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The Identification of Medication Error in the Process of

Prescribing, Transcribing, and Dispensing Compounded Medicine


in Community Health Center (Puskesmas) of North Region
Banyumas

Devi Andiani Putri 2220801023

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Medication error
• A medication error is any
preventable event that may cause or
lead to inappropriate medication use
or patient harm while the
medication is in the control of the
health care professional, patient, or
consumer.
• The National Coordinating Council
for Medication errors Reporting and
Prevention :

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Medication error type

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National Reporting and Learning System

140 132.069

120 113.837

100
79.118
80
64.484
60
42.398
40

20

0
2005 2006 2007 2008 2009

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Method
• This study was conducted to find out • This study was categorized into
the percentage of medication error quantitative descriptive research
occurrence in the process of done by observation using cross
prescribing, transcribing and sectional approach.
dispensing compounded medicine in • The sample of this study was 100
community health center in North extemporaneous compounding
Region of Banyumas recipe obtained prospectively. This
study was conducted from
November to December 2017.

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Prescribing Error
• The results showed that the medication
error occurred at prescribing stage no
signature of prescription writer 100%,
no/ incomplete drug effect 100%, no/
incomplete drug form 97 %, incomplete /
no / wrong way of making drug form
80%, no patient weight 80%, no name of
prescription writer 73%, no / wrong drug
usage rule 63%, no / wrong drug amount
31%, no/ unclear patient’s address 26%,
no / incomplete patient’s date of birth
(age) 22%, no prescription date 8%,
wrong/unclear patient name 2%. I

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Transcribing Error

• In addition, medication error


occurred at the transcribing
stage wrong patient’s name 2%

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Dispensing Error
• At the dispensing stage,
medication error also happened
not delivering beyond use date
100%, not conveying drug storage
100 %, not conveying drug
contraindications100%, not
delivering drug side effects 94%,
incorrect / incomplete labeling
and e-ticket 41%, not delivering
indication 35%, wrong drug
amount 7%, wrong drug 7%,
unclear drug use instructions 4%.

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Kesimpulan

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