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Background: Hospitals must organize patient safety from the risk of Healthcare-Associated Infections (HAIs). Infection Prevention and Control programs must be well organized to reduce the risk of HAIs, including hand hygiene compliance among all hospital staff. Low compliance among healthcare workers is a problem in healthcare facilities. WHO issued the Multimodal Hand Hygiene Improvement Strategy as one of the strategies to overcome the problem of hand hygiene compliance. Dr. M. Goenawan Partowidigdo Pulmonary Hospital (RSPG) Cisarua Bogor has hand hygiene regulations that refer to applicable policies, but hand hygiene compliance has not reached the target for three years. Compliance analysis of policy implementation, in this case regulation, needs to be done to map the factors that influence implementation. Therefore, this study aims to further analyze how the implementation compliance of hand hygiene regulation in RSPG Cisarua Bogor is based on WHO Multimodal Hand Hygiene Improvement Strategy. Methods: This study used a qualitative analytic descriptive research approach, with a case study method. Researcher analyzed the implementation compliance of hand hygiene regulations by developing the George Edward III theory collaborated with the WHO Multimodal Hand Hygiene Improvement Strategy. The WHO Multimodal Hand Hygiene Improvement Strategy assessment was carried out by scoring the Hand Hygiene Self-Assessment Framework (HHSAF). The research location was at the Dr. M. Goenawan Partowidigdo Pulmonary Hospital (RSPG) Cisarua Bogor which is a Type III Central Specialty Hospital. Results: Based on the analysis of communication variables, there is still a need to improve communication consistency. The percentage of HHSAF scores on communication variables is 80.4%. Based on the analysis of the resource variable, a percentage score of 73.9% was obtained. In human resources, researchers found findings other than the quantity and quality of human resources, namely the issue of activeness and behavior. Based on the analysis of the disposition variable, it was found that the bureaucratic appointment still lacked a clear form of commitment from the head of nursing. Non-material forms of appreciation are considered to have a more positive impact, and there is still a lack of implementor commitment. The percentage of the HHSAF score on the disposition variable is 65%. Based on the analysis of bureaucratic structure variables, it is known that improvements need to be made to the nursing SPO regarding hand washing moments according to SPO and PPI guidelines. In fragmentation, it is known that the coordination of the distribution of responsibilities for implementing hand hygiene regulations is still not good, but there is no bureaucratic fragmentation. The percentage of the HHSAF score on the bureaucratic structure variable was 23%. RSPG is at the Intermediate level of hand hygiene with a total score of 312.5. Conclusion: Among the four variables, the lowest percentage of the HHSAF score was on the bureaucratic structure variable, but this was not the most influential variable on the implementation of hand hygiene regulations in RSPG. The variable that has the most influence on the implementation of hand hygiene regulations in RSPG is the resource variable, namely human resources, related to the issue of activeness and behavior.
One of the important business processes in hospital organizations is the management of pharmaceutical supplies. The management of pharmaceutical supplies management at RSPG Cisarua Bogor involves teams starting from the stages of planning, procurement, storage and distribution. Internal obstacles in the process of planning and procuring pharmaceutical supplies are obstacles that can be controlled by internal intervention in business processes within the hospital. This research focuses on proposed changes in the management system of pharmaceutical supply management, especially planning and procurement within RSPG Cisarua Bogor. Intervention in the procurement process using lean six sigma as an evaluation tool to determine weak points in this study only reached the improvement stage. Data collection used in-depth interviews with informants related to the process of planning and procuring pharmaceutical supplies, observation and document tracing then ended with group discussions to determine mutual agreement. The results showed that the absence of fixed procedures in the process of procuring pharmaceutical supplies made the procedure run longer and there was no benchmark of efficiency in the system. Tools in the process of procuring pharmaceutical supplies are also absent so that internal communication between departments even in the same team is low. At the improve stage of lean six sigma produced proposals for changes to standard operating procedures for routine pharmaceutical supply procurement processes, the use of procurement efficiency indicators and the use of ABC VEN as a tool in the pharmaceutical supply procurement process. Proposed improvements in the use of ABC VEN and planning efficiency indicators to address waste over production identified during the pharmaceutical supply planning process. Proposed establishment of new standard operating procedures containing timelines, tools for grouping pharmaceutical supplies based on ABC VEN and procurement efficiency indicators to overcome waste waiting in the pharmaceutical supply procurement process.
