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Agusdini Banun Saptaningsih
Perencanaan strategik Apotik Kopkar Rumah Sakit Kanker Dharmais 1999-2003
"Apotik Kopkar RSKD memberikan kontribusi dana yang cukup besar, yaitu ± 10 % dari seluruh pendapatan rumah sakit. Hasil audit akuntan 1998 memperlihatkan kondisi Iiquiditas yang over liquit. Oleh karena itu diperlukan perencanaan strategik agar apotik dapat meminimalkan kelemahan dan mengatasi anacaman eksternal serta merebut peluang yang ada, sehingga misi dan visi apotik tercapai.
Untuk dapat menyusun perencanaan strategik apotik Kopkar RSKD, dilakukan penelitian analisa kualitatif dan kwantitatif dibantu dengan peramalan menggunakan model Time Series Forecasting dari program QSB. Penyusunan strategi ini melalui tahap awal masukan (input stage) terdiri dari analisa lingkungan eksternal dan internal Apotik Kopkar RSKD yang dilakukan dengan Consensus Decision Making (CDM) apoteker yang bekerja di Apotik Kopkar RSKD. Kemudian tahap analisis (matching) dengan internal - eksternal, TOWS dan BCG Matrix. Dilanjutkan dengan tahap pengambilan keputusan (decision stage) menggunakan matrix perencanaan strategi kuantitatif (QSPM).
Dari hasil penelitian, pemilihan alternatif strategi berdasarkan IE Matrix memperlihatkan posisi apotik Kopkar pada kuadran 4 yang berarti grow and build. Dari TOWS matrix menghasilkan posisi apotik pada kuadran future, serta dari BCG matrix pada kuadran star. Berdasarkan semua posisi ini, strategi yang dianjurkan adalah market penetration, market development dan product development.
Penelitian ini menyimpulkan bahwa strategi ekspansi adalah strategi yang terpilih untuk melaksanakan misi dan merealisasikan visi apotik Kopkar RSKD, serta untuk mencapai tujuan jangka panjang 2003 yang disepakati oleh CDM. Sedangkan saran yang diajukan adalah untuk dapat merealisasikan perencanaan strategik ini, maka diperlukan pemantauan agar pelaksanaan misi dan pencapaian visi serta tujuan jangka panjang dapat tercapai.
The dispensary of employees' cooperative (Kopkar) in the Dharmais Cancer Hospital (RSKD) contributes a large enough fund IE, ca I0 % of the hospitals total income. The result of accounting audit of the year 1998 shows the liquidity condition as over liquid. Hence a strategic planning is necessary so that the dispensary can minimize its weaknesses and overcome external threats and grasp the available opportunity so that the mission and vision of the dispensary can be achieved.
In order to design a strategic plan of the Kopkar dispensary in RSKD, a study with qualitative and quantitative analyses is done, aided by the use of Time Series Forecasting model of the QSB program. The compilation of strategy is done through an initial input stage which consists of external and internal environmental analyses of the Kopkar dispensary using Consensus Decision Making (CDM) among the pharmacists working in the Kopkar dispensary in RSKD. Then an analytical (matching) step using lnternal-External, TOWS and BCG matrices, it is further followed by the decision stage using the quantitative strategic planning matrix (QSPM).
Result the study shows that strategy selection based on the IE Matrix indicates the position of the Kopkar dispensary is in the 4th quadrant denoting 'grow and build'. The result of TOWS matrix indicates the dispensary's position is in the future quadrant, and of the BCG matrix it is in the star quadrant. Considering all the positions, the recommended strategy is market penetration, market development, and product development.
