scholarly journals Identification of waste: DOWNTIME in the outpatient prescription services at the pharmacy installation of Rumah Sakit Islam Siti Hajar Mataram

2021 ◽  
Vol 17 (2) ◽  
pp. 107-115
Author(s):  
Nur Atikah ◽  
Sari Nanchi Parhatiwi ◽  
Ajeng Dian Pertiwi ◽  
Evi Fatmi Utami ◽  
Firman Firman
Keyword(s):  
Professional Services ◽  
Pharmaceutical Services ◽  
Cross Sectional ◽  
Stakeholder Satisfaction ◽  
Service Unit ◽  
Outpatient Prescription ◽  
Root Cause ◽  
Service Areas ◽  
Cross Sectional Design ◽  
Prescription Services

Background: The hospital pharmacy installation is a health service unit that is required to provide professional services and improve quality which is oriented towards achieving patient satisfaction. Waste identification in pharmaceutical services is important because it has an impact on stakeholder satisfaction. Objective: Identifying waste using the DOWNTIME method for the outpatient prescription services at the pharmacy installation of Rumah Sakit Islam Siti Hajar Mataram. Methods: The study used the cross-sectional design, with the population being all outpatients who were provided with pharmaceutical services during February – April 2019 as well as all staff. Data were tabulated and analyzed descriptively. Critical waste was obtained through questionnaires and the root causes of critical waste were obtained through in-depth interviews with 5-why methods. Results: Waste waiting had the highest rate compared to other wastes, reaching 44% or 53 out of 121 respondents, followed by inventory (26%), extra processing (19%), transportation (14%), defects (14%), motion (13%), over production (8%), and non-utilized skills (7%). Meanwhile, from the staff respondents, waiting was also the highest waste (18%), followed by inventory (16%), motion (13%), over production (12%), transportation (12%), non-utilized skills (10%), extra processing (10%), and defects (9%). The root cause of waste waiting was the frequent drug unavailability due to delays in payment of services from the cooperating party to the hospital as well as the narrow service areas. Conclusion:Waste waiting became the critical waste with the highest percentage of dissatisfaction in the patient respondents (44%) and staff respondents (18%). Keywords: Waste, DOWNTIME, outpatient prescription services, pharmacy installation of RSI Siti Hajar Mataram

scholarly journals THE CORRELATION BETWEEN A SUPERVISION COMPETENCE AND A CONFLICT MANAGEMENT STYLE OF HEAD OF NURSING DEPARTMENT IN GOVERNMENT HOSPITAL IN BANDA ACEH

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Halimatussakdiah Halimatussakdiah ◽  
Ampera Miko ◽  
Isneini Isneini
Keyword(s):  
Conflict Management ◽  
Management Style ◽  
Chi Square ◽  
Cross Sectional ◽  
Service Unit ◽  
Conflict Management Style ◽  
The Difference ◽  
Cross Sectional Design ◽  
Nursing Department ◽  
Banda Aceh

Most of head of nursing department even nurses in hospital uses compromising conflict management style  about 13 %. While collaborating and avoiding style are only used at least 5,6 %. The difference in applying conflict management style is influenced by some individual factors including knowledge, skill and the ability in supervision competence. The purpose of this research is to find out the correlationbetween supervision competence and conflict management style ofhead of nursing department in goverment hospital in Banda Aceh. Quantitative method with cross sectional design was used in this research. This research was conducted in RSUD dr. Zainal Abidin and in BLUD – RSJ (mental illness service unit) Banda Aceh toward 77 heads of nursing department who perfoming supervision (total sampling). The method used in collecting data is questionary distribution. Chi-square technique is used to analyse the corellation between supervision competence and conflict management style of  head of nursing department. The result of this research shows that 84,4% of head of nursing department is incompetent in applying conflict management style and 92,2% of those generally used intergration style in problem solving. The result of statistict test shows that there is no significant corellation between supervision competence of head of nursing department and dominating, integrating, compromising, avoiding style and there is no obligation to apply conflict management style by head of nursing departement in conducting supervision  at hospital in Banda Aceh. The lower number of competent supervisor and the higher number of inappropriate style applying by supervisor in manage conflict can decrease the quality of controlling in hospitals. It is strongly sugessted that nurse supervisors improve supervision competence and  knowledge related to conflict management style through training, workshop, seminar and continual education.Keywords : head of nursing department, supervision competence , conflict management style

