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All Journal Jurnal Penelitian Kesehatan Suara Forikes Promotif: Jurnal Kesehatan Masyarakat Jurnal Ilmiah Universitas Batanghari Jambi Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Manajemen Strategi dan Aplikasi Bisnis Journal Health & Science : Gorontalo Journal Health and Science Community Poltekita : Jurnal Ilmu Kesehatan JIMF (JURNAL ILMIAH MANAJEMEN FORKAMMA) KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat PAKAR Pendidikan Journal of Social Science Kampurui Jurnal Kesehatan Masyarakat Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Jurnal Kesehatan Tambusai International Journal of Business, Technology, and Organizational Behavior (IJBTOB) Indonesian Journal of Health Science Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Rumpun Ilmu Kesehatan Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Journal of Social Science Jurnal Ilmu Kesehatan dan Gizi JK Jurnal Kesehatan Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Journal for Quality in Public Health Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan Jurnal Medika Nusantara Jurnal Ilmu Kesehatan Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Epidemiologi Kesehatan Indonesia
A. Heri Iswanto
Fakultas Ilmu Kesehatan, Universitas Pembangunan Nasional Veteran Jakarta
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Pengurangan Defect Untuk Meningkatkan Kualitas Rumah Sakit dengan Lean Six Sigma Nashiroh, Alya Devia; Mahardieka, Clarissa; Azzahra, Fitria Bustan Nurfianty; Iswanto, Acim Heri
JIKES : Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2024): Januari-Juni 2024
Publisher : Yayasan Pendidikan Tanggui Baimbaian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71456/jik.v2i2.843

Abstract

Rumah sakit menyediakan pelayanan rawat inap, rawat jalan, dan gawat darurat untuk melakukan pelayanan kesehatan individu dengan baik. Kualitas rumah sakit bisa diukur dengan kepuasan pasien, pelayanan kepada pasien, mutu rumah sakit, dan fasilitas rumah sakit. Salah satu cara untuk mewujudkannya adalah dengan mengurangi masalah yang berdampak pada kualitas rumah sakit yaitu defect dengan metode Lean Six Sigma. Penelitian ini bertujuan untuk mengidentifikasi pengurangan defect untuk meningkatkan kualitas rumah sakit dengan Lean Six Sigma. Metode yang digunakan dalam penelitian ini adalah literature review. Sebagai fasilitas yang selalu dibutuhkan masyarakat dan sebagai industri di bidang kesehatan, kualitas atau kepuasan pasien adalah hal yang perlu diusahakan. Rumah sakit perlu terus melakukan perbaikan dan perubahan secara berkala. Maka dari itu diperlukan metode Lean Six Sigma yang bertujuan untuk mengurangi defect dalam kualitas pelayanan rumah sakit. Berikut langkah-langkah dalam mengurangi defect dilakukan secara sistematis menggunakan DMAIC. Dengan melakukan pendefinisian (define), pengukuran (measure), penganalisaan (analyze), perbaikan (improve), dan pengendalian (control).
Perbaikan Kualitas Layanan Pesantren Berbasis Kebutuhan Santri: Implementasi ServQual dan QFD Rahim, Abdul; Supriadi, Yudi Nur; Iswanto, A Heri
PAKAR Pendidikan Vol 23 No 2 (2025): Published in July 2025
Publisher : Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/pakar.v23i2.786

Abstract

The quality of education is a crucial factor for the progress of the nation in forming a high-capacity and moral society. Pesantren, as boarding educational institutions in Indonesia, have more complex service demands than non-Islamic boarding schools because they manage formal and non-formal programs. Initial studies at Islamic Boarding School XYZ showed that there had been no improvement in services based on Voice of Customer. This study aims to maximize the quality of Islamic Boarding School XYZ services by focusing on the five dimensions of SERVQUAL (physical evidence, reliability, responsiveness, assurance, and empathy). Data collection was carried out through questionnaires distributed to students as respondents. Data analysis was carried out by implementing the SERVQUAL method to identify service gaps and Quality Function Deployment (QFD) to formulate action plans based on improvement priorities. The results of the study identified 19 service attributes that needed improvement. These improvement recommendations were compiled based on a comprehensive analysis using SERVQUAL and QFD, providing concrete guidance for XYZ Islamic Boarding School to effectively improve the quality of services based on the needs of students.
Innovative Work Shift for Health Workers in the Health Service Providers in Handling COVID-19 Cases Iswanto, Acim Heri
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Working on shifts has the risk of being exposed to health problems, such as obesity and susceptibility to infections and hypertension. However, shift work is unavoidable for workers in sectors that require non-stop operations, such as health workers in the Health Service Providers. This article presented opinion about an optimal shift rotation pattern in reducing the health risks of shift health workers while increasing the effectiveness of the treatment of coronavirus (COVID-19) cases. In general, today’s pattern of shift work for health workers is schemed in the eight-day cycle, in which employees work two days in the morning service for seven hours, two days in the evening service for seven hours, and another two days in the night service for ten hours, then followed by two days off. This pattern has the potential to cause burnout and decrease reaction time. The article identifies a new work shift pattern that can accommodate the risk of burnout while simultaneously assisting in the emergency of the corona outbreak. It emphasises the Morning-Evening-Night-Holiday work pattern as an innovative work model that should replace the old work pattern. There are seven advantages of the new work pattern: biological balance, availability of transportation, rapid recovery, reduced risk of COVID-19 transmission, increased patient satisfaction, increased self-control, and improved performance.
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.
Peranan Just in Time Method dalam Upaya Mengeliminasi Non Value Added Activity di Perusahaan: Literature Review Bahiizza Shadrina Zhafarin; Hani Putri; Jahira Fajri Madani; Acim Heri Iswanto; Nadya Salsabila; Natasya Nazla; Zahra Septina; Muhammad Fawwaz
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 3 (2023): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v1i3.1795

