Publication Search

Peresepan yang tidak tepat menyebabkan masalah seperti penurunan kemanjuran terapi, meningkatkan morbiditas dan mortalitas, pemborosan sumber daya, penurunan ketersediaan obat, risiko efek samping, resistensi bakteri, serta dampak psikososial, yang dapat menyebabkan ketergantungan pasien pada obat yang tidak berguna. Tujuan dari penelitian ini adalah untuk mengevaluasi ketepatan peresepan untuk pasien Diabetes melitus type-2 (DM-2) di Puskesmas Buleleng II. Survei potong lintang dilakukan dari Februari hingga April 2023. Wawancara secara langsung menggunakan kuesiner dilakukan pada pasien DM-2 yang direkrut secara purposive. Sejumlah 120 responden berpartisipasi dalam penelitian ini (tingkat respon 100%). Hasil menunjukkan pola peresepan pada pasien DM-2 yaitu tepat indikasi (97.5%); tepat pemilihan obat (97.5%); tepat dosis (97.5%); tepat cara pemberian obat (97.5%); tepat waktu interval (88.3%); dan waspada efek samping obat (48.3%). Ketepatan peresepan obat pada pasien DM-2 secara umum sudah baik. Apoteker diharapkan lebih aktif dalam memberikan pelayanan informasi obat dan konseling terkait pengobatan pasien, agar tercapai terapi pengobatan yang optimal.

Dr. Hospital Soetomo Surabaya with minimum service standard data that must be met is customer satisfaction ≥ 90% and waiting time ≤ 60 minutes in accordance with Ministry of Health (Kemenkes) decree no. 129 of 2008. Therefore, the problems faced by the Outpatient Institution Children's Polyclinic include service time Administration takes too long and quality must be improved. The most critical slowness of services at the Children's Polyclinic is in the registration administration section, namely the number of double registrations, disruptions in facilities and nurses who are still lacking in discipline. Applying Lean Healthcare and Failure Mode and Effects Analysis to improve service quality and prevent failures, such as slow service and lack of facilities will help find recommendations for improving these problems, namely reducing double registration of patients by improving data management and registration, repairing and improving maintenance of computer facilities for reducing waiting time due to disturbances and tightening discipline according to SOP.

CV Dafista Mulia is a drinking water producer company located in Lamongan Regency. The problem that is often faced by companies is the amount of waste that occurs in the process of producing bottled drinking water. The most critical percentage of waste in the bottled water production process (AMDK) is waste overproduction with a weighting percentage of 25.4%; waste defet with a weighting percentage of 16.2%; waste inventory with a weighting percentage of 14.9%; waste unnecessary motion with a weighting percentage of 14.1%; waste transportation with a weighting percentage of 11.7%; waste waiting with a weighting percentage of 9%; and waste excess processing with a weighting percentage of 8.7%. The initial activity time before the repair was 466 minutes (7 Hours 46 Minutes) and after the repair was reduced to 416 minutes (6 Hours 51 Minutes). Based on the Failure Mode and Effect Analysis (FMEA), it is known that the root cause of the problem with the highest waste is Overproduction, namely production planning that is not quite right with a Risk Priority Number (RPN) score of 396. Recommendations for improvements that can be proposed are to carry out production planning using data - historical data that exists and is adjusted to balance the purchasing of raw materials with orders from consumers so that the results of the Overproduction can become a safety stock so that the Overproduction can function in the next consumer order.

Muhammadiyah Ponorogo General Hospital is one of the private hospitals in Ponorogo Regency. At this time the Muhammadiyah Ponorogo General Hospital has received Plenary accreditation from the Indonesian Hospital Accreditation Institute (LARSI). The problem that is often faced by hospitals is that there is a lot of waste that occurs in the service process at the Eye Polyclinic of RSU Muhammadiyah Ponorogo. The most critical level of waste for eye polyclinic services is waiting with a weighting value of 4.00, waste inventory with a value of 3.16, waste overproduction with a weighting value of 3.00, waste defects with a weighting value of 2.91 , waste inappropriate processing with a weight value of 2.66, waste unnecessary motion with a weight value of 2.58, waste transportation with a weight value of 1.41, and waste underutilized abilities of people with a weight value of 2.25. The initial activity time before the repair was 14,677 seconds or 244 minutes (4 hours) and after the repair was reduced to 6,577 seconds or 109 minutes (1 hour 61 minutes). The highest waste is waiting, namely doctors often do not come on time and there is a lack of nurses or pharmacists in the pharmacy with a Risk Priority Number (RPN) score of 252 and 224. Recommendations for improvement that can be proposed are adding doctors to the eye poly department to reduce doctor delays because there are surgery schedules that often collide with the schedule for opening eye poly services and adding medical personnel to the pharmacy department, to reduce queues you can use a drug delivery application that can be accessed by patients without having to queue again at the hospital.

PT. XYZ, sebuah perusahaan manufaktur, memproduksi berbagai produk, termasuk Bok Travo. Perusahaan bertujuan untuk mengurangi limbah dalam proses produksinya untuk meningkatkan keuntungan dan tetap kompetitif di industri. Untuk mencapai hal tersebut, sebuah penelitian dilakukan untuk mengidentifikasi, mengurangi, dan mengusulkan perbaikan limbah dalam proses produksi Bok Travo. Studi ini menggunakan konsep lean manufacturing dengan menggunakan alat pemetaan aliran nilai dan metode Failure Mode and Effect Analysis (FMEA). Hasil pemetaan aliran nilai menunjukkan bahwa waktu produksi Bok Travo dapat dikurangi dari 2559 menjadi 2159 menit. Dengan menggunakan metode FMEA, akar penyebab pemborosan tertinggi diidentifikasi sebagai cacat seperti permukaan material yang tidak rata, kebocoran, kerataan, dan goresan pada produk. Rekomendasi perbaikan yang diusulkan antara lain penambahan waktu pengelasan dan pemberian support selama pengelasan, serta pengecekan silang dimensi sebelum proses perakitan.