Efektivitas Barcode-Assisted Medication Administation (BCMA) dalam Menurunkan Kejadian Medication Error di Rumah Sakit: A Systematic Review
DOI:
https://doi.org/10.63004/hrji.v4i5.1190Kata Kunci:
Barcode-Assisted Medication Administation, BCMA, medication error, keselamatan pasienAbstrak
Medication Error merupakan masalah yang banyak dijumpai dalam pelayanan Kesehatan yang berpotensi meningkatkan morbiditas, mortalitas, lama rawat inap, dan biaya perawatan pasien. Barcode-Assisted Medication Administation (BCMA) dikembangkan sebagai teknologi keselamatan pasien untuk memastikan prinsip “5 benar” pemberian obat, yaitu benar pasien, benar obat, benar dosis, benar waktu, dan benar rute. Penelitian ini bertujuan untuk menilai efektivitas BCMA dalam menurunkan medication error. Metode yang digunakan adalah systematic review berdasarkan pedoman Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Pencarian literatur dilakukan melalui data Scopus, ScienceDirect, Web of Science, dan Google Scholar dengan kata kunci “barcode medication administration”, “BCMA”, “medication error”, dan “patients safety”. Sebanyak enam artikel memenuhi kriteria inklusi dan dianalisis secara naratif. Hasil penelitian menunjukan bahwa implementasi BCMA yang diintergrasikan dengan electronic medication administratuin record (eMAR), unit-dose dispensing, dan closed-loop medication system (CLMS), mampu menurunkan medication error seperti salah dosis, salah pasien, omission error, dan adverse drug events (ADEs). Namun, efektivitas sangat dipengaruhi oleh kepatuhan tenaga kesehatan melakukan scanning barcode, kualitas integrasi teknologi, desain system, dukungan organisasi, dan alur kerja yang jelas. Kesimpulan dari penelitian ini menunjukan bahwa BCMA efektif meningkatkan keselamatan pasien bila diterapkan sebagai bagian dari sistem pelayanan obat yang terintegrasi.
Unduhan
Referensi
Adiningsih, M., & Hermanto, F. (2024). Review: Gambaran Tingkat Kesalahan Pengobatan Pada Beberapa Rumah Sakit Di Indonesia. In Jurnal Ilmiah Farmasi (Vol. 4, Number 4).
Amalia, A. E., & Basabih, M. (2023). Overview Of Medication Error Incidence In Hospitals In Various Countries: Literature Review. In Indonesian Journal of Health Administration (Vol. 11, Number 1, pp. 145–153). Airlangga University. https://doi.org/10.20473/jaki.v11i1.2023.145-153
Assiri, G. A., Shebl, N. A., Mahmoud, M. A., Aloudah, N., Grant, E., Aljadhey, H., & Sheikh, A. (2018). What is the epidemiology of medication errors, error-related adverse events and risk factors for errors in adults managed in community care contexts? A systematic review of the international literature. In BMJ Open (Vol. 8, Number 5). BMJ Publishing Group. https://doi.org/10.1136/bmjopen-2017-019101
Atmaja, D. S., Saksono, R. Y., Yulistiani, Suharjono, & Zairina, E. (2024). Evaluation of medication errors in one of the largest public hospital: A retrospective study. Clinical Epidemiology and Global Health, 28. https://doi.org/10.1016/j.cegh.2024.101640
Balshem, H., Helfand, M., Schünemann, H. J., Oxman, A. D., Kunz, R., Brozek, J., Vist, G. E., Falck-Ytter, Y., Meerpohl, J., Norris, S., & Guyatt, G. H. (2011). GRADE guidelines: 3. Rating the quality of evidence. Journal of Clinical Epidemiology, 64(4), 401–406. https://doi.org/10.1016/j.jclinepi.2010.07.015
Bonkowski, J., Carnes, C., Melucci, J., Mirtallo, J., Prier, B., Reichert, E., Moffatt-Bruce, S., & Weber, R. (2013). Effect of barcode-assisted medication administration on emergency department medication errors. Academic Emergency Medicine, 20(8), 801–806. https://doi.org/10.1111/acem.12189
Brignardello-Petersen, R., Santesso, N., & Guyatt, G. H. (2025). Systematic reviews of the literature: an introduction to current methods. American Journal of Epidemiology, 194(2), 536–542. https://doi.org/10.1093/aje/kwae232
Guyatt, G. H., Oxman, A. D., Vist, G., Kunz, R., Brozek, J., Alonso-Coello, P., Montori, V., Akl, E. A., Djulbegovic, B., Falck-Ytter, Y., Norris, S. L., Williams, J. W., Atkins, D., Meerpohl, J., & Schünemann, H. J. (2011). GRADE guidelines: 4. Rating the quality of evidence - Study limitations (risk of bias). Journal of Clinical Epidemiology, 64(4), 407–415. https://doi.org/10.1016/j.jclinepi.2010.07.017
