Implementasi Theory of Constraints untuk Penurunan Waktu Tunggu Pelayanan Resep Obat

Keywords: Efisiensi Pelayanan, Kepuasan Pasien, Pelayanan Resep, Theory of Constraints, Waktu Tunggu

Abstract

This research aims to increase the efficiency of prescription service time at the Outpatient Pharmacy Installation (IFRJ) of Semen Gresik Hospital through the implementation of ToC by providing recommendations for improvement. The method used is observational with a cross-sectional design, and the Theory of Constraints (TOC) is applied to identify and overcome the main obstacles in the service process prescription, as well as develop performance improvement solutions. The research participants consisted of pharmaceutical personnel who had worked for more than one year, including 1 Head of Pharmacy Installation, 1 Head of the Outpatient Pharmacy Service Team, and 1 Pharmaceutical Technical Personnel. Observations were made based on recipes served for two weeks. The research population was 14,226 prescriptions for one month, with the sample consisting of 193 finished medicine prescriptions and 180 concocted prescriptions taken by simple random sampling. The research results show that the main obstacles lie in the process of prescription entry and drug delivery as well as KIE (Communication, Information and Education). The prescription process uses a single line queuing system through seven main stages, with an overall average waiting time of 32.82 minutes. The longest process was preparing medicine with an average time of 12.22 minutes, and finished medicine prescriptions had a waiting time that did not meet the highest standards (26.1%) with an average waiting time of 24.18 minutes. Recommendations for improvement include optimizing work flow with information technology, increasing coordination between units, and increasing the number of pharmacists. Simultaneously, the implementation of ToC through recommendations for improvements is expected to increase service efficiency and patient satisfaction at IFRJ Semen Gresik Hospital.

 

Keywords: Communication, Information, and Education, Efficiency of Service, Patient Satisfaction, Prescription Service, Theory of Constraints, Wait Time

References

Al-Mofleh, A., Alseddiqi, M., Almannaei, O. N. B., & Albalooshi, L. (2023). Improving Efficiency and Accuracy: Implementing Automation in King Hamad Hospital Outpatient Pharmacy. International Journal of Applied Sciences & Development, 2, 1-11. https://doi.org/10.37394/232029.2023.2.17

Alatawi, M. O. (2024). Decreasing Waiting Time for Outpatient Chronic Prescriptions Pickup Using Drive-Through 24/7 Automated Dispensing Carousel System at King Salman Military Hospital (KSAFH). Middle East Research Journal of Pharmaceutical Sciences, 4(1), 12-19. https://doi.org/10.36348/merjps.2024.v04i01.002

Amelia, P., Lathifah, A., Haq, M. D., Reimann, C. L., & Setiawan, Y. (2021). Optimising Outpatient Pharmacy Staffing to Minimise Patients Queue Time Using Discrete Event Simulation. Journal of Information Systems Engineering and Business Intelligence, 7(2), 102-111. https://doi.org/10.20473/jisebi.7.2.102-111

Angriani, A., Ambo, N., Nasir, N., Nuraisyah, N., Haryono, D., Rivai, A., Nasrullah, N., & Susanti, A. (2023). Drug Logistics Service Management in Regional General Hospital Pharmacy Installations (Hospital) Undata Palu. International Journal of Engineering Business and Social Science, 1(6), 45-52. https://doi.org/10.58451/ijebss.v1i06.95

Datt, M., Gupta, A., Misra, S. K., & Gupta, M. (2024). Theory of Constraints In Healthcare: A Systematic Literature Review. International Journal of Quality and Reliability Management, 41(6), 456-478. https://doi.org/10.1108/IJQRM-02-2022-0056

Ergetie, F. S., Kassaw, A. T., & Belachew, E. A. (2024). Clients’ Knowledge and Satisfaction with Outpatient Pharmacy Services and Associated Factors at Felege Hiwot Comprehensive Specialized Hospital, Ethiopia: A cross-sectional study. SAGE Open Medicine, 12, 1-8. https://doi.org/10.1177/20503121241229562

Everdine, F. A., Tendean, L., & Pertiwi, J. M. (2023). Analisis Pemborosan (Waste) Menggunakan Pendekatan Lean Manajemen pada Instalasi Farmasi Rawat Jalan Rumah Sakit Hermina Manado. Jurnal Kesehatan Tambusai, 4(2), 98-106. https://doi.org/10.31004/jkt.v4i2.16050

Huvaid, S. U., Adhyka, N., & Antika, E. (2023). Analisis waktu tunggu pelayanan di instalasi farmasi pada pasien rawat jalan di RSI Siti Rahmah. Jurnal Kedokteran Dan Kesehatan, 19(2), 165-172. https://doi.org/10.24853/jkk.19.2.165-172

Inoshi, Y. N., Nugrahini, L., & Abdillah, E. K. (2024). Evaluasi Pelayanan Informasi Obat pada Pasien Rawat Jalan di Instalasi farmasi Rumah Sakit Umum Daerah Buleleng periode Januari-Maret 2023. Jurnal Farmasi Kryonaut, 3(1), 23-31. https://doi.org/10.59969/jfk.v3i1.64

