Analisis Proses Pengelolaan Obat Rsud Di Jawa Timur Dengan Pendekatan Lean Hospital

Azizah, Novianti Fatli; Ciptono, Wakhid Slamet; Satibi, Satibi

doi:10.22146/jmpf.369

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…From the results of interviews with the management, the supporting department will make improvements in 2023 and also make procurements related to these problems, especially the addition of computers to outpatient pharmacies at Hospital X Palopo City and the use of simrsgos v2 to provide efficient and fast services (Putri & Akbar, 2019). This is in line with Aulia et al (2022) the lean approach can make hospitals more organized and organized so that they can improve the quality of service to patients by reducing waste, including the occurrence of errors, movement, transportation and poor service flow which leads to long service waiting times which are certainly not expected by patients.…”

Section: Waitingsupporting

confidence: 52%

Lean Thinking Approach for Sustainable Improvement of Outpatient Pharmaceutical Service Processes at Sawerigading Hospital

Intan

Astari

Jasril

2023

JMMR

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Patients who have had an examination at the polyclinic will get medicine at the pharmacy, especially outpatients. The pharmacy installation is the last unit that determines the quality of hospital services, so the quality of pharmacy installation services will affect other related units. This study aims to identify value and waste using Lean Thinking approach in pharmaceutical services, especially during waiting times, the time lag that patients receive when submitting a prescription to receiving the drug that has been prescribed. It has four indicators: waiting time for finished drug service ≤ 30 minutes and concoction drugs ≤ 60 minutes, no drug administration errors 100%, customer satisfaction ≥ 80%, and prescription writing according to the formulary 100%. This research used a qualitative approach using the observational action process research method using the lean thinking method to photograph the process flow of outpatient pharmacy services conducted from mid-November to December 2022 at RSUD Sawerigading City of Palopo. Fifteen people became samples to receive the drug and joined structured in-depth interviews. Data were analyzed using Excel with lean thinking. The study results were categorized as lean and proposed improvements to the management support section. Lean thinking could create effective and efficient pharmaceutical governance to improve service quality.

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Section: Waitingsupporting

confidence: 52%

Lean Thinking Approach for Sustainable Improvement of Outpatient Pharmaceutical Service Processes at Sawerigading Hospital

Intan

Astari

Jasril

2023

JMMR

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“…Penelitian terbatas telah mengevaluasi apakah transfer metodologi Six Sigma berhasil dan apa dampak metodologi tersebut misalnya pada produktivitas, biaya, dan kualitas layanan 6 . Beberapa penelitian dengan menggunakan pendekatan Lean terdahulu secara garis besar memiliki perbedaan variabel dan subyek dibandingkan dengan penelitian ini, antara lain penelitian pada pengaruh metode manajemen Lean Six Sigma (LSS) terhadap tingkat standar kinerja CSR rumah sakit menunjukkan hasil metode LSS meningkatkan rata-rata standar kinerja dari 38,18 (60,60%) poin sebelum penerapan metode LSS menjadi 51,39 (81,57%) poin setelah penerapan metode ini 7 , menggunakan pendekatan lean hospital pada proses pengelolaan obat untuk mengidentifikasi aktivitas serta menganalisis akar penyebab masalah dari waste kritis 8 , penggunaan LSS untuk menyelidiki penggunaan material kontrol kualitas (QC) yang berlebihan dan biaya yang dihasilkan menghasilkan penurunan biaya dan penggunaan bahan kontrol individual 25 hingga 52% 2 , studi kasus yang dilakukan menghasilkan kerangka kerja yang diusulkan untuk menerapkan Six Sigma di bidang logistik kesehatan 6 .…”

Section: Pendahuluanunclassified

Implementasi Lean Six Sigma Untuk Menurunkan Variasi Dan Waktu Proses Pengadaan Obat Di Instalasi Farmasi Rumah Sakit Islam Amal Sehat Sragen

Gwen,

Erna Kristin,

Firman

2024

JMPK

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Background: Drug management needs to be done to prevent stock out, over stock, and drug purchases due to emergency conditions. Reports of drug management problems at Amal Sehat Sragen Hospital are stock outs resulting in immediate drug purchases and patients do not get the drug as they should. Lean Six Sigma combines two methodologies to help speed up certain processes so they can solve problems faster while creating more value for customers. When combined, these create a powerful methodology for managing a business and completing tasks on time, on budget, saving money, adding value and increasing productivity. Objectives: Assessing the implementation of Lean Six Sigma to reduce variation and processing time for drug procurement at the Pharmacy Installation of Amal Sehat Sragen Hospital. Methods: The method used in this study is a mixed methods with a Participatory Action Research (PAR) approach. Results: The results of the sample data that has variations and processing time are correlated with criticality, cost, and performance values to obtain Importance Index (II) values. Calculation of Importance Index (II), before implementation, 3 items with high Importance Index (II) values were obtained, namely "Gabapentin 300mg" (8.7), "Metformin 500mg (11.8), and "Lisinopril 5mg" (10.7) which decreased after implementation to “Gabapentin 300mg” (4.5), “Metformin 500mg (3.2), and “Lisinopril 5mg” (5.3). Assessment of the effectiveness and efficiency of drug procurement by measuring the lead time in cycle I was 9 days 23 hours 25 minutes, decreasing to 4 days 7 hours 50 minutes in cycle III. The efficiency measure based on the Value-added ratio (VAR) in cycle I was 14% and increased to 34% in cycle III. Conclusions: The implementation of Lean Six Sigma with DMAIC (Define, Measure, Analyze, Improve, Control) and Participatory Action Research approaches (three cycles) was able to reduce variations in the drug procurement process (critical criteria, performance, and cost) and overall lead time in the drug procurement process at Amal Sehat Sragen Hospital.

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Modern concepts of improving procedures and procesess in healthcare facilities - effects of the lean concept

et al. 2022

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Introduction. Lean principles have been successfully adapted to the healthcare environment, enabling hospitals and clinics to streamline their operations and focus on value as perceived by their patients. Many healthcare facilities have implemented lean principles to improve their efficiency. The subject of this paper is the lean concept, the essence of which is implementation of methods that affect the efficiency and quality of providing health services. Our aim was to point out the necessity of applying modern concepts in healthcare. Material and Methods. The primary sources of data were obtained through research on the opinions and possibility of applying the lean concept in hospitals in Bosnia and Herzegovina. We presented the results on the effectiveness of the lean concept in hospitals that apply it. Results. After implementation of the lean concept in an Italian hospital, the results showed a positive impact on the waiting time for admission, faster discharge, and faster flow of information. The results of the research in Bosnia and Herzegovina showed that there were positive attitudes towards the effects that would be achieved by implementing the lean concept. Conclusion. The implementation of the lean concept would reduce medical waste, which would positively affect the quality of health care services.

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Analisis Proses Pengelolaan Obat Rsud Di Jawa Timur Dengan Pendekatan Lean Hospital

Cited by 3 publications

References 4 publications

Lean Thinking Approach for Sustainable Improvement of Outpatient Pharmaceutical Service Processes at Sawerigading Hospital

Lean Thinking Approach for Sustainable Improvement of Outpatient Pharmaceutical Service Processes at Sawerigading Hospital

Implementasi Lean Six Sigma Untuk Menurunkan Variasi Dan Waktu Proses Pengadaan Obat Di Instalasi Farmasi Rumah Sakit Islam Amal Sehat Sragen

Modern concepts of improving procedures and procesess in healthcare facilities - effects of the lean concept

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