Junita Eunike Lebang, Sita Yubelina Sabandar, Ramlan Badawi

EVALUATION OF THE IMPLEMENTATION OF CLINICAL PHARMACY SERVICE STANDARDS BASED ON MINISTER OF HEALTH REGULATION NUMBER 72 OF 2016 AT ELIM RANTEPAO HOSPITAL

Introduction

Evaluation of the implementation of clinical pharmacy service standards based on minister of health regulation number 72 of 2016 at elim rantepao hospital. Evaluate Elim Rantepao Hospital's clinical pharmacy service standards implementation per MoH Reg. 72/2016. Finds 81.81% compliance, with sterile dispensing & PKOD gaps due to facility/HR limits.

Abstract

This study aims to find out and evaluate the implementation of clinical pharmacy service standards based on the Minister of Health Regulation Number 72 of 2016 at Elim Rantepao Hospital. This study uses a qualitative method with a descriptive approach. Data collection techniques through in-depth interviews with several informants and observation and documentation to support the validity of the information. Data analysis techniques use the Miles and Huberman method: data collection, data reduction, data presentation and conclusions. The results of this study are that clinical pharmacy services at Elim Rantepao Hospital have not all been implemented based on the Minister of Health Regulation Number 72 of 2016 concerning pharmaceutical service standards in hospitals. As for Clinical Pharmacy services that have not been implemented, namely Sterile Dispensing and Monitoring of Drug Levels in the Blood (PKOD). This is because facilities, infrastructure, and human resources are still limited in quality and quantity. Of the eleven aspects of Pharmaceutical Service Standards based on PERMENKES No. 72 of 2016, 9 aspects have been implemented at Elim Rantepao Hospital, meaning that Elim Rantepao Hospital has implemented clinical pharmacy service standards of 81.81%.

Review

This study presents a timely and pertinent evaluation of clinical pharmacy service standards at Elim Rantepao Hospital, specifically assessing adherence to the Minister of Health Regulation Number 72 of 2016. The research employs a robust qualitative methodology with a descriptive approach, utilizing in-depth interviews, observation, and documentation for comprehensive data collection. The application of the Miles and Huberman method for data analysis further strengthens the study's rigor, providing a structured framework for data reduction, presentation, and conclusion drawing. This approach allows for a nuanced understanding of the implementation challenges and successes within a specific institutional context. The findings reveal a commendable, yet incomplete, implementation of the mandated clinical pharmacy service standards. While 9 out of the 11 aspects (81.81%) of the Pharmaceutical Service Standards have been successfully implemented at Elim Rantepao Hospital, two critical services remain largely unimplemented: Sterile Dispensing and Monitoring of Drug Levels in the Blood (PKOD). The abstract effectively identifies the root causes for these gaps, attributing them to significant limitations in facilities, infrastructure, and human resources, both in terms of quality and quantity. This highlights concrete areas where targeted interventions are required to achieve full compliance and enhance patient safety and outcomes. The identification of specific unimplemented services and their underlying causes provides valuable insights for hospital management and policymakers. The absence of Sterile Dispensing can pose risks related to medication contamination, while the lack of PKOD monitoring might lead to suboptimal drug efficacy or increased toxicity, particularly for narrow therapeutic index drugs. Therefore, the study not only points out the gaps but also implicitly suggests a roadmap for improvement, focusing on strategic investment in infrastructure, equipment, and targeted training and recruitment for pharmacy personnel. This evaluation serves as an essential benchmark for Elim Rantepao Hospital and offers valuable lessons for other healthcare institutions striving to meet national pharmaceutical service standards.

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