FAKTOR YANG BERHUBUNGAN DENGAN KINERJA PETUGAS DALAM MENERAPKAN STANDAR OPERASIONAL PROSEDUR DI UPT LABORATORIUM KESEHATAN DAN LINGKUNGAN DINAS KESEHATAN PROVINSI RIAU

2019 ◽  
Vol 8 (1) ◽  
pp. 1-10
Author(s):  
Ahmad Hanafi ◽  
Misnaimah Misnaimah
Keyword(s):  
Environmental Health ◽  
Performance Appraisal ◽  
Operating Procedure ◽  
Standard Operating Procedure ◽  
Health Department ◽  
Related Factors ◽  
Cross Sectional ◽  
Service Unit ◽  
Standard Operating ◽  
Cross Sectional Design

Standard Operating Procedure is a guideline for performing job tasks in accordance with the function and tool of government performance appraisal based on technical, administrative and procedural indicators in accordance with work procedures, working procedures and work system in the work unit concerned. UPT Labor Health Environment Dinas Kesehatan Riau Province, is one of the health laboratory in Pekanbaru City and has implemented Standard Operating Procedure. However, there are still many officers who do not perform their duties in accordance, this affects the quality of services provided by the health laboratory to the community. This study aims to determine the related factors associated with the performance of officers in applying in the Integrated Service Unit of the Environmental Health Laboratory of the Riau Province Health Office. This type of research is quantitative using Cross-sectional design. The study was conducted on November 2017 at UPT Health Laboratory of Health Department of Riau Province. Population in this research is all officer in UPT Health Laboratory of Health Department of Riau Province with amount of sample counted 52 people and sampling in total sampling. The measuring tool used is the questionnaire. The analysis was done univariat and bivariate. The results showed that there was a relationship between the initiative, discipline, training and the authority with  the performance of the officers at UPT Environmental Health Laboratory of the Riau Province Health Office. It is expected that the officers at UPT Environmental Health Laboratory of the Riau Province Health Office Laboratoorium to improve their performance so that improve the work quality.

Evaluation of Outpatient Prescription Compliance in A Bukittinggi Hospital

2019 ◽  
Vol 4 (3) ◽  
pp. 617
Author(s):  
Tika Afriani ◽  
Dessy Angraini ◽  
Miftahul Jannah
Keyword(s):  
Pharmaceutical Care ◽  
Dosage Form ◽  
Descriptive Statistics ◽  
Cross Sectional ◽  
Outpatient Prescription ◽  
Duration Of Therapy ◽  
Registration Number ◽  
Clinical Considerations ◽  
Cross Sectional Design ◽  
Outpatient Prescriptions

<p><em>Prescriptions are written requests from doctors or dentists to pharmacists, whether in paper or electronic form to provide and deliver medicines to patients in accordance with applicable regulations. Pharmacists play an important role in preventing medication error by performing prescription screening to reduce the risks of harm on patients. The objective of the study was to evaluate the compliance of outpatient prescriptions in Bukittinggi Hospital. This research was performed using descriptive observational with a cross-sectional design. An amount of 119 prescriptions from July to September 2017 were collected. All prescriptions were screened for their compliance to Pharmaceutical Care Standard in Indonesian Hospitals, which consists of three criteria: 1) administrative requirements, 2) pharmaceutical compatibilities and 3) clinical considerations, and derived into 21 sub-criteria. Data analysis was performed using descriptive statistics. After screened thoroughly, there were no prescriptions which totally comply with the standard. There were only 10 of 21 sub-criteria which were fulfilled by the prescriptions, which were registration number, R/ mark, patient`s name, dosage form, frequency, duration of therapy, drug name, strength, drug interaction, and drug duplication. It can be concluded that the prescriptions have not fulfilled the pharmaceutical care standard. Thus, hospital pharmacists need to improve pharmaceutical services.<strong></strong></em></p>