This study concludes that expansion strategy is the strategy of choice to enact the mission and realise the vision of Kopkar dispensary in RSKD, as well as to reach the long-term aim in 2003 approved trough CDM. It is advised that in order to apply the strategic plan, a monitoring is needed so that the long-term mission implementation and mission achievement can be achieved."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 1999
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Arsyadanie Saifi Adli
Praktek kerja profesi di Rumah Sakit Kanker Dharmais Jakarta Barat periode bulan September - Oktober tahun 2015 = Profession internship at Rumah Sakit Kanker Dharmais West Jakarta in September - October 2015
"ABSTRAK
Praktek kerja profesi Apoteker dilaksanakan di Rumah Sakit Kanker Dharmais Jakarta Barat. Kegiatan PKPA ini bertujuan untuk memahami peranan, tugas, dan tanggungjawab apoteker di Rumah Sakit, serta menambah wawasan, pengetahuan, keterampilan, dan pengalaman praktis untuk melakukan praktek kefarmasian di Rumah Sakit. Fungsi kefarmasian yang dijalankan di Instalasi Farmasi Rumah Sakit Kanker Dharmais telah sesuai dengan standar pelayanan kefarmasian di Rumah Sakit yang ditetapkan oleh Kementerian Kesehatan Republik Indonesia. Kegiatan yang ada di Instalasi Farmasi Rumah Sakit Kanker Dharmais meliputi manajemen farmasi, produksi, dan pelayanan farmasi klinik dimana Apoteker memiliki peran fungsional pada setiap aspek kegiatan tersebut. Tugas khusus yang diberikan yaitu tentang Analisis Drug Related Problem Pada Kasus Penyakit Karsinoma Nasofaring Pasien Rawat Inap di Ruang Anak. Tugas ini bertujuan untuk mengetahui, mengidentifikasi, dan menganalisa adanya Drug Related Problem serta memberi rekomendasi terapi terhadap salah satu pasien dengan diagnosa utama Karsinoma Nasofaring.ABSTRACT Pharmacists profession internship implemented at Rumah Sakit Kanker Dharmais, West Jakarta. PKPA activity aims to understand the role, duties and responsibilities of pharmacists in hospital and to add the insight, knowledge, skills, and practical experience to perform pharmacy practice at the Hospital. Pharmacy functions that run in Pharmacy Installation at Rumah Sakit Kanker Dharmais has been in accordance with the standard of pharmacy services at the hospital established by the Ministry of Health of the Republic of Indonesia. Activity of Pharmacy Installation at Rumah Sakit Kanker Dharmais include pharmaceutical management, production, and service of clinical pharmacy where pharmacists have a functional role in every aspect of the activity. Special task given that about Drug Related Problem Analysis In the case of Nasopharyngeal Carcinoma Disease Patient at the Nursery. This task aims to find, identify, and analyze the Drug Related Problem and provide therapy recommendations for one patient with a primary diagnosis of nasopharyngeal carcinoma."
Fakultas Farmasi Universitas Indonesia, 2016
PR-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Siska Amanda Amadea
Praktek kerja profesi di Rumah Sakit Kanker Dharmais periode Juli - Agustus tahun 2017 = Internship at Dharmais Cancer Hospital period July - August 2017
"ABSTRAK
Praktek kerja profesi di Rumah Sakit Kanker Dharmais Periode Juli - Agustus Tahun 2017 bertujuan untuk memahami peranan, tugas, dan tanggung jawab apoteker dalam praktek pelayanan kefarmasian dan memiliki pengetahuan, keterampilan, sikap perilaku serta wawasan dan pengalaman nyata untuk melakukan pekerjaan kefarmasian di rumah sakit. Selain itu, calon apoteker juga dapat mempelajari strategi dan pengembangan praktek profesi apoteker, memiliki gambaran nyata tentang permasalahan pekerjaan kefarmasian, serta mampu berkomunikasi dan berinteraksi dengan tenaga kesehatan lain yang bertugas di rumah sakit. Praktek kerja profesi di Rumah Sakit Kanker Dharmais dilakukan selama enam minggu dengan tugas khusus yaitu Analisis Resep pada Pasien Rawat Jalan di Rumah Sakit Kanker Dharmais Jakarta Barat Periode Juli 2017. Tujuan dari tugas khusus ini adalah untuk menganalisis kelengkapan dan kesesuaian resep terkait aspek farmasetik yang meliputi bentuk sediaan dan aturan pakai, serta aspek klinis yang meliputi alergi, efek samping, potensi interaksi, dan kesesuaian dosis
