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Jl. Farmako Sekip Utara, Yogyakarta, Indonesia 55281 Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
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Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Published by Universitas Gadjah Mada
ISSN : 14106515     EISSN : 28286774     DOI : https://doi.org/10.22146/jmpk.v25i03.5186
Core Subject : Health,
Health Professions Public Health
Misi JMPK adalah menerbitkan, menyebarluaskan dan mendiskusikan berbagai tulisan ilmiah mengenai manajemen pelayanan kesehatan yang membantu manajer pelayanan kesehatan, peneliti, dan praktisi agar lebih efektif. Jurnal ini ditujukan sebagai media komunikasi bagi kalangan yang mempunyai perhatian terhadap ilmu manajemen pelayanan kesehatan antara lain para manajer, pengambil kebijakan manajerial di organisasi-organisasi pelayanan kesehatan seperti rumah sakit, dinas kesehatan, Kementerian Kesehatan, pusat-pusat pelayanan kesehatan masyarakat, BKKBN, pengelola industri obat, dan asuransi kesehatan, serta institusi pendidikan penelitian.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 135 Documents
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EVALUASI PENGGUNAAN TELEMEDISIN PADA PELAYANAN RAWAT JALAN DI RUMAH SAKIT AKADEMIK UGM SAAT PANDEMI COVID-19 DENGAN METODE HOT-FIT Fajrul Falah Farhany; Lutfan Lazuardi; Dewi Ratmasari
Journal of Health Service Management Vol 25 No 4 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.714 KB) | DOI: 10.22146/jmpk.v25i4.6111

Abstract

Background: One hospital that has adapted services to the COVID-19 pandemic is the UGM Academic Hospital (RSA UGM). RSA UGM offers long-distance or telemedicine services, later named the Joempa Dokter Telemedicine RSA UGM. Joempa Dokter stands for Journey for Online Electronic Medical Professional Assistance. Telemedicine Joempa Dokter RSA UGM has been running for 1.5 years. Still, it was found that it had not been appropriately utilized by health workers who worked at the Outpatient Installation at RSA UGM. The process flow for telemedicine services was also not adequately systemized, as evidenced by using semi-conventional technology in practice. Objective: To evaluate ‘Joempa Dokter’ telemedicine service at RSA UGM during the COVID-19 pandemic. Methods: The type of research used in this study is a mixed method with an embedded or nested research design using a survey approach and in-depth interviews. This research was conducted in the outpatient ward of RSA UGM from July to August 2022. Results: The flow of telemedicine services for Joempa Dokter RSA UGM starts with patient registration via the Google form, consulting with doctors via the Zoom platform, then prescribing drugs online. Telemedicine services have not been integrated with the SISTEMA RSA UGM, but this service is helpful and easy to use. There are still some deficiencies in this telemedicine service, such as unattractive features; the platform used is still different from registration to postservice; there is no Standard Operating Procedure (SOP) for Joempa Dokter Telemedicine Services; incentives are not appropriate; and telemedicine services are not a priority service at RSA UGM yet. Conclusion: Joempa Dokter Telemedicine at RSA UGM is beneficial as an alternative solution to improve the quality of health services in hospitals during the COVID-19 pandemic. For better service continuity, UGM RSA management needs to prepare Standard Operating Procedures (SPO) and service roadmaps, adjust incentives to improve the performance and motivation of the health workers involved, and service integration with existing information systems at RSA UGM also needs to be done.
KEPEMIMPINAN KLINIS DOKTER UMUM DI RUMAH SAKIT KANKER DHARMAIS Ratna Budi Setiani; Andreasta Meliala; Rina Kusumaratna
Journal of Health Service Management Vol 25 No 4 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (399.607 KB) | DOI: 10.22146/jmpk.v25i4.6119

