scholarly journals UPAYA PENERAPAN METODE LEAN THINKING PADA PROSES PELAYANAN FARMASI RAWAT JALAN

2022 ◽  
Vol 18 (1) ◽  
pp. 101-131
Author(s):  
Komang Adhi Restudana ◽  
Gede Sri Darma

  Pharmacy services in a hospital are an inaccessible part of the hospital services as a whole. The accumulation of prescriptions in the pharmacy will cause the prescription process to be long and long, which has an impact on customer waiting times, which of course will have a major impact on customer satisfaction. From the standard time set as Quality Indicators at Bali Jimbaran Hospital, namely: drug processing at the outpatient pharmacy of Bali Jimbaran Hospital is 60 minutes of concocted drugs, 30 minutes of non-concocted drugs. The purpose of this research is to identify activities starting from the input, process and results generated through the Lean approach. The method used is an observational action process research, using lean methods to photograph the outpatient pharmacy service process flow through document review, direct interviews, interviews. The result of the research is an improvement in waiting time, it can be seen that the NVA activities can be eliminated by 66% and VA activities show an increase of 44%. With the many activities that are VA and the elimination of NVA activities, it will accelerate the process of outpatient pharmacy services at the Bali Jimbaran Hospital and improve customer satisfaction, which can be seen from the decrease in customer complaints against outpatient pharmacy services by up to 50%, which was previously 80%. Keywords: Lean, Pharmacist, Waiting time, Value Added, Non-Value Added

1973 ◽  
Vol 5 (01) ◽  
pp. 153-169 ◽  
Author(s):  
J. H. A. De Smit

Pollaczek's theory for the many server queue is generalized and extended. Pollaczek (1961) found the distribution of the actual waiting times in the model G/G/s as a solution of a set of integral equations. We give a somewhat more general set of integral equations from which the joint distribution of the actual waiting time and some other random variables may be found. With this joint distribution we can obtain distributions of a number of characteristic quantities, such as the virtual waiting time, the queue length, the number of busy servers, the busy period and the busy cycle. For a wide class of many server queues the formal expressions may lead to explicit results.


1973 ◽  
Vol 5 (1) ◽  
pp. 153-169 ◽  
Author(s):  
J. H. A. De Smit

Pollaczek's theory for the many server queue is generalized and extended. Pollaczek (1961) found the distribution of the actual waiting times in the model G/G/s as a solution of a set of integral equations. We give a somewhat more general set of integral equations from which the joint distribution of the actual waiting time and some other random variables may be found. With this joint distribution we can obtain distributions of a number of characteristic quantities, such as the virtual waiting time, the queue length, the number of busy servers, the busy period and the busy cycle. For a wide class of many server queues the formal expressions may lead to explicit results.


2017 ◽  
Vol 2 (2) ◽  
pp. 125
Author(s):  
Yuni Wulandari ◽  
Denny Hernawan ◽  
Irma Purnamasari

Regional Water Company (PDAM) is a company that is managed by the Local Government to operate as a body of community service that is selling services and trust in society. PDAM has to must still understand the behavior and wishes of the customers in the utilization of services of drinking water and the discretion of the company in the form term of service standards set, so as to provide a good service that causes customers to be satisfied.                One of the PDAM in Indonesia is PDAM Tirta Kahuripan located in Bogor. PDAM Tirta Kahuripan is often get complaints from their customers. Of the Many customers who complained about the poor service system so far is are leaky pipe impact on the high notes of erroneous meter, water quality is still dirty muddy, and sluggish handling of a complaint.                The aim of research is to find out a complaint management system in order to improve customer satisfaction at PDAM Tirta Kahuripan.               The theory used to analyze a system of customer complaints is the referring to the Minister of Administrative Reform and Bureaucratic Reform No. 3 Year of 2015 on the Road Map Development Complaints Public Service Nationwide with 3 sizes of complaint management : outcomes, targets, and programs. While, improving customer satisfaction using Fandi Tjiptono and Gregory Cahndra theory (2006: 130) with four dimensions to measure customer satisfaction : the system of complaints and suggestions, Customer satisfaction Survey, Ghost Shopping (Shadow Customer), and Customer Switching Analysis.               Research methods used in this research is descriptive quantitative method using questionnaires / questionnaire and interviews as the main instrument to collect data.                The results showed that the management of customer complaints in accordance with  to existing procedures with the acquisition of a score of is 3.32 according to the with category of interpretation of the category is as quite good enough (moderate).  Meanwhile, the results of data analysis by increasing customer satisfaction PDAM Tirta Kahuripan obtained a score of is 2.83 in the category with category of interpretation as good enough (moderate).                  Nevertheless, But there is a needs to be have a system or application that can be accessed in to the customer complaints and the organizers therefore PDAM can respond and follow complaint subsequently. Keywords : Complaint Management System , Customer Satisfaction