ABSTRACT
Internship at Dharmais Cancer Hospital Period July - August 2017 aims to understand the role, duties, and responsibilities of pharmacists in the practice of pharmaceutical services and have the knowledge, skills, professionalism, as well as insights and real experience to undertake pharmaceutical work in the hospital. In addition, the pharmacist candidate can also learn the strategies and development of professional practice of pharmacists, have a real picture about pharmaceutical work issues, as well as be able to communicate and interact with other health personnel who served in the hospital. Internship at Dharmais Cancer Hospital was conducted for six weeks with special assignment Prescription Analysis in Outpatient Patients at Dharmais Cancer Hospital West Jakarta Period July 2017. The purpose of this special assignment is to analyze the completeness and appropriateness of prescriptions related to pharmaceutical aspects including dosage forms and rules of use, as well as clinical aspects including allergies, side effects, potensial interactions, and dose conformity"
Depok: Fakultas Farmasi Universitas Indonesia, 2017
PR-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Agus Prayitno
Analisis Logistik Farmasi Unit Bedah Sentral Rumah Sakit Kepolisian Pusat Raden Said Sukanto Tahun 1997
"Rumah Sakit Kepolisian Pusat Raden Said Sukanto, yang disebut juga Rumah sakit Sukanto merupakan badan pelaksana pada Disdokkes Polri. Salah satu kegiatan pelayanan yang dilakukan adalah pembedahan. Selama tahun 1997 telah dilakukan operasi sebanyak 1861 kasus yang terdiri dal 872 (46,86%) pasien umum dan 989 (53,14%) pasien dinas. Kegiatan ini memerlukan dukungan logistik farmasi yang besar. Unit Bedah Sentral menerima logistik farmasi melalui 4 jalur pengadaan dari 3 jenis pembiayaan.
Penelitian ini bertujuan untuk mengetahui komposisi logistik farmasi yang pengadaannya berasal dari berbagai sumber, yang berguna untuk menentukan biaya yang harus di alokasikan Rumah said Sukanto untuk menunjang Unit Bedah Sentral sebagai pusat biaya dan pusat laba, mengetahui bantuan yang diberikan pasien umum terhadap pasien dinas, serta mengetahui sistem pengadaan logistik farmasi di Unit bedah Sentral.
Design penelitian adalah cross sectional, untuk mendapatkan gambaran bagaimana proses suatu pelayanan kesehatan di rumah sakit khususnya dalam hal pengadaan logistik farmasi di Unit Bedah Sentral. Tehnik pengumpulan data primer dengan pengisian kuesiner dilanjutkan dengan wawancara kepala pejabat terkait, sedangkan data sekunder didapatkan dengan cara pengumpulan data dari Unit Bedah Sentral, Bendahara Materiil dan Unit Farmasi.
Dari hasil penelitian di dapatkan komposisi logistik farmasi Unit Bedah Sentral terdiri dad 72 obat-obatan dan 108 jenis alat kesehatan habis pakai. Sebagian besar obat-obatan adalah obat anestesi (72,2 %), sedangkan sebagain besar alat kesehatan habis pakai yakni 83,3 % digunakan oleh dokter bedah. Alat kesehatan habis pakai terbanyak adalah benang operasi yang terdiri dari 52 jenis benang (50%).
Prosentasi pengadaan dari Dropping Disdokkes Polri hanya 6,17 % dad Apotik Pusat hanya 1,65 %, pengadaan Penunjang Medik (50,32%) dan pengadaan Unit Bedah Sentral (41,86%).
Selama tahun 1997 Unit Bedah Sentral Rumah Sakit Sukanto bukan merupakan pusat laba, karena ternyata terdapat subsidi dari Rumah sakit ke pasien umum sebesar Rp. 20.841.465,- atau 12,45 % dari seluruh kebutuhan logistik farmasi pasien umum.
Dari hasil penelitian ini didapatkan sistem pengadaan logistik farmasi Unit Bedah Sentral yang paling tepat adalah yang hanya melewati satu pintu yakni Penunjang Medik. Perlu dibuat formularium obat-obataan dan alat kesehatan habis pakai untuk Unit Bedah Sentral serta dilakukan analisis A B C untuk pengadaan benang yang jumlahnya besar dan harganya sangat mahal.