Jouhet, O., Demir, J., Sitbon, M., Bildan, M. A., Bros, A., Kim, E., Godron, N., Madelaine, I., & Deville, L. (2024). Reform of Early Access Program in France: Impact on Workload in A Pharmacy and Risk Identification. Annales Pharmaceutiques Francaises, 82(4), 310-317. https://doi.org/10.1016/j.pharma.2024.02.012

Kilonzi, M., Mutagonda, R. F., Mwakawanga, D. L., Mlyuka, H. J., Mikomangwa, W. P., Kibanga, W. A., Marealle, A. I., Mallya, B., Katabalo, D., Sanga, S., Kalokola, F., Rwegasha, J., Magambo, R., Mmassy, J., Kabissi, S., Balati, J. A., Maduki, P., Minzi, O. M., & Kamuhabwa, A. A. R. (2024). Establishment of Clinical Pharmacy Services: Evidence-Based Information from Stakeholders. Human Resources for Health, 22(1), 1-10. https://doi.org/10.1186/s12960-023-00887-5

Leemanza, Y., & Kristin, E. (2023). Effectiveness of Wait Time Targets and Patient Satisfaction Feedback in Decreasing Wait Times for Prescription Services in An Outpatient Pharmacy. Canadian Journal of Hospital Pharmacy, 1(7), 43-49. https://doi.org/10.4212/cjhp.3438

Liew, J. E. S., Cheng, Y. C., Tai, N. L., Pereira, A., Manivannan, V., Khoo, S. L., Wong, W. K., Lim, H. K., Ong, S. J., Khairudin, N. B. M., Lee, K. S. F., Loh, B. C. C., Chong, K. L., & Lee, Y. L. (2024). A Before–After Study to Evaluate The Effect of Pharmacy Workflow Redesign to Improve Pharmacy Waiting Time and Reduce Medication Near Misses in Malaysia. International Journal of Pharmacy Practice, 32(1), 98-105. https://doi.org/10.1093/ijpp/riad083

Lu, X., Zhang, W., Jia, X., Bao, X., Zhang, X., Kang, J., Du, S., & Yin, Z. (2024). Exploring the Problems and Coping Strategies of Pharmacy Internship in Large General Hospitals in China: From the perspective of preceptors. BMC Medical Education, 24(1), 1-10. https://doi.org/10.1186/s12909-024-05032-x

Maharani, A. E., & Mutmainah, N. (2022). Hubungan Antara Waktu Tunggu dengan Kepuasan Pasien Rawat Jalan di Instalasi Farmasi RSUD Pandan Arang Boyolali. Usadha Journal of Pharmacy, 1(1), 20-29. https://doi.org/10.23917/ujp.v1i1.2

Ramachandram, D. S., Tan, C. H., Selvaraj, A., Appalasamy, J. R., & Kow, C. S. (2024). The Workload and Satisfaction of Pharmacists and Pharmacy Assistants After Installation of An Automated Tablet Dispensing and Packaging System in A Tertiary University Hospital in Malaysia. International Journal of Pharmacy Practice, 32(1), 110-117. https://doi.org/10.1093/ijpp/riad085

Rethmana, A., Almasdy, D., & Burhan, I. R. (2024). Factors Affecting Waiting Time for Outpatient Prescription Services in BPJS Patients at The Pharmacy Installation of the M Natsir Solok Regional General Hospital year 2022. International Journal of Research and Review, 11(3), 1-7. https://doi.org/10.52403/ijrr.20240301

Sabrina, A., Rianto, L., Tuahuns, F., Savitri, F., & Yulianto, F. (2024). Evaluasi Kesesuaian Waktu Tunggu Pelayanan Resep di Instalasi Farmasi Rawat Jalan Rumah Sakit Umum Kabupaten Tangerang November 2022. Jurnal Riset Kefarmasian Indonesia, 6(1), 15-23. https://doi.org/10.33759/jrki.v6i1.482

Setyowati, E., Etikasari, R., & Tetuko, A. (2023). Analisa Lamanya Waktu Pelayanan Resep Racikan di Instalasi Farmasi Rawat Jalan Rumah Sakit Islam Kendal. Indonesia Jurnal Farmasi, 2(1), 54-60. https://doi.org/10.26751/ijf.v2i1.416

Wylegała, K., Religioni, U., & Czech, M. (2023). The Impact of Hospital Pharmacy Operation on The Quality of Patient Care. International Journal of Environmental Research and Public Health, 20(5), 1-10. https://doi.org/10.3390/ijerph20054137

Zhang, H., Ma, W., Zhou, S., Zhu, J., Wang, L., & Gong, K. (2023). Effect of Waiting Time on Patient Satisfaction in Outpatient: An empirical investigation. Medicine, 102(40), 1-6. https://doi.org/10.1097/MD.0000000000035184
Published
2024-10-24
Abstract viewed = 6 times
pdf downloaded = 1 times