, 68: 1657–1666.
Rashed, A.N., Wilton, L., Lo, C.C.H., Kwong, B.Y.S., Leung, S., dan Wong, I.C.K., 2014. Epidemiology and Potential Risk Factors of Drug-Related Problems in Hong Kong Paediatric Wards: Drug-Related Problems in Paediatric Patients in Hong Kong. British Journal of Clinical Pharmacology, 77: 873–879.
Roten, I., Marty, S., dan Beney, J., 2010. Electronic Screening of Medical Records to Detect Inpatients at Risk of Drug-Related Problems. Pharmacy World & Science, 32: 103–107.
Scheepers-Hoeks, A.-M.J.W., 2014. 'Alerts Methods as Success Factors: Influencing Effectiveness of a Clinical Decision Support System in Clinical Practice', Thesis. University of Technology Eindhoven, Netherlands.
Stultz, J.S. dan Nahata, M.C., 2012. Computerized Clinical Decision Support for Medication Prescribing and Utilization in Pediatrics. Journal of the American Medical Informatics Association, 19: 942–953.
Tora, H., Bo, H., Bodil, L., Göran, P., dan Birgit, E., 2014. Potential Drug Related Problems Detected by Electronic Expert Support System in Patients with Multi-Dose Drug Dispensing. International Journal of Clinical Pharmacy, 36: 943–952.
van der Sijs, H., Bouamar, R., van Gelder, T., Aarts, J., Berg, M., dan Vulto, A., 2010. Functionality Test for Drug Safety Alerting in Computerized Physician Order Entry Systems. International Journal of Medical Informatics, 79: 243–251.
Zaal, R.J., Jansen, M.M.P.M., Duisenberg-van Essenberg, M., Tijssen, C.C., Roukema, J.A., dan van den Bemt, P.M.L.A., 2013. Identification of Drug-Related Problems by a Clinical Pharmacist in Addition to Computerized Alerts. International Journal of Clinical Pharmacy, 35: 753–762. DOI: https://doi.org/10.22146/jmpf.261
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