印度尼西亚苏腊卡尔塔莫瓦迪博士综合医院药房使用汉隆方法评估药品管理和改进策略

Lanny Imelia, RA.Oetari, Samuel Budi Harsono
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摘要

医院药房是医院内通过提供优质保健服务来开展保健工作的一个单位。FRS的用药管理是保证服务质量的重要管理环节。因此,必须有效和高效地管理国际财务报告准则。使用效率低下会对医院的医疗和经济产生负面影响。本研究的目的是基于2020年国家处方集标准和改进策略,采用Hanlon方法评估2020年Dr. Moewardi综合医院药房安装的药物管理,包括选择、采购、分销和使用。本研究是一种回顾性和并发数据收集的描述性研究。数据取自2020年的回顾性数据和进行研究时的数据。研究材料包括通过观察研究数据获得的原始数据,这些数据以国际财务报告准则Dr. Moewardi总医院的文件选择、采购、分发和药物使用的形式呈现。次要数据来自对苏拉塔Moewardi医生总医院药房负责人、规划负责人和采购服务股负责人的访谈。研究结果表明:1)在选择阶段,Dr. Moewardi General Hospital Surakarta的药房设施的药物管理效率尚不高。众所周知,到2020年,现有药物的可用性不符合FORNAS标准。然后,在阶段采购中,5项指标中有1项符合标准;在阶段分布中,获得5项指标,或全部不标准,在阶段使用中,发现5项指标中有1项符合标准。2)改进策略在药品管理中采用汉龙方法,即按顺序对问题进行优先修复,从符合FORNAS可提供的药品项目数百分比开始,到每张处方单的药品项目数。
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Evaluation of Drug Management and Improvement Strategies Using the Hanlon Method in the Pharmacy Installation of Dr. Moewardi General Hospital, Surakarta, Indonesia
A hospital pharmacy (FRS) is a unit in a hospital that carries out health efforts by providing quality health services. Medication management in FRS is an important management aspect in achieving service quality. Therefore, IFRS must be managed effectively and efficiently. Inefficiency in use can have a negative impact on hospitals both medically and economically. The aim of this study was to evaluate drug management, including selection, procurement, distribution, and use, based on the 2020 National Formulary standards and improvement strategies using the Hanlon method at the pharmacy installation of Dr. Moewardi General Hospital in 2020. This research is a type of descriptive research with retrospective and concurrent data collection. Data was taken from retrospective data in 2020 and data at the time the research was conducted. Research materials include primary data obtained from observation of research data in the form of document selection, procurement, distribution, and use of medicine in the IFRS Dr. Moewardi General Hospital. Secondary data was obtained from interviews with the head of the pharmacy installation at Dr. Moewardi General Hospital Surakarta, the head of planning, and the head of ULP (procurement services unit). The results of the research show that 1) Medication management in the pharmacy installation at Dr. Moewardi General Hospital Surakarta is not yet efficient at this stage of selection. It is known that the availability of existing medicines does not comply with FORNAS standards in 2020. then, in stage procurement, there is 1 out of 5 indicators that meet the standard; in stage distribution, 5 indicators were obtained, or all of them were not standard, and in staged use, it was found that 1 of the 5 indicators met the standard. 2) The improvement strategy uses the Hanlon method in drug management, namely prioritizing problem repairs sequentially, starting from the percentage of conformity with the number of drug items available with FORNAS to the number of drug items per prescription sheet.
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