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Pengaruh Addendum Formularium Rumah Sakit dan Kepatuhan Dokter dalam Penulisan Resep terhadap Efisiensi Persediaan Farmasi dengan Variabel Intervening Pengendalian Persediaan Farmasi Lidwina Cahyadinata; Agusdini Banun Saptaningsih; Johanes Johanes
Jurnal Akuntansi, Ekonomi dan Manajemen Bisnis Vol. 5 No. 1 (2025): Maret : Jurnal Akuntansi, Ekonomi dan Manajemen Bisnis
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jaemb.v5i1.6721

Abstract

The efficiency of pharmaceutical inventory is aimed not only at cost reduction but also at ensuring the continuity of patient care. To achieve pharmaceutical inventory efficiency, pharmaceutical inventory control, hospital formulary addendums, and physician adherence are required. The objective of this study is to analyze the effect of hospital formulary addendums and physician adherence to formulary-based prescribing on pharmaceutical inventory efficiency, with inventory control as an intervening variable.This research is confirmatory in nature and uses a quantitative approach. The sample consists of secondary data derived from observations of patient prescriptions at BSH Hospital over a 28-month period, from January 2022 to April 2024. The F-test concluded that hospital formulary addendums, physician adherence to prescribing, and pharmaceutical inventory control simultaneously influence pharmaceutical inventory efficiency. Using SEM-PLS analysis, it was found that pharmaceutical inventory control has a significant effect on pharmaceutical inventory efficiency. Furthermore, SEM analysis via JASP (Jeffrey's Amazing Statistics Program) showed that physician adherence to formulary-based prescribing has a direct influence on pharmaceutical inventory efficiency and also an indirect influence through inventory control. In contrast, hospital formulary addendums in this study were not proven to have either a direct or indirect effect on pharmaceutical inventory efficiency through inventory control.
Analysis of Medical Personnel Compliance Factors in Prescribing Based on the National Formulary Siska Karma Gianti; Agusdini Banun Saptaningsih; Johanes Johanes
Global Management: International Journal of Management Science and Entrepreneurship Vol. 3 No. 1 (2026): February: Global Management: International Journal of Management Science and En
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/globalmanagement.v3i1.518

Abstract

Medical personnel compliance in prescribing drugs according to the National Formulary (ForNas) is essential to ensure rational therapy, improve service quality, and enhance efficiency in health financing at government health facilities. However, compliance remains a challenge at Johar Baru Regional General Hospital, Central Jakarta. This study aimed to analyze factors influencing medical personnel compliance with ForNas-based prescribing, including drug availability, management policies, and the knowledge, attitudes, norms, and perceptions of medical staff.A qualitative approach was used through in-depth interviews with medical personnel, heads of supporting service sections, and pharmacy unit leaders. The study also involved observation and review of hospital formulary documents, minimum service standards reports for 2024, and monitoring and evaluation reports on prescribing compliance for 2024 and January June 2025. Data were analyzed using thematic analysis supported by NVivo software.The findings indicate that compliance is influenced by medical personnel’s understanding of ForNas policies, clinical experience, and professional attitudes toward prescribing standards. Management factors such as supervision, technological support, and procurement systems also play important roles. Limited drug stocks and suboptimal control systems were identified as major obstacles.The hospital is recommended to strengthen compliance by updating clinical practice guidelines, developing a ForNas-based hospital formulary, improving management support, optimizing information technology systems, ensuring drug availability, and proposing additional ForNas drugs to the Ministry of Health.
PENGARUH KEPEMIMPINAN TRANSFORMASIONAL, KERJASAMA TIM, DAN PENGETAHUAN TERHADAP BUDAYA KESELAMATAN PASIEN DI RSUD MENGGALA LAMPUNG HENGKY PRABOWO IRIANTO; YANUAR RAMADHAN; AGUSDINI BANUN SAPTANINGSIH
Journal of Nursing and Public Health Vol 13 No 1 (2025)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v13i1.8491

Abstract

Pendahuluan: Penelitian ini didasari oleh peningkatan insiden keselamatan pasien di instalasi rawat inap pada tahun 2022 dibandingkan tahun 2021, yang menunjukkan masalah kepatuhan perawat terhadap budaya keselamatan pasien. Penelitian bertujuan untuk mengkaji secara empiris pengaruh kepemimpinan transformasional, kerja sama tim, dan pengetahuan terhadap budaya keselamatan pasien. Metode: Studi ini menggunakan metode kuantitatif dengan pendekatan cross-sectional. Populasi penelitian adalah 95 perawat di instalasi rawat inap, dengan sampel berjumlah 77 responden yang ditentukan menggunakan rumus Slovin pada tingkat kesalahan 5% dan teknik probability sampling. Analisis dilakukan menggunakan three-box method dan regresi linier berganda. Hasil dan Pembahasan: Hasil analisis menunjukkan bahwa kepemimpinan transformasional, kerja sama tim, dan pengetahuan secara simultan dan parsial berpengaruh positif dan signifikan terhadap budaya keselamatan pasien. Pengetahuan menjadi faktor dominan, karena merupakan modal utama bagi perawat dalam menjalankan tugasnya. Pengetahuan ini tidak hanya diperoleh dari pendidikan formal, tetapi juga dari pengalaman praktis yang membantu perawat memahami tindakan yang tepat. Selain itu, arahan dari pimpinan dan tim interprofesional turut memperkuat sikap perawat dalam menjalankan perannya. Kesimpulan: Proses ini membentuk nilai dan keyakinan akan pentingnya budaya keselamatan pasien, sehingga layanan keperawatan yang aman dapat terwujud dan keselamatan pasien terjamin.