Overcoming the Length of Waiting Time of Inpatient Drug Service in Pharmaceutical Installation in Hospital X

Authors

  • Sindy Sabatina Magister Manajemen Rumah Sakit, Fakultas Kedokteran, Universitas Brawijaya
  • Tita Hariyanti Master on Hospital Management, Faculty of Medicine, Universitas Brawijaya Malang
  • Dewi Lelonowati Master on Hospital Management, Faculty of Medicine, Universitas Brawijaya Malang
  • Sujiono Sujiono Hospital X

DOI:

https://doi.org/10.18196/jmmr.91116

Keywords:

Pharmacist, Service Flow, Standart Operational Procedure, Waiting Time

Abstract

Inpatient drug service in the pharmaceutical installation in Hospital X has not met the (MSS) Minimal Service Standard. There is delay in delivering the drug by 3%, while according to the standard, it should be 0%. Objective Case study was conducted by the researcher aiming to know the factors affecting the length of time of inpatient drug service in the pharmaceutical installation and its solution alternative. Method: The research was carried out qualitatively, in which the data was collected through unstructured interview, FGD (Focus Group Discussion) and observation. The participants involved in the research was 30 people. Result are The research data was analyzed using “5 why” by grouping the 5M factors obtained consisting of man, method, machine, material and management into 3 main factors as the causes of the long waiting time. The main factors causing the long waiting time were the absence of time target for each service flow established by the management, incomplete SOP (Standard Operational Procedure), the absence of service flow in accordance with the implementation in the field as well as ineffective and inefficient inpatient pharmaceutical installation layout. Furthermore, in order to obtain the solution, NGT (Nominal Group Technique) was employed to do the assessment obtaining 3 solutions including completing the SOP and designing the inpatient drug service flow in pharmaceutical installation, establishing the target time for each service flow by the management, and designing more effective and efficient layout for the pharmaceutical installation. 

References

Clifford Bleustein, MD, M., David B. Rothschild, B., Andrew Valen, M., Eduardas Valaitis, P., Laura Schweitzer, M., & and Raleigh Jones, M. (2014). Wait Times, Patient Satisfaction Scores, and the Perception of Care—See more at: Http://www.ajmc.com/journals/issue/2014/2014-vol20-n5/wait-times-patient-satisfaction-scores-and-the-perception-of-care/P-1#sthash.qOCJ0Emg.dpuf. American Journal of Managed Care, 20(May 2014 5), 393–400.

Coccia, M. (2017). The Fishbone diagram to identify, systematize and analyze the source of general puspose technologies (p. volume 4 issue 4). Journal of Social and Administrative Sciences.

Depkes. (2008). Keputusan Menteri Kesehatan No 129 tentang Standar Pelayanan Minimal Rumah Sakit.

Endang, S. (2018). Waktu Tunggu Pelayanan Resep Rawat Jalan di Instalasi Farmasi Rumah Sakit Universitas Sumatera Utara.

Fitriah, N., Wiyanto, S., Studi, P., Manajemen, M., Sakit, R., Kedokteran, F., & Brawijaya, U. (2016). Penyebab dan Solusi Lama Waktu Tunggu Pelayanan Obat di Instalasi Farmasi Rawat Jalan Rumah Sakit Causes and Solutions for Waiting Time Duration on Drug Services of Hospital Outpatient. 29(3), 245–251.

Fitrianda, M. I. (2013). Digital Digital Repository Repository Universitas Universitas Jember Jember Digital Digital Repository Repository Universitas Universitas Jember.

Hasanah, H. (2017). TEKNIK-TEKNIK OBSERVASI (Sebuah Alternatif Metode Pengumpulan Data Kualitatif Ilmu-ilmu Sosial). At-Taqaddum, 8(1), 21. https://doi.org/10.21580/at.v8i1.1163

Jacqueminet, A. (2017). CSR implementation in MNEs: The role of distance and prioritization of demands. Progress in International Business Research, 12, 363–378. https://doi.org/10.1108/S1745-886220170000012002

Kotler, P., & Armstrong, G. (2011). Marketing: An Introduction 10th Edition.