Akreditasi RS di Indonesia telah dimulai sejak tahun 1995 oleh Depkes dengan membentuk Komisi Gabungan Akreditasi Rumah Sakit, dan sekarang disebut Komisi Akreditasi Rumah Sakit (KARS). Akreditasi rumah sakit merupakan pengakuan yang diberikan kepada manajemen rumah sakit yang telah memenuhi standar. RSKB sebagai satu-satunya rumah sakit terakreditasi 12 pelayanan di Kota Bogor yang telah diakui oleh Pemerintah dan warga Kota Bogor dan sekitarnya Akreditasi RSKB tahap awal pertama kali dilakukan pada tahun 2001 dengan 5 pelayanan dasar, kemudian berlanjut ke tahap selanjutnya pada tahun 2004. Instalasi Farmasi RSKB merupakan sam dari 12 unit pelayanan yang terakreditasi pada tahap kedua. Akreditasi RSKB tahap ke-dua dilakukan pada bulan Juni 2004, IFRS Karya Bhakti masuk di dalamnya. Hasil akreditasi IFRSKB bila dibandingkan dengan sebelas jenis pelayanan lainnya mendapatkan nilai tertinggi yaitu 94 %. Nilai ini mempakan nilai yang sangat baik yang diperoleh. Walaupun IFRSKB memperoleh nilai akreditasi yang sangat tinggi, namun tidak demikian dengan pelayanan di farmasi. Pasca Akrcditasi IFRSKB belum pernah dilakukan monitoring dan evaluasi oleh instansi yang berwenang yaitu Dinas Kesehatan Propinsi setempat, padahal berdasarkan buku pedoman akreditasi yang dikeluarkan oleh Depkes Pusat, dijelaskan bahwa 12 bulan Titik Awal, Dinas Kesehatan Propinsi harus melakukan Pembinaan Pasca Akreditasi yang difokuskan pada monitoring manajemen rumah sakit, apakah sudah melaksanakan rekomendasi yang dibuat oleh surveyor. Berdasarkan hal tersebut di atas, peneliti merasa tertarik untuk rnelakukan evaluasi nilai pasca akreditasi IFRSKB, peneliti juga ingin mengetahui seberapa jauh nilai tersebut tetap konsisten terhadap hasil penilaian pada saat akreditasi setelah satu tahun pasca akreditasi. Tujuan penelitian ini adalah mengetahui gambaran Hasil Evaluasi Nilai Pasca Akreditasi IFRSKB Di Bogor tahun 2006. Penelitian ini menggunakan pendekatan kualitatif, informasi yang didapat berupa data primer melalui observasi dan wawancara mendalam dengan informan adalah Kepala IFRSKB, Kepala Gudang IFRSKB, Kepala Depo, Staf IFRSKB, Kepala Bagian RT, Kepala Bidang Medik, dan Kepala Bagian Keuangan. Dan data menggunakan data sekunder melalui telaah dokumen. Hasil penelitian menunjukkan bahwa terjadi penurunan nilai pasca akreditasi mengalami sebesar 1,25 %. Penurunan nilai terjadi pada standar 2 parameter 1 dan parameter 2, dan standar 7 parameter 2, sedangkan peningkatan nilai terjadi pada standar 5 parameter 2 dan standar 7 parameter 3. Manajemen logistik farmasi mengalami sedikit perubahan antara masa pra dan pasca akreditasi. Perubahan yang terjadi terutama pada fungsi perencanaan dan penganggaran di IFRSKB. Kesimpulan walaupun nilai total pasca akreditasi RSKB terjadi penurunan, namun secara umum akreditasi RSKB memperoleh nilai yang sangat memuaskan. Saran kepada RSKB adalah meningkatkan status akreditasinya menjadi akreditasi istimewa, mengimplementasikan TQM dan mengoptimalkan Program Menjaga Mutu, serta melakukan perbaikan secara berkesinambungan.
