LEAN SIX SIGMA AND ELECTRONIC RECIPES IN EFFORTS TO IMPROVE PATIENT SAFETY IN THE INSTALLATION OF EMERGENCY SANGLAH DENPASAR HOSPITAL

I Kadek Nariyantha, I Nengah Dasi Astawa

Abstract


ABSTRACT: Introduction: Patient safety is a trending topic in various hospitals. Patient safety involves preventing mistakes and eliminating various dangers due to errors and can occur at any time during the health care process, especially in the treatment of patients. Research Objectives: This study aims to determine how the implementation of Lean Six Sigma in electronic prescription services by calculating the incidence of potentially medication errors analyzed by Six Sigma is used to determine improvements in the quality of prescription services. Research Methods: The method used in this study is a mix method. The first step was to observe the implementation of recipes with a sample size of 100 recipes then the second stage conducted in-depth interviews with 20 respondents. Research Result: defect of prescription service by 2.25% with a sigma value of 3.50 means that electronic prescription service is good enough but needs improvement. Conclusion: Six sigma can be used as an evaluation in an effort to improve the quality of electronic prescription services, electronic prescriptions can reduce the incidence of medication errors as an effort to improve patient safety in the Emergency Department of Sanglah Hospital. The results of interviews with informants agreed that electronic prescriptions could improve patient safety.

 

Keywords:  lean six sigma, electronic prescriptions, medication errors, patient safety.


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References


Abramson, E. L, Malhotra, S., Fischer, K., Edwards, A., Pfoh, E. R, Osorio, S. N, et al. 2011. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74.

Cahyono, S.B. 2008. Membangun Budaya Keselamatan Pasien Dalam. Praktik Kedokteran. Penerbit Buku Kedokteran EGC. Yogyakarta.

Depkes RI. 2008. Upaya Peningkatan Mutu Pelayanan Rumah Sakit. (Konsep Dasar Dan Prinsip). Jakarta:

Diana, N.E. & Seputra, D.A. 2015. Expert e prescription aplication using forward chainning method.

Depkes RI. 2008. Tanggung Jawab Apoteker terhadap Keselamatan Pasien(Patient Safety). Direktorat Bina Farmasi Komunitas Dan Klinik ditjen Bina Kefarmasian Dan Alat Kesehatan departemen Kesehatan RI

Devani, V., & Sari, S.N. 2018. Usulan peningkatan kualitas pelayanan kesehatan dengan menggunakan pendekatan Lean healthcare di poliklink kandungan dan poliklink anak. Jurnal Integrasi Sistem Industri Volume 5 No 2 Agustus 2018 DOI: https://dx.doi.org/10.24853/jisi.5.2.63-70

Donsu, Y.C., Tjitrosantoso, H., & Bodhi, W. 2016. Faktor Penyebab Medication error Pada Pelayanan Kefarmasian Rawat Inap Bangsal Anak Rsup Prof. Dr. R.D. Kandou Manado. PHARMACON Jurnal Ilmiah Farmasi – UNSRAT Vol. 5 No. 3 AGUSTUS 2016 ISSN 2302 – 2493

Fajrianti, K.N., & Muhtadi, A. 2017. Review artikel: peningkatan mutu pelayanan kesehatan di rumah sakit dengan six sigma. Farmaka Volume 15 Nomor 3

Garvey, M. M. 2005. The Patient Safety And Quality Improvement Act: Tension Between Improving Quality Of Care And Acknowledging Responsibility For Error. https://www.hhs.gov/hipaa/for.../patient-safety/.../index.html?..

Gaspersz, Vincent. 2002. Pedoman Implementasi Program Six Sigma Terintegrasi dengan ISO 9001: 2000, MBANQA & HACCP. Jakarta: PT Gramedia Pustaka Utama

Hartono, M. A. 2017. Implementasi Lean Six Sigma Dalam Penentuan Prioritas Perbaikan Kualitas Pelayanan Padarumah Sakit Di Kabupaten Lumajang. Seminar Nasional Hasil Penelitian Universitas Kanjuruhan Malang 2017

Institute of Medicine, 1999. To err is human: building a safer health system [report]. 1999. 500 Fifth Street NW Washington, DC 20001 (202) 334-2352 http://www.iom.edu

Institute of medicine, 2001. Crossing the quality chasm: a new health system for the 21st century [report]. 2001.

