Implementasi Lean Thinking Pada Strategi Perbaikan Alur Pelayanan Farmasi Rawat Jalan (Studi Kasus di RS Primaya Depok)

  • Sarah Cinthya Margaretha Pascasarjana Manajemen ARS University
  • Poppy Yaniawati Pascasarjana Manajemen ARS University
  • Mira Veranita Pascasarjana Manajemen ARS University
Keywords: Alur Pelayanan Apotek Rawat Jalan, Kualitas Pelayanan, Lean Thinking

Abstract

A professional hospital service flow is required so that it can be carried out well and by the wishes of health service users by prioritizing patient safety and service quality. One of the service lines in hospitals is outpatient pharmacy services. Primaya Hospital Depok has outpatient pharmacy services with visits that continue to increase every year and many complaints regarding outpatient services which become obstacles to the flow of outpatient care. This research uses qualitative methods in the form of interviews and observations using the concept of lean thinking. The results show findings in the form of waste Defects, overproduction, waiting, transportation, inventory, Motion and excess processing. The longest process and the most waste Waitingis found, namely Waitingfor the entire outpatient pharmacy service process. Suggestions for short-term improvements are given in the form of providing direction and warnings to officers so that they do not have to repeat work, making instructional banners as well as service flow and implementing 5S. The long-term improvement proposal provided is in the form of improving the flow of outpatient services by taking into account the reduction of waste found.

References

Australian Commission on Safety and Quality in Health Care. (2017). National safety and quality health service standards. Australian Commission on Safety and Quality in Health Care.

Hawkins, J. B., Brownstein, J. S., Tuli, G., Runels, T., Broecker, K., Nsoesie, E. O., McIver, D. J., Rozenblum, R., Wright, A., Bourgeois, F. T., & Greaves, F. (2016). Measuring patient-perceived quality of care in US hospitals using Twitter. BMJ Quality and Safety, 25(6), 404–413. https://doi.org/10.1136/bmjqs-2015-004309

Aya Sofia, T. (2023). THE EFFECT OF PATIENT SATISFACTION ON PATIENT LOYALTY MEDIATED BY PATIENT TRUST AND HOSPITAL BRAND IMAGE AT THE JAKARTA EDUCATION DENTAL AND ORAL HOSPITAL. Journal of Social Research. http://ijsr.internationaljournallabs.com/index.php/ijsr

Ma, W. M., Zhang, H., & Wang, N. L. (2019). Improving outpatient satisfaction by extending expected waiting time. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4408-3

Setianto, B., Adriansyah, A. A., & Asih, A. Y. P. (2020). Implementasi Manajemen Lean di Unit Farmasi Rumah Sakit Islam Surabaya. Jurnal Manajemen Kesehatan Indonesia, 8(2), 81–87. https://doi.org/10.14710/jmki.8.2.2020.81-87

Widiatama, Y. (2018). Simulasi Perbaikan Alur Pelayanan Pasien Rawat Jalan dengan Pendekatan Lean Hospital pada Rumah Sakit Umum (RSU) Kabupaten Tangerang. Jitmi, 1(1), 37–49.

Christanti, J. (2017). Identifikasi Waste Pada Waktu Tunggu Pasien Poliklinik Penyakit Dalam di Rumah Sakit Nasional Diponegoro dengan Pendekatan Lean Hospital. 5.

Noviani, E. D. (2017). Penerapan Lean Manajemen pada Pelayanan Rawat Jalan Pasien BPJS Rumah Sakit Hermina Depok Tahun 2017 The Application of Lean Management Method on Outpatient BPJS Services at Hermina Depok Hospital in 2017. Administrasi Departemen Kebijakan Dan Kesehatan Fakultas Kesehatan Masyarakat, 3, 219–230.

Husain Akbar, F., Daeng Pasiga, B., Samad, R., Rivai, F., Zulkifli Abdullah, A., Hair Awang, A., Pasinringi, S. A., Muhammad Saleh, L., & Pratiwi, D. (2020). The Relationship between Service Quality, Culture Similarity to Satisfaction and Loyalty of Medical (Dental) Tourism. In Systematic Reviews in Pharmacy (Vol. 11, Issue 8).

Yaniawati, r. P., & indrawan, r. (2024). Metodelogi penelitian. Konsep, Teknik, dan Aplikasi. Jakarta: Gramedia.

Suryana (2012). Metodologi Penelitian: Metodologi Penelitian Model Prakatis Penelitian Kuantitatif dan Kualitatif. Universitas Pendidikan Indonesia, 1–243. https://doi.org/10.1007/s13398-014-0173-7.

Gaspersz, Vincent, & Fontana, A. (2011). Lean Six Sigma for Manufacturing and Service Industries. Vinchristo Publication.

Veranita, M., Yuliasari, A., & Pinasthika, A. (2023). Swot Analysis of Pharmacy Department Development Strategy in X Hospital in East Kalimantan Province. Journal of World Future Medicine, Health and Nursing, 1(3), 225-236.

Lyons, A. C., Vidamour, K., Jain, R., & Sutherland, M. (2013). Developing an understanding of lean thinking in process industries. Production Planning and Control, 24(6), 475–494. https://doi.org/10.1080/09537287.2011.633576

Amati, M., Valnegri, A., Bressan, A., La Regina, D., Tassone, C., Lo Piccolo, A., Mongelli, F., & Saporito, A. (2022). Reducing Changeover Time Between Surgeries Through Lean Thinking: An Action Research Project. Frontiers in Medicine, 9. https://doi.org/10.3389/fmed.2022.822964

Nuraini, N., & Wijayanti, R. A. (2018). Optimalisasi Waktu Tunggu Rawat Jalan Dengan Metode Lean Healthcare Di Klinik Pratama. Jurnal Manajemen Informasi Kesehatan Indonesia, 6(1), 31. https://doi.org/10.33560/.v6i1.182

Sarisky Dwi Ellianto, M., Budi Santoso, P., & As’ad Sonief, A. (2015). Usulan Penerapan Lean Six Sigma, Fmea Dan Fuzzy Untuk Meningkatkan Kualitas Produk Botol Sabun Cair. Journal of Engineering and Management Industial System, 3(1), 28–34. https://doi.org/10.21776/ub.jemis.2015.003.01.5

Published
2024-09-30