Optimalisasi Sistem Antrian di Farmasi Rawat Jalan Rumah Sakit Grha Permata Ibu dengan Metode Lean Hospital

Rini Alfatiyah, Sofian Bastuti

Abstract

Grha Permata Ibu Hospital is one of the major hospitals in Depok with adequate facilities in its services. One of the main factor in hospital services is drug serviceat the pharmacy. Often the problema in drug service is the long waiting time from drug provision, therefore this research was conducted to identify the waste that occurs in drug services in outpatient pharmacies using the Lean Hospital method by making Value Stream Mapping (VSM) and Process Activity Mapping (PAM). This research  was also conducted using quantitative research method to see the optimization in the queuing system in drug services in outpatient pharmacies. Meanwhile the resulto f the observation and calculation of the queuing system in drug services at the pharmacy are that the speed of prescription arrival is 0.297 minutes, for the calculation of the speed of prscription sevice is 3.366 minute per patient, the expected waiting time in the system is 0.32 minutes per patient waiting on the queue is 0.029 minutes per patient. Base on the result of the percentage of Process Cycle Efficiency (PCE), it is known that the efficiency of activity time in drug services in outpatient pharmacies has increased 10.8% from the eclusive system. The resulto f these observations made proposal for improvement in drug services in outpatient pharmacies

Keywords

Optimization; Lean Hospital; Queuing System

References

Abuhejleh, A., Dulaimi, M., & Ellahham, S. (2016). Using lean management to leverage innovation in healthcare projects: Case study of a public hospital in the UAE. BMJ Innovations, 2(1), 22–32. https://doi.org/10.1136/bmjinnov-2015-000076

Alfatiyah, R., Bastuti, S., & Kurnia, D. (2020). Implementation of statistical quality control to reduce defects in Mabell Nugget products (case study at Pt. Petra Sejahtera Abadi). IOP Conference Series: Materials Science and Engineering, 852(1). https://doi.org/10.1088/1757-899X/852/1/012107

Andersen, B., Belay, A. M., & Seim, E. A. (2012). Lean construction practices and its effects: A case study at st olav’s integrated hospital, Norway. Lean Construction Journal, 2012, 122–149.

Bhat, S., & Jnanesh, N. A. (2014). Application of Lean Six Sigma methodology to reduce the cycle time of out-patient department service in a rural hospital. International Journal of Healthcare Technology and Management, 14(3), 222–237. https://doi.org/10.1504/IJHTM.2014.064257

Bucci, S., Belvis, A. G. D. E., Marventano, S., Leva, A. C. D. E., Tanzariello, M., Specchia, M. L., & Ricciardi, W. (2016). bed shortage : is Lean a smart answer ? December, 4209–4219.

Haddad, M. G., Zouein, P. P., Salem, J., & Otayek, R. (2016). Case Study of Lean in Hospital Admissions to Inspire Culture Change. EMJ - Engineering Management Journal, 28(4), 209–223. https://doi.org/10.1080/10429247.2016.1234896

Halim, S. (2016). Defect Detection on Texture using Statistical Approach. Jurnal Teknik Industri, 17(2). https://doi.org/10.9744/jti.17.2.89-96

Harrison, M. I., Paez, K., Carman, K. L., Stephens, J., Smeeding, L., Devers, K. J., & Garfinkel, S. (2016). Effects of organizational context on Lean implementation in five hospital systems. Health Care Management Review, 41(2), 127–144. https://doi.org/10.1097/HMR.0000000000000049

Hasle, P., Nielsen, A. P., & Edwards, K. (2016). Application of Lean Manufacturing in Hospitals—the Need to Consider Maturity, Complexity, and the Value Concept. Human Factors and Ergonomics In Manufacturing, 26(4), 430–442. https://doi.org/10.1002/hfm.20668

Ker, J. I., Wang, Y., Hajli, M. N., Song, J., & Ker, C. W. (2014). Deploying lean in healthcare: Evaluating information technology effectiveness in U.S. hospital pharmacies. International Journal of Information Management, 34(4), 556–560. https://doi.org/10.1016/j.ijinfomgt.2014.03.003

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

Laureani, A., Brady, M., & Antony, J. (2013). Applications of Lean Six Sigma in an Irish hospital. Leadership in Health Services, 26(4), 322–337. https://doi.org/10.1108/LHS-01-2012-0002

Nina, Y., & Hakim, I. M. (2020). Lean Hospital Approach for Improving the Process of Taking Drug Services in Outpatient Pharmacy Installations. IOP Conference Series: Materials Science and Engineering, 1003(1). https://doi.org/10.1088/1757-899X/1003/1/012105

Pangestu, P., Qurrota Ayun, A. H., Wulandari, R. T., Nabilah, E., & Pujiyanto, E. (2020). Multi-response Characteristics Optimization of a Paper-based Composite using Taguchi Method and Particle Swarm Optimization. Jurnal Teknik Industri, 22(1), 55–64. https://doi.org/10.9744/jti.22.1.53-62

Roemeling, O. P., Land, M. J., Ahaus, K., Slomp, J., & van den Bijllaardt, W. (2017). Impact of lean interventions on time buffer reduction in a hospital setting. International Journal of Production Research, 55(16), 4802–4815. https://doi.org/10.1080/00207543.2017.1301687

Trakulsunti, Y., Antony, J., Dempsey, M., & Brennan, A. (2020). Reducing medication errors using lean six sigma methodology in a Thai hospital: an action research study. International Journal of Quality and Reliability Management, 38(1), 339–362. https://doi.org/10.1108/IJQRM-10-2019-0334

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