Abstract

Background: Dharmais Cancer Hospital is a special class A cancer hospital which is a reference for the National Cancer Center with multidisciplinary health workers. With the specialist role of the Dharmais Cancer Hospital, general practitioners are also involved in improving the quality of patient care. To encourage this, the clinical leadership skills of a general practitioner are also urgently needed. Objective: Assess the level of clinical leadership and explore individual and service factors that play a role in clinical leadership in General Practitioners at Dharmais Cancer Hospital. Methods: Case study research using quantitative and qualitative data approaches to all general practitioners who serve as doctors on duty at the Dharmais Cancer Hospital. Collecting data using a questionnaire using modified instruments from the Clinical Leadership Competency Framework-self-assessment tool, document review, interviews and observations. Quantitative data analysis with frequency distribution and qualitative data analysis with thematic analysis. Results: Quantitative data shows that the dimensions of service improvement are included in the standard category. Qualitative data shows aspects of clinical leadership that need to be improved, including 2 aspects on the dimension of showing self-quality, namely self-management and acting with integrity, 2 aspects on the dimension of working with others, namely encouraging contribution and working in teams, 1 aspect on the dimension of managing services, namely managing resources, and 2 aspects on the dimensions of improving services, namely encouraging improvement and innovation and facilitating change. The individual factors considered to play a role were the majority at a younger age, the majority of years of service were new, the employment status of the majority were non-PNS not permanent, no work experience, no managerial experience, lack of managerial training, and lack of leadership training. Service factors considered to play a role include poor service communication, work situations with high workloads, and unclear roles at work. Conclusion: General practitioners at the Dharmais Cancer Hospital do not yet have optimal clinical leadership, so management support is needed to improve the clinical leadership of general practitioners.
STRATEGI OPTIMALISASI PELAKSANAAN PROGRAM RUJUK BALIK PASIEN DIABETES MELITUS PESERTA BPJS KESEHATAN DI PUSKESMAS KECAMATAN PANCORAN Tita Meitia Dianingsih; Adi Utarini; Haryo Bismantara
Journal of Health Service Management Vol 25 No 4 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.821 KB) | DOI: 10.22146/jmpk.v25i4.6214

Abstract

Background: The Back-Referral Program for Diabetes Mellitus (DM) patients in the health system in Indonesia demands the role of the Community Health Center in its implementation. The Pancoran Community Health Center seeks to answer the need for Referral Program by innovating service development in the form of an optimization strategy for Referral Program implementation, including increasing Prolanis participants and taking Referral Program prescriptions through clinical teleconsultation. Various factors influencing the success of the Referral Program, including the effectiveness of the innovations implemented, have not yet been evaluated in depth. Objective: Exploring the factors influencing the continuity of Back-Referral Program patient visits and evaluating strategies for optimizing Back-Referral Program implementation at the Pancoran Community Health Center. Methods: The research design used is Mixed-Method, sequential explanatory. The research was conducted at the Pancoran Community Health Center, with quantitative research subjects being DM patients who visited to take referral program prescriptions for 2020-2021, with as many as 69 people. The qualitative research subjects were ten patients registered as back-referral program participants in 2021-March 2022, chosen by a purposive sampling technique. In the quantitative study, secondary data were taken from medical records and analyzed in a simple descriptive manner using statistical analysis software. Qualitative research conducted indepth interviews, analyzed through coding, and interpreted descriptively. Results: There is no relationship between increasing the continuity of the Back-Referral Program 2020-2021 and Prolanis participation or taking Back-Referral Program prescriptions through clinical teleconsultation. The increase in the continuity of Back-Referral Program patient visits was not related to the characteristics of the patient’s gender, age, domicile, educational level, and occupation. There are supporting and inhibiting factors in the implementation of The Back-Referral Program. Such as the level of satisfaction of patients consulting general practitioners, staff hospitality, easy access to services and information, patient-staff communication, infrastructure, drug availability, family and work support, budget flexibility, waiting time, and health conditions patient. Conclusion: The increase in the continuity of DM patient visits taking Back-Referral Program prescriptions in 2020-2021 is not significantly related to optimization strategies and variations in patient characteristics. Based on patient perceptions, supporting and inhibiting factors for Back-Referral Program implementation were identified. Comprehensive steps are needed to optimize Back-Referral Program in the short, medium, and long-term stages, including the potential for using new programs based on patient perception.
GAMBARAN KESIAPAN PERANCANGAN SISTEM NAVIGASI PASIEN KANKER DI RUMAH SAKIT KANKER DHARMAIS Fitria Suryani; Hanevi Djasri; Rina R Kusumaratna
Journal of Health Service Management Vol 25 No 4 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.781 KB) | DOI: 10.22146/jmpk.v25i4.6272