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
T.M.B. Palawatta

Review of literature shows that there is no agreement about the definition of probably the most important, variable Satisfaction/Dissatisfaction. Satisfaction /Dissatisfaction equals Expectation minus Perception is the most widely used definition today. In this definition, there are a number of issues that have to be resolved. First, what exactly Satisfaction is? Is it disconfirmation? That is the gap between expectation and perception. Is it expectation? Or, is it perception? Further, there is no concrete definition about the expectation. Is it predicted service? Is it adequate service? In this study, the definition of satisfaction/dissatisfaction was tested using continuous variables expected waiting time, perceived waiting time, prior predicted waiting time, posterior predicted waiting time and the acceptable waiting time. Study found that disconfirmation between expected waiting time and the perceived waiting time is the best definition for satisfaction/dissatisfaction followed by expected waiting time and perceived waiting time. However, the influence of perceived waiting time is nearly negligible. Therefore, defining satisfaction/dissatisfaction as disconfirmation between expectation and perception is most appropriate. Furthermore, the study found that expectation is not prediction and is also not the acceptable (adequate) service.KeywordsExpectation, Perception, Satisfaction, Waiting Time


2018 ◽  
Vol 73 ◽  
pp. 07004
Author(s):  
Rizkya Indah ◽  
Syahputri Khalida ◽  
M Sari Rahmi ◽  
Siregar Ikhsan

Waste is not only found in the manufacturing industry but also in the service industry, especially in banking industry. This paper describes a comprehensive lean approach applied to the banking industry. Lean in banking industry is used to find waste along the flow of value. This paper focuses on finding waste in consumer loan disbursement process by classifying consumer credit loan activity into value added activity, necessary but non value added activity, and waste. Process Activity Mapping is used to describe all activities in consumer credit disbursement waste identification. The identification shows that total time of consumer credit disbursement activities is 7,461 minutes equal to 15,54 days. This means the average time required to complete the consumer credit process starts from the documents receipt to the disbursement of credit is 15,54 working days. Failure Mode and Effect Analysis (FMEA) is used to decide the level of factor causing waste. The results of FMEA shows the length of time required for consumer loan disbursement due to verification repetition process and waiting time of documents to processed.


2021 ◽  
Vol 04 (01) ◽  
Author(s):  
Owin Bambang Wijanarko ◽  

Background: Outpatient services are a reflection of hospital services.As a form of health service facility that organizes health efforts, hospitals often experience difficulties in managing information for both internal and external needs. One form of application is through service systems by utilizing information technology through the use of computer-based on information systems.The Lean Hospital concept, which has been successfully implemented in several hospitals, is expected to eliminate waste and add value added activity which will ultimately increase patient satisfaction. Purpose: The purpose of this study was to calculate patient waiting time with the application of information technology in the outpatient polyclinic of RSU Islam Klaten. Research methods: This type of research uses a descriptive analytic method. This research meth-od used a cross sectional approach. The sample in this study amounted to 81 respondents with the sampling technique using purposive sampling. The analysis in research using the t-test. The re-search instruments used included literature studies, interviews and direct observation of medical record officers, nurses of polyclinic nurses, registration departments, and patients at RSU Islam Klaten. Result: There is a significant relationship between waiting time and patient satisfaction p = 0.001. Patients with long waiting times were more dissatisfied (60.0%), while fast waiting times were more very satisfied (73.9%). Conclusion: The success of health services is seen from the patient's waiting time and patient satisfaction. Waiting time is the time used by patients to get health services from the registration point to getting in the doctor's examination room. Overall information technology shortens patient waiting time in parts of registration-polyclinic and Pharmacy.


