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Journal : Jurnal Manajemen Kesehatan Indonesia

Identifikasi Waste Tahap Pra Analitik dengan Pendekatan Lean Hospital di Laboratorium Patologi Klinik RS XYZ Depok Jawa Barat Tahun 2021 Rini Prasetyo Wahyu Wijayati; Dumilah Ayuningtyas
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.101-112

Abstract

ABSTRACT               The pre-analytic stage includes a series of processes that are difficult to define because they occur in different places and times. Pre-analytical stage errors account for 50% to 70% laboratory error. The research aims to identify waste and provide recommendations for improvement. This type of research is operational research with a mix method research design. Quantitative data from direct observation of the laboratory examination process. Qualitative data from in-depth interviews with Laboratory Medical Technical Analysts (ATLM), on duty doctors and nurses. Non-participant observations use themethod Time and Motion study and calculate the time of each pre-analytical stage activity using a stopwatch to get the standard movement of the sample staged effectively and efficiently. Analysis with lean stages identify activities that do not provide added value (non added value) and waste (waste). Exploring the root causes of problems through in-depth interviews using the 5 (five) Whys approach and proposing recommendations for improvement. The results of the average length of time for the pre-analytic stage are due to the waiting time for new samples due to hemolysis samples. Waste found waiting for samples to be sent back (waiting time), no inspection orders, non-standard identity stickers (defect) and sticker repair (over processing). Phlebotomy training, re-education on handling laboratory specimens for nurses as well as SOPs on laboratory examination packages and sample handover, are expected to reduce pre-analytic waste.Keywords: Waste, Pre Analytical Stage, Concept  Lean ABSTRAKTahap pra analitik mencakup serangkaian proses yang sulit didefinisikan karena terjadi  ditempat  dan waktu yang berbeda. Kesalahan tahap pra analitik menyumbang kesalahan hasil laboratorium sebesar 50% hingga 70%. Penelitian bertujuan mengidentifikasi pemborosan  dan  memberikan rekomendasi perbaikan. Jenis penelitian adalah penelitian operasional dengan disain penelitian mix method. Data kuantitatf  dari observasi langsung proses pemeriksaan laboratorium. Data kualitatif  dari  wawancara mendalam dengan Analis Teknis Medik Laboratorium (ATLM), dokter jaga dan perawat. Observasi non partisipan menggunakan metode Time and Motion study serta  menghitung waktu setiap kegiatan tahap pra analiitk  menggunakan stopwatch untuk mendapatkan pergerakan standar sampel ditahap secara efektif dan efisien. Analisis dengan tahapan lean mengidentifikasi kegiatan  yang tidak memberikan nilai tambah ( non added value) dan  pemborosan (waste). Menggali akar penyebab masalah melalui wawancara mendalam menggunakan pendekatan 5 (lima)  Whys dan mengusulkan  rekomendasi perbaikan. Hasil rata rata lama waktu tahap pra analitik disebabkan waktu tunggu sampel baru karena sampel hemolisis. Waste yang ditemukan menunggu sampel dikirim ulang (waiting time), tidak ada order pemeriksaan, stiker identitas tidak standar (defect) dan perbaikan stiker (over processing). Pelatihan plebotomi, re edukasi penanganan spesimen laboratorium untuk perawat serta SPO tentang paket pemeriksaan laboratorium dan serah terima sampel, diharapkan dapat mengurangi pemborosan tahap pra analitik.
