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p-Index From 2021 - 2026
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This Author published in this journals
All Journal International Journal of Nursing and Health Services (IJNHS) International Journal of Economics and Management Sciences
Agusdini Banun
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Decision Sciences, Operations Research & Management Health Professions Nursing Public Health Social Sciences

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Frontilines Readiness in Facing Attacks of Mysterious Acute Hepatitis in Indonesia: A Qualitative Approach Pamungkas, Rian Adi; Dewangga Gegap Gempita; Agusdini Banun
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 1 (2023): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i1.697

Abstract

Background: Frontliners are currently the leading pillar in dealing with various health cases that arise in Indonesia. several health cases that have become epidemics or pandemics provide significant lessons on how frontliners are prepared to deal with health problems. one of them is an attack of Mysterious Acute Hepatitis. the ability of frontliners to deal with attacks of acute hepatitis will be one of the keys to the readiness of health workers and hospitals in dealing with the development of the disease. Objective: The study aimed to explore frontliners' readiness regarding knowledge, skills, mental health in dealing with Mysterious Acute Hepatitis at Mustika Medika Hospital . Method: A qualitative study with phenomenology approach was applied in this study. In-depth interviews and Focus Group Discussion (FGD) techniques were carried out in collecting research data. Informants in this study were 12 people taken from nurses, midwives, doctors and also representatives of hospital management. Result: The results found that four themes described the frontliners readiness in facing the attacks of mysterious acute hepatitis including: 1) lack of Understanding of Mysterious Acute Hepatitis; 2) readiness of self-protection; 3) anxiety about the high transmission and also the death rate of acute hepatitis; 4) hospital readiness both in terms of facilities and infrastructure
Implementation of Lean Hospital and Continuous Improvement in Reducing Outpatient Pharmacy Waiting Time Afrianti Handayani; Aprilita Rina Yanti; Agusdini Banun
International Journal of Economics and Management Sciences Vol. 3 No. 1 (2026): February : International Journal of Economics and Management Sciences
Publisher : Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ijems.v3i1.1178

Abstract

Prescription waiting time is a key indicator of pharmacy service quality that directly influences patient satisfaction and hospital efficiency. Data from the Outpatient Pharmacy Installation of Pelabuhan Jakarta Hospital show average waiting times of 30.49 minutes for non-compounded medications and 35.93 minutes for compounded medications. Although these figures are still within national standards, they have not met the hospital’s internal targets, indicating inefficiencies that require systematic improvement.This study aimed to analyze prescription waiting times and identify waste in outpatient pharmacy services using Lean Hospital and Continuous Improvement approaches. A qualitative analytical method with a case study design was applied. Data collection involved participatory observation, in-depth interviews with key informants (head of pharmacy, pharmacists, and technicians), and document review. Analysis utilized Lean tools such as Value Stream Mapping (VSM), identification of Value Added (VA) and Non-Value Added (NVA) activities, bottleneck analysis, fishbone diagram, and Failure Mode and Effects Analysis (FMEA).The findings revealed that service processes were dominated by non-value-added activities, especially during prescription receipt, verification, packaging, and dispensing. Major wastes included waiting, motion, and overprocessing. Contributing factors were uneven staff distribution, suboptimal e-prescribing systems, incomplete prescriptions, and lack of standardized procedures. The proposed future state VSM demonstrated potential improvements in reducing waiting time and enhancing service efficiency.
Co-Authors Afrianti Handayani Aprilita Rina Yanti Dewangga Gegap Gempita Rian Adi Pamungkas