scholarly journals EVALUASI PENYIMPANAN DAN PENDISTRIBUSIAN OBAT DI INSTALASI FARMASI RSUD NOONGAN, KABUPATEN MINAHASA PROVINSI SULAWESI UTARA

PHARMACON ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 79
Author(s):  
Tiarma Monibala ◽  
Gayatri Citraningtyas ◽  
Paulina V. Y. Yamlean
Keyword(s):  
Health Services ◽  
Negative Impact ◽  
District Hospital ◽  
Storage System ◽  
Drug Distribution ◽  
Drug Management ◽  
Drug Storage ◽  
Medical Materials ◽  
Storage Distribution ◽  
Descriptive Method

ABSTRACTDrug management is one aspect of hospital management that is very important in providing overall health services because the inefficiency and ineffectiveness of drug management will have a negative impact on hospitals both medically, socially and economically. This study aims to evaluate the storage and distribution of drugs in accordance with the Regulation of the Minister of Health No. 72 of 2016 in Pharmacy Installation of Noongan District Hospital using a descriptive method with a retrospective and prospective approach. The results showed that the drug storage system in the Pharmacy Installation of Noongan General Hospital as a whole was not in accordance with the Regulation of the Minister of Health No. 72 of 2016 such as, warehouses that are not too large to store all drug supplies, the absence of regulators of humidity, the absence of pedestal boards and drugs placed directly on the floor, while the process of drug distribution is in accordance with Minister of Health Regulation No. 72 of 2016 using the Centralization and Individual methods for medicines and the Floor Stock method for Medical Materials. Keywords: Storage, Distribution, Medicine, Pharmacy Installlation Noongan District Hospital  ABSTRAK Pengelolaan obat merupakan salah satu segi manajemen rumah sakit yang sangat penting dalam penyediaan pelayanan kesehatan secara keseluruhan karena ketidakefisienan dan ketidaklancaran pengelolaan obat akan memberi dampak negatif terhadap rumah sakit baik secara medik, sosial, maupun secara ekonomi. Penelitian ini bertujuan untuk mengevaluasi penyimpanan dan pendistribusian obat sesuai  dengan Peraturan Menteri Kesehatan No. 72 Tahun 2016 di Instalasi Farmasi RSUD Noongan menggunakan metode deskriptif dengan pendekatan retrospektif dan prospektif. Hasil penelitian menunjukkan bahwa sistem penyimpanan obat di Instalasi Farmasi RSUD Noongan secara keseluruhan belum sesuai dengan Peraturan Menteri Kesehatan No. 72 Tahun 2016 seperti, gudang yang tidak terlalu luas untuk menyimpan semua persediaan obat, tidak adanya pengatur kelembaban, tidak adanya papan alas dan obat diletakkan langsung dilantai, sedangkan pada proses pendistribusian obat telah sesuai dengan Peraturan Menteri Kesehatan No. 72 Tahun 2016 dengan menggunakan metode Sentralisasi dan Perorangan untuk obat-obatan dan metode Floor Stock untuk Bahan Medis Habis Pakai. Kata Kunci : Penyimpanan, Pendistribusian, Obat, Instalasi Farmasi RSUD Noongan

scholarly journals EVALUASI LPLPO (LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT)

2020 ◽  
Vol 6 (2) ◽  
pp. 677-681
Author(s):  
Wawang Anwarudin
Keyword(s):  
Health Center ◽  
Drug Distribution ◽  
Health Centers ◽  
Drug Management ◽  
Unit Recording ◽  
Record Keeping ◽  
Drug Storage ◽  
Data Source ◽  
And Control ◽  
Effective Drugs