Abstract

Background: Cancer patient navigation is a coordinated assistance process that assists patients in overcoming barriers to timely and high-quality cancer care. Nonetheless, research on the design of an effective patient navigation system is still scarce.Objectives: To obtain an overview of the readiness of the navigation system for cancer patients at the Dharmais Cancer Hospital from the aspect of leadership policy, availability of resources, and assessing the knowledge level of navigators.Method: Case studies at the Dharmais Cancer Hospital were conducted from August to November 2022. A total of 13 informants involved in designing the cancer patient navigation system conductedin-depth interviews. Qualitative data were analyzed by the thematic analysis method. Quantitative data were obtained from field obser vations and document reviews using a modified checklist of the conformity of the American Cancer Society’s standard - cancer patient navigation design practices, as well as a closed questionnaire to assess eight navigators’ knowledge levels.Results: There are 15 components, each representing a different aspect of the design. The standards define four components that represent the leadership policy standpoint. All four requirements are met.Inconsistency in patient monitoring and the availability of approved SOPs were two of the seven resource availability components that were ineffective. The subjective navigator recruitment process is onecomponent that is unsuitable from the perspective of a navigator. The patient navigator candidate’s knowledge level is 35.12%, which is considered good.Conclusion: Only the leadership and policy aspects are fully met out of the 15 components representing three aspects of the design. Patient monitoring, ratification of activity SOPs, and the presence of an open navigator healing process and goals can all help to improve navigation system development.
MANAJEMEN PENGELOLAAN LIMBAH B3 DI RSUD DRS. H. AMRI TAMBUNAN Adellia Shaffenia Sinar Nst; Hari Kusnanto; Darwito
Journal of Health Service Management Vol 25 No 4 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.613 KB) | DOI: 10.22146/jmpk.v25i4.6289

Abstract

Latar belakang: Meningkatnya jumlah rumah sakit menyebabkan jumlah timbulan limbah medis yang dihasilkan juga ikut meningkat. Limbah rumah sakit berpotensi mencemari lingkungan dan dapat menyebabkan kecelakaan kerja serta penularan penyakit jika limbah medis rumah sakit tidak di kelola dengan baik. Pengelolaan limbah di rumah sakit adalah tanggung jawab pihak rumah sakit dan seluruh tenaga kesehatannya oleh karena itu pengelolaan limbah harus sesuai dengan peraturan perundang-undangan yang berlaku dan peran manajemen rumah sakit juga sangat penting dimulai dari perencanaan, pengorganisasian, pelaksanaan, dan pengawasan. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi peran manajemen dan kebijakan dalam pengelolaan limbah B3 di RSUD Drs. H. Amri Tambunan. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Pengumpulan data menggunakan observasi sistematis dan wawancara mendalam. Hasil dan pembahasan: Hasil penelitian menunjukkan sudah sesuai dengan peraturan yang berlaku tetapi belum optimal. Pada tahap perencanaan dan pengawasan sudah berjalan dengan baik tetapi tahap pengorganisasian dan pelaksanaan belum terlaksana dengan baik. Petugas tidak menggunakan APD yang lengkap, masih belum adanya pembagian tugas yang jelas, dan petugas belum mendapatkan pelatihan dalam pengelolaan limbah B3. Kesimpulan dan saran: Diharapkan rumah sakit melakukan pelatihan khusus tentang pengelolaan limbah B3 bagi petugas agar dapat melakukan tanggung jawabnya sesuai dengan ketentuan yang telah ditetapkan. Kata kunci: Manajemen, Peraturan, Limbah B3
KAJIAN PENGELOLAAN LIMBAH MEDIS COVID-19 DI RUMAH SAKIT Valentina NFK; Hari Kusnanto Josef; Agus Surono
Journal of Health Service Management Vol 26 No 1 (2023)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v26i1.6880

