ABSTRAK Tingginya kasus Kejadian yang Tidak Dinginkan (KTD) dan Kejadian NyarisCedera (KNC) di Rumah Sakit Umum Surya Husadha disebabkan karenapemberian obat, terjadi peningkatan yang bermakna dari tahun 2008 sampaidengan tahun 2010 Telah dilakukan penerapan 6 Benar, Benar Pasien, BenarObat, Benar Dosis, Benar Cara Pemberian, Benar Waktu dan Benar dokumentasi,keseluruh staf perawat dan farmasi, tetapi terjadinya kesalahan pemberian obatsemakin meningkat setiap tahunnya. Metode penelitian ini menggunakan analisa kuantitatif dan kualitatif denganmengamati cara penggunaan 6 Benar di Rumah Sakit Umum Surya Husadha danmengambil seluruh sampel di rumah sakit. Untuk pengamatan dilakukan olehobserver terdiri dari 3 observer keperawatan dan 1 orang observer farmasi.Sedangkan penelitian kualitatif dengan menggunakan kelompok perawat 4 orangdan kelompok farmasi 4 orang.Hasil yang didapatkan adalah adanya hubungan yang bermakna antara benar dosisdengan pendidikan, jenis kelamin, kawin, sosialisasi 6 Benar, frekuensi audit danbenar waktu dengan beban kerja. Hasil wawancara mendalam didapatkan bahwasosialisasi dan audit seharusnya tidak dilakukan saat jam kerja.Kesimpulan dari penelitian ini, Rumah Sakit Umum Surya Husadha memperolehgambaran tentang karakteristik terhadap 6 Benar di Rumah Sakit Umum SuryaHusadha, akan dilakukan pembenahan terhadap komponen 6 Benar yang potensialmenimbulkan KTD dan KNC, pembenahan terhadap orientasi, sosialisasi danaudit kepada staf dan lebih menekankan pada pemecahan masalah. Sedangkanpengembangan karir SDM dilakukan dengan Compentency Base HumanResources Manager (CBHRM). Penelitian lebih lanjut dapat dilakukan denganmengembangkan hasil penelitian kepatuhan 6 Benar dengan pendidikan dan bebankerja SDM. ABSTRACT High incident of adverse events and near miss in Surya Husadha General Hospitalwere caused by administering medicines, significantly increasing from 2008 to2010. Implementation of such 6 rights had been carried out, including rightpatient, right medication/drug, right dose, right administration, right time and rightdocumentation towards all nursing and pharmacy staff. Medication error,however, was increasing every year.This research used qualitative and quantitive methods by observing the way toimplement such 6 rights in Surya Husadha General Hospital and taking all samplein the hospital. Observation was conducted by four observers, there were 3 nursesand 1 staff from the pharmacy. Qualitative research were done in two groups, 4nurses and 4 staff of pharmacy department.The study found relationship between right dose with education, gender, marritalstatus, socialization of six right, the frequency of audit, and right time withworkload. Outcomes taken from any thorough-going interview obtained thatsocialization and audit should not be carried out when the work time/hour waseffective.We conclude, that any remedial measures must be taken towards the componentsof 6 rights potentially bring about adverse events and near miss, correction inorientation, socialization and audit against the staff and that any trouble shootingmust also be emphasized. Human resources career development is carried outthrough Competency Based Human Resources Management. Further studies canbe done by developing outcomes obtained from the research of such compliancetowards the 6 rights through education and workload. |