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"Latar Belakang : Tesis ini membahas tentang Pengembangan Sistem Informasi Manajemen Obat Untuk Mendukung Pelayanan Kefarmasian (Studi Kasus Di Puskesmas Pejuang Kota Bekasi). Sistem Informasi ini diharapkan dapat mendukung pelaksanaan administrasi mulai dari pencatatan, pelaporan, pengarsipan yang baik, bertujuan agar lebih mudah dimonitor dan dievaluasi. Tujuan penelitian ini untuk mengembangkan model sistem informasi manajemen obat untuk mendukung pelayanan kefarmasian di Puskesmas Pejuang Kota Bekasi. Metode : Pendekatan yang dipergunakan dalam pengembangan Sistem Informasi Manajemen Obat di Puskesmas Pejuang Kota Bekasi ini adalah Pendekatan Rapid Application Development (RAD), Instrumen yang digunakan dalam penelitian ini adalah Pedoman observasi dan Pedoman Wawancara. Hasil : Pencatatan pengelolaan obat yang tertib dan lengkap belum dilaksanakan, sehingga sulit untuk monitoring dan evaluasi. Maka perancangan Sistem Informasi Manajemen Obat yang terintegrasi menggunakan basis data yang dapat memudahkan dalam pengorganisasian data untuk menghasilkan informasi sehingga perencanaan pengelolaan obat, monitoring dan evaluasi menjadi lebih mudah. Keluaran sistem informasi ini berupa laporan pemakaian dan lembar permintaan (LPLPO) dan indikator monitoring dan evaluasi yang ditampilkan dengan grafik. Kesimpulan : Terbangunnya model sistem informasi manajemen obat yang terintegrasi menggunakan basis data sehingga memudahkan dalam pencatatan, pelaporan dan monitoring serta evaluasi.

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Background : This thesis discusses the development of Drug Management Information System to Support Pharmaceutical Services (Case Study In Health Center pejuang Bekasi). This information system is expected to support the administration ranging from record keeping, reporting, good filing, aims to be more easily monitored and evaluated. The purpose of this study to develop a model of Drug Management Information System to support pharmaceutical services at PHC Pejuang Bekasi.

Methods : The approach taken in the development of Drug Management Information System at the Health Center pejuang Bekasi is a Rapid Application Development (RAD), instrument used in this study is the observation and Interview Guide.

Results : Recording of medication management and complete order has not been implemented, making it difficult for monitoring and evaluation.Then the Drug Management Information System design using an integrated database that can facilitate in organizing the data to produce information that medication management planning, monitoring and evaluation easier. Output is in the form of laporan pemakaian dan lembar permintaan (LPLPO) and monitoring and evaluation indicators are displayed with graphs.

Conclusion : Development of a model of management information systems using integrated drug database to facilitate the recording, reporting and monitoring and evaluation."

"Kejadiaan obat yang merugikan, kesalahan pengobatan dan reaksi obat yang merugikan dalam proses pelayanan kefarmasian dapat terjadi karena beban kerja, komunikasi yang kurang baik, sistem distribusi dan peran tenaga farmasi yang belum maksimal. Berkaitan dengan hal ini, tenaga farmasi termasuk apoteker memiliki kewajiban untuk melaksanakan pelayanan informasi terkait penggunaan obat secara tepat, aman, dan rasional. Tugas khusus ini bertujuan untuk mengevaluasi pelayanan informasi obat (PIO) di Instalasi Farmasi Puseksmas Kecamatan Ciracas. Metode penelitian yang digunakan adalah penelitian observasional. Data dikumpulkan melalui observasi langsung terhadap proses PIO yang dilakukan oleh tenaga farmasi, wawancara dengan apoteker, dan dokumen terkait pelayanan informasi obat. Aspek-aspek yang dievaluasi meliputi kegiatan pelayanan informasi obat secara aktif dan pasif di Puskesmas Kecamatan Ciracas. Hasil penelitian menunjukkan bahwa pelayanan informasi obat di Instalasi Farmasi Puskesmas Kecamatan Ciracas sudah dilakukan melalui PIO aktif dan pasif. Kesimpulan dari tugas khusus ini adalah pelayanan informasi obat (PIO) di Instalasi Farmasi Puskesmas Kecamatan Ciracas sudah dilaksanakan dengan baik sesuai dengan Permenkes No.74 Tahun 2016.

