Abu Khoiri
Postgraduate Program of Public Health Sciences, University of Jember

Firman
Postgraduate Program of Public Health Sciences, University of Jember

DOI: https://doi.org/10.19184/ams.v11i1.53306

Abstract

Hospital is a health service institution that provides complete individual health services, providing inpatient, outpatient and emergency services. One of the non-medical services that plays an important role in medical support is pharmaceutical services. Pharmaceutical services are very important for hospitals because they are supporting services that become cost centers and revenue centers. Pharmacy installations require good drug management so they can provide effective and efficient services. Management efforts that can be taken are to carry out pharmaceutical logistics management using a systems approach. The aim of the research is to examine drug management in hospital pharmacy installations using a systems approach. This research is qualitative research with a case study approach. The results show that the input components that hinder the drug inventory management process at Hospital X include human elements (lack of pharmacists and knowledge of health workers), money (delays in drug payments waiting for the budget to come down), material (lack of facilities and infrastructure, non-ergonomic room layout), method (non-compliance of officers with SOP), machine (incomplete SIMRS features and random errors), and market (complaints from patients who do not get drugs at Hospital X). Meanwhile, waste in the drug inventory management process consists of defects (miscalculation of supplies and needs, non-ergonomic room layout, and mismatch between real stock, manual stock opname, and SIMRS stock opname), overproduction (there are repeated checks at the depot due to inconsistencies with SIMRS), waiting (the process of waiting for drugs from the distributor and there is a waiting time for the BLUD budget to decrease), transportation (the capacity of facilities and infrastructure is inadequate so that the distribution process is repeated), inventory (manual stock opname results in waste of paper and stationery and storage of used and unused drugs in one room), motion (the hospital must purchase drugs from partner pharmacies if there is an empty stock), extra-processing (the use of SIMRS for stock opname is less than optimal because it is still semi-conventional with manual stock opname).

Keyword: Drug management, pharmaceutical installation, hospital, system.

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