scholarly journals Evaluasi Pelayanan Resep Berdasarkan Pelaksanaan Standar Kefarmasian di Apotek Tempat Praktik Kerja Profesi Apoteker (PKPA) Kota Yogyakarta

2019 ◽  
Vol 6 (1) ◽  
pp. 18
Author(s):  
Chynthia Pradiftha Sari ◽  
Okti Ratna Mafruhah ◽  
Rizki Nurul Fajria ◽  
Alia Meta
Keyword(s):  
Service Evaluation ◽  
Drug Side Effects ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Maximum Score ◽  
Pharmaceutical Service ◽  
Drug Counseling ◽  
Cross Sectional Design ◽  
Service Standards ◽  
Prescription Services

ABSTRAK    Pemerintah Indonesia menetapkan standar pelayanan kefarmasian di apotek berupa Peraturan Menteri Kesehatan (PMK) Nomor 35 tahun 2014, secara keseluruhan evaluasi terhadap pelayanan kefarmasian di apotek belum mencapai skor maksimal. Pada pelayanan resep kajian administrative dan penyampaian konseling obat jarang dilakukan. Tujuan penelitian ini adalah untuk mengevaluasi pelaksanaan standar kefarmasian dalam pelayanan resep di apotek tempat PKPA wilayah Yogyakarta. Metode penelitian yang digunakan adalah desktiptif observasional dengan rancangan potong lintang melibatkan 4 area apotek diwilayah Yogyakarta dengan total 108 resep yang diamati, 77 resep yang dijadikan sampel penelitian. Pengumpulan data dilakukan dengan mengisi lembar observasi, dan wawancara dengan apoteker pengelola apotek sejumlah 10 apoteker dan 11 TTK (tenaga teknis kefarmasian). Data hasil lembar observasi dianalisis dengan statistik deskriptif menggunakan Microsoft Excel, kemudian disimpulkan dalam bentuk persentase. Hasil penelitian menunjukkan, dalam melakukan pelayananan resep berupa pengkajian resep, peracikan dan pengemasan obat, serta penyerahan obat di tempat PKPA dilakukan oleh apoteker dan TTK, dengan rincian persentase rata-rata pengkajian resep oleh apoteker (77,84%) dan TTK (22,16%), peracikan dan pengemasan 64,99% dilakukan apoteker dan 35,01% dilakukan TTK, penyerahan obat 67,19% dilakukan apoteker dan 32,81% dilakukan TTK. Pelaksanaan standar kefarmasian dalam melakukan pelayanan resep terdapat aspek yang tidak dilakukan terkait pemeriksaan data (berat badan, tinggi badan, riwayat keluarga, riwayat penyakit, riwayat pengobatan, dan alergi) dan pemberian informasi obat (efek samping obat, cara penyimpanan, makanan dan minumamn yang harus dihindari). Kata Kunci: Standar pelayananan Kefarmasian, evaluasi pelayanan resep, apotekABSTRACT                The Indonesian government has set a pharmaceutical service standard in the pharmacy in the form of Minister of Health Regulation (PMK) Number 35 of 2014, as a whole the evaluation of pharmacy services at the pharmacy has not yet reached the maximum score. In prescription services administrative studies and delivery of drug counseling are rarely done. The purpose of this study was to evaluate the implementation of pharmaceutical standards in prescription services at the PKPA place in Yogyakarta. The research method used was observational desktiptif with a cross-sectional design involving 4 pharmacy areas in the Yogyakarta region with a total of 108 prescriptions observed, 77 prescriptions being used as research samples. Data collection was carried out by filling out the observation sheet, and interviewing pharmacists managing pharmacies with 10 pharmacists and 11 TTK (pharmaceutical technical personnel). Data from the observation sheet were analyzed by descriptive statistics using Microsoft Excel, then concluded in the form of a percentage. The results showed, in conducting prescription services in the form of prescription studies, compounding and packaging of drugs, and the delivery of drugs at the PKPA site conducted by pharmacists and TTK, with a detailed percentage of prescription studies by pharmacists (77.84%) and TTK (22, 16%), compounding and packaging 64.99% were carried out by pharmacists and 35.01% were performed TTK, drug delivery 67.19% was carried out by pharmacists and 32.81% were carried out TTK. The implementation of pharmaceutical standards in prescribing services contained aspects that were not carried out related to examining data (weight, height, family history, disease history, medical history, and allergies) and providing drug information (drug side effects, methods of storing, food and drinking). must be avoided).  Keyword: Pharmaceutical service standards, prescription service evaluation, pharmacy

