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All Journal Journal of Community Health and Preventive Medicine (JOCHAPM)
Khulud, Khoiron
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Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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BARRIERS TO DRUG PLANNING IN THE PHARMACY UNIT OF HOSPITAL X IN MALANG, EAST JAVA, INDONESIA: MANAGERIAL AND OPERATIONAL PERSPECTIVES Zuhroh, Fifi Kurnaini; Ahsan, Ahsan; Khulud, Khoiron
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Drug planning, a key responsibility of the hospital’s pharmacy unit, plays a crucial role in ensuring that drug management is safe, effective, and efficient. Inadequate drug planning can lead to stockouts and dead stock which negatively affect the quality of patient care and resource utilization. The purpose of this study was to identify the obstacles hindering the optimal implementation of the drug planning process in the pharmacy. This study employed a qualitative approach in the form of a case study. Data collection was carried out from September to October 2024 through in-depth interviews with informants and direct observation through document review. Informants were selected using purposive sampling and included the Assistant Manager of Medical Support, the Head of the Pharmacy Unit, and the Person in Charge of the Pharmacy Warehouse. The data analysis was conducted using triangulation to check the validity of the data. The results of the study revealed that there were five main problems that caused obstacles in planning so pharmaceutical management was not optimal. These obstacles are the imbalance between the workload and the number of officers, lack of officer skills, the absence of a drug planning team, inappropriate drug planning calculation and methods, and inadequate hospital information system (HIS) related to drug planning. In conclusion, although the management of drug planning and procurement in the pharmacy unit of Hospital X, Malang City, East Java, Indonesia, has been carried out, its implementation remains suboptimal because of various managerial and operational barriers.
ANALYSIS OF THE CAUSES OF WAITING TIME FOR PATIENT TRANSFER IN THE EMERGENCY ROOM TO INPATIENT AND DISCHARGE HOSPITAL X MALANG CITY Puspasari, Nuzulya; Ahsan; Khulud, Khoiron
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Waiting time for patient services, especially in the Emergency Installation (IGD), which is the main entrance to the hospital, is one of the important aspects that affect the quality of service. The existence of patient complaints or dissatisfaction and the decline in quality and patient safety is one of the reasons for the long waiting time for patients in the emergency room. Based on the 2024 RS X quality indicator report, the waiting time for emergency room patients to be admitted to the hospital or go home ≤ 60 minutes is still 46.1% of the 100% target. The purpose of this study is to find out the cause of the long service process of emergency room patients being admitted to the hospital or going home. This research is qualitative research with a phenomenological approach. Data collection was carried out at Hospital X from September to October 2024 through in-depth interviews with informants and direct observation of the service process of emergency room patients before being admitted to the hospital or going home. The informants of this study are 6 management and staff of Hospital X related to the waiting time for emergency room patient services. The results of the research that were analyzed thematically revealed that there are 6 main root problems that cause the long waiting time for emergency room patients before being admitted to the emergency room or discharged, because there is no effective division of tasks and workflows in the emergency room, a lack of coordination between emergency room and inpatient officers, limited authority of assistant cashiers, an administrative flow of inpatient registration that is still inefficient, a lack of coordination between hospitals and insurance companies, and limited SIMRS features. The results of this study can be the basis for hospital management X in determining solutions to improve the achievement of waiting times for emergency room patients.
Co-Authors Ahsan Ahsan Ahsan Nuzulya Puspasari, Nuzulya Zuhroh, Fifi Kurnaini