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All Journal Media Ilmu Kesehatan Barongko : Jurnal Ilmu Kesehatan Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal)
Arifina Fahamsya
Universitas Bhamada Slawi
Education Engineering Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Pengaruh Strategi Lean Management Terhadap Efisiensi Pengelolaan Obat Di Instalasi Farmasi Rumah Sakit Edi Pramono; Arifina Fahamsya; Achmad Indra Awaluddin; Sara Surya; Rahmat Pannyiwi
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 2 (2026): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i2.1004

Abstract

Background: Efficient medication management is a critical factor in hospital pharmacy services. Many hospitals face challenges in controlling medication inventory, service times, and operational costs. Lean Management strategies offer an approach to increasing efficiency by eliminating waste, improving workflows, and optimizing resources. Objective: This study aims to analyze the effect of implementing a Lean Management strategy on medication management efficiency in a hospital pharmacy. Methods: This study used a quasi-experimental design with a pre-test and post-test approach. The sample consisted of the pharmacy department of one hospital implementing Lean Management, with efficiency measurements taken before and after the strategy implementation. Data were analyzed using a paired t-test to compare average medication management time, dead stock levels, and operational costs. Results: The implementation of Lean Management was proven to reduce the average medication management time from 12.5 hours to 8.2 hours per batch (p < 0.05), reduce dead stock by 15%, and reduce operational costs by 10%. Conclusion: The Lean Management strategy significantly improved medication management efficiency in the hospital pharmacy. Recommendations for ongoing implementation and staff training are needed to maintain optimal results.
ANALISIS KADAR NATRIUM SIKLAMAT PADA MINUMAN CAPPUCCINO PEDAGANG KAKI LIMA DAN KAFE DI KABUPATEN TEGAL Arifina Fahamsya; Osie Listina; Isna Apriliani
Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Vol 15 No 1 (2024)
Publisher : UNIVERSITAS BHAMADA SLAWI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36308/jik.v15i1.510

Abstract

Perkembangan industri makanan dan minuman di Indonesia dalam beberapa tahun terakhir mengalami peningkatan. Munculnya industri cappuccino sangat pesat akhir-akhir ini dapat memberikan efek negatif bagi kesehatan konsumen, salah satu penyebabnya karena minuman cappuccino memiliki bahan tambahan pemanis sintesis dari natrium siklamat. Penelitian ini bertujuan untuk mengetahui kandungan dan kadar natrium siklamat dalam minuman cappuccino pedagang kaki lima (A, B, C) dan Kafe (X, Y, Z) dengan metode HPLC sehingga dapat menetapkan kadar sesuai dengan peraturan BPOM atau melebihi batas maksimum. Analisis kualitatif dilakukan menggunakan HCl, BaCl2, dan NaNO2 yang ditandai dengan terbentuknya endapan berwarna putih setelah dipanaskan dan kromatografi lapis tipis (KLT), dimana ditandai dengan adanya nilai Rf yang sama antara larutan pembanding dengan sampel. Pada analisis kuantitatif dilakukan dengan metode High Performance Liquid Chromatography (HPLC) untuk mengetahui kadar natrium siklamat, dengan keadaan alat kolom ODS C-18, fase gerak metanol dan akuades (70:30), panjang gelombang 268 nm, laju alir 1 mL/menit dan volume injeksi 20 μL. Hasil penelitian terhadap sampel pedagang kaki lima dan kafe menunjukkan sampel A mengandung natrium siklamat sebesar 0,00038 gram/1000 mg. Sampel B 0,0214 gram/1000 mg. Sampel C 0,0145 gram/1000 mg. Sampel X 0,00004 gram/1000 mg. Sampel Y 0,00029 gram/1000 mg. Sampel Z 0,00002 gram/1000 mg.
EVALUASI PROCUREMENT OBAT DI INSTALASI FARMASI RUMAH SAKIT UMUM DAERAH BREBES TAHUN 2023 Arifina Fahamsya; Fika Rizqiyana; Deswita Tasyamul Imanniar
Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Vol 15 No 2 (2024)
Publisher : UNIVERSITAS BHAMADA SLAWI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36308/jik.v15i2.639

Abstract

Kegiatan procurement di Rumah Sakit mempunyai peranan penting dalam efektivitas serta efisiens pada pengelolaan obat, dampak dari pengelolaan yang tidak tepat dapat menghambat dan mengalami kekosongan persediaan obat serta menurunkan kualitas mutu pada Instalasi Farmasi tersebut. Perencanaan di RS dilaksanakan untuk menghindari terjadinya kekosongan obat. Perencanaan kebutuhan diwujudkan oleh adanya aktivitas pengadaan di RS. Penelitian ini memiliki tujuan guna mengetahui gambaran proses pelaksanaan procurement obat di Instalasi Farmasi RSUD Brebes periode 2023. Teknik total sampling digunakan dalam penelitian ini dengan sebanyak 6 panelis. Data penelitian ini diambil dengan mengisi kuesioner serta dilakukannya wawancara secara mendalam. Penilaian kuesioner menggunakan skala guttman dan dilakukan analisis data menggunakan aplikasi SPSS versi 22 serta analisis univariat guna menghitung data frekuensi dari masing-masing variabel. Hasil evaluasi dari penelitian ini menunjukkan bahwa proses perencanaan kebutuhan obat masuk kedalam kategori sangat baik dengan perolehan nilai (88%), dan pada proses pengadaan obat masuk kedalam kategori sangat baik dengan perolehan nilai (93%).
Pengaruh kepatuhan konsumsi tablet tambah darah terhadap status hemoglobin pada ibu hamil Farida Fakhrunnisa; Arifina Fahamsya; Osie Listina; Eka Julia Okta Virnanda
MEDIA ILMU KESEHATAN Vol 15 No 2 (2026): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v15i2.2100

Abstract

Background: Anemia in pregnant women remains a health problem in Indonesia and may increase the risk of pregnancy complications. Iron supplementation is an important preventive measure, but its effectiveness largely depends on adherence.Objective: To determine adherence to iron supplementation, Hb status, and the relationship between adherence and Hb status among pregnant women in Songgom District, Brebes Regency.Methods: Observational study used a cross-sectional design involving 132 pregnant women selected through proportionate stratified random sampling (PSRS). Adherence was measured using the MARS-5, while Hb status was assessed using an Hb meter and KIA book records. Data were analyzed using the Chi-Square test at a significance level of p<0.05.Results: Most respondents were aged 20–35 years and had primary-level education, with moderate adherence to iron tablet consumption. Overall, 90.9% were non-anemic and 9.1% were anemic. A significant relationship was found between iron tablet adherence and Hb status (p<0.05).Conclusion: Iron tablet adherence was significantly associated with Hb status among pregnant women in Songgom District, Brebes Regency. Education, monitoring, and support from healthcare workers and families are needed to improve adherence and prevent anemia.
Co-Authors Achmad Indra Awaluddin Deswita Tasyamul Imanniar Edi Pramono Eka Julia Okta Virnanda Farida Fakhrunnisa Fika Rizqiyana Isna Apriliani Listina, Osie Osie Listina Rahmat Pannyiwi Sara Surya