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Adverse drug events, medication errors and adverse drug reactions in the pharmaceutical service process can occur due to workload, poor communication, distribution system and the role of pharmacists who have not been maximized. In this regard, pharmacists including pharmacists have an obligation to carry out information services related to drug use in an appropriate, safe and rational manner. This special assignment aims to evaluate drug information services (PIO) at the Ciracas District Health Center Pharmacy Installation. The research method used is observational research. Data was collected through direct observation of the PIO process carried out by pharmacists, interviews with pharmacists, and documents related to drug information services. The aspects that were evaluated included active and passive drug information service activities at the Ciracas District Health Center. The results showed that drug information services at the Ciracas District Health Center Pharmacy Installation had been carried out through active and passive PIOs. The conclusion of this special task is that the drug information service (PIO) at the Ciracas District Health Center Pharmacy Installation has been carried out properly in accordance with Permenkes No.74 of 2016."

"Masyarakat yang sadar akan kesehatan merupakan salah satu bentuk investasi dasar dalam pembangunan sumber daya manusia yang produktif dan berkualitas. Puskesmas merupakan salah satu strategi yang dilakukan oleh pemerintah bertujuan dalam membangun kesehatan masyarakat yang merata. Apoteker sebagai salah satu substansi tenaga kesehatan dalam rangka mendukung tercapainya tujuan yang ada melakukan berbagai pelayanan kefarmasian sesuai dengan standar pelayanan kefarmasian yang berlaku. Salah satu cara yang dilakukan adalah dengan melakukan Pelayanan Informasi Obat (PIO). Mengingat akan banyaknya tantangan yang dihadapi oleh orang tua saat memberikan obat pada anak, maka dilakukanlah PIO dengan cara penyuluhan di Puskesmas Kecamatan Palmerah dengan membawa tema “Cara Pemberian Obat pada Anak" menggunakan media leaflet. Leaflet dibuat dengan menyusun materi leaflet yang nantinya akan disusun dalam bentuk tahapan yang perlu diperhatikan pada saat pemberian obat pada anak berdasarkan penelitian berbasis ilmiah. Proses tersebut kemudian dilanjutkan dengan pembuatan desain dan pencetakan leaflet. Penyuluhan dilakukan dengan meminta persetujuan peserta (keluarga yang membawa anak ke lokasi penyuluhan) untuk diberi penyuluhan. Hasilnya, telah dilakukan penyuluhan dengan metode ceramah yang diselingi sedikit diskusi selama 15 menit terhadap 3-5 keluarga di poli Influenza Like Illness (ILI) Puskesmas Kecamatan Palmerah. Kesimpulan yang dapat diambil dari kegiatan ini adalah peran apoteker dan tenaga kesehatan lainnya seperti dokter, khususnya dokter anak sangatlah penting dalam pemberian penyuluhan mengenai “Cara Pemberian Obat Pada Anak” untuk keberhasilan pengobatan yang tepat untuk anak.

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The awareness of health in a society is a form of basic investment in the development of productivity and quality of human resources. Public Health Center as a form of strategy carried out by the government, aims to develop an equally level of health around the citizens. Pharmacists as one of the substance of healthcare workers perform various pharmaceutical services based on pharmaceutical service standards in supporting the achievement of this goal. One of the way is by conducting Drug Information Services (DIS). Based on many challenges faced by parents when giving medicine to children, a DIS in a counseling form was carried out at the Palmerah District Public Health Center with the theme "How to Give Medicine to Children" using leaflets as the media. Leaflets are made by compiling materials which are arranged in the form of stages that need to be considered when administering drugs to children based on scientific based research. The process is continued into the making of leaflet designs and printing. Counseling is firstly done by giving consent to the participants (families that brought children to the location of counseling). As a result, counseling was carried out to 3-5 families at the Influenza Like Illness (ILI) polyclinic of Palmerah District Health Public Center using the lecture method for 15-minute, interspersed with a brief discussion. The conclusion that can be drawn from this activity is that the role of pharmacists and other healthcare workers such as doctors, especially pediatricians, is very important in providing counseling on "How to give medicine to children" to carry out appropriate treatment for children."

