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All Journal PROSIDING SEMINAR NASIONAL Jurnal Farmasi Sains dan Komunitas Unnes Science Education Journal Majalah Farmaseutik Care : Jurnal Ilmiah Ilmu Kesehatan Cendekia Journal of Pharmacy Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Kumawula: Jurnal Pengabdian Kepada Masyarakat Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Community Medicine and Education Journal Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) Jurnal Locus Penelitian dan Pengabdian JURNAL FARMASI DAN KESEHATAN INDONESIA
Titien Siwi Hartayu
Universitas Sanata Dharma, Yogyakarta
Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Reducing Dispensing Time by Applying the Lean Hospital Approach in the Outpatient Pharmacy Department of SMC Telogorejo Hospital in Semarang Indonesia Wahyunengsih, Cicilia Tyasti; Hartayu, Titien Siwi
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 22, No 2 (2025)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.0010115

Abstract

The outpatient pharmacy department is the last service unit visited by patients. One common concern is the delay in receiving medicine. Improvements in medicine dispensing time were made with a lean hospital. This study aims to analyze the impact of lean hospital interventions on waiting times and Value Added Ratio (VAR). This quasi-experiment was conducted with a non-equivalent control group before-after design. The study population included non-compounded medicine prescriptions with out-of-pocket healthcare from April to July 2024. The sample was 1,266 prescriptions. Direct observation gathered data for value stream mapping in non-compounded medicine dispensing, recording time for prescription screening, preparation, final checks, and delivery, including patient education. Activity time was considered value-added time. Value-added time divided by Cycle Time (CT) was used to calculate VAR. Critical waste identified by the root-cause analysis was conducted through in-depth interviews using the fishbone diagram guide. Data before and after intervention were analyzed using the Mann-Whitney U-test. Inventory waste significantly affected dispensing times. The lean hospital strategy improved the efficiency of pharmaceutical services by reducing the dispensing time from 19.68 to 16.18 minutes (p 0.001) and increasing the VAR from 51.34% to 57.21% (p 0.001) with an automated medicine planning system.
ANALISIS FAILURE MODE AND EFFECT (FMEA) PADA PENGADAAN OBAT UNTUK MENEMUKAN FAKTOR DOMINAN YANG MENYEBABKAN TERJADINYA KEKOSONGAN OBAT DI RSUD KABUPATEN MAPPI Datu, Novita; Hartayu, Titien Siwi
Cendekia Journal of Pharmacy Vol 9, No 3 (2025): Cendekia Journal of Pharmacy
Publisher : Institut Teknologi Kesehatan Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/cjp.v9i3.340