Raden Said Sukanto Central Police Hospital, which is also called Sukanto Hospital is the technical operational of Police Medical and Health Services. It serves surgery programmed. In 1997, 1861 surgical cases was done. It consists of 872 cases (46.86%) general patients and 989 cases (53.14 %) military patients. These surgeon activities need pharmaceutical logistics support. Central Surgery Department receives pharmaceutical logistics from four procurement resources and three fund resources.
The research's objective is to analyze the pharmaceutical logistics composition from many kinds of procurement resources. It is important to make cost decision to support Central Surgery Department as cost center and profit center. How far is the general patients support the military patients and which system pharmaceutical logistics procurement in the Central Surgery Department is needed.
The research design is a cross sectional based, how the hospital health services especially in the pharmaceutical logistics procurement of Central Surgery Department must be done. The primary, data is done due to questionnaire and interviews, whereas the secondary data is from Central Surgery Department, Logistic officer and Pharmaceutical Department.
The research's result has established pharmaceutical logistics composition consist of 72 pharmaceuticals and 108 pharmaceuticals used up product. Most of the pharmaceuticals product is anesthetic and the pharmaceuticals used up is mostly for surgical. Lots of the pharmaceuticals used up product is surgical suture that consist of 52 kinds.
There are only 6.17 % Procurement percentage from The Police Medical and Health Services dropping, 1.65 % from Central Pharmacy, 50.32 % from Medical Support procurement and 41.86 % from Central Surgery department procurement.
In the 1997, Central Surgery department is not likely to be the profit center because Rp. 20.841.465,- has been subsided by the hospital to the general patients. It is 12.45 % from all the pharmaceutical logistics composition needed by the general patients.
This research find out that one way procurement through medical supported department is the only right way of Pharmaceutical logistics procurement system in the Central Surgery department. We need pharmaceutical formulation of pharmaceuticals (medicines) and pharmaceutical used up product for the Central surgery. Whereas for the most expensive surgical suture we use the A B C analysis."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 1998
T5628
UI - Tesis Membership  Universitas Indonesia Library
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Laporan praktek kerja profesi apoteker di Rumah Sakit Marinir Cilandak periode 6 Februari-30 Maret 2012
"Dalam upaya meningkatkan wawasan, pengetahuan, keterampilan, dan
kemampuan bekerja sama dengan profesi kesehatan lainnya di rumah sakit,
Program Profesi Apoteker Departemen Farmasi Universitas Indonesia bekerja
sama dengan Rumah Sakit Marinir Cilandak dalam penyelenggaraan Praktek Keja
Profesi Apoteker (PKPA) bagi mahasiswa program peminatan Farmasi Rumah
Sakit dan Komunitas. Dengan adanya praktek kerja ini diharapkan para calon
apoteker mendapatkan bekal tentang instalasi farmasi di rumah sakit sehingga ke
depannya dapat mengabdikan diri sebagai apoteker yang profesional."