Standar pelayanan kefarmasian di Puskesmas yang bersifat Managerial dimulai dari perencanaan kebutuhan obat, permintaan obat, penerimaan obat, penyimpanan obat, pendistribusian obat serta pencatatan dan pelaporan yang tujuannya untuk menjamin kelangsungan ketersediaan dan keterjangkauan obat yang efektif, efisian dan rasional. Dalam pencatatan dan pelaporan termasuk pembuatan LPLPO merupakan rangkaian kegiatan dalam rangka penatalaksanaan obat baik yang diterima, disimpan dan didistribusikan dan digunakan di Puskesmas atau diunit pelayanan kesehatan lainnya.Tujuan pencatatan pelaporan LPLPO adalah sebagai bukti tertulis bahwa pengelolaan obat telah dilaksanakan sebagai sumber data untuk melakukan pengaturan dan pengendalian serta memberikan penilaian terhadap capaian kinerja pengelolaan obat di Puskesmas.Kata Kunci :  Evaluasi, LPLPO ABSTRACTStandard pharmaceutical services in health centers managerial activities are starting from the planning needs of the drug, drug demand, acceptance of drug, drug storage, drug distribution and record keeping and reporting that aim to ensure continuity of availability and affordability of effective drugs, fuel-efficient and rational. In recording and reporting including LPLPO manufacturea series of activities in the framework of the management of both drug sare received, stored and distributed and used in the health center or other health cared unit. Recording purposes LPLPO reporting is as written evidence that drug management has been implemented as a data source to perform the regulation and control as well as providing an assessment of achievement of management performance drugs in health centers.Keywords : Evaluation, LPLPO

scholarly journals Evaluation of Drug Management For Tuberculosis (TB) Program At Pharmaceutical Installation Public Health Department of North Sumatra Province

2019 ◽  
Vol 7 (6) ◽  
pp. 25-29
Author(s):  
April Sabri ◽  
Wiryanto M S ◽  
Khairunnisa M
Keyword(s):  
Public Health ◽  
Negative Impact ◽  
Drug Distribution ◽  
Health Department ◽  
Public Health Department ◽  
Drug Management ◽  
The Public ◽  
The North ◽  
Turn Over ◽  
North Sumatra

Objective: Drug management consists of planning, storing and distribution. It is one of the important duty of Public Health Department of North Sumatra Province. Poor drug management will give a negative impact on service quality. This research aimed to evaluate the management of drug programs for tuberculosis (TB) in 2017, 2018 and 2019 in the Public Health Department of North Sumatra Province. The research was conducted in July - September 2019. Method: This research was descriptive with quantitative data obtained retrospectively and concurrently. Qualitative data were obtained through observations and interviews with informants. The data obtained were analyzed using indicators and compared with the results of the research. Result: The result of the research showed that planning, storing and distributing drug for the TB program in the Public Health Department of North Sumatra Province had not fully met the indicator standards. This was indicated by the 6 indicators which had not met the standard, that were the accuracy of planning; planning deviations; level of drug supply; percentage of expired drug; Inventory Turn Over Ratio (ITOR); the average time of drug vacancies and the percentage of dead drug stock and 3 indicators had met the standards, which were the percentage of expired drugs, the structuring system of drugs and the matching of the number of real goods with stock. Conclusion: the conclusion of this research is drug planning of Public Health Department of North Sumatra Province uses consumption method of previous period. Storage of drugs uses the FIFO/FEFO system. Drug distribution in the North Sumatra Provincial Health Office is based on requests from the District/City.    

scholarly journals THE USE OF OUTGUIDE IN UNIT MEDICAL RECORD OUTPATIENT ARJAWINANGUN DISTRICTHOSPITALS CIREBON

2020 ◽  
Vol 7 (2) ◽  
pp. 43-45
Author(s):  
Chynditian ◽  
Riantina Luxiarti ◽  
Bayu Ajie Pradiptya
Keyword(s):  
Medical Record ◽  
District Hospital ◽  
Storage System ◽  
Storage And Retrieval ◽  
File Storage ◽  
Speed Up ◽  
The Subject ◽  
Quality Of Health Services ◽  
Descriptive Method