Kovacevic, M., Jovicic, M., Djapan, M., & Zivanovic-Macuzic, I. (2016). Lean thinking in healthcare: Review of implementation results. International Journal for Quality Research, 10(1), 219–230. https://doi.org/10.18421/IJQR10.01-12

Laeliyah, N., & Subekti, H. (2018). Waktu Tunggu Pelayanan Rawat Jalan dengan Kepuasan Pasien Terhadap Pelayanan di Rawat Jalan RSUD Kabupaten Indramayu. Jurnal Kesehatan Vokasional, 1(2), 102. https://doi.org/10.22146/jkesvo.27576

Lapkin. (2018). Laporan Kinerja RSUD Dr. Soedomo Trenggalek.

Lelonowati, D., Koeswo, M., & Rochmad, K. (2015). Faktor Penyebab Kurangnya Kinerja Surveilans Infeksi Nosokomial di RSUD Dr. Iskak Tulungagung. Jurnal Kedokteran Brawijaya, 28(2), 186–194. https://doi.org/10.21776/ub.jkb.2015.028.02.13

McMillan, S. S., Kelly, F., Sav, A., Kendall, E., King, M. A., Whitty, J. A., & Wheeler, A. J. (2014). Using the Nominal Group Technique: How to analyse across multiple groups. Health Services and Outcomes Research Methodology, 14(3), 92–108. https://doi.org/10.1007/s10742-014-0121-1

Megawati. (2015). Hubungan Mutu Pelayanan Farmasi dengan Kepuasan Pasien Rawat Jalan di Rumah Sakit Baptis Batu. Pascasarjana Fakultas Kedokteran Universitas Brawijaya.

Mohseni, M., Sokhanvar, M., Khosravizadeh, O., & Mousavi Isfahani, H. (2014). Outpatient waiting time in health services and teaching hospitals: A case study in Iran. Global Journal of Health Science, 6(1), 172–180. https://doi.org/10.5539/gjhs.v6n1p172

Permana, A. A. (2018). Evaluasi Waku Tunggu Dan Kepuasan Pada Pasien Rawat Jalan di RSUD Dr. Loekmono Hadi Kudus Periode Februari-April 2018. Fakultas Farmasi, April, 1–12.

Permenkes RI. (2016). Peraturan Menteri Kesehatan Republik Indonesia No. 72 Tahun 2016 tentang Standar Pelayanan Kefarmasian di Rumah Sakit.

Razak, I., & Finnora, E. (2017). Pengaruh Kualitas Layanan Dan Citra Perusahaan Terhadap Kepuasan Nasabah. Jurnal Manajemen Bisnis Krisnadwipayana, 5(2), 201–216. https://doi.org/10.35137/jmbk.v5i2.113

Sailendra, A. (2015). Langkah-Langkah Praktis Membuat SOP. Cetakan Pertama. Trans Idea Publishing.

Septini, R. (2012). Analisis Waktu Tunggu Pelayanan Resep Pasien Askes Rawat Jalan di Yanmasum Farmasi RSPAD Gatot Soebroto Tahun 2011. Jurnal Universitas Indonesia.

Syukraa. (2012). Analisis Kebutuhan Tenaga Berdasarkan Beban Kerja dengan Teknik Work Sampling Menggunakan Metode WISN di Unit Farasi Rawat Jalan Krakatau Medika Hospital Cilegon 2012. Pascasarjana Fakultas Kesehatan Masyarakat Universitas Indonesia, Depok. https://doi.org/10.1002/tox.22101

Vinodhini, A., Seethalakshmi, R., & Sowdamini, T. (2018). Analyzing the role of lean management in health care: A systematic literature review. International Journal of Mechanical Engineering and Technology, 9(7), 303–312.

Wijaya, H. (2019). Analisis Pelaksanaan Standar Pelayanan Minimal (SPM) Rumah Sakit Bidang Farmasi di Instalasi Farmasi Rumah Sakit Anna Medika tahun 2018. Jurnal Manajemen Dan Administrasi Rumah Sakit Indonesia, 3(1), 1–19.

Downloads

Published

2024-03-06

Issue

Section

Articles