Hospital accreditation in Indonesia has been applied since 1995 by Ministry of Health and Joint Commission of Hospital Accreditation (Komisi Gabungan Akreditasi Rumah Sakit), presently known as Komisi Akreditasi Rumah Sakit (KARS). Hospital accreditation is acknowledgement for hospitals which have met standards required. Rumah Sakit Karya Bhakti (RSKB) as the only 12 service accredited hospital in Bogor has been acknowledged by municipality and citizens of Bogor. First phase of accreditation in RSKB was carried out in 2001 regarding 5 basic services, continuing to the next phase in 2004. Pharmacy department of RSKB is one of 12 services unit accredited in second phase. Accreditation score 94 % of pharmacy department of RSKB is the highest among other 11 service units. Even though the accreditation score is the highest, the service is not as high as its accreditation score. After accreditation, there is no monitoring and evaluation of the authorized institution namely District Health Office (Dinkel Propinsi). In fact Ministry of Health reguired that monitoring and evaluation be done 12 months after the accreditation point, focusing on hospital management monitoring and ascertaining whether the surveyors recommendation has been carried out. Due to this situation, it is necessary to evaluate the post accreditation score of pharmacy department of RSKB. It is also necessary to evaluate the consistency of the score at accreditation point and one year later. This study is aimed to evaluate the post accreditation score of pharmacy department of RSKB at Bogor in the year 2006. This is a qualitative study, collective primary data by observation and in-depth interview. The informants are head of pharmacy department, head of storage of RSKB, head of pharmacy depo, staff of pharmacy department RSKB, head of housekeeping, head of medical department, and head of finance department. Secondary date was carried out by document review. The study shows that there is a 1,25 % decrease in post accreditation score. The decrease occurs at standard 2 parameter 1 and parameter 2, and standard 7 parameter 2. However there is on increase in standard 5 parameter 2 and standard 7 parameter 3, There is a slight charge in logistic management of pharmacy department after accreditation point. The change occurs in planning and budgeting function. It is concluded that there is a decrease in post accreditation score; however, in general RSKB gets satisfactory result in accreditation. It is recommended that RSKB improve its accreditation status to "excellent" accreditation, implementation of TQM, optimize its Quality Assurance Program, and carry out continuous improvement.
Hadi Rahmatsyah Analisis Pengembangan Sistem Informasi Manajemen Logistik Farmasi Terkomputerisasi di Rumah Sakit Umum Daerah Kabupaten Indramayu Tahun 2013 164 Halaman, 21 Gambar, 21 Tabel Tesis ini menganalisis pengembangan Sistem Informasi Manajemen (SIM) Logistik Farmasi Terkomputerisasi di Rumah Sakit Umum Daerah (RSUD) Kabupaten Indramayu Tahun 2013. Penelitian ini adalah penelitian deskriptif kualitatif. Hasil penelitian dapat disimpulkan bahwa pengembangan SIM Logistik Farmasi Terkomputerisasi di RSUD Kabupaten Indramayu Tahun 2013 tidak dilakukan sesuai rencana tahapan pengembangan Sistem Informasi menurut teori System Development Life Cycle dan sebagian besar fungsi-fungsi yang dibutuhkan oleh Instalasi Farmasi belum terpenuhi oleh Pengembang Sistem Informasi. Faktor keterbatasan waktu, ketidaksepahaman antara Instalasi Farmasi dan Pengembang Sistem Informasi terkait alur proses perbekalan farmasi dan keterbatasan sumber daya manusia dalam mengoperasikan, mengelola dan memelihara sistem aplikasi mempengaruhi keberhasilan pengembangan SIM Logistik Farmasi Terkomputerisasi di RSUD Kabupaten Indramayu Tahun 2013. Kata kunci : pengembangan sistem informasi manajemen terkomputerisasi, logistik, farmasi, pelayanan kefarmasian, System Development Life Cycle. Daftar Bacaan : 22 (1992 – 2013)
POSTGRADUATE PROGRAMME HOSPITAL ADMINISTRATION STUDY PROGRAMME PUBLIC HEALTH FACULTY UNIVERSITY OF INDONESIA Thesis, Juni 2013 Hadi Rahmatsyah The analysis of the development of computerized pharmacy logistic management information system at Indramayu District General Hospital in 2013 164 Pages, 21 Figures, 21 Tables This study analyzed the development of computerized pharmacy logistic Management Information System (MIS) at Indramayu District General Hospital (DGH) in 2013. This study is qualitative descriptive study. This study could be concluded that the development of computerized pharmacy logistic MIS at Indramayu DGH in 2013 was not carried out as planned phases of development of information system as System Development Life Cycle theory and most of the function as Pharmacy Department needed has not fulfilled by Information System Developer. The factor of time limitation, disagreements between Pharmacy Department and Information System Developer of pharmacy logistic and pharmacy services process flow, and human resources limitation of maintaining, managing and operating the application system contributed to succeessed of the development of computerized pharmacy logistic MIS at Indramayu DGH in 2013. Key words : development of computerized management information system, pharmacy, logistic, pharmacy service, System Development Life Cycle. References : 22 (1992 – 2013)