2021 ◽  
Author(s):  
James Waterson ◽  
Hisham Momattin ◽  
Shokry Arafa ◽  
Shahad Momattin ◽  
Rayan Rahal

BACKGROUND We describe the introduction, use and evaluation of an automation and integration pharmacy development program in a private facility in Saudi Arabia. The project was undertaken to meet specific challenges of increasing throughput, reducing medication dispensing error, increasing patient satisfaction, and freeing up pharmacists’ time for increased face-to-face consultations with patients. OBJECTIVE To reduce outpatient waiting times for dispensing of medications, to help to free up time to meet patient expectations for pharmacy services including medication education, to reduce the volume of non-value-added pharmacist tasks, to reduce dispensing error rates, and to aid with the rapid development of a reputation in the served community for patient-centred care for a new facility. METHODS Pre-implementation data for patient wait-time for dispensing of prescribed medications as one measure of patient satisfaction, pharmacist activity and productivity in terms of patient interaction time were gathered. Reported and discovered dispensing errors per 1,000 prescriptions were also aggregated. All pre-implementation data was gathered over an eleven- month period. Initial project goals were set as a 50% reduction in the average patient wait-time, a 15% increase in patient satisfaction regarding pharmacy waiting time and pharmacy services, a 25% increase in pharmacist productivity and zero dispensing errors. This was expected to be achieved within ten months of go-live. RESULTS From go-live, data was gathered on the above metrics in one-month increments. At the 10-month point there had been a 53% reduction in the average waiting time, a 20% increase in patient satisfaction regarding pharmacy waiting time, with a 22% increase in overall patient satisfaction regarding pharmacy services, and a 33% increase in pharmacist productivity. There was a zero-rate dispensing error reported. CONCLUSIONS The robotic pharmacy solution studied was highly effective, but upstream supply chain is vital to throughput maintenance, particularly when automated filling is planned. The automation solution must also be seamlessly and completely integrated into the facility’s software systems for appointments, medication records and prescription in order to garner its full benefits. Patient overall satisfaction with pharmacy services is strongly influenced by waiting time and follow up studies ae required to identify how to use this positive effect and how to optimally use ‘freed-up’ pharmacist time. The extra time spent with patients by pharmacists, and the complete overview of the patient’s medication history, that full integration gives, creates opportunities for tackling challenging issues such as medication nonadherence. Reduced waiting times may also allow for smaller prescription fill volumes, and more frequent outpatient department visits, allowing increased contact time with pharmacists.


2019 ◽  
Vol 1 (2) ◽  
pp. 96
Author(s):  
Septiyan Budi Santoso ◽  
Heribertus Budi Santoso ◽  
Ana Komari

