Eliminating Time-Wasting Process at Outpatient Pharmacy for Better Patients’ Experience in A Government Hospital in Indonesia

A. Y. Milasari, F. D. Rachmat, T. Lestari

2017

Abstract

At present, mean Lead Time (LT) of prescription services in outpatient pharmacy at Rumah Sakit Pusat Angkatan Darat still does not meet the standard, for pulveres was more than 2:12:11hours and for others was more than 2:13:20 hours. This study aimed at improving the LT of prescriptions at the outpatient pharmacy. Action research design used was quantitative analysis. It was conducted in November 2015 to June 2016. Value Added Ratio (VAR) and LT were measured before and after intervention. After the intervention, LT improved to as fast as 0:51:22 hours for pulveres and 0:47:31 hours for others, VAR up to 1%-9%. Value stream mapping and kaizen framework were used to identify and eliminate waste. There were also statistically significant improvements using Welch and Brown-Forsythe test which is robust to assumption violation (p≤0.05). Three interventions were performed, namely reorganization of workspace layout, reclassification of medication storage and redesign of process. Three interventions resulted in considerable time improvement to reduction motion, inventory, extra-processing and overall shorter LT. Time waste was identified in the process and eliminated with a simple intervention techniques leading to improvement in total LT. Waiting time needs further investigation.

Paper Citation

in Harvard Style

Milasari A., Rachmat F. and Lestari T. (2017). Eliminating Time-Wasting Process at Outpatient Pharmacy for Better Patients’ Experience in A Government Hospital in Indonesia.In Proceedings of the 2nd International Symposium of Public Health - Volume 1: ISOPH, ISBN 978-989-758-338-4, pages 145-152. DOI: 10.5220/0007510501450152

in Bibtex Style

@conference{isoph17,
author={A. Y. Milasari and F. D. Rachmat and T. Lestari},
title={Eliminating Time-Wasting Process at Outpatient Pharmacy for Better Patients’ Experience in A Government Hospital in Indonesia},
booktitle={Proceedings of the 2nd International Symposium of Public Health - Volume 1: ISOPH,},
year={2017},
pages={145-152},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007510501450152},
isbn={978-989-758-338-4},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Symposium of Public Health - Volume 1: ISOPH,
TI - Eliminating Time-Wasting Process at Outpatient Pharmacy for Better Patients’ Experience in A Government Hospital in Indonesia
SN - 978-989-758-338-4
AU - Milasari A.
AU - Rachmat F.
AU - Lestari T.
PY - 2017
SP - 145
EP - 152
DO - 10.5220/0007510501450152