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All Journal Jurnal Kesehatan Tambusai Journal of Hospital Administration and Excellent Health Service
Kurniasari, Shinta
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Humanities Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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FAKTOR PENGARUH LAMANYA PROSES PEMULANGAN PASIEN RAWAT INAP DI RUMAH SAKIT : LITERATURE REVIEW Kurniasari, Shinta; Dhamanti, Inge
Jurnal Kesehatan Tambusai Vol. 5 No. 4 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i4.37961

Abstract

Mutu pelayanan dipengaruhi oleh waktu tunggu pemulangan pasien. Waktu tunggu pemulangan pasien yang lebih dari 2 jam akan berdampak pada bagi pasien dan rumah sakit. Hal ini juga bermasalah jika ditinjau dari dimensi mutu safety terkait hospital-acquired conditions, timely terkait lama proses pemulangan pasien, effective terkait SPM rumah sakit tidak tercapai, dan efficient terkait biaya tinggi akibat bed occupation rate tidak efisien. Tujuan penelitian adalah mengidentifikasi faktor-faktor pengaruh lamanya proses pemulangan pasien rawat inap di rumah sakit. Artikel ini menggunakan metode literature review berdasarkan database ScienceDirect dan Google Scholar yang dipublikasikan tahun 2020-2024. Kata kuncinya adalah factor AND "waiting time" AND "discharge process" AND inpatient AND hospital. Artikel teridentifikasi sebanyak 333 artikel dan hanya delapan artikel yang dianalisis dalam penelitian ini. Faktor pengaruh dari analisis artikel dikelompokkan menurut teori mutu Donabedian. Aspek structure dipengaruhi kurangnya jumlah tenaga kesehatan, penerapan HIS yang kurang baik, aspek kelengkapan berkas dan jenis asuransi, sarana dan prasarana, serta habisnya stok obat di farmasi. Aspek process dipengaruhi kurangnya koordinasi antar unit, riwayat medis pasien, lamanya peracikan obat dan hasil laboratorium, kunjungan DPJP, human error, pengiriman ulang berkas asuransi swasta, serta proses pemulangan pasien yang bersamaan sehingga terjadi bottleneck dan/atau saat hari libur. Outcome bagi pasien terkait kepuasan pasien dan rumah sakit terkait proses penerimaan pasien baru, BOR, dan biaya. Faktor-faktor yang memengaruhi lamanya proses pemulangan pasien rawat inap dapat dilihat dari aspek structure, process, dan outcome.
OPTIMALISASI PENGELOLAAN PERMINTAAN DAN PENDISTRIBUSIAN OBAT DI GUDANG FARMASI MELALUI DIGITALISASI BARCODE: ACTION RESEARCH DI RS YUKUM MEDICAL CENTRE Nurbaiti, Nurbaiti; Mayasari, Fitri Yuli; Natalia, Fransiska Desi; Kurniasari, Shinta; Choirizaldi, Kevin Fitrah
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
Publisher : Journal of Hospital Administration and Excellent Health Service

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

Abstract

Pharmaceutical logistics management plays an important role in ensuring service quality and patient safety in hospitals. Suboptimal logistics management can lead to stock mismatches, delays in drug distribution, and increased workload. This study aims to explore operational obstacles in the demand and distribution of drugs at Yukum Medical Centre (YMC) Hospital and to formulate practical optimization strategies. This study uses a qualitative method with a descriptive-analytical approach through an Action Research design. Data was collected through participatory observation, Focus Group Discussions (FGD), in-depth interviews, and review of logistics documents in April 2026. Analysis using the Urgency, Seriousness, Growth (USG) method and Fishbone Diagram identified that there is no structured routine request schedule, stock card recording is still manual, and there are limitations in the integration of the Hospital Information System (SIMRS). and inefficient warehouse organization is the root cause of the problem. As a practical solution, this study designs an intervention in the form of standardizing the depot unit request schedule and implementing GS1 DataMatrix barcode (2D barcode) based digitalization. This combination of interventions has the potential to significantly improve staff work efficiency, minimize administrative errors (human error), maintain real-time stock data accuracy, and support patient safety through reliable drug traceability. Keywords: barcode, distribution, innovation, pharmaceutical logistics, hospital.
Co-Authors Choirizaldi, Kevin Fitrah Dhamanti, Inge Mayasari, Fitri Yuli Natalia, Fransiska Desi Nurbaiti