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"Manajemen risiko mutu adalah suatu metode sistematis untuk menilai, mengendalikan, mengomunikasikan, dan mengkaji risiko terhadap mutu produk jadi sepanjang siklus-hidup. Dengan metode ini, pengambilan keputusan dengan informasi yang lebih lengkap dapat menjadi salah satu indikator kesiapan industri dalam menangani risiko potensial. Risiko terkait kualitas tidak dapat dipungkiri, sehingga diperlukan analisa mengenai risiko tersebut dan bagaimana mengidentifikasi, mengendalikan, dan mengkomunikasikan risiko tersebut serta mengevaluasi tindakan yang dilakukan di Departemen Technical Service. Penelitian dilakukan dengan mengidentifikasi kemungkinan risiko yang dapat terjadi kemudian dilakukan analisis mendalam terkait risiko yang sebelumnya sudah diidentifikasi. Risiko akan diklasifikasikan dan mitigasi resiko didasarkan pada penyebab dan solusi yang mampu laksana. Berdasarkan pembahasan di atas, terdapat sebagai contoh 6 risiko yang teridentifikasi dan telah diberikan upaya untuk mitigasi risikonya di lingkungan kerja Technical Service. Enam risiko itu terdiri atas pengolahan raw material, pengujian stabilita, transfer teknologi produk, perubahan PPI, dan pengujian sampel.

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Quality risk management is a systematic method for assessing,

controlling, communicating and assessing risks to the quality of finished products throughout the life-cycle. With this method, decision making with more complete information can be an indicator of industry readiness in dealing with potential risks. Risks related to quality cannot be denied, so an analysis of these risks is needed and how to identify, control and communicate these risks and evaluate the

actions taken in the Technical Service Department. The research was carried out by identifying possible risks that could occur and then carrying out an in-depth analysis related to the risks that had previously been identified. Risks will be classified and risk mitigation based on causes and solutions that can be implemented. Based on the discussion above, there are examples of 6 identified risks and efforts have been made to mitigate the risks in the Technical Service work environment. The six risks consist of raw material processing, stability

testing, product technology transfer, PPI changes, and sample testing."

"Penelitian ini menganalisis waktu tunggu pelayanan resep di Instalasi Farmasi Rumah Sakit Awal Bros Bekasi. Penelitian ini merupakan kualitatif dan kuantitatif, dengan sampel sebanyak 172 lembar resep baik racikan maupun non racikan. Hasil penelitian ini didapatkan bahwa rata-rata waktu tunggu pelayanan resep sebesar 22 menit untuk resep non racikan sedangkan untuk resep racikan sebesar 41 menit. Faktor penghambat yang mempengaruhi waktu tunggu pelayanan resep di Instalasi Farmasi Rumah Sakit Awal Bros Bekasi adalah SDM yang belum memadai, ketersediaan obat yang masih kurang, sistem komputerisasi yang belum memadai, masa kerja/ pengalaman petugas dan sarana ruang racik yang kurang luas.

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This study analyzes the waiting time of prescription services in Installation of Pharmacy Awal Bros Hospital, Bekasi. It is a qualitative and quantitative research, with sampel of 172 prescriptions, both concoction and non concontion drugs. This study found that the average waiting time of conconction drugs is 41 minutes, while the non concoction drugs is 22 minutes. The factors affecting those waitng time is insufficient of human resources, lack of drugs provision, inadequate correction of IT system lack of work experience, improper working space for doing concoction drugs."

"Contents : - Table of Contents by Author - Acronym Guide - Next-Generation OSS for Next-Generation Services - OSS with the Network as a Killer Application - Testing Tomorrow's Needs Today - Business-to-Business E-Commerce for Telecom Carriers - OSS Challenges for CLECs - Evolving the Intelligent-Agent Technology - Architectural and OSS Changes for Entering the Real-Time World - OSS for the Next Millennium:The New Killer Ann - The Complexity Opportunity - The Carrier's View: A Reality Check - OSS Is Not a Killer App - How Next-Ceneration Technologies Will Alter the OSS Landscape - Enabling an Interactive Value Proposition for Communications Providers - Business Costs Placing Emphasis on OSS Features - Delivering On-Demand IP Service with Guaranteed Service Quality - IN as a Stepping Stone to IP - The Real Benefits of IP Telephony - Delivering QoS in IP Networks - Enabling Carrier Settlements in Multiservice IP Networks:A Case Study - Embracing the IP World - XML for Services - IP from a Service Provider's Perspective - Automating Customer Care - Guaranteeing Quality of Service with Next-Generation Equipment - Flow-Through Provisioning:Keeping Up with Changes to Your Trading-Partner Interfaces - Customer Focus a Main Part of E-Business Success - Data Quality for the Internet Age - Testing Challenges for ADSL Networks - Today's IP-VPN Quality of Service - Delivering Services to Customers:Becoming an E-Telco - Delivering and Profiting from End-to-End Quality of Service - Service Management for Effective Service Delivery - Keys to Open-System Integration - OSSs and Data Warehouses:Working Together - Moving towards a Modular, Open OSS Framework Architecture for Maximum Flexibility and Scalability - Examining a New Network from an ILEC Perspective - Network Management of Multi-Technology Networks - Coordinating OSS Integration and Interconnection for End-to-End Fulfillment of Customer Orders - Business-to-Business Challenges of the Unbundled Local Loop - Unking Legacy RTUs into a TMN Environment - Solutions to BSS and OSS Interaction - Facilitating End-to-End OSS Integration and Management:An Interconnection Perspective - Mediation: Building Bridges or Building Walls? - Achieving Integrated Management for Multi-Vendor, Multi-Technology Transport networks - optimal Infrastructure for the Managed Network:Benefits of the Object Model - OSS Vendors: Challenges and Methodologies - Problems Associated with the Loss of NPA/NXX Intelligence - Application Service Framework - 3G service Modeling and Optimization - outsourcing: The Bind That Ties - using TMN and TOM in a Converged Network - The Foundation of Next-Gen Networks: In-Memory Database Technology - Component Technology for Developing Network-Management GUIs - An Architecture for Warehousing and Accessing Usage Data - Rules-Based Mediation Engine The Enabler for Open OSS"

