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Journal : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia

Strategi Implementasi Logistik di Instalasi Farmasi Rumah Sakit Nurul Aini; Kania Rizqita Dewi; Ummi Rahma; Faza Duta Pramudyawardani; Sarah Rania Annisa; Safina Annajah; Acim Heri Iswanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 2 (2023): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i2.1555

Abstract

In hospital pharmacy installations, strategic logistics management has a very important role in terms of drug supply because of its routine and periodic nature. Researchers utilize various literature that is related and relevant to research as a source to obtain data. In obtaining sources for this research literature study, the authors conducted a search from selected databases such as Google Scholar that matched the research topic using the keywords logistics management, pharmaceutical installations, and strategy. At the input step, a condition evaluation is performed using value factors that apply as input to logistics management at pharmaceutical installations in hospitals, which may be analyzed with 5M. To eliminate or reduce unintended bias, inventory selection and assessment must be done properly and according to a strategy. Even after carrying out and applying standards to the input factor availability strategy and the processing process, logistics availability difficulties still arise often. This might happen owing to the effect of unknown variables. The process of implementing logistics management at pharmaceutical installations in several hospitals has been carried out well when viewed from the 5M management factor (man, money, material, machine, and method). SIMRS, or Hospital Management Information System, is utilized by hospitals as a pharmaceutical information system, which is highly significant and beneficial in creating reports connected to medication supplies; yet, there are hospitals where the information systems are not used efficiently. Standard Operating Procedures (SOP) are used to manage pharmaceutical installations in hospitals, although there are still flaws in their implementation.
Penerapan Lean Hospital sebagai Upaya Peningkatan Pelayanan Gawat Darurat dalam Cakupan Global Putri Aulia Rosmayani; Natasya Nazla Prasetyo; Adjrina Dawina Putri; Acim Heri Iswanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 2 (2023): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i2.1571

Abstract

The emergency service unit often has a buildup of patients, which affects services and causes a temporary waiting area for hospitalized patients. The foundation for emergency services is stated in Permenkes 47/2018 with the aim of improving the quality of emergency services that are integrated and integrated in the emergency management system. The purpose of this study is to analyze the application of lean hospital as an effort to improve emergency services in hospitals in a global scope. This research used a literature study method with literature searches, namely Google Scholar and Pubmed, which were selected between 2018-2022. The results of this study were obtained from six research articles related to lean hospital in emergency services that fit the inclusion criteria and keywords. This study shows that lean hospital has a positive influence on the speed of emergency department service time. The reduced time required to provide services can improve the positive image of the hospital. The conclusion of this study is that the implementation of lean hospital can affect waste in waiting time and is most frequent and sensitive. Excessive waiting time can lead to dissatisfaction and a poor view of the hospital by patients or their families.
Analisis Dampak Implementasi Lean Hospital Terhadap Pelayanan Pasien Instalasi Rawat Jalan Rumah Sakit di Indonesia: Studi Literatur Kania Rizqita Dewi; Putri Regita Miolda; Triayu Nur Afifah; Acim Heri Iswanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 2 (2023): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i2.1574

Abstract

. Outpatient installation services are a reflection of the services of a hospital. Several hospitals have implemented Lean Hospital for outpatient patient services. Lean Hospital is used to improve the quality of service to patients by reducing waste such as waste of waiting, defects, transportation, motion, inventory, and others. This study aims to analyze the impact of Lean Hospital implementation on outpatient patient care in hospitals in Indonesia. This research method uses the literature review method which is sourced from several online sites such as Google Scholar and journal databases, such as Garuda. Based on the results of the study it can be concluded that the implementation of Lean Hospital in outpatient services in hospitals has a positive impact on patients and health care workers, namely being able to identify and minimize waste and shorten the flow of patient services in all outpatient service units so as to reduce waiting time. In addition, the implementation of Lean Hospital also has a direct impact on a hospital's services, namely being able to improve service quality by providing better, faster, but cheaper (efficient) services and can increase patient satisfaction with hospital services.
Analisis Penerapan Lean Six Sigma dalam Meningkatkan Efektifitas Laboratorium Rumah Sakit: A Literature Review Prasetio Hadi Pratama; Nadya Salsabila; Siti Humira Syarif; Acim Heri Iswanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 2 (2023): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i2.1633

Abstract

Hospital quality must be improved for the benefit of patients because the main task of a hospital or health care facility is to provide medical services to patients. The laboratory is part of the medical service that provides services such as making a diagnosis, providing treatment, monitoring the results of treatment, and establishing a patient's diagnosis. This article was prepared using the literature review method by outlining the contents of the research results that already existed and in accordance with the topic of discussion regarding the analysis of the application of lean six sigma in increasing the effectiveness of hospital laboratories with the lean method using Google Scholar, Emerald, and Pubmed with the keywords lean six sigma, laboratory, and hospital or lean six sigma, laboratory, and hospital. Based on the results of the literature review, it was found that the activities carried out in the laboratory still show activities that do not generate added value or waste. This is because the technique for handling examination specimens sent from inpatients and the emergency room has not been effective, and the mechanism for handing over specimens between health workers has not been effective. Research (Ibrahim et al., 2022) shows the implementation of lean six sigma can improve the timeliness of inpatients for routine CBC tests in the laboratory and minimize patient dissatisfaction.
Penerapan Lean Six Sigma Dalam Waktu Tunggu Pelayanan Resep Di Rumah Sakit : Studi Literatur Aghniya Choirunnisa; Risma Pertiwi; Zahra Septina; Acim Heri Iswanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 2 (2023): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i2.1730

Abstract

Long waiting time is one component that has the potential to cause patient dissatisfaction. If the waiting time is long, it will reduce patient comfort and affect patient utility in the future. The method used in this research is Literature Review, namely by collecting and processing research data that has existed before with the 2018-2022 range. The results of this study found that there was a waiting time for drugs, both concoctions and standard drugs, that were not in accordance with the minimum service standards, so that waste was found. There are various types of waste that are found resulting in long drug waiting times such as too many processes to the long process of submitting drug prescriptions to pharmaceutical installations, which causes many inefficient and ineffective activities to arise. Based on this, there is a waiting time for drugs, both concoctions and standard drugs, that are not in accordance with the minimum service standards, so that waste is found. Thus the length of waiting time in preparing the drug is influenced by several factors such as speed and completeness of patient data up to re-submission which takes a lot of time.
Literature Review: Pengelolaan Manajemen Logistik Dalam Pengadaan Obat Di Rumah Sakit Di Jabodetabek Siti Humaira Syarif; Adjrina Dawina Putri; Tania Rahmayanti; Risma Pertiwi; Kazhima Alma Azzahra; Rossa Shafira Nur Sabrina; Putri Andini Novianti; Acim Heri Iswanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 2 (2023): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i2.1742

Abstract

The background of this Literature Review is based on stagnant events and stockouts of certain drugs at health care facilities in Jabodetabek which have had a detrimental impact on the location concerned. This study is used to analyze the management of drug logistics management in health care facilities in Jabodetabek. The Literature Review method uses 7 article sources from Google Scholar using the keywords drug procurement, logistics management, and hospital. The results obtained were that in several research locations there were several problems such as drug reserves, drug distribution, to the withdrawal and destruction of drugs which were directly related to the implementation of logistics management. The conclusion that can be drawn is that the management of logistics management of medicines in health care facilities in Jabodetabek is one of the conditions that must be carried out by every health service and is useful in providing good quality health services. If logistics management is carried out properly, this can increase the effectiveness and efficiency of services in health facilities and special attention is needed from various sectors to carry out logistics management of medicines in health care facilities according to existing standards.