Hospital pharmacy service is a supporting service as well as a revenue center in a hospital. More than 90% of hospital services utilize pharmaceutical supplies, and 50% of hospital revenues originate from pharmaceutical supply management. In the Covid-19 pandemic situation, the pharmacy installation must calculate the logistics management of the medicine correctly. However, based on stocktaking in May-July at Puri Bunda Mother and Child Hospital, there were stock-outs (4.06%) and drug stagnation (2.44%) due to poor drug procurement, causing declining drug sales. This study analyzed the factors causing stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital. This study uses a descriptive approach with data collection methods using observations, Focus Group Discussion (FGD), and Likert-scale questionnaires to find the roots of the problems. The data were analyzed using the Fishbone Diagram and Pareto Diagram. The research subjects based on total sampling were all 12 staff of the Pharmacy Installation. The results obtained through the Fishbone Diagram were 13 root causes covering the aspects of Man, Money, Method, Machine, Material, and Environment. The priority of the root cause of stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital Malang is the suboptimal use of the Hospital Management Information System (HMIS). The possible solutions are conducting intensive training for Pharmacy Installation staff in using HMIS, developing HMIS related to drug procurement, as well as repairing warehouse and pharmacy installation facilities and infrastructure.
An insufficient number of linens, lack of linen cleanliness, and untimely linen provision will affect patient satisfaction, service quality, and hospital financing. Data at Puri Bunda Mother and Child Hospital Malang showed 108 linen loss incidents from the initial stock of 792 linens. This study was conducted to identify the factors that influence linen loss at Puri Bunda Mother and Child Hospital Malang. The root of the problems was identified through observations, interviews, and Focus Group Discussion (FGD) with the laundry staff, followed by analysis using a fishbone diagram and creating a Pareto diagram to select the main root of the problems. The study results indicate the absence of hospital policies that regulate the technical management of linen, weak evaluation monitoring, and inadequate linen management planning that contribute to the incidence of linen loss.
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