| dc.contributor.author | MIRA PUSPITA SARI, IKA | |
| dc.date.accessioned | 2018-10-18T07:08:32Z | |
| dc.date.available | 2018-10-18T07:08:32Z | |
| dc.date.issued | 2018 | |
| dc.identifier.uri | http://repository.umy.ac.id/handle/123456789/22296 | |
| dc.description | Latar Belakang: Instalasi farmasi banyak menjadi sorotan terkait dengan
waktu tunggu pelayanan obat yang lama. Hal tersebut menunjukkan bahwa
masih terdapat waste. Pendekatan lean hospital merupakan suatu metodologi
yang dipercaya dapat mengurangi atau mengeleminasi waste sehingga tercipta
pelayanan yang berkualitas.
Tujuan Penelitian: Untuk mengidentifikasi waste kritis dan akar penyebab
waste kritis di Instalasi Farmasi Rawat Jalan RSUD Wates.
Metode: Penelitian studi kasus dengan pendekatan kualitatif. Adapun tahapan
penelitiannya yaitu observasi proses pelayanan yang dipetakan melalui value
stream mapping, penyebaran kuesioner untuk memperoleh waste kritis,
melakukan wawancara dengan metode 5why untuk mengetahui akar masalah
waste kritis.
Hasil dan Pembahasan: Hasil pemetaan value stream mapping didapatkan
pelayanan resep obat non racik dengan lead time 1 jam 4 menit dan VAR
sebesar 8,6% sedangkan pelayanan resep racik dengan lead time 1 jam 12
menit dan VAR sebesar 7,6%. Waste waiting merupakan waste kritis dengan
presentase 24,4%. Akar penyebab waste waiting adalah lamanya penggunaan
server SIMRS, keterbatasan jumlah SDM dan dipengaruhi faktor tata ruang
serta alur proses pelayanan. Usulan perbaikan meliputi usulan jangka pendek,
menengah dan panjang.
Kesimpulan: Waste waiting merupakan waste kritis di Instalasi Farmasi
Rawat Jalan RSUD Wates dengan usulan perbaikan menerapkan metode 5S,
mengoptimalkan pelayanan dengan jumlah SDM yang ada, mengubah alur
pengerjaan resep berdasarkan tata ruang yang lebih efisien dan efektif serta
memperbaharui server SIMRS.
Kata Kunci: Lean Hospital, Instalasi Farmasi Rawat Jalan, Waste Waiting | en_US |
| dc.description.abstract | Background: Waiting time is a common problem in pharmacy units. This
shows that there is still waste. Lean hospital approach is a methodology that
believed to reduce or eliminate waste so it can make quality services.
Research Objectives: To identify critical waste and the root causes of critical
waste in the outpatient pharmacy unit of Wates State Hospital.
Method: Case study research with a qualitative approach. The stages of the
research was the observation of service processes mapped through value
stream mapping, questionnaires to obtain critical waste, interviews with the
5why method to find out the root of the critical waste.
Results and Discussion: The results of value stream mapping obtained nonconcoction
prescription services with lead time of 1 hour 4 minutes and value
added ratio of 8,6% while concoction prescription services with lead time of 1
hour 12 minutes and value added ratio of 7,6%. Waste waiting is a critical
waste with a percentage of 24,4%. The root causes of waste waiting are the
length of use of hospital management information system server, limited
number of human resources and influenced by layout factors and the flow of
service process. Proposed improvements include short, medium and long term
proposals.
Conclusion: Waste waiting is a critical waste in the Outpatient Pharmacy
Unit of Wates State Hospital with the proposed improvement applying the 5S
method, optimizing service with the number of available human resources,
changing the flow of prescription work based on a more efficient and effective
layout and replacing the new hospital management information system server.
Keywords: Lean Hospital, Outpatient Pharmacy Installation, Waste Waiting | en_US |
| dc.language.iso | other | en_US |
| dc.publisher | MMR UMY | en_US |
| dc.subject | Lean Hospital | en_US |
| dc.subject | Waste Waiting | en_US |
| dc.subject | Outpatient Pharmacy Installation | en_US |
| dc.title | PENDEKATAN LEAN HOSPITAL UNTUK MENGIDENTIFIKASI WASTE KRITIS DI INSTALASI FARMASI RAWAT JALAN RUMAH SAKIT UMUM DAERAH (RSUD) WATES | en_US |
| dc.type | Thesis | en_US |
