Ditemukan 11 dokumen yang sesuai dengan query :: Simpan CSV
Kata kunci : Metode lean, rawat jalan, waktu tunggu, kegiatan value added, kegiatan non value added
The length of waiting time in the hospital outpatient service is important for efficient hospital service. Long waiting time leads to accumulating queue and inefficient service. This study was aimed to analyze the application of lean method on outpatient BPJS services at Hermina Depok Hospital in 2017. This qualitative research method investigated the time spent by BPJS outpatient patient by applying lean method and observing the outpatient service flow condition. The first result, the value stream mapping (VSM) of patients without any adjunctive examinations (i.e., laboratory or radiology), the fastest cycle time was observed at the reception desk (2.2 minutes) and the longest at the doctor examination room (12.6 minutes). The longest waiting time was at drug prescription process at pharmaceutical unit (96.2 minutes or 1 hour,36 minutes) and checkout was the fastest (4.4 minutes). Second result, the VSM with laboratory examination, the fastest time-cycle was at the reception desk (4.2 minutes), and the longest was observed at the doctor examination (12.6 minutes). The longest waiting time at the doctor waiting room (2 hours 6 minutes) and checkout was the fastest (2.2 minutes). Third result, the VSM with radiologic examination, the fastest cycle time was observed at the reception desk (4.8 minutes), the longest cycle time was at the radiology examination process (67.2 minutes or 1 hour, 7 minutes). The longest waiting time was observed at the doctor examination room (95.6 minutes or 1 hour, 35 minutes) and checkout was the fastest (4.4 minutes). The results showed that 90% service time was non value added activity and only 10% of value added activity. The wastes were defect, over production, waiting, transportation, inventory, motion, and over processing. After conducting future state analysis with the proposed improvement with simulative lean method (5S, Kanban Inventory, visual management), it was found that non value added activity became 78,30% and value added activity became 21,70%. Future recommendation is important to organize short-, medium- and long-term improvements through implementation of sustainable lean method program.
Keywords: Lean method, outpatient waiting time, value added activity, non-value added activity
Hasil penelitian menunjukkan bahwa waktu tunggu pelayanan obat racik dan paten di rumah sakit ini melebih standar waktu yang ditetapkan, ditemukan beberapa penghambat seperti ketersediaan sumber daya manusia, sarana prasarana dan fasilitas kerja yang merupakan hambatan terbesar dalam pelayanan ini. Disarankan kepada rumah sakit untuk dapat redisain layout farmasi, menghitung ulang pola ketenagaan serta pengaturan tugas sesuai dengan kompetensinya.
Kata Kunci : efisiensi, farmasi rawat jalan, obat racik dan paten
This study aims to improve the efficiency of service time of outpatient pharmacy installation in order to improve the quality of hospital services. The research method used is the method of combined research (mixed method) by conducting in-depth interviews and observation of drug service waiting time which then analyzed by using univariate analysis.
The result of the research shows that the waiting time for the service of racik and patent medication in this hospital exceeds the standard time set, found some obstacles such as availability of human resources, infrastructure and work facilities which is the biggest obstacle in this service. It is advisable to the hospital to be able to redesign the pharmacy layout, recalculate the pattern of the workforce as well as the arrangement of tasks in accordance with its competence.
Keywords: Efficiency, outpatient pharmacy, racik medicine and patent
Background: Patient dissatisfaction with long waiting times is one consequence of an inefficient service delivery system. Long waiting times have a significant correlation with patient satisfaction levels. Excessive waiting can lead to boredom and fatigue, which diminishes satisfaction with the provided services. Objective: This study aims to analyze waiting times and the factors associated with prescription service waiting times at the Outpatient Pharmacy Installation of Hermina General Hospital Depok. Research Methodology: This study employs both quantitative and qualitative methods. Data on waiting times and prescriptions were collected through observations of prescription service workflows and officer interview in the outpatient pharmacy. Results: The findings indicate that the waiting time for non-compounded (patent) drug prescriptions still does not meet the established standard due to the high number of drug items per prescription. Prescription backlogs and delays in dispensing completed medications frequently occur. Factors related to prescription service waiting times in this study include patient status, prescription type, number of drug items, shift schedules, and human resources. Inefficient human resources distribution across shifts contributes to prolonged waiting times in each prescription service workflow. The most dominant factor affecting prescription service waiting times is human resources . Proper human resources allocation across shifts, particularly during peak days, can help reduce excessive waiting times.
ABSTRAK
Latar belakang : Kamar Operasi merupakan unit yang komplek dari suatu rumah sakit, karena tidak bisa lepas dari unit lainnya, Dalam tiga tahun terakhir kinerja belum tercapai. Pencapaiannya sangat berpengaruh terhadap pencapaian kinerja keuangan rumah sakit. Instalasi kamar operasi diharapkan menunjang semua pelayanan prioritas dan unggulan, namun pada pelaksanaannya belum tercapai target. Tujuan penelitian : Penelitian ini dilakukan untuk mengetahui gambaran faktor-faktor yang berhubungan dengan kinerja kamar operasi Rumah Sakit Hermina Depok yang diukur dari utilisasi kamar operasi. Metodologi Penelitian : Penelitian ini merupakan penelitian non eksperimental dengan cara pengumpulan data secara cross sectional dengan pendekatan kuantitatif deskriptif dan kualitatif dengan cara indepth interview dan FGD. Hasil Penelitian : Instalasi Kamar Operasi sangat dipengaruhi oleh unit lain sebagai pengirim pasien, ketersediaan dokter baik jumlah, spesialisasi dan status kepegawaian, ketersediaan alat medis yang dibutuhkan, ketersediaan ruangan paska tindakan serta pembiayaan dan penjaminan. Target yang diberikan untuk tindakan di kamar operasi masih sangat visible karena jika idealnya lebih dari target dengan melihat jumlah kamar operasi yang tersedia dan modalitas yang dimiliki. Kesimpulan : Evaluasi untuk melakukan optimalisasi pasien internal, penjadwalan dengan baik melalui pengaturan alur rujukan internal dan eksternal secara bijak, penambahan dokter-dokter fulltime, melakukan discharge planning dari awal sehingga LOS tidak panjang sehingga kebutuhan ruangan paska tindakan tidak menjadi masalah, untuk pembiayaan membuat paket yang disesuaikan
ABSTRACT Background: The Operating Room is a complex unit of a hospital, because it cannot be separated from other units. In the last three years, performance has not been achieved. Its achievement greatly affects the achievement of the hospital's financial performance. The installation of the operating room is expected to support all priority and superior services, but in its implementation the target has not been achieved. Research objectives: This study was conducted to determine the description of factors related to the performance of the operating room at Hermina Depok Hospital as measured by operating room utilization. Research Methodology: This research is a non-experimental research with a cross-sectional data collection method with a descriptive quantitative approach and qualitative with in-depth interviews and FGD.Research Results: Operating Room Installation is greatly influenced by other units as patient senders, availability of doctors in terms of number, specialization and employment status, availability of required medical equipment, availability of post-action rooms and financing and guarantees. The target given for actions in the operating room is still very visible because if ideally it is more than the target by looking at the number of operating rooms available and the modalities owned. Conclusion: Evaluation to optimize internal patients, good scheduling through wise internal and external referral flow management, adding full-time doctors, conducting discharge planning from the start so that LOS is not long so that the need for a post-action room is not a problem, for financing creating customized packages.
