EVALUASI PENERAPAN UNIT DOSE DISPENSING (UDD) PADA PASIEN RAWAT INAP DI RSUD dr. RADEN SOEDJATI SOEMODIARDJO PURWODADI GROBOGAN

MARIEANA CHANDRA KUSUMA, Prof. Dr. Dra. Sri Suryawati, Apt

2014 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar belakang: Pelayanan obat bagi pasien rawat inap di RSUD dr. raden Soedjati Soemodiardjo sebelumnya masih menggunakan sistem distribusi resep individu. Penerapan sistem ini meningkatkan beban biaya pasien dan berpotensi menyebabkan resiko kesalahan pemberian obat, sehingga pada Februari 2013 dilakukan upaya dengan menerapkan distribusi unit dose dispensing (UDD). Penerapan UDD telah dilakukan dan timbul hambatan, maka perlu dilakukan evaluasi penerapan unit dose dispensing pada pasien rawat inap di RSUD dr. Raden Soedjati Soemodiardjo Purwodadi Grobogan. Metode penelitian: Penelitian ini merupakan penelitian studi kasus yang bersifat deskriptif eksploratif. Hasil: Dilihat Input yaitu SK dan struktur pelaksana UDD tidak ada, protap sudah ada, peralatan sudah memadai, tingkat pendidikan SDM sudah proporsional namun jumlahnya tidak cukup. Sedangkan Process yaitu prosedur/alur UDD sudah sesuai dengan protap, komunikasi petugas farmasi dengan pasien/keluarga pasien kurang lancar, sedangkan dengan petugas kesehatan lain lancar. Variabel Output ditunjukkan oleh dukungan petugas kesehatan lain baik, didukung oleh petugas farmasi 80% dan perawat 77,33%, dukungan dari pasien/keluarga pasien ada dan baik (80%), ketepatan pemberian obat baik, hal ini didukung oleh petugas farmasi 78% dan perawat 71,11%. Kemungkinan obat sisa atau terbuang tidak ada, didukung oleh petugas farmasi 78% dan perawat 92%. Kesimpulan: Penerapan UDD telah dilaksanakan di semua ruang rawat inap, jika dilihat dari regulasi, administrasi dan prosedur tidak masalah, tetapi hambatan penerapan UDD adalah jumlah apoteker yang belum memadai dan kekurangan apoteker sulit diatasi tanpa penambahan apoteker baru.

Background: Medicine service for the inpatient wards in dr. raden Soedjati Soemodiardjo Regional General Hospital previously still used individual recipe distribution system. The implementation of this system increased cost burden for the patient and had potential caused a risk of medicine giving error, therefore in February 2013 was performed an effort by implementing unit dose dispensing (UDD) distribution. UDD implementation had been performed and rised obstacles, then it was need to perform evaluation of the unit dose dispensing implementation in inpatients ward at dr. Raden Soedjati Soemodiardjo Regional General Hospital Purwodadi Grobogan. Methods: This was case study by descriptive explorative approach. Results: Viewed from input, that was decision letter and structure of UDD executor was not existed, fixed procedure was already existed, the equipment was sufficient, the education background of the human resource was already proportional but the number was not sufficient. Whereas the process that was UDD procedure/flow chart was already appropriate to the fixed procedure, the communication between pharmacy staff and patient/patient family was not fluent, whereas with other health staff was fluent. Variable of output was showed by the support of other health staff that was good, supported by pharmacy staff at 80% and nurse 77,33%, support from the patient/patient family was good (80%), the establishment of medicine giving is good, this was supported by pharmacy staff at 78% and nurse at 71,11%. The probability of medicine became remain or wasted was not existed, supported by pharmacy staff at 78% and nurse at 92%. Conclusion: Implementation of UDD have been performed in all inpatient rooms, if was viewed from regulation, administration and procedure, there was no problem but the obstacles for UDD implementation was the number of pharmacist that was not sufficient yet and this was difficult to be overcome without new pharmacist recruitment.

Kata Kunci : Sistem UDD, pasien rawat inap, peresepan, kefarmasian, hambatan.