Abstract

The development of technology that occurs today also has an impact on increased market competition. Every company must be able to increase productivity effectively and efficiently. Companies must also be able to minimize waste that becomes production losses. This study aims to analyze and determine the role of just in time methods in reducing wasteful activities in the company. This research is a literature review originating from several online sites such as Google Scholar and Refseek by including the keywords “just in time method” and “eliminating non value added activity”. The inclusion criteria used are regarding the role of the just in time method in eliminating non value added activities. The results found from research that in an effort to improve product quality and production cost efficiency companies can apply the just in time method. This must also be balanced with the company’s ability to prepare human resources that work well and adequately. Thus, efforts to minimize waste can be guaranteed and the company reaches benefits.
Co-Authors Abdul Rahim Adjrina Dawina Putri Aghniya Choirunnisa Agustina Agustina Agustina Agustina, Frisca Ajeng Aini Nurul Alfatih S. Manggabarani Alya Zahra Hamidah Amanda, Aisyah Putri Anggraini, Anis Lusiana Anggreini, Anis Lusiana Anisya Febriyanti Anisya Febriyanti Apriliyani, Mutia Arbitera, Cahya Asti Kuwaitiningsih Astiena, Adila Kasni Astuti, Miguna Azzahra, Fitria Bustan Nurfianty Azzahra, Raisya Shafa Bahiizza Shadrina Zhafarin Cahya Arbitera Choiriah, Amalina Nur Dachlyani Yustina Dewi Dedy Irfan Dwi Wiryanti Endah Pravita Putri Endah Pravita Putri Aldia Pratama Eva Nuragustin Fadilla Azmi Faisal Marzuki Faridz, Hasbi Miftah Faza Duta Pramudyawardani Faza Duta Pramudyawardani Firda Syafitri Nurani Frisca Ajeng Agustina Haikal Ghifary Hani Putri Hardisman Hariselmi Hariselmi Hawariyah Hawariyah Hosfiar, Christarevy Renaputra Huwaydi Azzam Yusuf Istanti, Novita Dwi Iwan Kresna Setiadi Iwan Kresna Setiadi Jahira Fajri Madani Jessica Naomi Sahmauli Kania Rizqita Dewi Kazhima Alma Azzahra Keren Stelin Maliangkay Keren Stelin Maliangkay Khansa Adristi Khoirunnisa Ghefira Yusrani Kiswanto, Melda Julianti Kulsum, Annisa Ummu Kusuma, Putri Naira Laily Hanifah Lesmana, Aurelia Editha Mahardieka, Clarissa Marina Ery Setyawati Mawaddah Elbaking Muhammad Fawwaz Muhammad Fawwaz Nabila Erinaputri Nabila Erinaputri Nadya Salsabila Nashiroh, Alya Devia Nastiti, Revy Putri Natasya Nazla Natasya Nazla Prasetyo Novita Dwi Istanti Nurdiantami, Yuri Nurul Aini Prasetio Hadi Pratama Pulungan, Rafiah Maharani Purba, Shofiyyah Salma Putri Andini Novianti Putri Aulia Rosmayani Putri Naira Kusuma Putri Regita Miolda Rahmadanti, Mutia Devani Rahmah Hida Nurrizka Resa Listiani Resa Listiani Revy Putri Nastiti Rhaina Al Yasin Rika Ampuh Hadiguna Rima Semiarty Risma Pertiwi Rochmah, Diva Latifah Rossa Shafira Nur Sabrina Safanny Putri Safanny Putri Safina Annajah Safinah Annajah Salsabila, Annisya Salsabila, Annisya Putri Sarah Rania Annisa Septiana, Wulan Shifa Aulia Maghfiroh Siti Humaira Syarif Siti Humira Syarif Sri Endah Nurhidayati Syalisa Syabil Tania Rahmayanti Tania Rahmayanti Triayu Nur Afifah Ulya, Nadiyatul Ummi Rahma Ummi Rahma Vivian, Ruth YUDI NUR SUPRIADI Yuri Nurdiantami Yuri Nurdiantami Zahra Septina Zain, Nabiilah Salsa