EVALUASI KESESUAIAN PENYIMPANAN OBAT HIGH ALERT DI SELURUH AREA RUMAH SAKIT UMUM DAERAH DOLOPO

Obat High Alert merupakan obat yang memiliki risiko tinggi terhadap keselamatan pasien apabila terjadi kesalahan dan penyimpanan maupun penggunaanya. Berdasarkan Permenkes No. 72 Tahun 2016, rumah sakit wajib menerapkan standar penyimpanan yang ketat untuk kategoru obat ini, yang meliputi obat risiko tinggi, LASA (Look Alike Sound Alike), dan elektrolit konsentrat. Penelitian ini bertujuan untuk mengevaluasi kesesuaian penyimpanan obat High Alert di seluruh area RSUD Dolopo, baik di unit farmasi maupun luar unit farmasi seperti emergency kit, berdasrkan Permenkes dan Standar Prosedur Operasional (SPO) rumah sakit.Penelitian ini merupakan studi deskriptif observasional, yang menggunakan lembar observasi checklist untuk mengumpulkan data. Teknik total sampling digunakan dengan melibatkan seluruh 102 itwm obat High Alert yang ada di RSUD Dolopo. Data analisis menggunakan rumus persentase kesesuaian dan diuji secara statistic menggunakan Uji One-Sample t test untuk mengetahui apakah terdapat perbedaan siginifikan antara standar Permenkes dan SPO rumah sakit. Hasil penelitian menunjukkan bahwa persentase kesesuaian penyimpanan obat High Alert berdasrkan Permenkes sebesar 83,7% (kategori sangat baik), sedangkan berdasarkan SPO sebesar 78,5% (kategori sangat baik). Uji T menunjukkan adanya perbedaan yang signifikan secara statistic anatra kedua standar tersebut. Ditemukan bebrapa ketidaksesuaian pada aspek pelabelan dan penempatan obat, terutama pada kategori LASA dan risiko tinggi. Oleh karena itu, evaluasi rutin serta peningkatan sarana penyimpanan dan pelatihan SDM sangat diperlukan untuk memastikan keamanan penggunaan obat HigH Alert dan mendukung keselamatan pasien. High Alert Medications (HAMs) are drugs that carry a high risk of causing significant harm to patients if misused or improperly stored. According to the Indonesian Ministrry of Health Regulation No. 72 of 2016, hospitalas are require to implement strict standards fot the storage of high alert drugs, which include high-risk medication, Look- Alike Sound-Alike (LASA) drugs, and concentrated electrolytes. This study aims to evaluate the compliance of high alert medication storage practices in all areas of RSUD Dolopo, both within pharmacy units and emergency kits, based on national regulations and hospitas Standar Operating Procedures (SOPs). This research is a descriptive observational study with quantitative approach, using a checklist observation sheet as the data collection instrument. The study employed total samplinh involving all 102 high alert medication items present in RSUD Dolopo. The collected data were analyzed using a percentage calculation formula and statistically tested with one-sample t test to determine whether there were significant differnces between compliance based in Ministry of Health standards and internal SOPs. The results showed that compliance with the Ministry of Health Regulation was 83,7% (categorized as very good), while compliance with the hospital’s SOPs was 78,5% (also categorized as very good). The T-test analusis revealed a statistically significant difference between the two standards. Several non-compliance issues were found in labeling and drg placement, partivularly in the lasa and high-risk categories. Therefore, routine evaluation, improved storage infrastructure, and staff training are crucial to ensuring the safe management of high alert medications and enhancing patined safety.