scholarly journals ANALISIS WAKTU TUNGGU PELAYANAN RESEP PADA PASIEN RAWAT JALAN DI RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG

2021 ◽  
Vol 9 (2) ◽  
pp. 109-116
Author(s):  
Subur Widodo ◽  
◽  
Masyuri Yusuf ◽  
M. Desirwan Dinata
Keyword(s):  
Waiting Time ◽  
Pharmaceutical Services ◽  
Grace Period ◽  
Pharmaceutical Service ◽  
Average Waiting Time ◽  
Outpatient Prescription ◽  
Services Evaluation ◽  
Service Standards ◽  
Prescription Services

Abstract Pharmaceutical services are health services in hospitals that are expected to meet minimum service standards (SPM) in an effort to improve the quality of services to patients. One of the pharmaceutical service categories in the minimum service standard (SPM) in hospitals is the waiting time for prescription services in the form of nonconcoction drugs is the grace period from the time the patient submits a prescription to receiving non-concoction drugs with a minimum standard set by the Ministry of Health that is ≤ 30 minutes, whereas the waiting time for prescription concoction services is the grace period from the time the patient submits the prescription until receiving the concoction drug that is ≤ 60 minutes. This research was conducted to analyze the waiting time for outpatient prescription services in Dr. H. Abdul Moeloek based on hospital minimum service standards (SPM) as an overview of prescription services, evaluation materials and pilots in an effort to improve the quality of pharmaceutical services. This research will be conducted at the pharmacy outpatients Dr. H. Abdul Moeloek in August - September 2019 with a sample of 172 recipes, consisting of 98 non-concoction recipes and 74 recipe concoctions. Based on the research that has been done, the results of waiting time for non-concoction prescription services in the Outpatient Installation of Dr. H. Abdul Moeloek is in accordance with the SPM at the Hospital with an average waiting time of 11 minutes. Waiting time for prescription concoction services in Dr. Outpatient Hospital Installation H. Abdul Moeloek is in accordance with the SPM at the Hospital with an average waiting time of 19.4 minutes. Keywords: Pharmaceutical services, waiting time, pharmaceutical service standards.

scholarly journals Patients’ Level of Satisfaction from Pharmaceutical Services Provided by Private Pharmacies Using the SERVQUAL Model Analysis

2020 ◽  
Vol 11 (3) ◽  
pp. 3773-3779
Author(s):  
Pinasti Utami ◽  
Ghozali MT ◽  
Ingenida Hadning ◽  
Firdhanita Liz Syafani
Keyword(s):  
Quality Of Service ◽  
Customer Satisfaction ◽  
Professional Services ◽  
Pharmaceutical Services ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
Five Dimensions ◽  
Level Of Satisfaction ◽  
Strategic Goals