Provision of medical records files quickly and precisely will greatly help the quality of health services provided to patients. If the medical record file storage system that is used is not good, problems will occur that can interfere with the availability of medical record files. Therefore the existence of an outguide in the medical record file storage can help speed up the provision of medical record files and minimize errors in the storage of medical record files. The purpose of this study was to determine the use of outguides in the outpatient medical record unit at Arjawinangun District Hospital Cirebon. This type of research is a descriptive method The subject of this study was the outpatient medical record file storage officer at Arjawinangun District Hospital Cirebon with a total of 4 special officers in the storage and retrieval of medical record files. The instrument used in this study used checklist sheets. The results showed that 100% the use of outguide was not used in the process of searching medical record files because outguide availability was very limited. So when outguide not used properly, it can be errors in the storage of patient's medical record files.For this reason, the medical record unit must use the outguide properly in order to minimize the occurrence of misplacement of the patient's medical record file and speed up the time for the provision of the medical record file.

scholarly journals Manajemen Logistik Obat di Instalasi Farmasi RSUD Waibakul Kabupaten Sumba Tengah

2020 ◽  
Vol 2 (3) ◽  
pp. 25-39
Author(s):  
Gracewati Rambu Ladu Day ◽  
Muntasir Muntasir ◽  
Rina Waty Sirait
Keyword(s):  
Human Resources ◽  
Qualitative Data ◽  
Arrival Time ◽  
Drug Distribution ◽  
Logistics Management ◽  
Drug Storage ◽  
Internet Networks ◽  
Storage Distribution ◽  
And Control ◽  
Service Standards

Drug logistics management in the hospital consists of the stages of selection, planning, procurement, acceptance, storage, distribution, destruction, and control, and administration, which must be well-coordinated to function. This study was to determine the description of drug logistics management in the Pharmacy Installation of Waibakul Hospital, Central Sumba Regency. The method used in this research was qualitative. Data were collected by interviews. The results of the study explained that the management of drug logistics at the Waibakul Hospital Pharmacy Installation was already running according to Pharmaceutical Service Standards in Hospitals in Permenkes No.72 of 2016, but it was ineffective as obstacles were identified in each management stage. Constraints in planning were insufficient budget, frequent changes of doctors, and the ineffective use of consumption methods. In procurement, the budget was still lacking, procurement team was not from the hospital and the issue of internet networks in Waibakul Regional Hospital. In admissions, lack of human resources, and drug arrival time over the office hours, lack of infrastructure supporting drug storage such as cabinets, refrigerators, AC, pallets, trolleys, and printers, and medicine warehouse. The study also found the lack of human resources in pharmaceutical warehouses and drug distribution. In the extermination stage, no room was available for storing expired drugs and damaged drugs, and the time for drug culling was longer leading to an accumulation of medical waste.

scholarly journals Cautious Optimism: Fraser v Canada (Attorney General)

2021 ◽  
Vol 30 (2) ◽  
pp. 1-14
Author(s):  
Jonnette Watson Hamilton
Keyword(s):  
British Columbia ◽  
Health Services ◽  
Adverse Effects ◽  
Negative Impact ◽  
Attorney General ◽  
The Other ◽  
Adverse Impact ◽  
Canadian Charter ◽  
The Third ◽  
Direct Discrimination

Adverse effects discrimination arises when a law that appears to be neutral on its face has a disproportionate and negative impact on members of a group identified by a protected ground.1 The discrimination is usually not as easy to see as it is in cases of direct discrimination, where distinctions are drawn by a law, program, or policy. This may be why Fraser v Canada (Attorney General)2 is only the third adverse effects claim under section 15(1) of the Canadian Charter of Rights and Freedoms3 to succeed since section 15 came into force in 1985.4 Fraser is notable simply because it is the first successful adverse effects claim in twenty-two years.5 1 Jonnette Watson Hamilton & Jennifer Koshan. “Adverse Impact: The Supreme Court’s Approach to Adverse Effects Discrimination under Section 15 of the Charter” (2015) 19:2 Rev Const Stud Studies 191 at 196 [“Adverse Impact”]. 2 2020 SCC 28 [Fraser]. 3 Part I of the Constitution Act, 1982, being Schedule B to the Canada Act 1982 (UK), 1982, c 11 [Charter]. 4 The other two cases in which adverse effects claims were successful were Eldridge v British Columbia, [1997] 3 SCR 624, 151 DLR (4th) 577 [Eldridge cited to SCR] and Vriend v Alberta, [1998] 1 SCR 493, 156 DLR (4th) 385 [Vriend cited to SCR]. 5 At least five adverse effects claims made under section 15 of the Charter failed in the intervening twentytwo years: Health Services and Support — Facilities Subsector Bargaining Assn v British Columbia, 2007 SCC

scholarly journals Entomological Status Based on Vector Density Index and Transovarial Infection on Aedes Sp. Mosquito in Meteseh Village, Semarang City