Universitas Indonesia, 2012
PR-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Siti Gita Ayuningrum
Gambaran Utilisasi Obat Berdasarkan 10 Penyakit Terbesar pada Pelayanan Rawat Jalan Tingkat Lanjutan (RJTU) di Rumah Sakit Palang Mearah Indonesia (PMI) dan Rumah Sakit Umum Daerah (RSUD) Cibinong Tahun 2010
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2010
S26416
UI - Skripsi Open  Universitas Indonesia Library
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Nabila Andjani
Praktek kerja profesi di Rumah Sakit Pusat Angkatan Darat (RSPAD) Gatot Soebroto Ditkesad periode bulan Juli - Agustus tahun 2015 = Apothecary profession internship program at Rumah Sakit Pusat Angkatan Darat (RSPAD) Gatot Soebroto Ditkesad on July - August 2015
"ABSTRAK
Praktek kerja profesi di Rumah Sakit Pusat Angkatan Darat (RSPAD) Gatot Soebroto Ditkesad
periode bulan Juli ? Agustus tahun 2015 bertujuan untuk memahami peranan, tugas dan
tanggung jawab Apoteker di Rumah Sakit sesuai dengan ketentuan dan etika pelayanan farmasi
pada khususnya dan pelayanan kesehatan pada umumnya, memiliki wawasan, pengetahuan,
keterampilan dan pengalaman praktis untuk melakukan praktek kefarmasian di Rumah Sakit
serta memiliki gambaran nyata tentang permasalahan praktek kefarmasian serta mempelajari
strategi dan kegiatan-kegiatan yang dapat dilakukan dalam rangka perkembangan praktek
kefarmasian di Rumah Sakit. Praktek kerja profesi dilakukan selama dua bulan dengan tugas
khusus yaitu identifikasi drug related problems (drps) pasien post operasi CABG dan DM Tipe 2
terkontrol di perawatan unit ICU Rumah Sakit Pusat Angkatan Darat (RSPAD) gatot soebroto
ditkesad. ABSTRACT The aims of apothecary profession internship program at Rumah Sakit Pusat Tni Angkatan
DaratGatot Soebroto Ditkesad on July- August 2015 are to understand the duties and
responsibilities clinical pharmacists in accordance with the provisions and ethics in particular
thepharmaceutical and healthcare service in general, have insight, knowledge, skill and
experience the practical for doing pharmaceutical care in hospitals and having an example about
pharmaceutical care and learning strategy and activities can be implemented in pharmaceutical
care to the hospital. The apothecary profession internship program conducted during two months
in a special assignment that is given entitled the identification of drug related problems (drps)
CABGs post operation and DM type 2 patient in ICU in Rumah Sakit Pusat Angkatan Darat
(RSPAD) Gatot Soebroto Ditkesad.
"
Fakultas Farmasi Universitas Indonesia, 2016
PR-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Sri Wahyuni Lestari
Praktek kerja profesi di Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad periode bulan September - Oktober tahun 2015 = Profession internship at Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad in September - October 2015
"ABSTRAK
Telah dilakukan Praktek Kerja Profesi Apoteker (PKPA) di Rumah Sakit Pusat
Angkatan Darat Gatot Soebrot (RSPAD Gatsoe) Ditkesad. Kegiatan PKPA ini
berlangsung selama dua bulan dari tanggal 1 September sampai dengan tanggal 30
Oktober 2015. Tujuan dari kegiatan PKPA ini adalah agar mahasiswa Apoteker
mampu memahami peranan, tugas, dan tanggung jawab Apoteker di Rumah Sakit
sesuai dengan ketentuan dan etika pelayanan farmasi khususnya dan pelayanan
kesehataan umumnya dan agar mahasiswa Apoteker memiliki wawasan,
pengetahuan, keterampilan, dan pengalaman praktis untuk melakukan praktek
kefarmasian di Rumah Sakit. Berdasarkan kegiatan PKPA yang dilakukan,
diketahui bahwa Apoteker di RSPAD Gatsoe Ditkesad bertanggung jawab atas
kegiatan pengelolaan sediaan farmasi, alat kesehatan, dan bahan medis habis pakai
dan pelayanan farmasi klinik. Pelayanan kefarmasian di Puskesmas Kecamatan
Kembangan mangacu pada Permenkes No. 58 Tahun 2014 tentang standar
pelayanan kefarmasian di Rumah Sakit. ABSTRACT Profession Internship at Rumah Sakit Pusat Angkatan Darat Gatot Soebrot (RSPAD Gatsoe) Ditkesad has been done for two months from September 1st until October 30 th 2015. Profession Internship at this area was intended to make
apothecary student understand the role and responsibility of pharmacist in Hospital accordances to the statutory provisions and ethics, have insight into the
implementation of pharmaceutical practice in Hospital, and know the issues in pharmaceutical practice in Hospital. Based on the activities, pharmacist in Hospital
