Implementasi penyimpanan obat high alert kategori lasa (look alike sound alike)
DOI: https://doi.org/10.56922/quilt.v6i1.2215
High Alert Keselamatan Pasien LASA Penyimpanan Obat
Abstract
Background: Look-Alike, Sound-Alike (LASA) High Alert medications carry a high risk of medication errors due to similarities in name, shape, or packaging. Errors in storage and labeling of LASA medications can seriously impact patient safety, requiring a standardized storage system that aligns with hospital pharmaceutical service standards.
Purpose: To describe the implementation of LASA High Alert medication storage based on applicable standard operating procedures.
Method: This study used a qualitative descriptive design with observation and semi-structured interviews. Data were collected in May–June 2025 through checklist observations, interviews with pharmacists and pharmacist assistants, and documentation. Data analysis was conducted descriptively using a Guttman scale of compliance assessment.
Results: Observations indicated that storage of LASA High Alert medications was implemented with a 100% compliance rate, categorized as very good. LASA medications were stored separately, labeled specifically, arranged alphabetically, applying the FEFO and FIFO principles, and using the Tall Man Lettering method.
Conclusion: Implementation of LASA High Alert medication storage was very successful and met standards, supporting efforts to improve patient safety.
Keywords: High Alert; Lasa; Medication Storage; Patient Safety.
Pendahuluan: Obat High Alert kategori Look Alike Sound Alike (LASA) memiliki risiko tinggi menyebabkan medication error akibat kemiripan nama, bentuk, atau kemasan. Kesalahan dalam penyimpanan dan pelabelan obat LASA dapat berdampak serius terhadap keselamatan pasien, sehingga diperlukan sistem penyimpanan yang terstandarisasi dan sesuai dengan standar pelayanan kefarmasian rumah sakit.
Tujuan: Untuk mendeskripsikan implementasi penyimpanan obat High Alert kategori LASA berdasarkan standar operasional prosedur yang berlaku.
Metode: Penelitian ini menggunakan desain deskriptif kualitatif dengan pendekatan observasi dan wawancara semistruktur. Data dikumpulkan pada Mei–Juni 2025 melalui observasi checklist, wawancara terhadap apoteker dan asisten apoteker, serta dokumentasi. Analisis data dilakukan secara deskriptif menggunakan sistem penilaian persentase kesesuaian berdasarkan skala Guttman.
Hasil: Hasil observasi menunjukkan bahwa penyimpanan obat High Alert kategori LASA telah dilaksanakan dengan tingkat kesesuaian 100% dan masuk dalam kategori sangat baik. Obat LASA disimpan terpisah, diberi label khusus, disusun secara alfabetis, menerapkan prinsip FEFO dan FIFO, serta menggunakan metode Tall Man Lettering.
Simpulan: Implementasi penyimpanan obat High Alert kategori LASA telah berjalan sangat baik dan sesuai standar, serta mendukung upaya peningkatan keselamatan pasien.
Kata Kunci: High Alert; Keselamatan Pasien; Lasa; Penyimpanan Obat.
Downloads
References
Anisah, N., Yunita, S. L., & Ratna Hidayati, I. (2023). Analisis Pengelolaan Obat di Puskesmas X Provinsi Kalimantan Selatan. Journal Syifa Sciences and Clinical Research, 5(1).
Asmawati, D., & Adisasmito, W. B. B. (2022). Analisis Manajemen Penyimpanan dan Pendistribusian Obat di Instalasi Farmasi RSUD Kota Makassar. Syntax Literate; Jurnal Ilmiah Indonesia, 7(12), 17386-17397.
BPK RI. (2016). Standar Pelayanan Kefarmasian Di Rumah Sakit. Diakses dari: https://peraturan.bpk.go.id/Home/Download/105431/Permenkes%20Nomor%2072%20Tahun%202016.pdf
da Rocha, B. S., Moraes, C. G., Okumura, L. M., da Cruz, F., Sirtori, L., & da Silva Pons, E. (2021). Interventions to reduce problems related to the readability and comprehensibility of drug packages and labels: a systematic review. Journal of Patient Safety, 17(8), e1494-e1506.
Douglass, A. M., Elder, J., Watson, R., Kallay, T., Kirsh, D., Robb, W. G., Kaji, A. H., & Coil, C. J. (2018). A Randomized Controlled Trial on the Effect of a Double Check on the Detection of Medication Errors. Annals of Emergency Medicine, 71(1), 74-82.e1.
Fanelli, S., Lanza, G., Enna, C., & Zangrandi, A. (2020). Managerial Competences in Public Organisations: the Healthcare Professionals’ Perspective. BMC Health Services Research, 20(1), 303.
Fanda, R. B., Probandari, A., Kok, M. O., & Bal, R. A. (2025). Managing medicines in decentralization: discrepancies between national policies and local practices in primary healthcare settings in Indonesia. Health Policy and Planning, 40(3), 346-357.
Heck, J. (2022). Challenging Patriarchic Nomenclature: Is the Term “Tall Man” Lettering Still Appropriate? American Journal of Health-System Pharmacy, 79(12), 933–934.
Ikrimah, N., Fatiha, C. N., & Maretasari, F. D. (2022). Evaluasi Kesesuaian Penyimpanan Obat Look Alike Sound Alike di Gudang Farmasi Soerojo Hospital Magelang. Nusantara Hasana Journal, 2(2), 292–300.