2020 ◽  
Vol 202 ◽  
pp. 12016
Author(s):  
Martini Martini ◽  
Zufri Armen ◽  
Kusariana Nissa ◽  
Hestiningsih Retno ◽  
Yuliawati Sri ◽  
...  
Keyword(s):  
Health Services ◽  
Dengue Virus ◽  
Aedes Albopictus ◽  
Research Method ◽  
Hemorrhagic Fever ◽  
Adult Mosquito ◽  
Elisa Method ◽  
Density Index ◽  
Egg Density ◽  
Descriptive Method

Dengue Hemorrhagic Fever (DHF) is a disease caused by Dengue virus. In 2016, the number of DHF patients in areas of Health services of Rowosari was 247 cases, IR 289.6/100.000 populations and the highest number of the patients was from Meteseh Village. The most usual mechanism happened in the vertical transmission, transovarial infection, from adult mosquito to the egg. The study was conducted to describe of entomological status of House Index (HI), Container Index (CI), Breteau Index (BI), House index (HI), Ovitrap Index (OI) of larvae as well as transovarial infection in Aedes sp. The research method was descriptive method by conducting test to the entomology status of DHF incidence. Based on the survey in Meteseh sub-village (XVI), a result found that average House Index 8.99%, Container Index 2.88%, Breteau Index 16.40%, HI 8,99 Ovitrap Index 35.46% with the egg density at 1.023 eggs. The identified mosquitoes were 30, and from the identification result of Aedes sp., two Aedes species were found, 28 Aedes aegypti,and only 2 Aedes albopictus. The transovarial infection in Aedes sp. using ELISA method was found 6 mosquito samples which were positive of dengue virus, with the detail in neighborhood 01 (1 sample), neighborhood 02 (2 samples), neighborhood 03 (3 samples). DHF in Meteseh Sub village in Semarang City was probably happened because correlated with transovarial infection.

scholarly journals The impact of a night confinement policy on patients in a UK high secure inpatient mental health service

2015 ◽  
Vol 17 (1) ◽  
pp. 21-30 ◽  
Author(s):  
Simon Chu ◽  
Kimberley McNeill ◽  
Karen M. Wright ◽  
Anthony Hague ◽  
Tracy Wilkins
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Negative Impact ◽  
Sleep Hygiene ◽  
Content Type ◽  
Inpatient Mental Health ◽  
The Impact

Purpose – From 2012, all high-secure forensic mental health services in England began operating a policy of confining patients to their locked bedrooms overnight to increase service efficiency and reduce costs. The purpose of this paper is to assess the views of staff and patients concerning the policy and examine the specific impact of the policy on patients. Design/methodology/approach – Measures of patients’ sleep hygiene, patients’ behaviour, ward atmosphere, engagement with therapy and adverse incidents were taken both before and after the night confinement (NC) policy was implemented. Both patients and staff also expressed their views of the impact of the NC policy. Findings – Results provide converging evidence that the impact of the NC policy on patients is negligible. There were no consistent negative effects of confining patients overnight. Rather, patients and staff were broadly positive about the impact that the practice had on patients. Practical implications – Confining patients to locked bedrooms overnight does not exert any consistent influence, positive or negative, on patients’ sleep hygiene, behaviour or engagement with therapy, and patients expressed a broadly positive view of the practice of NC. Thus, a NC policy may have a contribution to make to the provision an effective high-secure mental health service. Originality/value – The study provides convincing evidence that secure inpatient mental health services that are considering the adoption of a NC policy may do so without fear of a negative impact on patients.