Customer satisfaction is an essential aspect of quality of service. In healthcare, customer satisfaction, also known as patient satisfaction is an indicator for measuring the quality of service and how happy the patient is with the professional services received in the industry. This parameter is essential for all healthcare organizations, as it is used for improving service delivery and strategic goals. Therefore, this study aimed to examine the patients’ level of satisfaction regarding professional pharmaceutical services provided by certified pharmacists of 14 private pharmacies in the Kasihan Subdistrict, Bantul Regency, Special Region of Yogyakarta, Indonesia. The nonexperimental descriptive design with a cross-sectional method was employed in this study. It involved 308 participants and was conducted from November 2018 to May 2019. The patients’ level of satisfaction was measured using the Service Quality (SERVQUAL) approach involving five dimensions, namely; reliability, responsiveness, assurance, empathy, and tangibles. The results showed that the patients’ level of satisfaction on the average was satisfactory, at 80.2%. Besides, satisfaction based on reliability was 82.5%, responsiveness was 85.5%, assurance was 85.8%, empathy was 76.3%, while the dimension of tangibles was 70.9%. In conclusion, patients were satisfied on an average, regarding the professional services provided by the staff of certified pharmacies in the region.

scholarly journals FAKTOR-FAKTOR PENYEBAB TERJADINYA PENYAKIT OSTEOPOROSIS PADA LANSIA DI UPT PELAYANAN SOSIAL LANJUT USIA DI WILAYAH BINJAI TAHUN 2017

2017 ◽  
Vol 2 (1) ◽  
pp. 60
Author(s):  
Leny Suarni
Keyword(s):  
Data Collection ◽  
Social Services ◽  
The Elderly ◽  
Calcium Deficiency ◽  
Cross Sectional ◽  
Service Unit ◽  
Lack Of Exercise ◽  
Cross Sectional Design

Osteoporosis is a disease that attacks the bone where the bone becomes brittle (flagella) and is easily broken and fractured. Many of the factors that cause Osteopororsis are one of them is calcium deficiency, especially in childhood to adolescence. By looking at the conditions above, the writer wants to do a research that aims to find out the Factors Causing Osteoporosis in the Elderly in the 2017 Binjai Elderly Service Unit. This research is descriptive with a cross sectional design carried out for the elderly with 25 people. This data collection is done by questionnaire. The results of this study indicate that the factors that cause osteoporosis are calcium deficiency factors as many as 18 people (72%), drug factors as many as 20 people (80%), smoking factors and consuming alcohol as many as 10 people (40%), factors lack of exercise as many as 19 people (76%), and disease factors as many as 15 people (60%). So, it can be concluded that the most dominant cause of osteoporosis in the elderly in the UPT for Elderly Social Services in the Binjai Region in 2017 is 80% Medicines. Therefore, it is expected that the elderly will consume less drugs that can cause Osteoporosis.Keywords: Osteoporosis, Causes of Osteoporosis, Elderly

scholarly journals The Relation Between The Perception Of Marketing Mix And The Decision To Have Outpatient Treatment In RSIJ Pondok Kopi In 2018

2020 ◽  
Vol 9 (1) ◽  
pp. 206-218
Author(s):  
Nindya Julianingsih ◽  
Mustakim Mustakim
Keyword(s):  
Outpatient Treatment ◽  
Sampling Technique ◽  
Marketing Mix ◽  
Professional Services ◽  
Significant Relation ◽  
Cross Sectional ◽  
Place Promotion ◽  
Cross Sectional Design ◽  
Do So

The purpose of this research is to know the relation between the perception of marketing mix and the dedision to have outpatient treatment in RSIJ Pondok Kopi in 2018. This research conducted from April to June 2018 is descriptive-analytic research using the cross sectional design. The research involved 120 outpatients as the research sample using the purposive sampling technique. The research found that as many as 65 respondents ((54.2%)) decided to have an outpatient treatment. It also found that some aspects of marketing mix, which included products, price, place, promotion, human resources and process, were had a significant relation to the decision; meanwhile, the aspect of physical evident was found not to do so. Therefore, it is important that the hospital maintain and improve the quality of its delivered services through providing excellent, professional services and add bench seats on which patients sit waiting for prescribed drugs