"Berdasarkan Standar Pelayanan Kefarmasian di Puskesmas No. 74 Tahun 2016, Puskesmas memiliki tanggung jawab dalam dalan kegiatan manajerial Pengelolaan Sediaan Farmasi dan Bahan Medis Habis Pakai serta Pelayanan Farmasi Klinik. Salah satu kegiatan pelayanan farmasi klinik yaitu memberikan Pelayanan Informasi Obat (PIO) (Kemenkes RI, 2016). Pelayanan Informasi Obat (PIO) adalah kegiatan yang dilakukan oleh apoteker untuk memberikan informasi secara akurat, jelas dan terkini kepada dokter, apoteker, perawat, profesi kesehatan lainnya serta pasien dan pihak lain di luar puskesmas (Kemenkes RI, 2019). Pelaksanaan pelayanan informasi obat di Puskesmas salah satunya dapat dilakukan dengan membuat leaflet serta melakukan kegiatan penyuluhan khususnya bagi pasien rawat jalan, rawat inap serta masyarakat (Kemenkes RI, 2016). Kegiatan tersebut telah rutin dilakukan di Puskesmas Kecamatan Palmerah. Peran apoteker dalam memberikan Pelayanan Informasi Obat di Puskesmas Kecamatan Palmerah yaitu menjawab pertanyaan terkait obat serta melakukan penyuluhan dan pembuatan leaflet secara akurat, jelas, dan terkini kepada pasien, tenaga kesehatan, dan masyarakat. Informasi terkait Interaksi Obat dan Makanan telah disampaikan dengan baik dan jelas melalui Penyuluhan dan Leaflet kepada pasien di Ruang Tunggu Apotek Puskesmas Kecamatan Palmerah.

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Based on Pharmaceutical Service Standards at Health Center No. 74 of 2016, Community Health Centers have responsibility for managerial activities in the Management of Pharmaceutical Supplies and Medical Consumables and Clinical Pharmacy Services. One of the clinical pharmacy service activities is providing Drug Information Services (PIO) (Ministry of Health Republic of Indonesia, 2016). Drug Information Service (PIO) is an activity carried out by pharmacists to provide accurate, clear and up-to-date information to doctors, pharmacists, nurses, other health professionals as well as patients and other parties outside the puskesmas (RI Ministry of Health, 2019). The implementation of drug information services at the Community Health Center can be done by making leaflets and conducting outreach activities, especially for outpatients, inpatients and the community (Ministry of Health Republic of Indonesia, 2016). This activity has been routinely carried out at the Palmerah District Health Center. The role of the pharmacist in providing Drug Information Services at the Palmerah District Health Center is to answer questions related to drugs and conduct counseling and produce leaflets in an accurate, clear and up-to-date manner for patients, health workers and the community. Information related to drug and food interactions has been conveyed properly and clearly through counseling and leaflets to patients in the waiting room of the Palmerah Health Center Pharmacy."

"https://lib.ui.ac.id/unggah/node/151106#:~:text=Pelayanan%20informasi%20obat%20(PIO,ketersediaan%20waktu%20dari%20pasien.

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Drug information services and counseling are important aspects of clinical pharmacy services to increase public knowledge about how to use drugs properly. Drug information services is an activity carried out by pharmacists in providing information about drugs that are impartial, evaluated critically and with the best evidence in all aspects of drug use to other health professionals, patients or the public. Counseling is an interactive process between pharmacists and patients/families to increase knowledge, understanding, awareness, and compliance so that a change in behavior occurs in drug usage and resolves problems faced by patients. The implementation of drug counseling and information services at the Roxy Pharmacy has not yet been implemented for all patients who meet the counseling criteria. This is caused by various factors such as the limited time that the patient can spare, the patient's willingness to be counseled, and the patient who uses a delivery service to redeem his prescription. Roxy Biak Pharmacy provides a telephone number that patients can use to contact the pharmacist on duty. However, from the archives of drug information services reports and drug-related counseling at the Roxy Biak Pharmacy, it is known that all of them are still carried out face-to-face. Therefore, drug information services and counseling are still often hampered by the patient's time availability."