Joint Commission, 2010. Sentinel event policy and procedures. Available from Internet: http://www.jointcommission.org/

JCI (Joint Commission International). (2016). Hospital National Patient Safety Goals.the Joint Commission International acreditation Hospital. http://www.jointcommission.org/assets/1/6/2015_hap_npsg_er.pdf

Komite Keselamatan Pasien-Rumah Sakit, 2010. Keselamatan pasien

Kementrian Kesehatan RI. 2015. Pedoman Nasional Keselamatan Pasien Rumah Sakit (Patient Safety), Edisi III. Jakarta: Kementrian Kesehatan RI

KKPRS. 2015. Pedoman Pelaporan Insiden Keselamatan Pasien (IKP). Jakarta: Komite Keselamatan Pasien Rumah Sakit

Kusumarini, P., Dwiprahasto, I., & Wardani,, P.E. 2011. Penerimaan Dokter Dan Waktu Tunggu Pada PeresepanElektronik Dibandingkan Peresepan Manual. Jurnal Manajemen Pelayanan Kesehatan, 14 (3), 133-138

Mahendaringratry, A., & Herawan, I G.A.W. 2017. Implementasi Dmaic Sixsigma Dalam Meningkatkan Layanan Puskesmas X di Kota Malang. Jurnal Rekayasa Sistem Industri

Manurung, J.M. 2018. Quality Implementation Study with Six Sigma and TQM Integration Approach through Assessment of Malcolm Baldridge in Hospital Charitas Palembang Jurnal ARSI

Mudzakkir, M. 2012. Sistem resep elektronik (close-loop) berbasis barcode untuk patient safety. Jakarta: Universitas Indonesia. 2012.

Pratiwi, P. S., & Lestari, A. 2013. E-Prescribing: Studi Kasus Perancangan dan Implementasi Sistem Resep Obat Apotik Klinik. Indonesian Jurnal on Computer Science - Speed – IJCSS–10(4), 9-14

Saad, N. A. 2018. Deployment of Lean Six Sigma in Strategic Inventory Management. Journal of Advanced Research in Business and Management Studies. Volume 13, Issue 1 (2018) 39-54

Sabila, F.C., Oktarlina, R. Z., & Utami, N. 2018. Peresepan Elektronik (E-Prescribing) Dalam Menurunkan Kesalahan Penulisan Resep. Majority Volume 7 Nomor 3 Desember 2018

Sirine, H., & Kurniawati, E.P. 2017. Pengendalian Kualitas Menggunakan Metode Six Sigma (Studi Kasus pada PT Diras Concept Sukoharjo). AJIE - Asian Journal of Innovation and Entrepreneurship (e-ISSN: 2477- 0574 ; p-ISSN: 2477-3824) Vol. 02, No. 03, September 2017

Sugiyono. (2017). Metode Penelitian Kuantitatif, kualitatif dan R&D. Bandung: Alfabeta.

Sunaringtyas, R. 2014. Studi kualitas pelayanan rawat inap rumah sakit dengan menggunakan metode six sigma. Jurnal MIHB, vol 2

Supriyadi, Ramayanti, G., & Roberto, A. C. (2017). Analisis Kualitas Produk dengan Pendekatan Six Sigma. Prosiding SNTI dan SATELIT 2017 (pp. D7-13). Malang: Jurusan Teknik Industri Universitas Brawijaya.

Susanti I. 2013. [skripsi]. Identifikasi medication error pada fase prescribing, transcribing, dan dispensing di Depo Farmasi Rawat Inap Penyakit Dalam Gedung Teratai, Instalasi Farmasi RSUP Fatmawati Jakarta: UIN Syarif Hidayatullah. 2013.

Sutabri, T., & Yanto, D.H.2015. Implementasi Aplikasi E-Prescribing Menggunakan Digital Pen Pada Rumah Sakit Haji Jakarta. Prosiding Seminar Nasional Pendidikan Teknik Informatika (SENAPATI 2015) Singaraja – Bali, 12 September 2015

Suwarni, S., & Novembrina, M. 2018. Six Sigma Untuk Perbaikan Layanan Resep Di Rs X Kota Semarang. Vol 8 (1) 2019 pp 89-95

Tim KP RS. 2016. Laporan Insiden Keselamatan Pasien Tahun 2016. Denpasar: RSUP Sanglah Denpasar

Utarini dan Hanevi. 2012 Keselamatan Pasien Dan Mutu Pelayanan Kesehatan:Menuju Kemana?. Jurnal Manajemen Pelayanan Kesehatan, Vol. 15, No. 4: 159-160

Ulfah, S.S., & Mita, S.R. 2016. Review Artikel: Medication errors Pada Tahap Prescribing,Transcribing, Dispensing Dan Administering Farmaka Suplemen Volume 15 Nomor 2 233

Widiastuti, M.S., & Dwiprahasto, I. 2014. Peran Resep Elektronik Dalam Meningkatkan Medication Safety Pada Proses Peresepan. Jurnal Manajemen Pelayanan Kesehatan, Vol. 17, No. 1 Maret 2014, 30-36.




DOI: https://doi.org/10.35794/jmbi.v7i2.30272

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