Koyama, A. K., Maddox, C.-S. S., Li, L., Bucknall, T., & Westbrook, J. I. (2020). Effectiveness of Double Checking to Reduce Medication Administration Errors: a Systematic Review. BMJ Quality & Safety, 29(7), 595–603.
Larmené-Beld, K. H. M., Alting, E. K., & Taxis, K. (2018). A Systematic Literature Review on Strategies to Avoid Look-Alike Errors of Labels. European Journal of Clinical Pharmacology, 74(8), 985–993.
Lohmeyer, Q., Schiess, C., Wendel Garcia, P. D., Petry, H., Strauch, E., Dietsche, A., Schuepbach, R. A., Buehler, P. K., & Hofmaenner, D. A. (2023). Effects of Tall Man Lettering on the Visual Behaviour of Critical Care Nurses While Identifying Syringe Drug Labels: a Randomised in Situ Simulation. BMJ Quality & Safety, 32(1), 26–33.
Mursiti, H., Mesias, G. M. E. B. P., & Indrayudha, P. (2022). Implementation of Drug Administration with High Awareness (LASA/ Look Alike Sound Alike and High Alert) for Patient Safety at Pharmacies in Surakarta. Pharmacon: Jurnal Farmasi Indonesia, 19(2), 197–202.
Nápoles-Villa, A. V., & Marrero-Fornaris, C. (2019). Herramientas para identificar los riesgos de diseño de las competencias para las comercializadoras de medicamentos. 23, 300–308.
Pourhossein, M., Pourbabaki, R., Roudi, E., Moshiran, V. A., Khani, H. M., & Khodaverdloo, S. (2021). Labeling as a preventive approach for cognitive errors by medical staff in the use of look-alike-sound-alike (LASA) medications: A systematic review. Journal of Health and Safety at Work, 10(4), 391-405.
Rigan, R. M., & Usviany, V. (2024). Evaluasi Penyimpanan Obat Lasa (Look-Alike Sound-Alike) Di Instalasi Farmasi Rumah Sakit Sariningsih. Prepotif: Jurnal Kesehatan Masyarakat Учредители: Universitas Pahlawan Tuanku Tambusai, 8(3), 4855-4861.
Ruiz, L. P., Rubio, M. S., Del Vayo-Benito, C. Á., Bueno, C. V., Alonso, E. M., Desongles-Corrales, T., & Garcia-Avello, A. (2015). PS-089 Implantation of a Safety Strategy for Drug Storage in a Pharmacy Service. Patient Safety and Risk Management, A171.2-A172.
Rahmatullah, S. W., Putra, A. M. P., Hadi, A., Syahrina, D., Febrianti, F., Ariyani, R. D., & Nazri, Q. R. (2023). Evaluasi Penyimpanan Obat LASA (Look Alike Sound Alike) di Unit Pelayanan Rawat Jalan RSUD Brig. H. Hasan Basry Kandangan. Health Research Journal of Indonesia, 1(5), 216–221.
Rosanti, D. A., Sari, S. O., Sari, S. R., Mahendra, R. R., Sandi, D. A. D., Sari, O. M., Putra, A. M. P., Rahmatullah, S. W., Jenah, R. A., & Hafizah, N. (2023). Evaluation of High-Alert Drug Storage in The Central Pharmacy of RSUD Ratu Zalecha Martapura. Jurnal Farmasi Galenika (Galenika Journal of Pharmacy) (e-Journal), 9(2), 294–305.
Ruutiainen, H. K., Kallio, M. M., & Kuitunen, S. K. (2021). Identification and Safe Storage of Look-Alike, Sound-Alike Medicines in Automated Dispensing Cabinets. European Journal of Hospital Pharmacy, 28(e1), e151–e156.
Schwappach, D. L. B., Pfeiffer, Y., & Taxis, K. (2016). Medication Double-Checking Procedures in Clinical Practice: a Cross-Sectional Survey of Oncology Nurses’ Experiences. BMJ Open, 6(6), e011394. https://doi.org/10.1136/bmjopen-2016-011394
Tahir, M. T. M. (2024). Gambaran Sistem Penyimpanan Obat Di Puskesmas Galesong Utara Kecamatan Galesong Utara Kabupaten Takalar. Jurnal Kesehatan Yamasi Makassar, 8(1), 1-7.
Westbrook, J. I., Li, L., Raban, M. Z., Woods, A., Koyama, A. K., Baysari, M. T., Day, R. O., McCullagh, C., Prgomet, M., Mumford, V., Dalla-Pozza, L., Gazarian, M., Gates, P. J., Lichtner, V., Barclay, P., Gardo, A., Wiggins, M., & White, L. (2021). Associations between Double-Checking and Medication Administration Errors: a Direct Observational Study of Paediatric Inpatients. BMJ Quality & Safety, 30(4), 320–330.
Zafirah, A. D., & Junadi, P. (2023). Studi Kasus: Pengaruh Penyimpanan dan Penandaan Obat High Alert dan LASA terhadap Resiko terjadinya Human Error di Rumah Sakit Khusus Mata Mencirim Tujuh Tujuh Medan. Syntax Literate ; Jurnal Ilmiah Indonesia, 7(9), 14920–14932.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Ummu Zaijul, Mirfaidah Nadjamuddin, Miftahul Jannah
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
