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"Standar waktu pelayanan resep racik diRumah Sakit Hermina Bekasi belum tercapai.Penelitian ini untuk mengetahui lama waktu pelayanan resep racik pasien anak rawatjalan serta faktor-faktor yang mempengaruhinya. Desain penelitian cross sectional;pendekatan kualitatif dan kuantitatif, Sampel resep racik pasien anak rawat jalansebanyak 120 resep diambil secara random. Hasil penelitian didapatkan rerata waktupelayanan resep racik 27 menit 30 detik, dengan rincian rerata waktu pelayanan ataukomponen proses 7 menit 20 detik (26,69%) dan komponen delay 73,31% atau reratawaktu pelayanan 20 menit 10 detik. Terbatasnya personil, kemampuan tidak merataserta sarana merupakan faktor yang berpengaruh terhadap lamanya waktu pelayananresep racik. Saran : evaluasi standar pelayanan resep dan penghitungan ketenagaanserta peningkatan pendidikan dan sarana prasarana

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Standard time of dispensing of compounding prescription at Hermina Bekasi Hospital

has not yet been achieved. This research is to find out a total time used in dispensing

of a compounding prescription child-outpatient and the attributed factors. The research

design involved a cross sectional with qualitative and quantitative approaches, a

sample size of 120 compounding prescription of child-outpatient taken as random. The

research has shown that the dispensing activity time averaged 27 minutes 30 seconds.

The component of the process is 26,69% (the average of process time is 7 minutes 20

seconds). And the 73,31% of total dispensing time was due to delay components (the

average of delay time is 20 minutes 10 seconds). The lack of personnel, capability of

uneven and also the facility are some of factors attributed the delay components.

Suggestions: evaluation of service standard prescription and calculating workload as

well as improved education and infrastructure"

"Standar waktu pelayanan resep racik diRumah Sakit Hermina Bekasi belum tercapai. Penelitian ini untuk mengetahui lama waktu pelayanan resep racik pasien anak rawat jalan serta faktor-faktor yang mempengaruhinya. Desain penelitian cross sectional; pendekatan kualitatif dan kuantitatif, Sampel resep racik pasien anak rawat jalan sebanyak 120 resep diambil secara random. Hasil penelitian didapatkan rerata waktu pelayanan resep racik 27 menit 30 detik, dengan rincian rerata waktu pelayanan atau komponen proses 7 menit 20 detik (26,69%) dan komponen delay 73,31% atau rerata waktu pelayanan 20 menit 10 detik. Terbatasnya personil, kemampuan tidak merata serta sarana merupakan faktor yang berpengaruh terhadap lamanya waktu pelayanan resep racik. Saran : evaluasi standar pelayanan resep dan penghitungan ketenagaan serta peningkatan pendidikan dan sarana prasarana.

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Standard time of dispensing of compounding prescription at Hermina Bekasi Hospital has not yet been achieved. This research is to find out a total time used in dispensing of a compounding prescription child-outpatient and the attributed factors.

The research design involved a cross sectional with qualitative and quantitative approaches, a sample size of 120 compounding prescription of child-outpatient taken as random.

The research has shown that the dispensing activity time averaged 27 minutes 30 seconds. The component of the process is 26,69% (the average of process time is 7 minutes 20 seconds). And the 73,31% of total dispensing time was due to delay components (the average of delay time is 20 minutes 10 seconds). The lack of personnel, capability of uneven and also the facility are some of factors attributed the delay components.

Suggestions: evaluation of service standard prescription and calculating workload as well as improved education and infrastructure."

