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The length of waiting time is one of the indicators for a hospital in maintaining the quality of its services, waiting too long will give rise to negative assessments from customers regarding the product and quality of service. Outpatient outpatient visits of BPJS Kesehatan at Grha Permata Ibu Depok Hospital since 2017-2018 averaged about 450-600 visits/day, this is in line with the number of prescriptions that must be served in outpatient pharmacy installations. The schedule of doctors at the same time and human resources are less the reason has not been achieved the minimum time standard of prescription services set permenkes that is ≤60 minutes for concoction drugs and ≤30 minutes for non-concoction drugs. The purpose of this study is to know the waiting time of outpatient prescription services bpjs health patients in current state and future state after the application of lean kaizen in the Outpatient Pharmacy Installation Of Grha Permata Hospital. This research method is operational research with qualitative and quantitative approach with primary data source taken through direct observation with time motion study technique and in-depth interview. The results of this study found 3 types of waste, namely 53.3% waste waiting, 40% waste overprocessing, 6.7% waste motion, after the implementation of lean kaizen with PDCA approach using 2 scenarios, there was a decrease in lead time from 135.31 minutes to 9.11 minutes in scenario-1 and 7.49 minutes in scenario-2. With TNVAT decreasing from 128.62 minutes to 5.65 minutes on scenario-1 and 3.75 minutes on scenario-2 on non-blend recipes and there was a decrease in Lead time from 185.17 minutes to 31.09 minutes on scenario-1 and 29.15 minutes on scenario-2. With TNVAT decreasing from 160.79 minutes to 5.02 minutes on scenario-1 and 3.49 minutes on scenario-2 on the concoction. The conclusion of this study is that the PDCA approach on lean kaizen is precisely done in conditions where the most waste is related to human behavior, The results of this study are not yet maximal because there is still waste motion that has not been intervened and potentially make officers produce waste waiting and overprocessing, so the advice of researchers is to be able to make priority changes lay out pharmaceuticals because it is the root of the problem that can cause a lot of waste, need to be carried out continuous supervision and encourage IT hospitals to develop pharmaceutical services based on IT
Hospitals have an obligation to provide safe, high quality, anti-discriminatory and effective services. One of them is pharmacy services as an integral part of the hospital service system that is responsible for ensuring the availability of safe, high quality and efficacious drugs. KMK 129/Menkes/SK/II/2008 states that hospitals are required to meet the Standards of Minimum Services (SPM), one of which is the Waiting Time for Drug Services. RS Jantung Hasna Medika Cirebon serves 4000-5000 outpatient visits every month with 92% of them being BPJS Kesehatan patients. The average waiting time for concoction drugs was only achieved by 72% and non-concoction drugs achieved by 40%. The purpose of this study was to increase the speed of outpatient prescription services for BPJS Kesehatan patients at the pharmacy installation of the RS Jantung Hasna Medika Cirebon using Lean Hospital. This research method is operational research with a qualitative approach. Primary data sources taken through direct observation with time and motion study techniques, in-depth interviews and Focus Group Discussion (FGD). The results of the study found 2 types of waste, namely 99.31% waiting waste and 0.69% motion waste, after intervention in the form of optimizing e-prescription, 5S and visual management as well as continuous flow and process balancing there was a decrease in lead time from 01:24:47 to 00:25:30 or decreased by 59 minutes 17 seconds (69.93%). The conclusion of this study is that Lean Hospital is the right method or tool to increase the value to waste ratio by reducing wasting time and increasing additional value for patients. This research has not been maximized because the choice of lean hospital tools is very limited considering the time is short. The researcher's suggestion is to encourage the hospital management to use this research as the first step of continuous improvement by using other tools in another service units
Analysis of Outpatient Installation Pharmacy Waiting Time at Special Hospital of Drug Addiction Jakarta in 2023 Abstract Prescription services waiting time in outpatient installations is one of the indicators for evaluating the performance of pharmaceutical installations that affects the quality of hospital services. Hospitals need to effort that prescription services waiting time meet the Minimum Service Standards (SPM). Through the Lean method with the Value Stream Mapping approach, this study aims to determine the prescription service procedures at the outpatient installation of RSKO Jakarta, identify value added and non-value added and waste that occurs so that factors that cause waste can be analyzed which can be prevented through the strategy recommendations obtained. This is a qualitative research with data collection obtained through observing and recording the e-prescriptions services waiting time at the RSKO outpatient installation, extracting in-depth information from informants and reviewing documents. Observations were made on 20 concoction medicine recipes and 10 concoction medicine recipes. The selection of informants was carried out using a purposive sampling technique and interviews were conducted with patients to obtain value from the customer's perspective according to the principles of the Lean method. The data obtained is then analyzed to obtain the factors affecting the prescription services waiting time duration using a fishbone diagram then a scoring system is carried out by assessing the urgency, severity and growth aspects of the cause problem so that priority recommendations can be formulated. The results of research conducted in April-May 2023 found that the average waiting time for prescription drug services was 49.25 minutes (VAR 17.5%) and for concoction drugs 80.2 minutes (VAR 33%), which means that it still exceeds the SPM set by KMK No. 128 of 2009 (no concoction drug recipe < 30 minutes, concoction drug recipe < 60 minutes). Some of the factors that cause waste are inefficiency in human resources, pharmaceutical inventory systems that have not been automated, inadequate evaluation/monitoring of drug use, the absence of a separate system for emergency prescription services, prescription service SPO that has not been adjusted with the establishment of prescription response time quality standardsfor each process, networks information system that frequently down/loads repeatedly and patient’s interruption for asking information. It is hoped that in the future an improvement strategy can be carried out to improve the waiting time for prescription services; increasing HR efficiency through arrangements so that during peak hours pharmaceutical HR focuses on working on the duties and functions of prescription services, facilitating a pharmaceutical inventory system with an automated system, implementing an evaluation system for monitoring drug use more effectively so that procurement planning becomes more accurate, regulation separates prescription services from the emergency room, providing SPO in accordance with prescription service implementation, separate the information system network between patient services and office and providing reachable information for pastient (visual management).
