Lean Approach of Pharmaceutical Installations At Hospital ABC Purbalingga to Increase Pharmacy Service Efficiency

Authors

  • Rani Aulia Imran Jurusan Teknik Industri Unsoed

DOI:

https://doi.org/10.14421/jiehis.3530

Keywords:

pharmacy, services, waiting time, concoction medicine, lean hospital

Abstract

A good pharmacy quality services are intended to the pharmaceutical product which is well prepared, stored, distributed, dispensed and discarded. However, these days services are assessed through medication availability, waiting time and user satisfaction. Therefore, hospitals need to make continuous quality improvements to the process of service, facilities, utilities, and health workers. This research aims to propose improvements to hospital pharmacy services quality by using Lean approaches in reducing services waiting time of concoction medicine. A case study was at Hospital ABC at Central Java, conducted in February-April 2019. There is a crucial problem was the prescription drug waiting time of concoction medicine. This study begins with process flow analysis and waste identification by interviewing with stakeholders of the hospital. Non-value added and value-added activities been divided, then time measurement in each activity is carried out with a time study method, to get the actual time of compounding the drug. Current state flow was mapped using value stream mapping tools, and future state flow map was recommended. Using lean tools, value-added activities have been identified and process time in future state map optimized to 47%. By using 5-why’s root cause analysis, problems identified and improvement of visual management were recommended.

References

/Menkes/SK/II/2008, M. K. R. I. N. : (2008). Kepmenkes No.129 Tahun 2008 Standar Pelayanan Minimal RS. Kementerian Kesehatan Republik Indonesia, 153–164.

Abdelhadi, A., & Shakoor, M. (2014). Studying the efficiency of inpatient and outpatient pharmacies using lean manufacturing. Leadership in Health Services. https://doi.org/10.1108/LHS-04-2013-0019

Arifiyanti, A. L. (2017). Upaya Peningkatan Kepuasan Pasien Di Instalasi Farmasi Rumah Sakit Islam Surabaya. Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo. https://doi.org/10.29241/jmk.v3i1.94

Gaspersz,Vincent, Fontana, A. (2007). Lean Six Sigma for Manufacturing and Service Industries. Jakarta: Gramedia Pustaka Utama.

Ghozali, I. (2011). Aplikasi Analisis Multivariate dengan menggunakan SPSS. Gramedia.

Graban, M. (2009). Engaging staff in Lean improvements for patient care settings. In Society for Health Systems Conference and Expo.

Hamzah, N. M., & See, K. F. (2019). Technical efficiency and its influencing factors in Malaysian hospital pharmacy services. Health Care Management Science. https://doi.org/10.1007/s10729-019-09470-8

João Pedro Faria dos Santos. (2014). Improvement of pharmaceutical services in hospitals through Kaizen Lean methodology Kaizen Institute João Pedro Faria dos Santos Department of Engineering and Management, Instituto Superior Técnico. Department of Engineering and Management, Instituto Superior Técnico, 1–9.

Jovicic, M. (2016). Marija Kovacevic Ivana Zivanovic- LEAN THINKING IN HEALTHCARE : 2 . Lean Concept and Philosophy. International Journal for Quality Research, 10(1), 219–230.

Kim, C. S., Spahlinger, D. A., Kin, J. M., & Billi, J. E. (2006). Lean health care: what can hospitals learn from a world-class automaker? Journal of Hospital Medicine (Online). https://doi.org/10.1002/jhm.68

Krisnanto, S. H., Wicaksono, P. A., & Rinawati, D. I. (2018). Perancangan Model Layanan Instalasi Farmasi Rumah Sakit untuk Mengurangi Waktu Antrian pada Pelayanan Obat di Farmasi (Studi Kasus : RSUD Dr.Adhyatama, MPH Kota Semarang). Industrial Engineering Online Journal, 7(1), 1–12. Retrieved from https://ejournal3.undip.ac.id/index.php/ieoj/article/view/20730