"ABSTRAKRSUPN. Dr. CiptoMangunkusumo Jakarta adalahrumahsakitpemerintah yangmenjadipusatrujukannasionalGedung A merupakansalahsatu unit kerja yang adadiRSUPN. Dr. CiptoMangunkusumo Jakarta, melayanipasienrawatinap.Dalammelaksanakanpelayanankesehatan, obatmenyerapdanalebihkurangsekitar 36milyardalamkurunwaktuhanya 6 bulanyaitubulanJulisampaiDesember2010Pengelolaan perbekalanfarmasimemegangperanan yangpentingdalampelayanandirumahsakitGedung A RSUPN. Dr. CiptoMangunkusumoJakarta sudahmelaksanakansistemdistribusiobatrawatinapdenganunit dose dispensingsystemsejaktahun 2008. Tujuanpenelitianiniuntukmemperolehgambaranpenerapanunitdose dispensing systemdigedungA.Metodepenelitian yangdilakukansecaradeskriptifkualitatifdengan data primer, data sekunder,pengamatandanwawancaramendalamHasilpenelitianmenunjukkanbahwapengelolaanperbekalanfarmasisecarakeseluruhan ,khususnyadalampenerapanunit dose dispensingsystemdapatmenghematbiayaobatrawatinapdandisarankan agar unit dose dispensingsystemdapatditeruskansebagaikebijaksanaanmanajemen RSUPN. Dr.CiptoMangunkusumo Jakarta di unit kerja yang lain. Disarankanjuga agardilakukanpenelitianlanjutanuntukmengetahuidarisisimanajemenrumahsakit

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ABSTRACTBuilding A is one unit that is in RSUPN. Dr. CiptoMangunkusumo Jakarta, servinginpatients. In implementing health services, drug absorbs funds from approximately36 billion within a period of only six months from July to December2010Management of pharmaceuticals play an important role in service at thehospitalBuilding A RSUPN. Dr. CiptoMangunkusumo Jakarta has implementedinpatient drug distribution system with a unit dose dispensing system since 2008.Thepurpose of this study to obtain a picture of the implementation of unit dose dispensingsystem in building A.Research methods to be descriptive qualitative primary data,secondary data, observation and in-depth interviewsThe results showed that theoverall management of pharmaceuticals, particularly in the implementation of unitdose dispensing system can save the cost of inpatient drug and recommended that theunit dose dispensing system can be forwarded as RSUPN management policy. Dr.CiptoMangunkusumo Jakarta in other work units. Also recommended that furtherresearch to find out from the side of the hospital management"

"Instalasi Farmasi adalah salah satu unit di rumah sakit yang memberikan layanan produk dan jasa dalam bentuk pelayanan resep. Dimana bagi pelanggan, mutu pelayanan resep farmasi yang baik umumnya dikaitkan dengan kecepatan dalam memberikan pelayanan. Kegiatan yang terjadi dalam proses pelayanan resep diduga dipengaruhi oleh faktor jenis resep, jumlah item obat dan shift petugas Instalasi Farmasi.Penelitian ini bertujuan untuk mengetahui lamanya waktu setiap kegiatan layanan resep racikan serta faktor-faktor yang mempengaruhinya.Penelitian ini dilakukan di Instalasi Farmasi Rawat Jalan RSIA Hermina Bekasi, selama empat minggu setiap hari Sabtu mulai bulan Mei 2003. Sampel penelitian sebanyak 337 lembar resep racikan, penelitian dilakukan dengan pendekatan cross sectional.Analisis yang digunakan pada penelitian ini adalah analisis statistik deskriptif dan analisis statistik inferensial.Hasil penelitian memperlihatkan bahwa rata-rata total waktu pelayanan resep racikan di Instalasi Farmasi rawat jalan RSIA Hermina Bekasi tahun 2003 adalah sebesar 24,14 menit. Dan terlihat perbedaan yang bermakna pada lama waktu pelayanan resep antara jenis racikan bungkus, kapsul, cairan dan salep.Berdasarkan hasil penelitian ini, diharapkan manajemen rumah sakit mengadakan pemberdayaan karyawan pada tahapan yang dianggap penting, mengadakan pengembangan perluasan ruangan instalasi farrnasi rawat jalan, diadakan pemisahan loket penyerahan resep antara poliklinik ibu dan poliklinik anak, agar tidak terjadi penumpukan resep di bagian penerimaan resep. Juga diharapkan adanya pelatihan petugas khususnya pada tahap pengemasan jenis kapsul dan penggunaan alat pengisi kapsul. Hal ini diharapkan dapat dijadikan pedoman bagi proses perbaikan dalam meningkatkan mutu layanan kefarmasian.Daftar Pustaka 36 (1980 - 2002)

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Length of Time for Dispensed Medicine Prescription Service on Saturday to The Outpatient Pharmacy at Rumah Sakit Ibu dan Anak Hermina BekasiPharmacy Installation is a unit in the Hospital that gives product and services in the form of prescription services. Whereas for the customer, a good pharmacy's prescription services quality are usually related to providing quick service. The activities that occurred in a prescription services operational process are hypothetically influenced by several factors; the prescription kind, number of items and work shift.