Kata kunci:Lama waktu tunggu, pelayanan resep, farmasi
The focus of this study is the overview of waiting time of pharmacy services in 3rd flooroutpatient pharmacy at busy hours. This is a crossectional study with quantitativeapproach and qualitative approach through observation of wating time and documentreview. The result of the study shows that average of waiting times pharmacyprescribtion services is above the standard that hospital made. The study sugest toincrease the input resource to improve the performance of prescribtion services in 3rdfloor Outpatient Pharmacy in Hermina Hospital Bekasi
Key words:Waiting Time, Prescription Service, Pharmacy.
Kata Kunci: JKN, waktu tunggu, pelayanan resep, farmasi rumah sakit
Kata kunci: Waktu tunggu, pelayanan resep, farmasi rumah sakit
This study analyzes the waiting time of prescription services in Installation of Pharmacy Awal Bros Hospital, Bekasi. It is a qualitative and quantitative research, with sampel of 172 prescriptions, both concoction and non concontion drugs. This study found that the average waiting time of conconction drugs is 41 minutes, while the non concoction drugs is 22 minutes. The factors affecting those waitng time is insufficient of human resources, lack of drugs provision, inadequate correction of IT system lack of work experience, improper working space for doing concoction drugs.
Keyword : waiting time, prescription service, hospital pharmacy
One of the most visited type of hospital services that requires time to queue is pharmacyservice. Until now the waiting time for prescription drug services that are not inaccordance with the standards set by the Government through Keputusan MenteriKesehatan Nomor 129 Tahun 2008, which is ≤ 30 minutes for non-concoction drugs and≤ 60 minutes for concoction drugs are still frequently found in pharmacy servicearrangements in hospitals. This research aims to determine the causal factors of thelength of waiting time for outpatient prescription drug services at hospital pharmacyinstallations in Indonesia. This research applied literature review designs that wereconducted by analyzing the previous studies results. From the search result that wasdone through PubMed, Proquest, Google Scholar, Universitas Indonesia Library, andFKM UI Library databases, 18 articles about the causal factors of the length of waitingtime for outpatient prescription drug services at hospital pharmacy installations inIndonesia were found. The result of the study showed that the waiting time foroutpatient prescription drug services at the pharmacy installation from one hospital toanother hospital was differ, it was due to differences in patient status and types ofprescription drugs served. The factors that cause the length of waiting time foroutpatient prescription drug services at hospital pharmacy installations in Indonesia veryvaried and relate to each other, such as human resources, facilities and infrastructure,policies, standard operating procedure, availability of medicine, and patients status.Keywords:Causal Factor, Waiting Time for Prescription Drug Service, Hospital Pharmacy,Indonesia.
Pharmacy is one of the units in hospitals that provide services of products and services in the form of prescription services. Quality of service good pharmacy prescriptions associated with speed in providing services. In observation of outpatient prescription services JKN conducted over 12 twelve days in Pharmacy at Pasar Rebo Hospital on 211 samples of prescription, it was found that the waiting time of patients to obtain the drug concoction of 4 hours 14 minutes and non concoction 3 hours 29 minutes. And the result showed that the average processing time process non concotion per prescription medicine that is 5 minutes 13 seconds and drug concoction of 15 minutes 21 seconds. This study analyzes the factors that influence the waiting time of service prescription outpatient JKN in Pharmacy Pasar Rebo Hospital Based on these results, delays in service due to insufficient numbers of personnel, work load that does not correspond to the amount of human resources there and not have a standard time services, as well as the layout of the room. The expected increase in the commitment to work with no delay or accumulate work with service time standards for pharmaceutical officers at work. Keyword : waiting times, prescription services, hospital pharmacy