Abstract

Background: Hospitals are one of the largest producers of medical waste. If the medical waste is not managed properly in accordance with applicable standards, it can be dangerous and cause health problems, especially for officers who handle waste, patients, visitors and the community around the hospital.Objective: This study aims to explore the management of COVID-19 medical waste in hospitals, both from input, process and output.Methods: This research is qualitative research with a descriptive case study design. The informants in this study consisted of 15 people who were selected using the purposive sampling method from the internal UGM academic hospital and the surrounding community. Research conducted in May 2022.Results: In the input evaluation it was found that the UGM RSA already had an SOP for handling COVID-19 medical waste, there was already an adequate allocation of funds for the management of COVID-19 medical waste, and human resources had also met the standards. Most of the facilities and infrastructure owned are adequate for processing COVID-19 medical waste. RSA UGM has provided PPE for COVID-19 medical waste collectors but it has not been used optimally. As for process evaluation, sorting and storage have been carried out according to standards. The transportation of COVID-19 medical waste has met the standards but the B3 medical waste TPS has not met the standards. In the output evaluation, none of the respondents experienced health problems related to the management of COVID-19 medical waste.Conclusion: There needs to be improvement in the management of COVID-19 medical waste, especially in the input and process sections.
ANALISIS DATA SISTEM RUJUKAN TERINTEGRASI (SISRUTE) DI INSTALASI GAWAT DARURAT (IGD) INFEKSI RSUP DR. SARDJITO Ni Kadek Ari Astiti; Happy Indah Kusumawati; Sutono
Journal of Health Service Management Vol 26 No 1 (2023)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v26i1.7008

Abstract

Background: The health referral system regulates the delegation of duties and responsibilities of health services in reverse. SISRUTE (Integrated Referral Information System) as a reference for managing national referrals in Indonesia. During the pandemic, most hospitals were overwhelmed with patients; therefore, hospitals were encouraged to optimize the use of SISRUTE. Objective:This study aims to identify the implementation of SIS-RUTE in the Infectious Emergency Room of RSUP Dr Sardjito.Method:This research used quantitative descriptive research witha retrospective approach. The sample of this study was secondarydata in the SISRUTE application from June-August 2021. This study used a total sampling technique. The instrument used worksheets,and data analysis was performed using a univariate method to findout reasons for referrals rejected, reasons for referrals received, and SISRUTE response time.Result:Referral patients with Social Security Agency for Health(BPJS) were (42%). Most referrals came from Type C Hospital(41.29%) during the afternoon shift (36.8%). The highest reason forrefusing referrals was limited room (68.03%). The most needed wasthe Intensive Care Unit (ICU) (52.68%). The highest SISRUTE re-sponse time was in the range of 1-5 minutes (59.73%).Conclusion:The implementation of SISRUTE in the IGD InfectionRSUP Dr. Sardjito Yogyakarta is generally good, with a fast responsetime. Referrals are mostly accepted due to the availability of inpatientrooms. The reasons for referrals rejected are due to the limited ICUspace.
EVALUASI USABILITY SISTEM RUJUKAN TERINTEGRASI (SISRUTE) DI IGD RUMAH SAKIT DAERAH ISTIMEWA YOGYAKARTA Pius Bonaventura Ado Christian Susanto; Happy Indah Kusumawati; Khudazi Aulawi
Journal of Health Service Management Vol 26 No 1 (2023)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v26i1.7019

