Analisis Implementasi Resep Elektronik Obat Nonracikan di Depo Farmasi Rawat Jalan RSUD Dr. Soegiri Lamongan dengan Pendekatan Lean Management

Penelitian ini bertujuan mengetahui waktu yang terbuang pada implementasi resep elektronik obat nonracikan depo farmasi rawat jalan RSUD Dr. Soegiri Lamongan melalui pendekatan lean management guna mengurangi waktu tunggu pelayanan. Metode penelitian yang digunakan adalah mixed method dengan desain sequential explanatory. Sampel kuantitatif mencakup 96 resep elektronik yang diambil melalui teknik purposive sampling, sedangkan data kualitatif diperoleh dari lima informan kunci melalui observasi dan forum diskusi. Analisis dilakukan menggunakan instrumen Value Stream Mapping (VSM) dan diagram Ishikawa. Hasil penelitian menunjukkan rata-rata waktu tunggu pelayanan adalah 49,4 menit, yang masih melebihi standar minimal nasional <30 menit. Analisis VSM mengungkap bahwa aktivitas tidak bernilai tambah (Non-Value Added) mendominasi proses sebesar 70,85% (35 menit) dari total durasi. Titik hambat (bottleneck) utama ditemukan pada tahap menunggu penyerahan obat (19,5 menit) dan menunggu entri resep (12,4 menit). Akar permasalahan meliputi spesifikasi komputer rendah, sistem billing lambat, komunikasi klinis yang terhambat, serta ketiadaan monitoring waktu nyata. Strategi perbaikan yang diusulkan mencakup implementasi monitoring visual real-time, perataan beban kerja, serta pembaruan infrastruktur teknologi informasi.

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This study aims to identify time wastage in the implementation of electronic prescriptions for non-compounded medications at the outpatient pharmacy of Dr. Soegiri Lamongan Regional General Hospital using a lean management approach to reduce service waiting times. The research method employed was a mixed-methods approach with a sequential explanatory design. The quantitative sample comprised 96 electronic prescriptions selected via purposive sampling, while qualitative data were obtained from five key informants through observation and focus group discussions. Analysis was conducted using Value Stream Mapping (VSM) and Ishikawa diagrams. The results indicated that the average service waiting time was 49.4 minutes, which still exceeded the national minimum standard of <30 minutes. VSM analysis revealed that non-value-added activities dominated the process, accounting for 70.85% (35 minutes) of the total duration. The main bottlenecks were identified in the stages of waiting for medication dispensing (19.5 minutes) and waiting for prescription entry (12.4 minutes). The root causes include low-specification computers, a slow billing system, hindered clinical communication, and the absence of real-time monitoring. Proposed improvement strategies include the implementation of real-time visual monitoring, workload leveling, and an update to the information technology infrastructure.