The research intended to discover length if time to every service of dispensed medicine prescription, together with influenced factors.

In research took place in the pharmacy installation of the RSIA Hermina Bekasi, for four weeks every Saturday since May 2003. The research samples included 337 prescription, the research uses the cross sectional.

The analysis being used are descriptive statistics analysis and inference statistics analysis.

The result of the research shows that the average for total waiting time for dispensed medicine prescription services for outpatient at RSIA Hermina Bekasi for 2003 are 24,14 minutes. And it shows the difference of the waiting time for prescription services; dispensed medicine kind, medicine item kind and shift.

Based of this research to avoid stacking of prescription hopefully hospital management can make efficient use of the employee, in the important phase, to enlarge the room for pharmacy installation for outpatient, to separate the prescription counter between polyclinic for mother and polyclinic for child.

Also hopefully, the hospital can make efficient use of the employee with training specially in phase of drugs packaging for capsule. Hopefully this information can be use as some sort of guidance to improve pharmacy service quality.

Bibliography 36 (1980 - 2002)"

"This research discribes about time service analysis of compounding and non compounding medicines in hermina with lean sigma approach ininstallation of outpatient in hermina depok. Pharmacy time service is the important part of the hospital excellent services and lean six sigma is a methodology of decreasing the waste and variation. Thjs reaserch is a an operational research where the researcher did a direct counting in each process of compounding and non compounding prescriptions. Lean six sigma method which has been used were define, measure, analyze and improve. This reaserch aims to propose a better visual management application, 5s culture, lay out changing and electronic prescription and heijunka prescription as a long term porpuse. Using of lean six sigma method could decrease the waste of non compounding prescription service from 43 procedures to 32 procedures with time allocation from 31 minutes and 51 seconds to 16 minutes 34 seconds. For the compounding prescription could also decrease the procedures, from 32 steps to 46 steps with time allocationfrom 47 minutes and 31 seconds to 25 minutes and 7 seconds."

"ABSTRAKPenerapan dan penelitian terkait efektivitas automated dose dispensing (ADD) di Indonesia masih sangat terbatas. Oleh karena itu, penelitian ini bertujuan untuk melihat efektivitas ADD di salah satu Rumah Sakit Indonesia yang telah menerapkannya, yaitu RSU Kabupaten Tangerang. Metode penelitian yang digunakan adalah cross-sectional dengan membandingkan jumlah resep dengan dispensing error dan dispensing time dari populasi resep yang menggunakan ADD dan manual dispensing (MD). Sampel didapat dari resep unit dose dispensing (UDD) bangsal rawat inap RSU Kabupaten Tangerang periode Mei-Juli 2019. Hasil penelitian dari 1086 resep untuk masing-masing populasi menunjukan ADD memiliki rerata geometrik dispensing time 53,70 detik, berbeda signifikan (p<0,001) dengan MD yaitu 144,54 detik. Jumlah resep dengan dispensing error resep pada ADD sebanyak 44 error, berbeda signifikan (p < 0,001) dengan MD yaitu 77 error. Hasil ini menunjukan bahwa di RSU Kabupaten Tangerang, ADD lebih efektif dibandingkan dengan MD dilihat dari rerata geometrik dispensing time dan jumlah dispensing error. Meskipun ADD dapat mempercepat pelayanan resep dan menurunkan jumlah dispensing error, penting untuk mempertimbangkan beberapa hal sebelum menerapkan mesin ini seperti faktor biaya, sistem informasi Rumah Sakit, resep elektronik, dan keterampilan sumber daya manusia.

