Main Article Content

Najwa Khairunnisa
Dimas Pramita Nugraha
Eka Bebasari
Afdal Bebasari

High alert drugs are drugs that have a high percentage of causing risk of harm to patients. To avoid errors, high alert drugs must be used properly, including storage and marking. The objective of this study was determine the safe use of high alert drugs at Arifin Achmad Hospital in Riau Province. This was a descriptive study that included 68 pharmacy officers. A questionnaire was used to collect data, which was the univariately analysed on a computer system. The result showed that the accuracy of the use of high alert drugs based on the 5 principles was in the good category. As many as 65 people (95.6%) were good at the right patient, 67 people (98.5%) were good at the right drug, 66 people (97.1%) were good at the right time of administration, 65 people (95.6%) were good at the right dose, and 66 people (97.1%) were good at the right route of administration. As many as 67 (98.5%) rated the storage safety and labelling of high alert drugs as good. The conclusion of this study is that the implementation of the five rights principle of medication, storage safety and labelling of high alert drugs at Arifin Achmad Hospital in Riau Province has reached a good level.

Keywords: High Alert Drugs The Five Rights of Medication Storage Labelling
1. Anggraini AN, Fatimah FS. Evaluasi penerapan patient safety dalam pemberian obat di wilayah kerja puskesmas kasihan II kabupaten bantul yogyakarta. J Ners dan Kebidanan Indones. 2016;3(3):162.
2. Aprilia N, Rachmah, Yullyzar. Prinsip tujuh benar pemberian obat : suatu studi kasus. JIM FKep. 2022;I:1–8.
3. Bayang AT, Pasinringi S, Sangkala. Faktor penyebab medication error di RSUD anwar makkatutu kabupaten bantaeng. 2014;87(1):1–9. Available from: http://pasca.unhas.ac.id/jurnal/files/dc3b56fef2e0e78a6413c013fefcdda4.pdf
4. Diongano KIC, Hutagalung R, Revina WA, Manik MJ, Silalahi E. Kepatuhan perawat dalam penerapan lima benar pemberian obat. Media Inf. 2020;16(1):24–31.
5. Hidayati NR, Indawati Ii, Indriaty S, Lestiyani S. Evaluasi kesesuaian penyimpanan obat high alert di instalasi farmasi rawat inap rumah sakit mitra plumbon. J Pharmacopolium [Internet]. 2021;4(3):230–41. Available from: http://ejurnal.stikes-bth.ac.id/index.php/P3M_JoP
6. Joint Commision International (JCI). International Patient Safety Goals (IPSGs). 2017;
7. Kementerian Kesehatan Republik Indonesia. Pedoman nasional keselamatan pasien rumah sakit (patient safety). Edisi III. 2015. 1–59 p.
8. Kementerian Kesehatan Republik Indonesia. Peraturan menteri kesehatan republik indonesia no. 11 tahun 2017 tentang keselamatan pasien. 2017;1–14.
9. Komisi Akreditasi Rumah Sakit. Standar nasional akreditasi rumah sakit. 2018.
10. Kurniasih, Harsyasini R, editors. Panduan penggunaan obat high alert. Jakarta: Instalasi Farmasi RSUPN Dr. Cipto Mangunkusumo; 2018.
11. Mahfudhah AN, Mayasari P. Pemberian obat oleh perawat di ruang rawat inap rumah sakit umum kota banda aceh. J Ilm Mhs Fak Keperawatan. 2018;III(4):1–9.
12. Pramesti MI. Gambaran penyimpanan obat HAM (high alert medication) di intalasi farmasi RSUD tidar magelang. Universitas Muhammadiyah Magelang; 2018. 1–26 p.
13. Pranasari R. Gambaran pemberian obat dengan prinsip tujuh benar oleh perawat di RSU PKU muhammadiyah bantul. Yogyakarta: Universitas Muhammadiyah Yogyakarta; 2016.
14. Rika N, Rusmana WE. Pengaruh penyimpanan dan penandanaan obat high alert dan LASA (look alike sound alike) terhadap risiko terjadinya human error di salah satu rumah sakit swasta kota bandung. J Sci Technol Entrep. 2021;3(1):48–54.
15. Sakinah, S., Wigati, P.A., Arso, S.P. Analisis sasaran keselamatan pasien dilihat dari aspek pelaksanaan identifikasi pasien dan keamanan obat di rs kepresidenan rspad gatot soebroto jakarta. J Kesehat Masy. 2017;5(4):145–52.
16. Saputera MMA, Rini PP, Soraya A. Kesesuaian penyimpanan obat high alert di Instalasi farmasi rsd idaman banjarbaru. J Insa Farm Indones. 2019;2(2):205–11.
17. Solagracia GA, Rochana N. Gambaran pemberian obat di instalasi gawat darurat RSUD KRMT wongsonegoro semarang [Internet]. 2017. Available from: http://eprints.undip.ac.id/54758/
18. Sthephani P, Dewanto A, I CW. Faktor penghambat pelaksanaan SPO 7 benar dalam pemberian obat di ruang rawat inap rumah sakit panti nirmala factors hindering the 7 right SOP implementation of drug delivery in inpatient ward panti nirmala hospital. J Kedokt Brawijaya. 2015;28(2):228–34.
19. Syarifudin S. Evaluasi rasionalitas penggunaan obat ditinjau dari indikator peresepan menurut world health organization (WHO) di puskesmas parsoburan kota pematangsiantar pada tahun 2017. Tunas-Tunas Ris Kesehat. 2017;7:48–54.
20. Virawan MK. Faktor-faktor yang mempengaruhi kepatuhan staf perawat dan staf farmasi menggunakan enam benar dalam menurunkan kasus kejadian yang tidak diharapkan dan kejadian nyaris cedera di rumah sakit umum surya husadha. Jakarta: Universitas Indonesia; 2012.