Abstract

Ketersediaan obat berpengaruh pada kualitas pelayanan di rumah sakit, salah satu kendala yaitu kekosongan obat. Kekosongan obat dapat mengganggu rencana pengobatan pasien. Penelitian ini bertujuan untuk mengidentifikasi faktor dominan terjadinya kekosongan obat pada tahap pengadaan.Penelitian deskriptif analitic dengan rancangan cross-sectional, menggunakan sampel dari seluruh item obat yang memenuhi  kriteria inklusi dan eksklusi. Kriteria inklusi meliputi obat yang tersedia tahun 2023 dengan kriteria eksklusi yaitu obat yang diadakan tahun 2023. Variabel dalam penelitian ini meliputi penganggaran, perencanaan dan pembelian obat. Analisis data menggunakan metode triangulasi. Identifikasi kegagalan dan dampak menggunakan langkah-langkah FMEA.Hasil penelitian menunjukkan terdapat sembilan potensi kegagalan yaitu anggaran, pemilihan jenis obat, kompilasi penggunaan, metode perhitungan, supplier, jaringan LKPP, surat pesanan, pelaksanaan kontrak dan SOP pengadaan. sembilan potensi kegagalan didapatkan tiga prioritas kegagalan berdasarkan perhitungan RPN yaitu anggaran, pemilihan jenis obat dan pelaksanaan kontrak. Dari tiga prioritas didapatkan delapan kegagalan yaitu 105 obat tidak dapat dibelanjakan, dua jenis kesamaan obat, 45 obat kombinasi, pemilihan obat sesuai prevalensi penyakit tinggi, 20 obat diluar formularium, tiga kontrak tidak ditagihkan 100 %, tujuh kontrak pengiriman di akhir masa pesanan dan semua penyedia tidak memberikan informasi stok obat.Berdasarkan Perhitungan RPN didapatkan tiga faktor dominan kekosongan obat. Faktor pertama anggaran nilai RPN 384. Anggaran yang diberikan yaitu 5,48 % dari total anggaran rumah sakit, perencanaan anggaran dengan dana yang tersedia 71.68%. Usulan rekomendasi, direktur dan manajemen dapat meningkatkan anggaran sesuai standar. Faktor kedua obat dikirim pada akhir masa pesanan nilai RPN 150. Strategi yang dapat dilakukan dengan melakukan peminjaman obat ke dinas kesehatan, apotek swasta atau rumah sakit jejaring. Faktor ketiga yaitu tidak adanya informasi stok obat nilai RPN 150, Strategi yang dapat dilakukan dengan membuat sistem informasi obat. Anggaran, pengiriman pada akhir masa pesanan dan tidak adanya informasi stok obat oleh penyedia merupakan faktor dominan kekosongan obat di RSUD Kabupaten Mappi. 
EVALUATION OF THE FARMACARE POINT OF SALE (POS) SYSTEM ON THE NUMBER OF TRANSACTIONS, TRANSACTION VALUE, AND MONTHLY REVENUE OF A PRIVATE PHARMACY IN GIANYAR, BALI I Made Krisnawan Putra; Titien Siwi Hartayu
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

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

Abstract

The use of information technology in pharmacy management, such as Point of Sale (POS) systems, is part of digital transformation. Desktop-based POS applications are considered less up to date with the current needs of modern pharmacies; therefore, to improve efficiency, the pharmacy replaced the desktop-based POS with the web-based Farmacare POS system. This study aimed to evaluate the effect of the Farmacare POS on the average number of transactions, the average transaction value, and monthly revenue in a private pharmacy in Gianyar, Bali. This research employed a quasi-experimental design using a one-group pretest–posttest approach. The data were obtained from pharmacy sales transaction reports for six months before and six months after the implementation of the Farmacare POS. Data analysis was conducted using the Shapiro–Wilk normality test, followed by the Paired Sample T-Test and the Wilcoxon Signed Rank Test with a significance level of 0.05. The results showed a significant increase in the average number of transactions (p = 0.028) and monthly revenue (p = 0.032) after the implementation of the Farmacare POS, while the average transaction value increased but was not statistically significant (p = 0.065). Descriptively, the average number of transactions increased by approximately 5%, the average transaction value increased by 10.6%, and monthly revenue increased by 14.5%. Therefore, it can be concluded that the Farmacare POS system is able to improve the average number of transactions and monthly revenue, and thus can be regarded as an effective managerial support tool.
Co-Authors Aris Widayati Bili, Juita Putrinda Datu, Novita Dewi Setyaningsih DEWI WIJAYANTI Eko Yuliyanto Eko Yuliyanto, Eko Enade Perdana Istyastono Endah Sri Lestari Erna Tri Wulandari Fitria Fatichatul Hidayah Fitria Fatichatul Hidayah Florentinus Dika Octa Riswanto Gavrilayanti, Veronika Livia I Made Krisnawan Putra Ketut Ary Widiasih Kurniasari, Margaretha Wulan Lucia Wiwid Wijayanti Maria Regina Lusiana Kya Maria Wisnu Donowati Mario Yedi Mau Megantara, I Nyoman Arya Purnata Nunung Priyatni Padallingan, Jenni Putu Dyana Christasani Risnah Fisteria Setyono, Deddy Wahyunengsih, Cicilia Tyasti Yosef Wijoyo Yosef Wijoyo Yosef Wijoyo, Yosef