Wellbeing and experiences of Chinese and Vietnamese carers of people with mental illness in Australia

2020 ◽  
pp. 136346152095262
Author(s):  
Abner Weng Cheong Poon ◽  
Maria Cassaniti ◽  
Michele Sapucci ◽  
Rosaleen Ow
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Support Groups ◽  
Negative Impact ◽  
Cultural Safety ◽  
Structured Interviews ◽  
People With Mental Illness ◽  
Qualitative Thematic Analysis

Many studies show that carers of people with mental illness experience a negative impact on their wellbeing. Given the growing number of people relocating to Australia every year, there are limited studies examining the experience of carers of people with mental illness from culturally and linguistically diverse communities in Australia. Using cultural safety as a conceptual framework, this exploratory study recruited 14 carers of Chinese and Vietnamese heritage who were attending culturally and linguistically oriented support groups in Sydney, Australia. Standardised, validated scales were administered to measure carers’ wellbeing and knowledge of recovery. Structured interviews were conducted to understand carers’ perceived needs. Descriptive statistical and qualitative thematic analysis were used. Findings show that carers experienced social isolation and psychological distress, had multiple diverse needs and had a reasonably good understanding of recovery. Six themes were identified: i) obtaining information in own language; ii) attaining emotional support from support groups; iii) needing respite services to cope with caregiving responsibilities; iv) involvement in planning of treatment and care; v) migration process influencing caregiving, and; vi) cultural and transcultural factors influencing caregiving experience. Findings indicate that some carers might be experiencing some level of culturally unsafe practices in mainstream mental health services. Implications for support groups and mental health services are discussed.

scholarly journals MANAJEMEN RISIKO DALAM PROSES ESTIMASI BIAYA PADA PROYEK KONSTRUKSI GEDUNG BERTINGKAT DI KOTA DENPASAR

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Ida Ayu Praniti Tresna Putri ◽  
I N. Norken ◽  
I B. Rai Adnyana
Keyword(s):  
Negative Impact ◽  
Construction Project ◽  
Mitigation Measures ◽  
Project Financing ◽  
Whole Process ◽  
Qualitative Descriptive ◽  
Inaccurate Estimation ◽  
The Government ◽  
The Cost ◽  
Descriptive Method

Abstract : On the implementation of the construction project, financing is the main consideration due to the number of large and vulnerable to various risks. Cost control is the beginning of the estimates. An inaccurate estimation could have a negative impact on the whole process of construction. Because of estimation is reference in preparing the budget and used as control of the cost of projects, then required to major risk analysis that can be used as a basis in the mitigation. This research was conducted with qualitative descriptive method by interviews and survey. Data was collected by distributing questionnaires to the respondents using purposive sampling method, which simply selecting respondents who were competent and expert about the possible risks. The number of respondents was 25 who represent 8 construction project belonging to the government which is located in Denpasar. The results showed that there were 40 risks identified, from literature identified 16 risks and from brainstorming identified 24 risks. Than from 40 risks there are 34 major risks which was 9 risks classified as unacceptable and 25 risks classified as undesirable. Most dominant risks were the risks of estimator team and project. There were 16 mitigation measures at an unacceptable risk and 41 mitigitation measures at an undesirable risk. Most dominant risks were the risks of contractors and owner.

scholarly journals Analysis and Review of The Implementation of Law Enforcement Operations Juridical Capture Corruption in The Criminal Justice System

2018 ◽  
Vol 1 (3) ◽  
pp. 843
Author(s):  
Hulman Siregar ◽  
Rakhmat Bowo Suharto
Keyword(s):  
Criminal Justice ◽  
Law Enforcement ◽  
Health Services ◽  
Criminal Justice System ◽  
Justice System ◽  
Public Services ◽  
Negative Impact ◽  
National Development ◽  
State Budget ◽  
State Institutions

Corruption has occurred in all sectors of activity in State Institutions has even been categorized as an extraordinary crime. This condition has a negative impact on the implementation of sustainable national development to improve the welfare of the community. Because the state budget funds both central and regional that can be used to build infrastructure facilities for public services such as health services, education, social assistance in the form of food and clothing. Become reduced due to corruption. The mindset and pattern of action in dealing with corruption crime requires a leap of change so that the implementation of law enforcement in combating corruption through hand-catching operations can run effectively in accordance with the laws and regulations.Keywords: Planned; Accurate; Accountable; Responsible.

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