"Penyelenggaraan upaya pengobatan di Puskesmas membutuhkan ketersediaan dan keterjangkauan pelayanan obat yang efisien, efektif dan rasional. Penelitian ini bertujuan untuk mengembangkan sistem informasi manajemen Puskesmas sehingga mampu mendukung perencanaan kebutuhan obat di Puskesmas Tegal Timur. Jenis penelitian ini adalah kualitatif dengan pendekatan studi kasus. Pengumpulan data primer dilakukan dengan cara observasi dan wawancara mendalam, sedangkan data sekunder diperoleh dari laporan Puskesmas dan Bidang Pelayanan Kesehatan Dinas Kesehatan Kota Tegal. Penentuan Informan dengan cara purposive sampling. Informan utama dalam wawancara mendalam adalah Kepala Puskesmas, petugas farmasi Puskesmas, dan Kepala Dinas Kesehatan. Instrumen penelitian yang digunakan adalah pedoman wawancara mendalam dan pedoman observasi. Analisis terhadap sistem informasi yang saat ini ada di Puskesmas Tegal Timur menunjukkan bahwa sistem informasi yang ada di Puskesmas Tegal Timur belum mampu memenuhi kebutuhan pengguna. Informasi ketersediaan obat di gudang obat Puskesmas belum akurat dan sistem belum mampu menghasilkan keluaran yang mendukung pelaporan pengelolaan obat Puskesmas. Pengembangan sistem informasi diharapkan dapat memperbaiki sistem informasi pengelolaan obat yang saat ini berjalan di Puskesmas Tegal Timur. Desain logik sistem informasi pengelolaan obat di Puskesmas Tegal Timur perlu dilanjutkan dengan penyusunan desain fisik dan pembuatan koding, sehingga dihasilkan sistem informasi pengelolaan obat yang mampu mendukung perencanaan kebutuhan obat Puskesmas.

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Implementation of treatment efforts in the primary healthcare requires the availability and affordability of drugs that are efficient, effective and rational. This study aims to develop a management information system that is capable of supporting the health center planning drug needs in East Tegal Primary Health Care. This research is a qualitative case study approach. Primary data were collected by means of observation and in-depth interviews, and secondary data obtained from primary healthcare reports and Health Department City of Tegal. Determination of the informant by purposive sampling. Key informant in-depth interviews was Head of primary healthcare, pharmacy officer in , and Chief Medical Officer. The research instrument used is in-depth interview guide and observation guide.

Analysis of the information systems that currently exist at East Tegal Primary Health Care shows that existing information systems in East Tegal Primary Health Care not able to meet the needs of users. Information availability of drugs in health centers drug warehouse is not accurate and the system has not been able to produce output that supports the reporting of medication management health center. Information system development is expected to improve drug management information system that is currently running at East Tegal Primary Health Care. Logical design of information systems management in health centers drug East Tegal need to proceed with the preparation of the physical design and manufacture of coding, so that the resulting drug management information system that is capable of supporting the health center planning needs medication."

"Ketika obat yang disimpan akan digunakan, maka ada beberapa hal yang perlu diperhatikan diantaranya expired date, BUD, dan juga kondisi fisik obat. Istilah expired date sudah umum didengar oleh masyarakat namun tidak dengan istilah beyond use date (BUD). Sediaan farmasi yang sudah dibuka kemasan aslinya akan memiliki masa simpan yang berbeda dengan expired date yang tertera pada kemasan, masa simpannya akan menjadi lebih cepat yang dikenal dengan beyond use date (BUD). Pada tugas khusus Laporan Praktik Kerja Profesi Apoteker (PKPA) di Puskesmas Kecamatan Kalideres ini dilakukan pembuatan brosur edukasi & informasi beyond use date sediaan farmasi dan contoh analisis beyond use date (BUD) pada resep racikan puyer di Puskesmas Kecamatan Kalideres sehingga dapat digunakan sebagai bahan edukasi dan informasi. Selain itu pada tugas khusus ini dilakukan analisis penetapan BUD dari resep racikan yang ditujukan pada pasien anak. Selain informasi hasil analisis BUD, perlu disampaikan juga kepada pasien jika sebelum tanggal tersebut racikan puyer sudah berubah warna, bau, rasa, dan membentuk massa yang keras atau lembab dan lengket menggumpal, maka obat sudah tidak dapat lagi digunakan sebab obat sudah rusak dan tidak dapat dijamin efektifitas dan keamanannya.

