* Corresponding Author
PENDEKATAN LEAN HOSPITAL UNTUK PERBAIKAN BERKELANJUTAN PROSES PELAYANAN INSTALASI FARMASI RUMAH SAKIT
https://doi.org/10.22146/jmpf.272 Nancy Nancy(1*), Marchaban Marchaban(2), Pramuji Eko Wardani(3)
(1)
(2)
(3)
(*) Corresponding Author
Abstract
Pendekatan lean hospital dapat digunakan sebagai acuan pembenahan proses pelayanan instalasi farmasi rumah sakit. Penelitian bertujuan menggunakan pendekatan lean hospital sebagai acuan pembenahan proses pelayanan yang difokuskan kepada satelit farmasi rawat jalan dan satelit farmasi rawat inap RS Swasta X Yogyakarta. Penelitian ini menggunakan rancangan penelitian non-eksperimental dengan pendekatan kualitatif. Data value diperoleh dengan alat ukur kuesioner, observasi langsung, wawancara mendalam, wawancara tidak terstruktur dan telaah dokumen terkait. Upaya yang ditempuh peneliti untuk menjaga validitas data adalah triangulasi data. Data yang diperoleh dianalisis dengan analisis deskriptif. Hasil analisis data menunjukkan bahwa perbandingan waste to value added di satelit farmasi rawat jalan adalah 55% : 45%, sementara di satelit farmasi rawat inap adalah 69% : 31%. Waste kritis di satelit farmasi rawat jalan adalah waste motion (19,26%) dan waste kritis di satelit farmasi rawat inap adalah waste waiting (15,23%). Usulan perbaikan dengan pendekatan lean hospital bagi manajemen satelit farmasi rawat jalan adalah menambah satu unit komputer dan printer, membuat penunjuk alur pengambilan obat, menerapkan automated queueing system, dan menambah visual management di area antar counter, sementara bagi manajemen satelit farmasi rawat inap adalah menempatkan apoteker atau TTK (tenaga teknis kefarmasian) terlatih di ruangan atau bangsal, menambah satu tenaga apoteker, serta mengembangkan robotic delivery system.
Kata kunci: lean hospital, root cause analysis, analisis risiko
Full Text:
PDFReferences
Anityasari, M., Wessiani, N.A., 2011. Analisa Kelayakan Usaha Dilengkapi dengan Kajian Manajemen Risiko. Guna Widya, Surabaya.
Burgess, N., Radnor, Z., 2013. Evaluating Lean in Healthcare. International Journal of Healthcare Quality Assurance 26(3), 220-235.
Bush, R.W., 2007. Reducing Waste in US Healthcare System. The Journal of The American Medical Association 297,871-874.
Fillingham, D., 2007. Can Lean Save Lives?. Leadership in Health Services 20(4), 231-241.
Gaspersz, V., 2007. Lean Six Sigma for Manufacturing and Services Industries: Strategi Dramatik Reduksi Cacat/Kesalahan, Biaya, Inventori, dan Lead Time dalam Waktu Kurang dari 6 Bulan. PT. Gramedia Pustaka Utama, Jakarta.
Graban, M., 2009. Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction. CRC Press, New York.
Helmold, M., 2011. Driving Value in the Upstream Chain Management through Lean Principles, International Journal of Lean Thinking 2(2), 1-8.
Joosten, T., Bongers, I., Janssen, R., 2009. Application of Lean Thinking to Healthcare: Issues and Observations. International Journal for Quality in Healthcare 21, 341-347.
Jucan, G., 2005. Root Cause Analysis for IT Incidents Investigation. diakses pada tanggal 9 Mei 2014. <http://www.docstoc.com/docs/16171902/Root-Cause-Analysis>
Kim, C.S., Spahlinger, D.A., Kin, J.M., Billi, J.E., 2006. Lean Health Care: What Can Hospitals Learn from a World-Class Automaker?. Journal of Hospital Medicine 1(3), 191-199.
Lin, A.C., Jang, R., Lobas, N., Heaton, P., Ivey, M., Nam, B., 1999. Identification of Factors Leading to Excessive Waiting Times in an Ambulatory Pharmacy. Hospital Pharmacy 34(6), 707-712.
Melton, T., 2005. The Benefits of Lean Manufacturing: What Lean Thinking has to Offer the Process Industries. Chemical Engineering Research and Design 83 (6), 662-673.
National Reporting and Learning Service, 2008. Root Cause Analysis Investigation Tools: A Guide to Aggregated and Multi-Incident RCA Investigations. National Patient Safety Agency, United Kingdom.
Oktaviantari, D.E., 2012. Perumusan Strategi Instalasi Farmasi untuk Peningkatan Kepuasan Stakeholder Rumah Sakit Yukum Medical Centre Lampung Tengah Berdasarkan Analisis SWOT (Tesis). Fakultas Farmasi Universitas Gadjah Mada, Yogyakarta.
Parry, G.C., Turner, C.E., 2006. Application of Lean Visual Process Management Tools. Production Planning and Control 17(1), 77-86.
Poksinska, B., 2010. The Current State of Lean Implementation in Healthcare: Literature Review. Quality Management in Healthcare 19(1), 319-329.
Spear, S.J., 2005. Fixing Health Care from the Inside, Today. Harvard Business Review 83(9), 78-91.
Teich, S.T., Faddoul, F.F., 2013. Lean Management-The Journey from Toyota to Healthcare. Rambam Maimonides Medical Journal 4(2), 1-9.
Womack, J.P., Jones, D.T., 2003. Lean Thinking: Banish Waste and Create Wealth in Your Corporation. Touchstone Books, London.
Zidel, T.G., 2006. A Lean Toolbox—Using Lean Principles and Techniques in Healthcare. Journal for Healthcare Quality 28(1), 7-15. DOI: https://doi.org/10.22146/jmpf.272
Article Metrics
Abstract views : 4998
| 
views : 12854
Refbacks
- There are currently no refbacks.
Copyright (c) 2014 JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