have been carrying out the duties and responsibilities in management of pharmaceutical preparation, medical devices, and consumable medical supply and in practice of clinical pharmacy. Pharmacy services in Hospital is carried out refers to Peraturan Menteri Kesehatan No. 58 Tahun 2015 about the standard of pharmacy services at Hospital. ;Profession Internship at Rumah Sakit Pusat Angkatan Darat Gatot Soebrot
(RSPAD Gatsoe) Ditkesad has been done for two months from September 1
st
until
October 30
th
2015. Profession Internship at this area was intended to make
apothecary student understand the role and responsibility of pharmacist in Hospital
accordances to the statutory provisions and ethics, have insight into the
implementation of pharmaceutical practice in Hospital, and know the issues in
pharmaceutical practice in Hospital. Based on the activities, pharmacist in Hospital
have been carrying out the duties and responsibilities in management of
pharmaceutical preparation, medical devices, and consumable medical supply and
in practice of clinical pharmacy. Pharmacy services in Hospital is carried out refers
to Peraturan Menteri Kesehatan No. 58 Tahun 2015 about the standard of pharmacy
services at Hospital. "
Fakultas Farmasi Universitas Indonesia, 2016
PR-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Ritonga, Rima Hayanty
Praktek kerja profesi di Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad periode bulan September - Oktober tahun 2015 = Profession internship at Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad in September - October 2015
"ABSTRAK
Praktek Kerja Profesi di Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad dilaksanakan dengan tujuan untuk mengetahui dan memahami peran dan tanggung jawab apoteker sebagai pengelola instalasi farmasi, baik dalam bidang manajemen instalasi farmasi maupun dalam hal pelayanan farmasi klinik. Peran apoteker dalam manajemen instalasi farmasi yaitu pengelolaan sediaan farmasi, alat kesehatan, dan bahan medis habis pakai meliputi pemilihan, perencanaan, pengadaan, penerimaan, penyimpanan, pendistribusian, pemusnahan, pengendalian, pencatatan dan pelaporan. Sedangkan pelayanan farmasi klinik yang telah dilakukan yaitu pengkajian dan pelayanan resep, penelusuran riwayat penggunaan obat, rekonsiliasi obat, pelayanan informasi obat, konseling, visite, pemantauan terapi obat, monitoring efek samping obat, dan dispensing sediaan steril. Tugas khusus yang diberikan adalah analisis drug related problem pada penderita rawat inap dengan diagnosa fraktur mandibula sinistra dengan riwayat HIV/AIDS dan gangguan mental organik akibat toksoplasmosis di lantai 4 perawatan umum Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad untuk dapat memberikan rekomendasi terkait terapi pasien kepada tenaga kesehatan terkait.ABSTRACT Profession Internship at Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad was held to learn and understand the role and responsibility of pharmacist as a pharmacy manager, especially to manage a pharmacy or to deliver pharmaceutical care. Pharmacist has role to manage the pharmacy that is management of drugs, medical devices, and medical materials consumable, such as selection, planning, supplying, receipt, saving, distribution, annihilation, controlling, and reporting. On the other hand, pharmaceutical care that been done such as receipt assessment and services, tracking a history of drug use, drug reconciliation, drug information service, counseling, visite, drug therapy monitoring, drug side effects monitoring, and sterile drug dispensing. Specific assignment that been given is about the analysis of drug related problem in patient hospitalized with sinistra mandibular fractures diagnosed with a history of HIV / AIDS and organic mental disorder due to toxoplasmosis in the general nursing 4th floor Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad to be able to provide recommendations related to the patient therapy to related health professionals.;Profession Internship at Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad was held to learn and understand the role and responsibility of pharmacist as a pharmacy manager, especially to manage a pharmacy or to deliver pharmaceutical care. Pharmacist has role to manage the pharmacy that is management of drugs, medical devices, and medical materials consumable, such as selection, planning, supplying, receipt, saving, distribution, annihilation, controlling, and