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When the stored medicine is to be used, there are several things you need to pay attention to, including the expiration date, BUD, and also the physical condition of the medicine. The term expired date is commonly heard by the public, but not the term beyond use date (BUD). Pharmaceutical preparations that have been opened in their original packaging will have a shelf life that is different from the expiry date stated on the packaging, the shelf life will be shorter, known as the beyond use date (BUD). In this special task of the Pharmacist Professional Work Practice Report (PKPA) at the Kalideres District Health Center, educational brochures & information on beyond use date on pharmaceutical preparations and examples of beyond use date (BUD) analysis on puyer concoction recipes at the Kalideres District Health Center were made so that they could be used as educational materials. and information. In addition, in this special task, an analysis of BUD determination was carried out from concoction prescriptions aimed at pediatric patients. Apart from information on the results of the BUD analysis, it is also necessary to convey to the patient that if before that date the powder mixture has changed color, smell, taste, and formed a hard or moist and sticky lumpy mass, then the medicine can no longer be used because the medicine has been damaged and cannot be used. Guaranteed effectiveness and safety."

"Infeksi saluran pernapasan atas (ISPA) dan diare merupakan penyakit umum yang sering dijumpai di masyarakat. Pengobatan ISPA dan diare umumnya menggunakan obat, namun penggunaan obat yang tidak rasional dapat berakibat negatif. Puskesmas Kelurahan Kramat Jati merupakan salah satu puskesmas di Jakarta yang melayani pengobatan ISPA dan diare.Tugas khusus ini bertujuan untuk menganalisis rasionalitas peresepan obat terhadap pasien ISPA dan diare di Puskesmas Kelurahan Kramat Jati. Metode Penelitian Tujuan dari tugas khusus ini adalah mengetahui persentase peresepan antibiotik pada penderita ISPA non pneumonia untuk disesuaikan dengan indikator POR nasional dalam rangka mendukung Penggunaan Obat Rasional (POR) yang sesuai di pelayanan kefarmasian di puskemas dan mengetahui persentase peresepan antibiotik pada penderita Diare non spesifik untuk disesuaikan dengan indikator POR nasional dalam rangka mendukung Penggunaan Obat Rasional (POR) yang sesuai di pelayanan kefarmasian di puskemas. Hasil tugas kusus yaitu Persentase yang didapat untuk penggunaan antibiotik pada pasien ISPA di Puskesmas Kelurahan Kramat Jati 1 tidak melebihi persentase angka berdasarkan indikator POR nasional (<20%) yaitu sebesar 4,8% dan Diare juga tidak melebihi persentase angka berdasarkan indikator POR nasional (<8%) yaitu sebesar 20%. Kesimpulan tingkat rasionalitas peresepan obat terhadap pasien ISPA dan diare di Puskesmas.

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Upper respiratory tract infections (ARI) and diarrhea are common diseases that are often found in the community. Treatment for ARI and diarrhea generally uses medication, but irrational use of medication can have negative consequences. The Kramat Jati Village Health Center is one of the community health centers in Jakarta that provides treatment for ISPA and diarrhea. This special assignment aims to analyze the rationality of prescribing medication for ISPA and diarrhea patients at the Kramat Jati Village Health Center. Research methods The aim of this special task is to find out the percentage of antibiotic prescriptions in non-pneumonic ARI sufferers to be adjusted to the national POR indicators in order to support appropriate Rational Drug Use (POR) in pharmaceutical services at community health centers and to find out the percentage of antibiotic prescriptions in non-specific Diarrhea sufferers to be adjusted to national POR indicators in order to support appropriate Rational Drug Use (POR) in pharmaceutical services at community health centers. The results of the special assignment were that the percentage obtained for the use of antibiotics in ISPA patients at the Kramat Jati 1 Village Health Center did not exceed the percentage figure based on the national POR indicator (<20%) which was 4.8% and Diarrhea also did not exceed the percentage figure based on the national POR indicator (<20%) <8%) which is 20%. The conclusion is that the level of rationality in prescribing medicines for ISPA and diarrhea patients at the Kramat Jati Village Health Center is quite good."