Lean Approach of Pharmaceutical Installations At Hospital ABC Purbalingga to Increase Pharmacy Service Efficiency

R. A. Imran
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Abstract

A good pharmacy quality services are intended to the pharmaceutical product which is well prepared, stored, distributed, dispensed and discarded. However, these days services are assessed through medication availability, waiting time and user satisfaction. Therefore, hospitals need to make continuous quality improvements to the process of service, facilities, utilities, and health workers. This research aims to propose improvements to hospital pharmacy services quality by using Lean approaches in reducing services waiting time of concoction medicine. A case study was at Hospital ABC at Central Java, conducted in February-April 2019. There is a crucial problem was the prescription drug waiting time of concoction medicine. This study begins with process flow analysis and waste identification by interviewing with stakeholders of the hospital. Non-value added and value-added activities been divided, then time measurement in each activity is carried out with a time study method, to get the actual time of compounding the drug. Current state flow was mapped using value stream mapping tools, and future state flow map was recommended. Using lean tools, value-added activities have been identified and process time in future state map optimized to 47%. By using 5-why’s root cause analysis, problems identified and improvement of visual management were recommended.
ABC Purbalingga医院药学设施精益化方法提高药学服务效率
良好的药学质量服务是针对药品的制备、储存、分发、配发和丢弃。然而,现在的服务是通过药物供应、等待时间和用户满意度来评估的。因此,医院需要对服务流程、设施、公用事业和卫生工作者进行持续的质量改进。本研究旨在探讨如何运用精益方法,减少配药等候时间,以提升医院药房服务品质。2019年2月至4月在中爪哇的ABC医院进行了一项案例研究。配药的处方等待时间是一个关键问题。本研究通过访谈医院的利益相关者,从流程分析和浪费识别开始。将非增值活动和增值活动进行划分,然后用时间研究的方法对每个活动进行时间测量,得到药物的实际配药时间。使用价值流映射工具绘制当前的状态流,并建议绘制未来的状态流图。使用精益工具,已经确定了增值活动,并将未来状态图中的流程时间优化到47%。通过5-why的根本原因分析,发现问题并提出改进建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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