FORMULATION OF RECOMMENDATIONS FOR REDUCING MEDICATION ERROR INCIDENTS WITH THE HUMAN FACTOR ANALYSIS AND CLASSIFICATION SYSTEM (HFACS) APPROACH AT HOSPITAL “X” IN 2024

Abstract

Background. Medication errors often occur in health services so that a systematic analysis tool is needed to reduce them.
Objective. Formulate recommendations for reducing the incidence of medication errors using the HFACS approach at Hospital "X". Method. This study is a qualitative study with purposive sampling of health workers involved in medication error incidents. The analysis used the HFACS questionnaire that has been adapted into Indonesian. Results. Factors causing medication errors at the prescribing, transcribing, administration, and dispensing stages include unsafe actions, unsafe action requirements, unsafe supervision, and organizational influences. Recommendations include strengthening input (competent human resources, adequate facilities), processes (evaluation of procedures and workflows), and output (routine incident communication). Conclusion. Implementation of HFACS-based recommendations can improve the quality and safety of patients at Hospital "X" .