Perbandingan antara Perhitungan Perencanaan Kebutuhan dengan Pemakaian Obat pada Logistik Farmasi di Rumah Sakit Ibu dan Anak ‘Aisyiyah Bangkalan

Latar belakang: Perencanaan kebutuhan obat merupakan salah satu aspek penting untuk menentukan pengelolaan sediaan farmasi. Perlu dilakukan analisis perhitungan kebutuhan dan pemakaian untuk melihat kesesuaiannya.
Tujuan: Menganalisis perbandingan hasil perhitungan perencanaan kebutuhan dengan pemakaian obat logistik farmasi tahun 2024. Metode: Jenis penelitian adalah analitik observasional dengan pengambilan sampel secara cross sectional pada data sekunder logistik farmasi tahun 2024. Hasil: Berdasarkan hasil penelitian didapatkan jumlah kunjungan pasien rawat jalan 2024 mengalami peningkatan signifikan dibandingkan 2023. Jumlah kunjungan pasien rawat inap 2024 mengalami peningkatan signifikan dibandingkan 2023. Jumlah diagnosis rawat jalan terbanyak Pengawasan kehamilan berisiko tinggi lainnya, Pemeriksaan lanjutan setelah operasi untuk kondisi lain, Perdarahan uterus dan vagina abnormal. Jumlah diagnosis rawat inap terbanyak Persalinan terhambat akibat kelainan panggul ibu, Persalinan dan persalinan yang rumit karena komplikasi tali pusat, Perawatan ibu karena bekas luka rahim akibat operasi sebelumnya. Hasil penelitian didapatkan jumlah item sediaan farmasi yang direncanakan dengan yang dipakai berdasarkan 10 item terbanyak menunjukkan perbedaan yang sangat besar. Obat terbanyak dalam perencanaan adalah Asam Mefenamat Kaps 500 mg, Kalsium Laktat Tab 500 mg, Sefadroksil Kaps/Tab 500 mg. Obat terbanyak dalam pemakaian meliputi Ferro Fumarat, Handscoon, Alkohol swab. Jika berdasarkan 10 item biaya terbanyak dari total item keseluruhan (112) juga didapatkan perbedaan yang sangat besar. Obat dengan biaya terbanyak dalam perencanaan adalah Kalsium Laktat Tab 500 mg, Ketoprofen Supositoria 100 mg, Larutan Ringer Laktat (botol) 500 ml. Obat dengan biaya terbanyak dalam pemakaian adalah Benang Paket (OB676), T-VIO 3-0, T-CHROMIC 2. Hasil uji Wilcoxon Signed Rank Test didapatkan tingkat signifikansi perbedaan sebesar 0,017.
Kesimpulan: Terdapat perbedaan antara perhitungan perencanaan kebutuhan dengan pemakaian obat logistik farmasi di Rumah Sakit Ibu Anak ‘Aisyiyah Bangkalan selama tahun 2024.

============================================================

Background: Drug requirement planning is an important aspect of determining pharmaceutical supply management. It is necessary to analyze the calculation of requirements and usage to determine their suitability. Objective: To analyze the comparison between the results of drug requirement planning calculations and the actual usage of pharmaceutical logistics in 2024. Method: The study design is an observational analytical study with cross sectional sampling of secondary data on pharmaceutical logistics for the year 2024. Results: Based on the research results, the number of outpatient visits in 2024 increased significantly compared to 2023. The number of inpatient visits in 2024 increased significantly compared to 2023. The most common outpatient diagnoses were Supervision of other high-risk pregnancies, Follow-up examination after surgery for other conditions, and Abnormal uterine and vaginal bleeding. The most common inpatient diagnoses were Obstructed labor due to maternal pelvic abnormality, Labor and delivery complicated by cord complication, and Maternal care due to uterine scar from previous surgery. The study found that there was a significant difference between the planned and actual use of pharmaceutical supplies based on the top 10 most commonly used items. The most commonly planned medications were Mefenamic Acid Capsules 500 mg, Calcium Lactate Tablets 500 mg, and Cefadroxil Capsules/Tablets 500 mg. The most commonly used medications included Ferrous Fumarate, Gloves, and Alcohol Swabs. When based on the 10 most expensive items out of the total 112 items, a significant difference was also found. The most expensive medications in the plan were Calcium Lactate Tablets 500 mg, Ketoprofen Suppositories 100 mg, and Ringer Lactate Solution (bottle) 500 ml. The most expensive drugs in terms of usage were Surgical Suture (OB676), T-VIO 3-0, and T-CHROMIC 2. The Wilcoxon Signed Rank Test yielded a significance level of 0.017. Conclusion: There is a difference between the calculated drug requirements and the actual use of pharmaceutical logistics drugs at the ‘Aisyiyah Bangkalan Mother and Child Hospital during the year 2024.