Ahmad Fuad Afdhal
Universitas Pancasila

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Analisis Efektivitas Biaya Haloperidol-Chlorpromazine dengan Haloperidol-Risperidone pada Pasien Skizofrenia di Rumah Sakit dr. H. Marzoeki Mahdi Bogor Fitriani Putri; Delina Hasan; Ahmad Fuad Afdhal; Lahargo Kembaren
JURNAL ILMU KEFARMASIAN INDONESIA Vol 18 No 2 (2020): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35814/jifi.v18i2.899

Abstract

Schizophrenia is a disease that requires a long treatment time, this will have an impact on drug use and costs in the long term. Therefore it is necessary to find an alternative drug that is eff ective and effi cient by using pharmacoeconomics methods, that is cost-eff ectiveness analysis. The purpose of this study was to determine which of the two combination drugs was eff ective and effi cient for the treatment of schizophrenic patients in hospital Marzoeki Mahdi Bogor. This research method used cross sectional design, the sample size in this study was 90 schizophrenic patients obtained from patient medical records and data collected prospectively from dr. H. Marzoeki Mahdi in 2019. Samples were divided equally into two groups, one group received haloperidol - chlorpromazine and the second group received haloperidol - risperidone. The eff ectiveness parameter used in this study is the GAF (Global Assessment of Functioning) value. The results showed that the combination of haloperidol - risperidone was more eff ective than the combination of haloperidol - risperidone, this was evidenced by an increase in the patients GAF value by 95.5% (43 patients) with an average diff erence between the initial and fi nal GAF values of 6.89, while the combination of haloperidol - chlorpromazine amounted to 93.3% (42 patients) with an average diff erence between the initial and fi nal GAF values of 5.84. The ACER value of haloperidol - chlorpromazine is Rp. 6,587,753 and the ACER value for the haloperidol – risperidone combination is Rp. 6,148,897. In conclusion, the haloperidol - risperidone combination is more cost eff ective (p < 0.05) than the haloperidol - chlorpromazine combination.
Analysis Of Overall Equipment Effectiveness (Oee) In Determining Productivity In Semi Automatic Semi Solid Filling Machines At PT X. Dessi Lina Purnamasingrum; Ahmad Fuad Afdhal; Asal Asal
Jurnal EduHealth Vol. 14 No. 01 (2023): Jurnal eduHealth, Periode Januari-Maret, 2023
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.804 KB)

Abstract

One of the manufacturing industries such as the cosmetics manufacturing industry still have tight and competitive competitiveness. The tight competition forces employers or management to continue to try to improve competitiveness. In the current era of globalization, so that the company can survive in competition, the company must be able to manage its resources such as humans, machines or other supporting facilities, as the conditions in question are ready to use to carry out its production operations, both accuracy, ability or its capacity. This study discusses the analysis of Overall Equipment Effectiveness (OEE) on a semi-automatic filling machine semi-solid at PT.X with the aim to provide input to the problems faced by the OEE calculation analysis and reveal the root cause of the problem. This study determines what efforts are made to increase the OEE value by using Fishbone, Failure Mode and Effect Analysis (FMEA) and how it is implemented. In this research, the results of the average calculation for July-September 2018 obtained availability values of 74.24%, performance rates of 54.53%, quality rates of 81.52% and OEE 30.56%. The value of Failure Mode and Effect Analysis (FMEA) obtained the highest value found in Equipment Failure Losses (RPN = 80), Defect losses (RPN = 64) and Idling and minor stoppage (RPN = 60). From the results of these losses found the root of the problem which causes the value of the percentage loss. The level of risk from the root cause of the performance of semi-solid semi-automatic filling machines is the standard replacement of unsuitable spare parts and no buffer stock. Lack of operator awareness and maintenance parts so autonomous maintenance must be improved again.