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All Journal JURNAL PENDIDIKAN TAMBUSAI Indian Journal of Forensic Medicine & Toxicology PRIMA : Portal Riset dan Inovasi Pengabdian Masyarakat PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS (COMORBID)
Noor Syam Sidiq Himawan
Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Wonosobo
Aerospace Engineering Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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On Health Care Sectore, What External Environment that Important? : A Review Literature Noor SyamSidiq Himawan; Nur Wening
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17000

Abstract

This Paper is a literature review related to various studies that discuss macro environmental analysis(political, economic, socio-cultural and technological) in the field of health care. The purpose of this studyis to explore and connect theories from various studies related to macro business environment factors thatare important in the field of health care, how much research is related and what are the opportunities forfuture research. This paper identifies 21 articles that discuss the analysis of the business environment inthe health care sector. In this study, the criteria for selecting literature were applied, namely the selectedliterature must be in the form of articles not handbooks, in English, discussing business environmentalanalysis, especially in the field of health services and published for a maximum of the last 10 years. Theresearch related to political factors was 31.25%, economic factors 18.75%, socio-cultural factors 18.75%and technological factors 31.25%. Research related to environmental analysis (political, economic, socioculturaland technological factors) in the health sector is still very minimal, especially in the economic andsocio-cultural sectors so that this can actually become an opportunity in developing research on the businessenvironment in the health sector.
Penggunaan Metformin terhadap Kejadian Efek Samping Mual Muntah pada Pasien Diabetes Melitus Herawati, Lestari Wahyu; Sidiq Himawan, Noor Syam; Kusmini, Kusmini
Jurnal Pendidikan Tambusai Vol. 5 No. 3 (2021): 2021
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.333 KB)

Abstract

Metformin merupakan obat yang paling sering direkomendasikan sebagai terapi diabetes melitus tipe 2. Penyerapan metformin terjadi di saluran pencernaan menyebabkan salah satu manifestasi efek samping dari penggunaannya berupa mual dan muntah. Penelitian ini dilakukan untuk mengulas beberapa literatur terkait efek samping mual muntah setelah penggunaan obat metformin pada pasien diabetes melitus. Metode yang digunakan yaitu literature review dengan menggunakan data primer berupa artikel ilmiah, dilakukan penelusuran melalui database Google Scholar, Sciencedirect, atau PubMed dengan rentang tahun terbit 5-10 tahun terakhir. Berdasarkan analisis jurnal yang telah dilakukan bahwa efek samping yang paling sering terjadi adalah gangguan gastrointestinal seperti mual, muntah, diare, dan rasa tidak nyaman pada perut, namun kebanyakan pasien mengalami efek samping gejala gangguan gastrointestinal seperti mual dan muntah. Metformin banyak terakumulasi di usus sehingga menyebabkan efek samping mual dan muntah karena metformin dapat meningkatkan motilitas usus dengan berperan sebagai agonis serotonin. Efek samping dapat diminimalkan dengan penyesuain dosis, diminum bersama makan, atau penggunaan sediaan extended release.
Dampak Pelayanan Farmasi Klinik terhadap Penurunan Drug Related Problems (DRPs) di Rumah Sakit Sidiq Himawan, Noor Syam; Herawati, Lestari Wahyu; Sudibyo, Artha; Yumnannisa, Chusna
Jurnal Pendidikan Tambusai Vol. 5 No. 3 (2021): 2021
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (747.9 KB)

Abstract

Drugs Related Problems (DRPs) adalah suatu kejadian yang tidak diharapkan dari pengalaman pasien yang disebabkan oleh Terapi Obat yang mengganggu keberhasilan penyembuhan yang diharapkan. Pelayanan Kefarmasian merupakan kegiatan yang bertujuan untuk mengidentifikasi, mencegah, dan menyelesaikan masalah terkait obat (DRPs). Drugs Related Problems (DRPs) meliputi indikasi tanpa terapi, obat tanpa indikasi, pemilihan obat yang tidak tepat, obat yang tidak efektif, under dosis, over dosis, efek samping obat, pasien gagal mendapatkan obat. Penelitian ini dilakukan dengan metode observasional prospektif pada bulan September 2016 sampai Mei 2017 dengan jumlah kasus sebanyak 3.527 kasus. Berdasarkan penelitian ini diketahui bahwa Praktek Farmasi Klinik mampu menurunkan Drugs Related Problems (DRPs) secara signifikan dimana pada bulan September 2016 DRP Incidence Rate mencapai 57,36% dan pada bulan April 2017 DRP Incidence Rate diturunkan menjadi 20,17%. Hal ini menunjukkan bahwa setelah praktik farmasi klinik kejadian DRPs mengalami penurunan rata-rata sebesar 57,11% (p < 0,05) pada periode September 2016-Mei 2017. 2016-Mei 2017 dari 3.527 kasus rata-rata tingkat penerimaan dokter untuk rekomendasi apoteker adalah 87,37 %. Menurunnya angka DRPs dan tingginya penerimaan rekomendasi apoteker oleh dokter spesialis menunjukkan bahwa masalah terkait obat yang terjadi akibat kerjasama apoteker dan dokter spesialis semakin sedikit sehingga meningkatkan keselamatan pasien. Jika ditinjau berdasarkan jenis Drug related problems (DRPs), jenis DRP yang paling banyak terjadi pada Pola Terapi Obat adalah Potensi Interaksi Obat mencapai 35%. Dari 35% DRP yang berupa Potensi Interaksi Obat, tidak semua Potensi Interaksi Obat muncul, sehingga solusi dari DRP ini adalah monitoring yang dilakukan oleh apoteker.
The Role of Key Performance Indicators in Improving the Performance of Clinical Pharmacist in Hospitals Noor Syam Sidiq Himawan; Nur Wening; Dwi Pudjaningsih; Lestari Wahyu Herawati
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15890