"Angka pemanfaatan ulang pasien rawat jalan sejak tiga tahun ke belakang di Rumah Sakit Harapan Bunda Lampung Tengah, memperlihatkan adanya penurunan pemanfaatan layanan ini. Menurunnya angka pemanfaatan ulang pasien rawat jalan ini sangat perlu untuk antisipasi dengan mengetahui faktor-faktor yang mempengaruhi turunnya pelayanan rawat jalan tersebut. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi pemanfaatan ulang pasien pada instalasi rawat jalan di Rumah Sakit Harapan Bunda Lampung Tengah. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional (potong lintang). Penelitian ini menggunakan data primer yang diperoleh dari kuesioner yang diisi sendiri oleh responden (self- administered questionnaire yaitu pasien instalasi rawat jalan). Populasi penelitian adalah semua pasien yang berkunjung ulang lebih dari satu kali ke instalasi rawat jalan RS Harapan Bunda Lampung tengah dengan besar sampel sebanyak 106 responden. Hasil penelitian menunjukkan bahwa sebagian besar pemanfaatan ulang pasien rawat jalan di RS Harapan Bunda Lampung Tengah rendah. Faktor-faktor yang memiliki hubungan bermakna secara statistik dengan pemanfaatan ulang adalah persepsi responden terhadap tarif, fasilitas rumah sakit, pelayanan dokter, pelayanan SDM rumah sakit, waktu tempuh dan sumber pembiayaan. Pemanfaatan ulang pasien rawat jalan di RS Harapan Bunda Lampung Tengah sangat ditentukan oleh kualitas pelayanan yang diberikan. Peneliti menyarankan pihak manajemen rumah sakit untuk mendorong semua petugas rumah sakit baik medis maupun non medis memberikan pelayanan yang berorientasi kepada pasien. Selain itu, pihak manajemen menerapkan sistem penghargaan dan sanksi disiplin untuk memotivasi petugas rumah sakit melayani dengan lebih optimal.

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The number of re-utilization of outpatient since three years ago at Harapan Bunda Hospital Central Lampung, it shows that there is a decrease in the utilization of this service. The decreasing number of outpatient re-utilization was extremely need to be anticipated. It can be analyzed from the influence factors that caused the decrease this outpatient service.

The objective of this research was to investigate the influence factors of patient re-utilization in outpatient installation at Harapan Bunda Hospital, Central Lampung. This research used Quantitative approach with Cross Sectional Design. This research applied the Primer Data that was taken from the self-administered questionnaire. The population of the research was all patient who ever visited the Outpatient Installation at Harapan Bunda Hospital Central Lampung more than one time. There were 106 respondent involved in this research.

The result showed that most of all outpatient re-utilization at Harapan Bunda Hospital Central Lampung is low. The factors that have a statistically significant relationship with re-utilization were respondents? perception toward the cost, hospital facilities, doctor care services, hospital human resources service, travelled distance and financial resources.

The outpatient re-utilization at Harapan Bunda Hospital Central Lampung was depend on the quality service that given to the patient. The researcher suggested to the hospital management staff to encourage to the entire staff in the hospital, both medic and non-medic, to give service that oriented to the patient. In addition, the management introduced a system of reward and punishment discipline to motivate hospital staff to serve optimally."

"Lean adalah upaya terus menerus untuk menghilangkan pemborosan (waste) dan meningkatkan nilai tambah (value added) produk, baik barang ataupun jasa kepada pelanggan. Penelitian ini menganalisis alur proses pelayanan resep dan mendesain usulan perbaikannya dengan mengaplikasikan lean thinking. Dengan desain penelitian operational research, dilakukan observasi, wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukan kegiatan non value added 64% dan value added 36%. Data tersebut menunjukkan telah terjadi pemborosan (waste). Simulasi usulan perbaikan dilakukan untuk meminimalkan pemborosan dan terbukti ada peningkatan value added yang menunjukkan ada efisiensi pelayanan.

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Lean is a continuous effort to eliminate waste and increase the value added of product, whether goods or services to customers. This study analyzes the service process flow of prescription and designing the proposed improvement by applying lean thinking. With the design of operational research studies, observations, in-depth interviews and review documents. The results showed non-value added activities 64% and 36% value added. The data shows there has been a waste. Simulation of the proposed improvements were made to minimize waste and proved there was an increase in the value added showed efficiency."