Co-Authors Abd. Rasyid Syamsuri abdad, Fairus ali Adang Bachtiar Adik Wibowo Aditia Putri AFIYAH, NUR Agus Rahmanto Aji Muhawarman Akbar, Bintang Mukhammad Burhanudin Akhada Maulana Akhada Maulana, Akhada Alatas, Haniah Alfiyyah, Arifah Anastasia Yekti Heningnurani Anastasia Yekti Heningnurani Anggi Asri Rusliana Dewi Aniza Winanda, Rizky Anwar Fachry Ardi, Niken Sasanti Arieyani, Asti Arifah Alfiyyah Arifin, Safrin Asri Nur Maulidya Asti Arieyani Asti Arieyani Astri Nurdiana Barinda, Sandra Budiman Mahmud Musthofa, Budiman Mahmud Bunga Listia Paramita Bunga Listia Paramita Bunga Listia Paramita Candra Dewi Purnamasari Cattleya Ananda Vilda Cattleya Ananda Vilda Chriswanto, Alexander W. Cicilya Candi Cindy Margaretha Daniel, Rizki Darmayanti, Ni Putu Diah Utami Dewa Ayu Dyah Widya Dewa Ayu Dyah Widya Dewi, Anggi Asri Rusliana Dewi, Ni Putu Indra Diah Nurlita Elfi Yennie Enggriani, Yesica Tria Eny Juliati Eva Dian Kurniawati Farida Naftalin firdinand nurdin Ghamal Ahmad Pramana Gunawan Widjaja Gustina, Ira Hanny Handiyani Haryoso, Agus Ariyanto Hasan, Muhammad Arief Rosyid Hasbullah Thabrany Hayyan Ul Haq Hayyan ul Haq Heningnurani, Anastasia Yekti henri Azis Herartri, Rina Herartri Herliyanti Yadi Herma Krisdiana Hidayani Fazriah Hidayani Fazriah HUSNUL KHOTIMAH Ida Farida Iljas, Jaslis Indah Pusvitasari Ita Patriani Ita Patriani Iwan Dakota Jaslis Iljas Jati, Prasetyaning Juliati, Eny Katon, Danar Wahyu Giwang Kemal N. Siregar Khaula Karima Krisdiana, Herma Kurnia, Ike Larasanti, Ayudina Liziawati, Mary Lourina, Deny Ardi Lulus Prihandari M Misnaniarti Mardiyati, Fitri Yuli Margaretha, Cindy Marisa Rayhani Marisa Rayhani Misnaniarti Misnaniarti Muhammad Hasan Muhammad Hasan Muhammad Sapoan Hadi Muhammad Sapoan Hadi Munawaroh, Sayyidatul Nadjib, Mardiati Naftalin, Farida Naibaho, Margareth Maya Parulianta Ni Nyoman Dwi Sutrisnawati Ni Putu Indra Dewi Ni Putu Indra Dewi Niken Sasanti Ardi Nunik Nurbaiti Nur Asmita Rahma Nasution Nasution Nurbaiti, Nunik Nurhasanah Nurhasanah Nurul Safitri Nurul Saptorini Rahmadhani Oktarinai, Ratih Permanasari, Vetty Yulianty Permanasari, Vetty Yulianty Pramesti, Dini Puteri Astianto Prastiwi, Arini Cyndwiana Prayoga, Haryadi Prihandari, Lulus Puput Oktamianti Purnawan Junadi Putri, Aditia Putri, Anzany Tania Dwi Raden Roro Mega Utami Rahayuningsih, Rizki Rahmadhani, Nurul Saptorini Rahmadini, Indah Mustika Rahmanto, Agus Rahmat Aji Pramono Ramadhan, Ben Fauzi Ratih Oktarina Ratih Oktarina Redyardani, Ni Nyoman Diah Renny Nurhasana Rhinza Seputra M. Simanjuntak Riastuti Kusuma Wardani Riastuti Kusuma Wardani Riastuti Kusumawhardani Rini Prasetyo Wahyu Wijayati Rooslanda, Elfrida Rosmalinda Rr. Tutik Sri Hariyati Sabahat, Anindya Naila Sahfira Ulfa Hasibuan Sandra Barinda Sandra Olivia Sandra Olivia Sangadji, Ekasafitri A.S Satibi Satibi Setyaningtyas, Ruth Christy Sitepu, Eme Stepani Siti Khodijah Parinduri Sri Purnama Rezeki Sri Purnama Rezeki Sri Windiarti Suharmi suharmi Suhendra, Erik Susanti, Fitria Aryani Sutanto Priyo Hastono Sutrisnawati,, Ni Nyoman Dwi Tatyana Amanda Pinta Tri Wisesa Soetisna Tri Wisesa Soetisna, Tri Wisesa Utami, Raden Roro Mega Utami, RR Mega Valentina, Jesslyn Verdi, Riandi Vetty Yulianty Permanasari Vetty Yulianty Permanasari Wahyu Sulistiadi Wati Mekarsari Widya, Dewa Ayu Dyah Widyasanti, Nisrina Wijaya, Aurelianne Yadi, Herliyanti Yuliatiningtyas, Solikhah Zahrotul Lina Andarwati