Abstract

Latar Belakang: Perkembangan teknologi di Indonesia saat ini mengalami berbagai kemajuan termasuk bidang kesehatan. Sistem rujukan terintegrasi (Sisrute) merupakan sebuah aplikasi untuk penyelenggaraan pelayanan kesehatan antar fasilitas kesehatan yang menggunakan perkembangan teknologi. Dalam penerapannya, Sisrute mengalami beberapa kendala akibat kesalahan pihak rumah sakit yang berulang seperti data yang tidak lengkap. Hambatan terjadi karena tampilan aplikasi yang kurang sesuai, dan langkah pengoperasian aplikasi yang masih kurang mudah dikuasai oleh pengguna. Menyadari hambatan serta pentingnya penggunaan Sisrute dengan baik maka dalam penerapan integrasi rujukan perlu adanya evaluasi usability sistem rujukan terintegrasi di rumah sakit. Tujuan Penelitian: Penelitian ini bertujuan mengukur usability Sisrute bagi tenaga kesehatan di rumah sakit Daerah Istimewa Yogyakarta dalam membantu proses rujukan pasien. Metode: Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif. Sampel diambil dengan teknik cluster sampling, simple random sampling, dan consecutive sampling. Sampel dalam penelitian ini adalah tenaga kesehatan ruang IGD di enam RS DIY berjumlah 141. Usability diukur menggunakan kuisioner System Usability Scale dengan skor Cronbach’s Alpha sebesar 0,841. Pengumpulan data menggunakan google form dan dianalisa menggunakan microsoft excel. Hasil: Skor penilaian System Usability Scale tenaga kesehatan di IGD Rumah Sakit DIY pada Sisrute adalah 52,3. Tingkat penerimaan Sisrute masuk dalam kategori marginal yang berarti cukup memuaskan. Tingkat Grade skala Sisrute masuk dalam kategori D yaitu masih di bawah rata-rata. Adjektif rating Sisrute masuk dalam kategori OK (Netral) yaitu dapat berjalan dengan pengembangan Kesimpulan: Sisrute perlu dilakukan pembaharuan disesuaikan dengan kebutuhan penggunanya yang mengharapkan kemudahan dan kecepatan.
EVALUASI PERSEDIAAN OBAT COVID-19 PADA MASA PANDEMI DAN FAKTOR YANG MEMPENGARUHI DI RUMAH SAKIT PEMERINTAH DAN RUMAH SAKIT SWASTA DI KOTA MAKASSAR Fadila Rizki; Erna Kristin; Ni Luh Putu Eka Putri Andayani
Journal of Health Service Management Vol 26 No 1 (2023)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v26i1.7044

Abstract

Background: Drug management realizes the availability of drugs needed to be effective and efficient, especially during the COVID-19 pandemic. The high use of COVID-19 drugs makes several types of drugs needed to experience vacancies, and due to changes in government regulations make some COVID-19 drugs stagnant.Objectives: To evaluate the supply of COVID-19 drugs during the pandemic and the factors that influence it in government and private hospitals in Makassar CityMethods: This study is a mixed-method study with a sequential explanatory design. Quantitative data were obtained retrospectively from January to December 2021 by searching drug management documents. Qualitative data was obtained through in-depth interviews with 12 informants.Results: The availability of COVID-19 drugs in government hospitals is 19.3 months, while in private hospitals, it is 13.6 months. Factors that affect drug supply are the method of planning drug needs, Lead Time, and several changes in guidelines.Conclusions: The supply of COVID-19 drugs is still excessive at that Public Hospital, and the factor that most influenced the supply of COVID-19 drugs was changes in guidelines.
EVALUASI KESELAMATAN DAN KESEHATAN KERJA DI BAGIAN FILLING PUSKESMAS MLATI II SLEMAN Syarah Mazaya Fitriana; Agung Dwi Saputra; Hery Setiyawan; Asti Febriana
Journal of Health Service Management Vol 26 No 1 (2023)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v26i1.7713

Abstract

Background: Occupational Health and Safety (K3) is an effort to guarantee safety and improve the health status of workers/laborers by preventing accidents and occupational diseases, controlling hazards in the workplace, and improving health, treatment and rehabilitation. Occupational Health and Safety efforts concern the workforce, work methods/methods, work tools, work processes and work environment. In the filling room at the Mlati II Health Center, the wooden shelves for storage at the Mlati II Health Center were too tall compared to the heights of some officers, so officers had difficulty accessing medical record files. The storage space for medical record files is still narrow, so it needs to be reviewed according to occupational health and safety standards.Objective: This study aims to describe the implementation of occupational safety and health in the Mlati II Health Center filling division. Method: This is qualitative descriptive research with a case study design. The subjects of this study were 3 medical record officers and 1 OSH team. The object of this research is the implementation of K3 and the filling room of the Mlati II Health Center. Data were collected by passive participatory observation and semi-structured interviews with informants.Results: The observation results show that the space for movement is still too narrow. The distance between the shelves for storing medical record files is 43 cm, 51 cm, 70 cm and 90 cm. Room temperature and humidity are still below standard. Lighting in both filling rooms is still below the standard set by the Minister of Health. And the noise level in the filling room is in accordance with the standards. The filling room was clean, but some documents were still dusty; there were no K3 signs and standard operating procedures related to occupational safety and health. Efforts to prevent fires in the Mlati II Health Center filling room are quite good, with the fire extinguisher in the filling room area.Conclusion: There is still a discrepancy in the filling room regarding security and work safety for storage officers.

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