Helmons, P. J., Wargel, L. N., & Daniels, C. E. (2009). Effect of bar-code-assisted medication administration on medication administration errors and accuracy in multiple patient care areas. American Journal of Health-System Pharmacy, 66(13), 1202–1210. https://doi.org/10.2146/ajhp080357
Hogerwaard, M., Stolk, M., Dijk, L. Van, Faasse, M., Kalden, N., Hoeks, S. E., Bal, R., & Horst, M. Ter. (2023). Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. BMJ Open Quality, 12(2). https://doi.org/10.1136/bmjoq-2022-002023
Jessurun, J. G., Hunfeld, N. G. M., Van Rosmalen, J., Van Dijk, M., & Van Den Bemt, P. M. L. A. (2021). Effect of automated unit dose dispensing with barcode scanning on medication administration errors: An uncontrolled before-and-after study. International Journal for Quality in Health Care, 33(4). https://doi.org/10.1093/intqhc/mzab142
Knoll, T., Omar, M. I., Maclennan, S., Hernández, V., Canfield, S., Yuan, Y., Bruins, M., Marconi, L., Van Poppel, H., N’Dow, J., & Sylvester, R. (2018). Key Steps in Conducting Systematic Reviews for Underpinning Clinical Practice Guidelines: Methodology of the European Association of Urology. European Urology, 73(2), 290–300. https://doi.org/10.1016/j.eururo.2017.08.016
Mahendra, A. D. (2021). The Natural And Prevalence Of Medication Errors In A Tertiary Hospital In Indonesia. International Journal of Current Pharmaceutical Research, 55–58. https://doi.org/10.22159/ijcpr.2021v13i3.42096
Mulac, A., Taxis, K., Hagesaether, E., & Gerd Granas, A. (2021). Severe and fatal medication errors in hospitals: findings from the Norwegian Incident Reporting System. European Journal of Hospital Pharmacy, 28(e1), E56–E61. https://doi.org/10.1136/ejhpharm-2020-002298
Prasad, M. (2024). Introduction to the GRADE tool for rating certainty in evidence and recommendations. Clinical Epidemiology and Global Health, 25. https://doi.org/10.1016/j.cegh.2023.101484
Risør, B. W., Lisby, M., & Sørensen, J. (2018). Complex automated medication systems reduce medication administration errors in a Danish acute medical unit. International Journal for Quality in Health Care, 30(6), 457–465. https://doi.org/10.1093/intqhc/mzy042
Stenuit, S., Tchuente Modjo, G., & Pardo, A. (2019). 5PSQ-161 Securing storage of high-risk medicines in a care unit: where are we now? A276.1-A276. https://doi.org/10.1136/ejhpharm-2019-eahpconf.594
Tan, W., Bingham, G., Tong, E., Shakibaei Bonakdeh, E., Wang, W., Health, A., & and, A. (n.d.). The impact of barcode-assisted medication administration on medication administration errors in non-unit-dose settings: a systematic review.
Truitt, E., Thompson, R., Blazey-Martin, D., NiSai, D., & Salem, D. (2016). Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. Hospital Pharmacy, 51(6), 474–483. https://doi.org/10.1310/hpj5106-474
Van Der Veen, W., Van Den Bemt, P. M. L. A., Wouters, H., Bates, D. W., Twisk, J. W. R., De Gier, J. J., Taxis, K., Duyvendak, M., Luttikhuis, K. O., Ros, J. J. W., Vasbinder, E. C., Atrafi, M., Brasse, B., & Mangelaars, I. (2018). Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. Journal of the American Medical Informatics Association, 25(4), 385–392. https://doi.org/10.1093/jamia/ocx077
Webster, C. S. (2022). Existing Knowledge of Medication Error Must Be Better Translated Into Improved Patient Safety. Frontiers in Medicine, 9. https://doi.org/10.3389/fmed.2022.870587
Widyastuti, R. D., Arso, S. P., & Suryoputro, A. (2025). Keselamatan pasien sebagai pilar penting dalam mencegah kesalahan medis: Tinjauan sistematik. Holistik Jurnal Kesehatan, 19(2), 277–285. https://doi.org/10.33024/hjk.v19i2.639
Yu, W. N., Cheng, Y. D., Hou, Y. C., & Hsieh, Y. W. (2025). Implementation of Medication-Related Technology and Its Impact on Pharmacy Workflow: Real-World Evidence Usability Study. Journal of Medical Internet Research, 27. https://doi.org/10.2196/59220
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