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ABSTRACTThe application and research related to the effectiveness of the automated dose dispensing (ADD) in Indonesia are still very limited. Therefore, this study aims to see the effectiveness of ADD in one of the Indonesian hospitals that have implemented in, Tangerang district general hospital. The method of this study is a cross-sectional by comparing the number of dispensing errors and dispensing time from the prescriptions of recipes using ADD and manual dispensing (MD). Samples were obtained from the unit dose dispensing (UDD) prescription in inpatient ward of Tangerang District General Hospital, May-July 2019. The results of 1086 prescriptions for each population showed ADD had an average dispensing time of 144,54 seconds, significantly different (p<0,001) from MD, 53,70 seconds. The number of dispensing errors prescribed by ADD is 44 errors, while MD is significantly different (p<0,001) with 77 errors. These results indicate that in the District Hospital of Tangerang, ADD is more effective than MD seen from the average dispensing time and number of dispensing errors. Even though ADD can speed up prescription services and reduce the number of dispensing errors, it is important to considering some factor before applying this machine such as cost factor, Hospital information system, electronic prescription, and human resources skills."

"Pelayanan kefarmasian adalah pelayanan langsung dan bertanggung jawab kepada pasien yang berkaitan dengan sediaan farmasi yang bertujuan untuk meningkatkan mutu kehidupan pasien yang dilaksanakan oleh Instalasi Farmasi. Salah satu standar mutu di Instalasi Farmasi berdasarkan SPM adalah waktu tunggu pelayanan obat. Standar waktu tunggu pelayanan obat yang ditetapkan oleh RS Hermina Bogor adalah obat jadi ≤10 menit dan obat racik ≤20 menit. Dalam pelaksanaannya, standar tersebut masih belum tercapai. Lean Six Sigma merupakan salah satu metode untuk memperbaiki suatu proses dalam berbagai industri salah satunya rumah sakit. Penelitian ini bertujuan untuk menganalisa waktu tunggu pelayanan obat dengan menggunakan metode Lean Six Sigma di Instalasi Farmasi rawat jalan RS Hermina Bogor. Penelitian ini menggunakan kerangka kerja DMAIC. Analisis dilakukan dengan sampel 30 resep obat jadi dan 30 resep obat racik. Penelitian dilakukan secara kuantitatif dengan observasi waktu tunggu pelayanan resep obat dan secara kualitatif dengan wawancara dan telaah dokumen. Hasil penelitian menunjukkan rata-rata waktu tunggu pelayanan resep obat jadi 21 menit dengan 37,4% kegiatan value added dan 62,6% kegiatan non value added, serta waktu tunggu pelayanan resep obat racik 48 menit dengan 36,2% kegiatan value added dan 63,8% kegiatan non value added. Dilakukan analisis akar penyebab masalah dan usulan perbaikan. Usulan perbaikan yang diberikn antara lain, perhitungan kebutuhan tenaga di tiap shift, menghitung beban kerja, merevisi kembali minimal stok apotek, dan menerapkan 5S pada area kerja.

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Pharmacy services are direct and responsible services to patients related to pharmaceutical preparations which aim to improve the quality of life of patients carried out by Pharmacy Installation. One of the quality standards in Pharmacy Installation based on SPM is the waiting time for medicine services. The standard waiting time for drug services set by the Hermina Bogor Hospital for the non coction prescription is ≤10 minutes and for the concoction prescription is ≤20 minutes. In its implementation, these standards have not yet been reached. Lean Six Sigma is one method to improve a process in various industries, one of them is a hospital. This study aims to analyze the waiting time for prescription using the Lean Six Sigma method in the Pharmacy Installation Hospital Hermina Bogor. This study uses the DMAIC framework. The analysis was carried out with the non concotion and the concoction prescription each 30 sample. The study was conducted quantitatively by observing the waiting time for prescription and qualitatively by interviewing and reviewing documents. The results showed that the average waiting time for the non concoction is 21 minutes with 37.4% of value added and 62.6% activities for non value added activities, as well as waiting time for the concoction is 48 minutes with 36.2% value added and 63.8% of non value added activities. Analyze the root cause of the problem and the proposed improvements. Proposed improvements include the calculation of labor requirements in each shift, calculating workloads, revising a minimum of the pharmacy stock, and implementing 5S in the work area."

"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."

