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    Poster Analisis DRP PCNE

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    MUHAMMAD FAUZAN NAJMI
    1. A study identified 36 drug-related problems (DRPs) in 29 patients in the intensive coronary care unit of Ulin Hospital from January to March 2020. 2. The highest incidence of DRPs was found in the problem category of therapeutic effectiveness, with 31 events. 3. For the cause category, the highest incidence was in the sub-category of drug selection, with 20 events. Most interventions were made at the prescriber level.

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    Poster Analisis DRP PCNE

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    MUHAMMAD FAUZAN NAJMI
    61 views1 page
    1. A study identified 36 drug-related problems (DRPs) in 29 patients in the intensive coronary care unit of Ulin Hospital from January to March 2020. 2. The highest incidence of DRPs was found in the problem category of therapeutic effectiveness, with 31 events. 3. For the cause category, the highest incidence was in the sub-category of drug selection, with 20 events. Most interventions were made at the prescriber level.

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    1. A study identified 36 drug-related problems (DRPs) in 29 patients in the intensive coronary care unit of Ulin Hospital from January to March 2020. 2. The highest incidence of DRPs was found in the problem category of therapeutic effectiveness, with 31 events. 3. For the cause category, the highest incidence was in the sub-category of drug selection, with 20 events. Most interventions were made at the prescriber level.

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    © All Rights Reserved
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    Download as pdf or txt
    61 views1 page

    Poster Analisis DRP PCNE

    Uploaded by

    MUHAMMAD FAUZAN NAJMI
    1. A study identified 36 drug-related problems (DRPs) in 29 patients in the intensive coronary care unit of Ulin Hospital from January to March 2020. 2. The highest incidence of DRPs was found in the problem category of therapeutic effectiveness, with 31 events. 3. For the cause category, the highest incidence was in the sub-category of drug selection, with 20 events. Most interventions were made at the prescriber level.

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    GAMBARAN DRUG RELATED PROBLEMS (DRPs) BERDASARKAN

    PHARMACEUTICAL CARE NETWORK EUROPE (PCNE) PADA PASIEN


    INTENSIVE CORONARY CARE UNIT (ICCU) DI RSUD ULIN BANJARMASIN
    Muhammad Fauzan Najmi, Valentina Meta Srikartika, Muhammad Ikhwan Rizki
    Program Studi Farmasi FMIPA Universitas Lambung Mangkurat
    Jl. Ahmad Yani Km 36 Banjarbaru 70714 Kalimantan Selatan
    E-mail: fauzannajmi30@gmail.com

    ABSTRAK
    Drug therapy monitoring (PTO) is one of the clinical pharmacy activities carried out by pharmacists to reduce the occurrence of Drug Related Problems (DRPs) and provide intervention to patients or other health
    professionals. This study aims to describe the incidence of Drug Related Problems (DRPs) based on the guidelines of Pharmaceutical Care Network Europe (PCNE) V6.2 in patients with Intensive Coronary Care
    Unit (ICCU) Banjarmasin of Ulin Hospital in January-March 2020 through medical record data when patients are treated. This type of research is descriptive cross sectional study by looking at the patient's
    medical record data while being treated. Inclusion criteria in this study include pharmacist visite activities with DRPs or no DRPs and patients who have received a pharmacist visite at least once. The results of this
    study showed that the entire population of visite activities carried out by pharmacists was 97 activities out of 90 patients treated, there were 36 total DRPs incidents experienced by 29 patients. The results of Drug
    Related Problems (DRPs) based on PCNE guidelines of the problem categories in the problem sub-category obtained the highest incidence of therapeutic effectiveness (M.1) was 31 (86.11%) events. The
    highest cause category was found in the sub-category of the cause of drug selection (P.1) was 20 (55.55%) events. The intervention category found the highest incidence in the intervention sub-category at the
    level of the prescribers (I.1) was 33 (91.66%) events and the intervention outcome category found that the highest incidence of fully resolved interventions (H.1) was 28 (77, 77%) occurrences.

    Keywords : Drug Related Problems (DRPs), Pharmaceutical Care Network Europe (PCNE), Intensive Coronary Care Unit (ICCU).

    PENDAHULUAN METODE PENELITIAN


    Penyakit kardiovaskuler merupakan penyakit kematian terbanyak Penelitian ini merupakan penelitian deskriptif
    (Kemenkes RI, 2019) yaitu pada penyakit jantung koroner (PJK) (WHO, Jenis Penelitian observasional dengan pengambilan data secara cross
    2013) sebesar 17,9 juta dari 56,9 juta dari kematian didunia tahun 2016 sectional.
    (WHO,2018).

    Populasi dalam penelitian ini adalah kegiatan identifikasi


    Intensive Coronary Care Unit (ICCU) merupakan unit perawatan intensif DRPs dengan PCNE pada pasien rawat inap di ICCU
    untuk penyakit jantung, terutama penyakit jantung koroner, serangan Populasi RSUD Ulin Banjarmasin yang dalam pengobatan terdapat
    jantung, gangguan irama jantung yang berat, gagal jantung (Walker et al., DRPs dan telah memenuhi kriteria inklusi dan eksklusi.
    2012).