Abstract

Key performance indicators are a way to improve performance, including in the hospital sector. In this study,the hospital used was private hospital, Central Java, especially in the field of Clinical Pharmacy services. Thisresearch is motivated by the low achievement of clinical pharmacy services. The purpose of this researchis to measure the performance of the clinical pharmacy service before and after the intervention with theapplication of clinical pharmacy Key Performance Indicators (cpKPI). This study is an observational studyby observing differences in the achievement of clinical pharmacist performance indicators before and afterthe implementation of cpKPIs. This studywas conducted using clinical pharmacist visit data for all inpatientsat the hospital in September 2019-February 2020. Data analysis used a paired t-test.The use of cpKPI wasable to significantly improve the performance of clinical pharmacists (p<0.05) related to drug reconciliationindicators, drug therapy services, pharmacist participation in patient management, patient education duringhospitalization, and comprehensive direct pharmacists’ care. The result proves that cpKPI can improve theperformance of clinical pharmacists at Private hospital so that this method can be used by other hospitals toimprove the performance of clinical pharmacy services.
EDUKASI DAGUSIBU (DAPATKAN, GUNAKAN, SIMPAN DAN BUANG) OBAT DENGAN BENAR PADA PASIEN RAWAT JALAN RUMAH SAKIT PKU MUHAMMADIYAH WONOSOBO Noor Syam Sidiq Himawan; Anggoro Wicaksono; Lestari Wahyu Herawati
PORTAL RISET DAN INOVASI PENGABDIAN MASYARAKAT Vol. 3 No. 1 (2023): DECEMBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/prima.v3i1.1064

Abstract

Health problems arising from the use of drugs, such as lack of knowledge, misuse, side effects, and circulation of counterfeit drugs, are the focus of public attention. In this context, this study is seen as an effort to improve the understanding of the community, especially the patients of PKU Muhammadiyah Wonosobo Hospital, regarding drug management through the implementation of the DAGUSIBU program. The research method applied was pre-test post-test group design, where the DAGUSIBU counseling session was conducted on December 13, 2023, attended by 127 outpatients. The success of this activity was reflected in the high level of interest and enthusiasm of the participants towards the DAGUSIBU material, which included basic principles such as how to obtain, use, store, and dispose of medicines properly. The counseling process involved a series of activities, including a pre-test to assess participants' initial understanding, delivery of the DAGUSIBU materials, and a post-test to measure knowledge improvement. Data analysis showed a significant increase in participants' understanding, with a mean pre-test score of 36 increasing to 74 in the post-test. Statistical tests with paired t-test verified a significance of p=0.000 (p<0.05), confirming that the DAGUSIBU educational approach was successful in significantly improving respondents' knowledge. Thus, it can be concluded that the DAGUSIBU counseling at PKU Muhammadiyah Wonosobo Hospital was not only effective in improving participants' understanding of how to obtain, use, store, and dispose of medication, but also created a significant positive impact on overall medication management.
LITERATURE REVIEW: ANALYSIS OF HOSPITAL READINESS IN FACING STANDARD INPATIENT CLASS (KRIS) Noor Syam Sidiq Himawan
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 3 No. 1 (2024): JANUARY
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v3i1.1116

Abstract

The Indonesian government introduced the National Health Insurance (JKN) program to ensure basic health coverage for its citizens. However, challenges emerged during its implementation, including difficulties in accessing adequate healthcare services. To address this, the Standard Inpatient Class (KRIS) concept was introduced in select Indonesian hospitals, aiming to deliver equitable services by standardizing rates and quality of care. This narrative literature review assesses the readiness of various hospitals in adopting KRIS. A search was conducted using Google Scholar, ScienceDirect, and PubMed with keywords related to hospital readiness for KRIS policy. Screening using the PRISMA method resulted in the inclusion of 4 out of 15 articles. Findings reveal variations in hospital preparedness, with Hospital A, B, C, and D demonstrating readiness levels of 75%, 74%, 75%, and 70%, respectively. Hospital A excelled in criteria 6 and 7 (95%), while struggling in criterion 1 (64%). Hospital B demonstrated strong readiness in criterion 7 (85%) but lacked in criterion 8 (49%). Hospital C performed well in criterion 5 (90%) but poorly in criterion 11 (34%). Hospital D exhibited high readiness in criterion 3 (88%) but lacked in criterion 4 (50%). On average, hospitals displayed 73% readiness, with criterion 3 (87%) achieving the highest readiness, particularly in room lighting, while criterion 4 (55%) showed the lowest readiness, specifically in bed completeness. These findings underscore the need for further improvements to enhance hospital readiness for KRIS implementation.
Co-Authors Anggoro Wicaksono Dwi Pudjaningsih Herawati, Lestari Wahyu Kusmini, Kusmini Lestari Wahyu Herawati Lestari Wahyu Herawati Nur Wening Sudibyo, Artha Yumnannisa, Chusna