reporting. On the other hand, pharmaceutical care that been done such as receipt assessment and services, tracking a history of drug use, drug reconciliation, drug information service, counseling, visite, drug therapy monitoring, drug side effects monitoring, and sterile drug dispensing. Specific assignment that been given is about the analysis of drug related problem in patient hospitalized with sinistra mandibular fractures diagnosed with a history of HIV / AIDS and organic mental disorder due to toxoplasmosis in the general nursing 4th floor Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad to be able to provide recommendations related to the patient therapy to related health professionals.;Profession Internship at Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad was held to learn and understand the role and responsibility of pharmacist as a pharmacy manager, especially to manage a pharmacy or to deliver pharmaceutical care. Pharmacist has role to manage the pharmacy that is management of drugs, medical devices, and medical materials consumable, such as selection, planning, supplying, receipt, saving, distribution, annihilation, controlling, and reporting. On the other hand, pharmaceutical care that been done such as receipt assessment and services, tracking a history of drug use, drug reconciliation, drug information service, counseling, visite, drug therapy monitoring, drug side effects monitoring, and sterile drug dispensing. Specific assignment that been given is about the analysis of drug related problem in patient hospitalized with sinistra mandibular fractures diagnosed with a history of HIV / AIDS and organic mental disorder due to toxoplasmosis in the general nursing 4th floor Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad to be able to provide recommendations related to the patient therapy to related health professionals.;Profession Internship at Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad was held to learn and understand the role and responsibility of pharmacist as a pharmacy manager, especially to manage a pharmacy or to deliver pharmaceutical care. Pharmacist has role to manage the pharmacy that is management of drugs, medical devices, and medical materials consumable, such as selection, planning, supplying, receipt, saving, distribution, annihilation, controlling, and reporting. On the other hand, pharmaceutical care that been done such as receipt assessment and services, tracking a history of drug use, drug reconciliation, drug information service, counseling, visite, drug therapy monitoring, drug side effects monitoring, and sterile drug dispensing. Specific assignment that been given is about the analysis of drug related problem in patient hospitalized with sinistra mandibular fractures diagnosed with a history of HIV / AIDS and organic mental disorder due to toxoplasmosis in the general nursing 4th floor Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Ditkesad to be able to provide recommendations related to the patient therapy to related health professionals."
Fakultas Farmasi Universitas Indonesia, 2016
PR-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Herry Bhaktiar Koe
Faktor-faktor internal yang berhubungan dengan pemanfaatan instalasi farmasi oleh pasien rumah sakit anak dan bunda Harapan Kita tahun 2007
"Pernbentukan kawasan perdagangan bebas oleh banyak negara, termasuk Indonesia, membuat pexsaingan makin ketat, termasuk induslri rumah sakit. Agar dapat bcrtahan, rumah sakit diharapkan dapat mcningkatkan pendapatan dan menekan biaya. Pendapatan lnstaiasi Farmasi RSAB HK hanya mempunyai ratio pcndapatun sebesar 28 - 29 % giari total pendapatan rumah sakit, sedangkan litcmtur menyatakan sekitar 40-50 %. Dineksi rumah sakit mengharapkan pcndapatan ditingkatkan menjadi 40 %.
Dilakukan penelitian kualitatif selama 2 bulan pada bulan April dan Mei 2007 di Rumah Sakit Anak dan Bunda I-Iarapan Kita untuk mengctahui mengapa banyak resep keluar. Jumlah informan sebanyak 21 orang. Kesesuaian infonnasi didapatkan dari informan petugas Instalasi Farmasi dan petugas lain yang mcngetahui/berhubungan dengan aktivitas instalasi. Kecukupan informasi/inf`o|'man clilakukan dengan snow balling efécr. Metode pengumpulan informasi dilakukan dengan wawancara, observasi, dan pemeriksaan data/dokumen. Validitas data dijaga dcngan lriangulasi sumber, metode, dan data/analisis.
