Nursing Practice towards Pediatric Medication Process in Yogyakarta’s Private Hospital Indonesia
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.
 WHO. (2017). Patient safety making health care safer. Retrieved from https://apps.who.int. Accessed 12 July 2019
 DepartemenKesehatanRI.(2008).Tanggungjawabapotekerterhadapkeselamatanpasien.Retrieved 30 Oktober 2019, from http://www.binfar.depkes.go.id/bmsimages/1361517912.pdf  Françolin, L., Gabriel, C. S., Bernardes, A., Silva, A. E. B. D. C., Brito, M. D. F. P., & Machado, J. P. (2015). Patientsafetymanagementfromtheperspectiveofnurses.RevistadaEscoladeEnfermagemdaUSP, 49(2), 0277-0283.
 Ernawati,D.K.,Lee,Y.P.,&Hughes,J.D.(2014).Natureandfrequencyofmedicationerrorsinageriatric ward: an Indonesian experience. Therapeutics and clinical risk management, 10, 413.
 Simamora,S.(2011).PeranTenagaTeknisKefarmasianDalamMenurunkanAngkaKejadianMedication Error. Jurnal Manajemen Pelayanan Kesehatan, 14(04).
 Ehsani,S.R.,Cheraghi,M.A.,Nejati,A.,Salari,A.,Esmaeilpoor,A.H.,&Nejad,E.M.(2013).Medication errors of nurses in the emergency department. Journal of medical ethics and history of medicine, 6.
 Benjamin, L., Frush, K., Shaw, K., Shook, J. E., Snow, S. K., AMERICAN ACADEMY OF PEDIATRICS Committee on Pediatric Emergency Medicine, & EMERGENCY NURSES ASSOCIATION Pediatric Emergency Medicine Committee. (2018). Pediatric medication safety in the emergency department. Pediatrics, 141(3), e20174066.
 Magalhães, A. M. M. D., Moura, G. M. S. S. D., Pasin, S. S., Funcke, L. B., Pardal, B. M., & Kreling, A. (2015). The medication process, workload and patient safety in inpatient units. Revista da Escola de Enfermagem da USP, 49(SPE), 43-50.
 Durham, B. (2015). The nurse’s role in medication safety. Nursing2019, 45(4), 1-4.
 Center for Technology and Aging. (2010). Medication management process. Retrieved from www. techandaging.org
 FitzGerald, R. J. (2009). Medication errors: the importance of an accurate drug history. British journal of clinical pharmacology, 67(6), 671-675.  Purwanto, B. (2013). Herbal dan Keperawatan Komplementer. Indonesia, Yogyakarta: Nuha Medika.
 Toney-Butler, T. J., & Unison-Pace, W. J. (2019). Nursing Admission Assessment and Examination. In StatPearls [Internet]. StatPearls Publishing.
 Barnsteiner, J. H. (2008). Medication Reconciliation In: Patient safety and quality: An evidence-based handbookfornurses.Publishingin:. Accessed June, 15, 2015.
 Potter, P. P. (2010). Fundamental Keperawatan. Jakarta: Salemba Medika.
 CRNBC.(2015).Medication:Thenurse’sroleindispensing,compoundingandadministeringmedication in British Columbia. Retrieved from www.crnbc.ca
 Jefferies, D., Johnson, M., & Nicholls, D. (2011). Nursing documentation: how meaning is obscured by fragmentary language. Nursing outlook, 59(6), e6-e12.
 Kozier,B.(2010).BukuAjarFundamentalKeperawatan:Konsep,Proses,damPraktik,Edisi7,Volume1. Jakarta: EGC.  Valente, S., & Murray, L. P. (2011). Creative strategies to improve patient safety: allergies and adverse drug reactions. Journal for Nurses in Professional Development, 27(1), E1-E5.