EVALUASI WAKTU TUNGGU PELAYANAN RESEP PASIEN RAWAT JALAN DI RUMAH SAKIT ANWAR MEDIKA

2020 ◽  
Vol 2 (1) ◽  
pp. 80
Author(s):  
Erviani Dinda Mahmudah Sari ◽  
Khurin In Wahyuni ◽  
Puspita Raras Anindita
Keyword(s):  
Waiting Time ◽  
Waiting Times ◽  
Primary Data ◽  
Cross Sectional ◽  
Grace Period ◽  
Average Waiting Time ◽  
Outpatient Prescription ◽  
Time Required ◽  
Service Standards ◽  
Prescription Services

<em>The waiting time for finished drug service is the grace period from the time the patient submits the prescription until receiving the finished drug with a minimum standard set by the Ministry of Health is ≤ 30 minutes, while the waiting time for concoction drug service is the grace period from the time the patient submits the prescription until receiving the concoction drug that is ≤ 60 minutes. This study aims to determine the average waiting time for outpatient prescription services at Anwar Medika Hospital. This research was conducted with a cross sectional descriptive method. Primary data was collected through direct observation and recording of prescription service waiting times in the waiting time recording form on February 10, 2020 to February 11, 2020. Data taken were 384 outpatient prescriptions consisting of 346 non-concoctions and 38 prescription concoctions. In this study, 384 recipes were used as the research sample consisting of 346 for non-concoction recipes and 38 for recipe concoctions. The average time needed to complete a non-concoction recipe is 18.7 minutes and the time required to complete a recipe concoction is 30.9 minutes. Based on the results of research that has been done, it is found that the average waiting time for prescription services at Anwar Medika Hospital has fulfilled the requirements according to the minimum service standards at the hospital.</em>

scholarly journals KESIAPAN UNIT REKAM MEDIS KLINIKDALAM MENGHADAPI AKREDITASI

2018 ◽  
Vol 6 (2) ◽  
pp. 197
Author(s):  
KARINA AMALIA SHOLIHAH
Keyword(s):  
Medical Record ◽  
Descriptive Study ◽  
Support Service ◽  
Quality And Safety ◽  
Clinical Services ◽  
Design Data ◽  
Cross Sectional ◽  
Service Unit ◽  
Cross Sectional Design ◽  
Observational Descriptive Study

Background: First Level Clinic is a health facility that provides first-layer clinical services to the community. Efforts that can be made to improve the quality and safety of clinical services at the Pratama clinic are through accreditation. The medical record unit is part of the Pratama clinic support service unit included in the Pratama clinical accreditation assessment section. The readiness of medical record units needs to be assessed to see what documents and implementations do not yet exist and are done. Identification of readiness of Clinic X medicalrecord unit accreditation was carried out two years earlier in 2015.Aims: The purpose of this study was to determine the continuity of readiness of medical record unit accreditationin 2018.Method: This study was an observational descriptive study using a cross-sectional design. Data collection was carried out through observation and interviews with medical record officers., Analysis was done by comparing the prediction of Clinic X medical record unit accreditation readiness scores between 2015 and 2018.Results: The result showed that the prediction score increased from 41.7% in 2015 to 65.8% in 2018. The comparison of readiness for accreditation can be used as an evaluation to complement the needs of documents that do not yet exist and procedures that have not been implemented.Conclusion: The clinic has not been accredited because most of the elements being evaluated were the incomplete supporting documents. The clinic can make a framework, determine the method, and analyze the instruments based on the suitable method.Keywords: accreditation, medical record, primary clinic

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