Hasil penelitian menunjukkan harga obat mahal, obat tidak lengkap, dan waktu tunggu lama berhubungan dengan rendahnyn pcmanfaatan lnstalasi Farmasi RSAB HK. Peneiusuran lebih lanjut, empat faktor diatas disebabkan:
  1. Forrnularium yang out of date dan tidak ditaati;
  2. Pembayaran vendor dan petty cash yang terlambat,
  3. Kurangnya insentif untuk memotivasi pasien rnembeli opal di RS;
  4. Pengenaan Pajak Pertambahan Nilai yang kurang tepat;
  5. Pengelolaan dan monitoring stok kurang optimum;
  6. SIRS yang tidak dapat digunakan memonitor stok;
  7. Skedul kerja petugas tanpa pcnjadwalan scsuai beban kcrjajam sibuk.
Beberapa hal disarankan untuk mengatasi hal ini berdasarkan kemudahan melakukan, lama waktu pelaksanaan, penggunaan sumbcr daya, dan efektivitas:
  1. Koreksi hai-ga jual obat rajal scsuai aturan PPN;
  2. Mempcrccpal pembayaran vendor dan penggantian petty cash gudang farmasi;
  3. Menerapkan metode stok minimum dan maksimum pada pengelolaan persediaan;
  4. Sosialisasi peian lnstalasi Farmasi dalam memmjang aktivitas RS;
  5. Perbaikan SIRS schingga mampu mcmonitor stok dan melatih petugas menggunakan dengan benar;
  6. Mengatur jadwal masuk petugas sesuai jam sibuk;
  7. Membatalkan rencana penambahan depo ranap;
  8. Penentuan strategi harga dengan super value strategy (kualitas tinggi dan harga murah) untuk jangka pendek (misalnya 1 tahun) dan dilanjutkan dcngan high value strategy (kuaiilus tinggi dengan harga sedang) atau good value strategy (kualitas sedang harga dengan rendah) ditambah pengenaan margin lebih besar untuk obat pasien ranap kelas yang lebih linggi dan obat slow moving, serta perlakuan pembelian obat pasien rawat inap kelas 3 dan intensif sebagai pasien rawat map.
Free trade zone among countries, including Indonesia, create tight competitions in hospital industry. To survive, hospital has to increase revenues and decrease costs. As a government hospital, the ratio of pharmacy installation revenues compared to total revenues is 28 - 29 %. Some literatures indicate higher number reaching 40-50 % for industry average. The management of the hospital is targeting and demanding increased ratio to 40 %.
A qualitative research was conducted in April and May 2007 at the Children and Women Hospital Harapan Kita to detemtine why many prescriptions failed to be used inside and were outside. 21 persons were used as informants. Informations appropriateness was got by using employees of Instalation and other persons who knew lnstalation activity. Snow balling effect in deciding the adequacy of the informants and information was used. Information and data collection was conducted using interviews, observation, and documents/data study. Triangulation of sources, methods and data/analysis were used to maintain the validity of data.
The results of the study show that high price ofthe drugs/medicines, unavailability of some arrays of the medicines, and long queues are the prominent causes of internal prescription leakage. Further investigation reveal above problems were caused by:
  1. Outdated formularium;
  2. Dcllaycd payment lo vendor and reimbursement of the petty cash;
  3. Not enough incentives to motivate patient to buy inside;
  4. In-appropriate application of value added tax;
  5. Not optimized inventory management;
  6. Hospital Information system is unable to monitored drugs stocks;
  7. Evenly distributed staffs allocation, without considering the needs to assign more people at busy hours.
Seven issues are suggested to solve the problems based on feasibility, effcetivity, duration of the afford, and usages of the resources:
  1. Price correction due to in-appropriate of value added tax;
  2. Expedite faster payment to vendors, and expedite reimbursement petty cash;
  3. Apply minimum and maximum stock system to inventory management;
  4. Sosialize the iinance role of thc instalation to Hospital activity;
  5. Upgrade computer program systems and train staffs in better using it;
  6. Reschedule work force so that more staffs are on duty at peak hours;
  7. Abort the plan to establish second In-patient depo;
  8. Rocalculating thc selling price in terms super value strategy (high quality low price) for I year, then to high value strategy (high quality normal price) for good value strategy (normal quality low price), higher margin for higher class of in-patient and slow moving drug, and sell medicine without VA tax to class 3 and intensive in-patient.
      9. "
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2007
T34514
UI - Tesis Membership  Universitas Indonesia Library
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