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Visual Management Tools Sebagai Upaya Peningkatan Mutu Layanan bagi Manajer Pelayanan Rumah Sakit Adila Kasni Astiena; Rika Ampuh Hadiguna; Acim Heri Iswanto; Hardisman Hardisman; Rima Semiarty; Fadilla Azmi
Warta Pengabdian Andalas Vol 28 No 3 (2021)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.28.3.321-333.2021

Abstract

The main issue of outpatient services at the Hospital in Padang-West Sumatra is the lack of use of Visual Management Tools (VMT). VMT is a tool to monitor service bottlenecks such as long waiting times. The devotee has designed an application-based VMT. This community service aims to assess the level of user satisfaction related to the application. Activities were carried out by socializing, designing, simulating and evaluating the application that can be downloaded on the Playstore. The target group was hospital officers and patients. They were trained to use the application and then evaluated. The sample consists of 80 people. The result of the community service was the training of officers related to several VMT tools in the form of Value Stream Map, Eight waste, Five why's, Failure Mode and Effect Analysis (FMEA) and Outpatient Service Applications. The variables were usability, ease of use, ease of learning, display quality, user-friendliness, completeness of information and flexibility. The level of satisfaction was in the category of satisfied and very satisfied. It was recommended to use modules to facilitate patient understanding using applications and services in hospitals.
The Causes of Long Waiting Times for Outpatient Pharmaceutical Prescription Services at Hospital “X” in Padang Adila Kasni Astiena; Mutia Khairunnisa; Kamal Kasra; Fadilla Azmi
Jurnal Sains Farmasi & Klinis Vol 9 (2022): J Sains Farm Klin 9(suplemen), Desember 2022
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jsfk.9.sup.208-220.2022

Abstract

Outpatient pharmacy services in a hospital shows the quality of health service to the community. Data from the internal quality assurance report of Hospital ”X” in Padang showed that only 93.76% of non-compounded medication and 94.6% of compounded medication recipes met the waiting time standard. This study aimed to analyze the causes of the long waiting time for outpatient pharmacy services at Hospital “X”. The type of this research was a mix-method sequential type explanatory, conducted from February until May 2022. The quantitative design was a cross-sectional study of 141 for non-concoction and 35 for compounded medication recipes determined by quota sampling. Qualitative research was conducted on seven informants by purposive sampling. Observation, in-depth interviews, and document review collected data. Results showed that the average waiting time was 84.19 (standard ≤30) minutes for non-concoction and 164.58 (standard ≤60) minutes for compounded medication recipes. The causes of the long waiting time were a need for more staff, prescriptions outside the hospital formulary, equipment errors, and medicines delivery delays. There should be a job redesign by rearranging the shift picket for pharmacy staff, regular equipment maintenance, and updating standard operating procedures related to medicines delivery to the patients.