Leslie, M., Hagood, C., Royer, A., Reece, C. P., & Maloney, S. (2006). Using lean methods to improve OR turnover times. AORN Journal. https://doi.org/10.1016/s0001-2092(06)63971-9

Lintya, D., Karima, S., Program, Z., Sarjana, P., Administratsi, K., Sakit, R., … Kesehatan, K. (2016). Penggunaan Konsep Lean untuk Meningkatkan Efisiensi Pelayanan Instalasi Farmasi Rawat Jalan di Rumah Sakit Anna Medika Bekasi Use of the Lean Concept to Increase The Efficiency of Pharmaceutical Installation Service In Hospital Anna Medika Bekasi, 1, 29–42.

Martin, K., & Osterling, M. (2014). Praise for Value Stream Mapping. Retrieved from https://www.ksmartin.com/wp-content/files/VSM-Ch-1.pdf

Mira, I., Sari, P., & Pribadi, F. (n.d.). Authors ’ Instructions Lean Hospital Approach to Identify Critical Waste in The Outpatient Pharmacy Unit of Rural Public Hospital in Yogyakarta.

Nancy, Marchaban, & Wardani, P. E. (2013). Proses Pelayanan Instalasi Farmasi Rumah Sakit Lean Hospital Approach for Continuous Service Process Improvement in. Jurnal Manajemen Dan Pelayanan Farmasi, 91–98.

Noviani, E. D. (2017). Penerapan Lean Manajemen pada Pelayanan Rawat Jalan Pasien BPJS Rumah Sakit Hermina Depok Tahun 2017. Jurnal Administrasi Rumah Sakit.

Parasuraman, A., Zeithaml, V., Berry, L. (1988). SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality. Jorunal of Retailing.

rahmani putri, lusi, & Susanto, S. (2018). Lean Hospital Approach to Identify Critical Waste in the Outpatient Pharmacy Instalation of RSI PKU Muhammadiyah Pekajangan. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 6(2), 163–173. https://doi.org/10.18196/jmmr.6139

RSE. (2017). Kebijakan RSE Perdir Nomor: 070/RSE/MJM/III/2017 BAB XIII Poin I.14.

Rumengan, I. P. E., & Rahayu, S. (2014). Pengaruh Kompetensi, Independensi, Dan Pengalaman Kerja Terhadap Kualitas Audit (Survei Terhadap Auditor Kap Di Bandung), 1–16.

Sarwono, J. (2012). Metode riset skripsi pendekatan kuantitatif (menggunakan prosedur SPSS). Elex Media Komputindo.

Sujatno, P., Pinzon, R. T., & Meliala, A. (2017). Evaluasi Dampak Penerapan Automated Dispensing Machine Terhadap Dispensing Error Di Farmasi Rawat Jalan Instalasi Farmasi Rumah Sakit Bethesda Yogyakarta. Journal of Pharmaceutical Sciences and Community, 13(01), 07–14. https://doi.org/10.24071/jpsc.2016.130102

Sutalaksana, I. (2006). Teknik Perancangan Sistem Kerja. In Teknik Perancangan Sistem Kerja.

Voelkel, J. G., & Ishikawa, K. (2006). Guide to Quality Control. Technometrics. https://doi.org/10.2307/1268827

Worthington, A. C. (2004). Frontier efficiency measurement in health care: A review of empirical techniques and selected applications. Medical Care Research and Review. https://doi.org/10.1177/1077558704263796

Ziegel, E. R., Juran, J. M., & Gryna, F. M. (2006). Juran’s Quality Control Handbook. Technometrics. https://doi.org/10.2307/1269854

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Published

2022-07-31

How to Cite

Imran, R. A. (2022). Lean Approach of Pharmaceutical Installations At Hospital ABC Purbalingga to Increase Pharmacy Service Efficiency. Journal of Industrial Engineering and Halal Industries, 3(1), 14–19. https://doi.org/10.14421/jiehis.3530