"Tesis ini membahas hubungan gambaran karakteristik dan kepuasan pasien dengan minat beli ulang pasien di instalasi rawat jalan Rumah Sakit Puspa Husada Bekasi tahun 2013. Penelitian ini menggunakan pendekatan kuantitatif dengan menggunakan data primer yang diperoleh dari kuesioner yang diisi sendiri atau diwakilkan kepada wali pasien bagi pasien anak. Populasi penelitian adalah seluruh pasien yang menjalani rawat jalan atau pendampingnya yang memahami kondisi pasien di RSIA Puspa Husada dengan besar sampel sebanyak 98 responden. Hasil penelitian menunjukan bahwa minat beli ulang di instalasi rawat jalan Rumah Sakit Ibu dan Anak Puspa Husada Bekasi masih rendah. Mayoritas pasien rawat jalan rumah sakit ini adalah perempuan, berumur dibawah 30 tahun, pendidikan setingkat SMA atau dibawahnya, pekerjaan sebagai swasta, memiliki pendapatan dibawah UMR setempat, tinggal dekat dengan rumah sakit dan melakukan pembayaran dengan biaya sendiri. Pasien di instalasi rawat jalan Rumah Sakit Ibu dan Anak Puspa Husada Bekasi yang tidak puas sebesar 58,2%. Kepuasan tertinggi terdapat pada dimensi empathy dan kepuasan terrendah terdapat pada dimensi reliability. Terdapat dua karakteristik yang berpengaruh terhadap proporsi minat beli ulang, yaitu karakteristik jarak dan pendapatan. Dan pada dimensi ServQual, perbedaan proporsi minat beli ulang hanya pada dimensi assurance. Minat beli ulang ditentukan oleh kualitas pelayanan yang diberikan dan berdasarkan hasil penelitian, peneliti menyarankan agar Rumah Sakit Ibu dan Anak Puspa Husada memperbaiki kualitas pelayanan terutama pada dimensi reliability, assurance dan responsiveness.

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This thesis studies the relation of patient characteristic and satisfaction with re-use interest of patient in outpatient installation of Puspa Husada Hospital Bekasi. This research used Quantitive approach and applied the Primer Data that was taken from the self-administered questionnare or represented by patient's guardian. The population of the research was all patient visited the Outpatient Installation at Puspa Husada Hospital Bekasi. There were 98 respondent involved in this research.

The result shows that most of all re-use interest outpatient at Puspa Husada Hospital Bekasi is low. The majority characteristic of patient are woman, age under 30, high school education or under, income under UMR, living nearby hospital and using self payment. 58,2% patient of outpatient installation of Puspa Husada Hospital Bekasi was not satisfied with hospital service. The highest satisfacction found in empathy dimension and the lowest satisfaction found in reliability dimension.

There are two characteristics (distance and income) influenced the proportion of re-use interest and one dimension of ServQual Method, which is assurance, influenced the proportion of re-use interest patient of outpatient instalattion Puspa Husada Hospital Bekasi. The re-use interest patient of Outpatient Installation Puspa Husada Bekasi was depend on quality service that given to patient. And based on the research, researcher suggest Puspa Husada Hospital Bekasi to increase quality of health care service especially for dimension reliability, assurance and responsiveness."

"Penelitian ini bertujuan untuk meningkatkan efisiensi waktu pelayananinstalasi farmasi rawat jalan dalam rangka peningkatan mutu pelayanan rumahsakit. Metode penelitian yang digunakan adalah metode penelitian gabungan mixed method dengan melakukan wawancara mendalam serta observasi waktutunggu pelayanan obat yang selanjutnya dianalisis dengan menggunakan analisisunivariat. Hasil penelitian menunjukkan bahwa waktu tunggu pelayanan obatracik dan paten di rumah sakit ini melebih standar waktu yang ditetapkan,ditemukan beberapa penghambat seperti ketersediaan sumber daya manusia, saranaprasarana dan fasilitas kerja yang merupakan hambatan terbesar dalam pelayananini. Disarankan kepada rumah sakit untuk dapat redisain layout farmasi,menghitung ulang pola ketenagaan serta pengaturan tugas sesuai dengankompetensinya.

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This study aims to improve the efficiency of service time of outpatientpharmacy installation in order to improve the quality of hospital services. Theresearch method used is the method of combined research mixed method byconducting in depth interviews and observation of drug service waiting time whichthen analyzed by using univariate analysis.

The result of the research shows that the waiting time for the service of racikand patent medication in this hospital exceeds the standard time set, found someobstacles such as availability of human resources, infrastructure and work facilitieswhich is the biggest obstacle in this service.

It is advisable to the hospital to be ableto redesign the pharmacy layout, recalculate the pattern of the workforce as well asthe arrangement of tasks in accordance with its competence."