Open Access Indonesian Journal of Medical Reviews

Hazard Risk Analysis in the Laboratory of Qolbu Insan Mulia (QIM) Hospital Using the Hazard Identification Risk Assessment and Risk Control (HIRARC) Approach

2023-09-18T03:34:38+00:00

Activities in hospitals have risks originating from physical, chemical, biological, ergonomic, psychosocial, and waste factors. Qolbu Insan Mulia Hospital is a health service facility where sick and healthy people gather, which allows work-related accidents and occupational diseases to occur. The laboratory of Qolbu Insan Mulia Hospital is part of the medical support services, which provides hematology, serology, immunology, urine, blood chemistry, drugs, endocrinology, faces, blood transfusion, tumor marker, microbiology, and electrolyte testing services. This study aimed to determine K3 risk management using hazard identification risk assessment and risk control (HIRARC). This research is qualitative research. The techniques used in data collection were field observation, document review, and in-depth interviews. The research results show that in the laboratory there are 17 sources of potential danger consisting of physical, chemical, biological, ergonomic, mechanical, electrical, psychosocial, and waste hazards. In conclusion based on a high-level risk level of 71%, medium 23%, and low 6%, while the control efforts are in the form of administration, manipulation, and PPE.

Platelet Transfusion in Clinical Practice: A Narrative Literature Review

2023-10-06T08:04:55+00:00

Platelet transfusion plays a vital role in clinical practice, serving as a cornerstone in the management of various medical conditions. Thrombocytopenia, characterized by a low platelet count, can result from decreased platelet production, increased peripheral platelet destruction, increased splenic sequestration, or dilutional thrombocytopenia. Platelet transfusion is commonly administered for prophylactic purposes to prevent bleeding in patients with hypoproliferative thrombocytopenia and before invasive procedures or surgeries. In cases of bleeding or significant bleeding risk, therapeutic platelet transfusion is employed. This review article aims to provide an understanding of platelet transfusion and its applications in daily clinical practice. The dosage and administration of platelet transfusion, as well as potential complications, are discussed. Understanding the indications, contraindications, and appropriate use of platelet transfusion is crucial for optimizing patient outcomes and ensuring safe and effective clinical practice.

Potential for Incompatibility, Instability, and Prescription Drug Interactions in Pulveres Prescription Pediatric Patients at RSI (Islamic Hospital) Sultan Hadlirin, Jepara, Indonesia

2023-10-20T03:36:28+00:00

In Indonesia, there are still many doctors who prescribe compounded medicines for pediatrics, including pulveres. Compounding is an alternative for pediatrics who cannot swallow tablets, but compounding medicines is a concern because it can cause incompatibility and instability during storage and cause side effects. drug interactions. This study aimed to determine the potential for incompatibility, instability, and drug interactions on pediatric patient prescription sheets. This research is descriptive observational, and data collection is carried outretrospective, data taken from prescription sheets for pediatric patients at RSI Sultan Hadlirin Jepara. The total sample in this study was 247 prescriptions that met the inclusion criteria. The results of the study showed that the age classification of patients 0-5 years who received pulveres prescriptions was 175 (71.8%), while for those aged 6-11 years, it was 72 (29.1%). %). Based on the number of medications, 197 (80.1%) patients received 4-6 medications, while 50 (20.3%) pediatric patients received 2-3 medications. There is no potential for 0% incompatibility. There is the potential for instability in the pediatric prescription sheets. As many as 62 (25.1%) of the active drug substance preparations that experience instability include CTM, paracetamol, and vitamin B complex. There were 126 (51.0%) potential drug interactions based on the pharmacodynamic mechanism of action and 126 (51.0%) based on moderate severity in the salbutamol tablet preparation with pseudoephedrine. It can be concluded that on the prescription sheet, there is no potential for 0% incompatibility, there is a potential for instability of 62 (25.1%), and there is moderate interaction, and pharmacodynamic mechanisms were 126 (51.0%).

Analysis of Studies on the Role of Hormones in Micropenis Disorders: A Systematic Literature Review

2023-11-21T05:43:18+00:00

A deep understanding of the role of specific hormones in genital development is key to designing effective therapeutic approaches. Factors such as testosterone deficiency, growth hormone disorders, or other hormonal imbalances can be targets for hormonal interventions that can affect penis size. This study aimed to explore the role of hormonal aspects in micropenis disorders. The literature search process was carried out on various databases (PubMed, Web of Sciences, EMBASE, Cochrane Libraries, and Google Scholar) regarding the role of hormonal aspects in micropenis disorders. This study follows the preferred reporting items for systematic reviews and meta-analysis (PRISMA) recommendations. Aspects of the hormonal role in micropenis include several key elements that influence the development of genital organs in men. Hormones, such as testosterone, growth hormone, estrogen, and dihydrotestosterone (DHT), play an important role in stimulating penis growth and development. Proper hormonal balance is necessary for normal genital development, and disturbances in the production of or response to these hormones may contribute to conditions such as micropenis.

Development of a Reliable Information System for Medical Device Inventory in Hospitals: A Systematic Literature Review

2023-11-21T08:21:48+00:00

Developing an information system for medical equipment inventory in hospitals not only includes technical aspects but also involves an in-depth understanding of the operational needs of the hospital itself. By utilizing the latest technology, such as the Internet of Things (IoT), and efficient data integration, hospitals can ensure that the information systems developed can adapt to the dynamics of future technological needs and developments. This study aimed to explore the development of a reliable information system for inventory of medical equipment in hospitals. The literature search process was carried out on various databases (PubMed, Web of Sciences, EMBASE, Cochrane Libraries, and Google Scholar) regarding the development of a reliable information system for the inventory of medical devices in hospitals. This study follows the preferred reporting items for systematic reviews and meta-analysis (PRISMA) recommendations. Developing an information system for medical device inventory in hospitals is a crucial step in improving the efficiency, availability, and management of health resources. Developing an information system for medical device inventory in hospitals is not just about recording and monitoring but also providing a holistic solution to improve operational efficiency and patient service.