    Instrumen yang digunakan pada penelitian ini yaitu


    Drug Related Problems (DRPs) merupakan peristiwa atau keadaan yang
    Waktu Penelitian menggunakan panduan PCNE dan data pasien yang
    melibatkan terapi obat yang sebenarnya atau berpotensi mengganggu hasil
    terdapat pada rekam medik pasien saat dirawat.
    kesehatan yang diinginkan (PCNE, 2019).

    Penelitian ini dilaksanakan 2 bulan pada tanggal 15 Januari


    Identifikasi kejadian DRPs menurut PCNE V6.2 dikategorikan menjadi Instrumen – 14 Maret 2020 di ruang ICCU RSUD Ulin Banjarmasin,
    masalah DRPs, penyebab DRPs, Intervensi DRPs dan hasil intervensi DRPs Penelitian Kalimantan Selatan.
    (PCNE, 2010).

    HASIL & PEMBAHASAN


    Hasil populasi yang didapatkan dari 97 kegiatan visite yang dilakukan oleh apoteker pada 90 pasien yang dirawat inap pada ruangan ICCU RSUD
    Ulin Banjarmasin periode Januari-Maret 2020. Hasil akhir yang didapatkan sebanyak 36 kejadian DRPs yang dialami dari 29 pasien yang
    teridentifikasi oleh apoteker mengalami DRPs.

    1 Drug Related Problems (DRPs) Kategori Masalah 3 Drug Related Problems (DRPs) Kategori Intervensi

    Kegiatan identifikasi DRPs berdasarkan PCNE kategori masalah yang dilakukan sebanyak Hasil yang didapatkan pada kategori intervensi terdapat 36 kejadian DRPs yaitu pada tataran
    36 kegiatan. Hasil yang paling banyak terjadi pada kategori masalah yaitu pada efektivitas penulisan resep (I.1) sebesar 33 (91,66%) dan pada tataran obat (I.3) sebesar 3 (8,33%).
    terapi (M.1) sebesar 31 (86,11%) dan biaya pengobatan (M.3) sebesar 5 (13,88%).
    Tabel 3. Klasifikasi Intervesi DRPs
    Tabel 1. Klasifikasi Masalah DRPs

    4 Drug Related Problems (DRPs) Kategori Hasil Intervensi


    2 Drug Related Problems (DRPs) kategori penyebab
    Hasil tertinggi terdapat pada masalah sepenuhnya terpecahkan (H.1) sebanyak 28 (77,77%)
    Hasil yang didapatkan pada kategori penyebab dari 36 kejadian DRPs, yaitu pada pemilihan
    kejadian. Selanjutnya masalah tidak terpecahkan (H.3) didapatkan 4 (11,11%) kejadian.
    obat (P.1) sebesar 20 (55,55%) sebagai hasil tertinggi, pada pemilihan dosis (P.3) sebesar 5
    Hasil intervensi tidak diketahui (H.0) sebesar 3 (8,33%) kejadian dan hasil intervensi
    (13,88%), pada logistik (P.6) sebesar 3 (8,33%), pada proses penggunaan obat (P.5) sebesar
    terpecahkan sebagian (H.2) didapatkan 1 (2,77%) kejadian.
    4 (11,11%), serta hasil kategori penyebab penentuan lama pengobatan (P.4) dan terkait
    pemindahan pasien (P.7) masing-masing sebanyak 2 kejadian (5,55%). Tabel 4. Klasifikasi Hasil Intervesi DRPs

    Tabel 2. Klasifikasi Penyebab DRPs

    KESIMPULAN
    1. Penelitian ini didapatkan 29 pasien yang mengalami DRPs dari jumlah total 36 kejadian. Hasil Drug Related Problems (DRPs) berdasarkan pedoman PCNE kategori masalah pada sub kategori masalah
    didapatkan kejadian tertinggi efektivitas terapi (M.1) didapatkan sebesar 31 (86,11%) kejadian.
    2. Kategori penyebab didapatkan kejadian tertinggi pada sub kategori penyebabpemilihan obat (P.1) didapatkan sebesar 20 (55,55%) kejadian.
    3. Kategori intervensi didapatkan kejadian tertinggi pada sub kategori intervensi pada tataran penulis resep (I.1) didapatkan sebesar 33 (91,66%) kejadian.
    4. Kategori hasil intervensi didapatkan kejadian tertinggi pada intervensi masalah sepenuhnya terpecahkan (H.1) didapatkan sebesar 28 (77,77%) kejadian.

    REFERENSI
    Kemenkes RI. 2019. Penyakit Jantung Penyebab Kematian Tertinggi, Kemenkes Ingatkan Cerdik. Artikel Kementrian Kesehatan Republik Indonesia, Jakarta.
    PCNE. 2010. PCNE Classification for Drug Related Problems V6.2. Pharmaceutical Care Network Europe Foundation.
    Walker, D. M., W. Nej & S. G. Ray. 2012. from Coronary Care Unit to Acute Cardiac Care Unit: the Evolving Role of Specialist Cardiac Care. Heart. 98: 350-352.
    World Health Organization. 2013. About Cardiovascular diseases. Geneva: World Health Organization, (Online), (https://www.who.int/health-topics/cardiovascular-diseases). Diakses September 2019.
    World Health Organization. 2018. The Top Ten Causes Of Death. Geneva: World Health Organization, (Online), (https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-cvds). Diakses September 2019.

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