Nursing Practice towards Pediatric Medication Process in Yogyakarta’s Private Hospital Indonesia
Abstract
Background: Pediatric medication safety is a greater challenge in patient safety practice. Patient safety is a quality indicator of health care. Nurses have an important role to achieve safety medication
Objective: To describe the nursing practice based on safety medication process.
Methods: An observational study in 90 medication administration was conducted in May until August 2016 in one of private hospital in Yogyakarta, Indonesia. Fifty data from medical record used as a secondary data. Observation and document study was performed by two research assistants. Healthy Futures Medication Administration Skills Checklist used to collect the data of ordering, dispensing, administration and monitoring of medication process. Descriptive analytic used to analyse the data.
Results: Regarding of the four-step of implementation medication safety process during ordering phase, twenty five medication documentation in medical record were not complete. In dispensing phase, more than a half nurses observed (63,3%) were not give explanation about the medication.All of nurses have done five right principle butalmos to nurses were not do the right documentation.Most of the medical record(88,9%)were not documentedthe side effect of drug and more than ahalf medical record(66,7%)were not have complete documentaion of medication effect.
Conclusion: Poordocumentationpracticecangive negative impact in medication safety that contribute medication error. Nurses could utilize the electronic medical record to increase quality medication safety.
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