This study aims to determine how high the level of customer satisfaction with the service of PLN Rayon Kediri Kota, to determine the quality of service to customer satisfaction PLN Rayon Kediri Kota, to determine the response of the PLN Kediri Kota in dealing with customer complaints. This research was conducted in the work area of PLN Rayon Kediri Kota. The research time was on March 18, 2017 to March 24, 2017. In writing this thesis, the author uses primary data collection techniques, namely by distributing questionnaires to PLN Rayon Kediri Kota customers who come to the payment counter. and PLN District Kediri City services. Based on the results of the research, the quality of service conducted by PLN District Kediri Kota is sufficient to satisfy its customers, as evidenced by the results of a questionnaire that has been conducted on 100 respondents of PLN Rayon Kediri City.Penelitian ini bertujuan untuk mengetahui seberapa tinggi tingkat kepuasan pelanggan terhadap pelayanan PLN Rayon Kediri Kota, Untuk mengetahui kualitas pelayanan terhadap kepuasan pelanggan PLN Rayon Kediri Kota, Untuk mengetahui respons pihak PLN Kediri Kota dalam menghadapi keluhan pelanggannya. Penelitian ini dilakukan di wilayah kerja PLN Rayon Kediri Kota. Waktu penelitian pada tanggal 18 Maret 2017 sampai dengan 24 Maret 2017. Dalam penulisan skripsi ini, penulis menggunakan teknik pengumpulan data primer yaitu dengan membagikan kuesioner terhadap pelanggan PLN Rayon Kediri Kota yang datang ke loket pembayaran dan pelayanan PLN Rayon Kediri Kota. Berdasarkan hasil penelitian kualitas pelayanan yang dilakukan oleh PLN Rayon Kediri Kota sudah cukup memuaskan pelanggannya terbukti dengan hasil kuesioner yang telah dilakukan terhadap 100 responden PLN Rayon Kediri Kota.


Author(s):  
A. K. Warps ◽  
◽  
M. P. M. de Neree tot Babberich ◽  
E. Dekker ◽  
M. W. J. M. Wouters ◽  
...  

Abstract Purpose Interhospital referral is a consequence of centralization of complex oncological care but might negatively impact waiting time, a quality indicator in the Netherlands. This study aims to evaluate characteristics and waiting times of patients with primary colorectal cancer who are referred between hospitals. Methods Data were extracted from the Dutch ColoRectal Audit (2015-2019). Waiting time between first tumor-positive biopsy until first treatment was compared between subgroups stratified for referral status, disease stage, and type of hospital. Results In total, 46,561 patients were included. Patients treated for colon or rectal cancer in secondary care hospitals were referred in 12.2% and 14.7%, respectively. In tertiary care hospitals, corresponding referral rates were 43.8% and 66.4%. Referred patients in tertiary care hospitals were younger, but had a more advanced disease stage, and underwent more often multivisceral resection and simultaneous metastasectomy than non-referred patients in secondary care hospitals (p<0.001). Referred patients were more often treated within national quality standards for waiting time compared to non-referred patients (p<0.001). For referred patients, longer waiting times prior to MDT were observed compared to non-referred patients within each hospital type, although most time was spent post-MDT. Conclusion A large proportion of colorectal cancer patients that are treated in tertiary care hospitals are referred from another hospital but mostly treated within standards for waiting time. These patients are younger but often have a more advanced disease. This suggests that these patients are willing to travel more but also reflects successful centralization of complex oncological patients in the Netherlands.


Sensors ◽  
2021 ◽  
Vol 21 (8) ◽  
pp. 2845
Author(s):  
Fahd Alhaidari ◽  
Abdullah Almuhaideb ◽  
Shikah Alsunaidi ◽  
Nehad Ibrahim ◽  
Nida Aslam ◽  
...  

With population growth and aging, the emergence of new diseases and immunodeficiency, the demand for emergency departments (EDs) increases, making overcrowding in these departments a global problem. Due to the disease severity and transmission rate of COVID-19, it is necessary to provide an accurate and automated triage system to classify and isolate the suspected cases. Different triage methods for COVID-19 patients have been proposed as disease symptoms vary by country. Still, several problems with triage systems remain unresolved, most notably overcrowding in EDs, lengthy waiting times and difficulty adjusting static triage systems when the nature and symptoms of a disease changes. In this paper, we conduct a comprehensive review of general ED triage systems as well as COVID-19 triage systems. We identified important parameters that we recommend considering when designing an e-Triage (electronic triage) system for EDs, namely waiting time, simplicity, reliability, validity, scalability, and adaptability. Moreover, the study proposes a scoring-based e-Triage system for COVID-19 along with several recommended solutions to enhance the overall outcome of e-Triage systems during the outbreak. The recommended solutions aim to reduce overcrowding and overheads in EDs by remotely assessing patients’ conditions and identifying their severity levels.


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