Lean Hospital Approach to Identify Critical Waste in the Outpatient Pharmacy Instalation of RSI PKU Muhammadiyah Pekajangan

lusi rahmani putri, Susanto Susanto


This Research Purpose to identify critical waste, root cause of critical waste, up to giving recommended improvement to minimize critical waste in the outpatient pharmacy. This research uses qualitative approach with case study design. The health service process is visualized with value stream mapping, the amount of critical waste is obtained by distributing questionnaires, while the root cause of critical waste is acquired by 5 why method of interview. The recommended improvementis accomplished by discussion between team and expert panel. Based on the value stream mapping, it has obtained 16,67% of ratio value added to waste for non concoction prescription and 14.52% of ratio value added to waste for concoction prescription. Based on waste questionnaire distribution, motion got the highest rank as the most often exist waste with 19% percentage. The root causes of this motion waste is nonexistence of a routine schedule on the work space organization, which affecting the effectiveness of pharmacy staff to complete their task. The recommended improvement to minimize this waste motion is to conduct 5S method.


Lean Hospital; Outpatient Pharmacy; Waste Motion;

Full Text:



Humas Bpjs Kesehatan. (2013). Sejarah Perjalanan Jaminan Sosial Di Indonesia. Dipetik Juni 10, 2016, Dari Bpjs Kesehatan: Http://Bpjs-Kesehatan.Go.Id/Bpjs/Index.Php/Pages/Detail/2013/4

Suciati, Susi Dan Adisasmito, Wiku B.B. (2006). Analisis Perencanaan Obat Berdasarkan Abc Indeks Kritis Di Instalasi Farmasi. Jurnal Manajemen Pelayanan Kesehatan. Vol. 9

Graban. (2009). Lean Hospital: Improving Quality, Patient Safety, And Employee Satisfication. Dipetik Juni 10, 2016, Dari Crc Press: Https://Www.Crcpress.Com/Lean-Hospitals-Improving-Quality-Patient-Safety-And-Employee-Satisfaction/Graban/P/Book/9781420083804

Gasperz. (2011). A Lean Six Sigma For Manufacturing and Service Industries. Dipetik Juni 10, 2016, Dari Http://Cdn.Intechopen.Com/Pdfs-Wm/31666.Pdf

Helmold, M. (2011). Driving Value in the Upstream Chain Management through Lean Principles. International Journal of Lean Thinking 2(2), 1-8

Laurel. (2017). Management Theory of Frank and Lillian Gilbreth. Dipetik Maret 12, 2017, Dari https://www.business.com/articles/ maagement-theory-of-frank-and-lillian- gilbreth/

Fanny Y. F. Young. (2014). The Use of 5S in Healthcare Services: a Literature Review. Dipetik Maret 12, 2017, Dari http://ijbssnet.com/journals/Vol_5_No_10_1_September_2014/30.pdf

Kanamori, S. et al. (2015). Implementation of 5S management method for lean healthcare at a health center in Senegal: a qualitative study of staff perception. Dipetik Maret 12, 2017. Dari https://www.ncbi.nlm.nih.gov/pubmed/25854781

AR.Abdul Aziz. et al. (2014). Survey To See The Impact Of 5s Implementation among Staff of Kpj Seremban Specialist Hospital, Malaysia. Dipetik Maret 12, 2017. Dari http://www.iosrjournals.org/iosr jbm/papers/Vol16-issue3/Version-1/L016318296.pdf

Osada, T. (2011). Sikap Kerja 5S. Jakarta: PPM

Kristianto. (1995). Budaya Organisasi yang Positif. Jakarta: Airlangga

Marko Djapan. et al (2016). Lean Thinking in Healthcare: Review of Implementation Results. Dipetik Juni 17, 2017. Dari http://www.ijqr.net/journal/v10-n1/12.pdf

Esain, A., Williams, S., & Massey, L. (2008). Combining planned and emergent change in a healthcare lean transformation. Public Money and Management, 28, 21-6.

Amasaka, K. (2015). Constructing A New Japanese Development Design Model - Intellectual Evolution of an Automobile Product Design. TEM Journal, 4(4), 336-345.

Jay R Patwa. et al (2015). Assessment of Implementation of 5S in phc of ahmedabad. Dipetik Juni 17, 2017. Dari http://www.allresearchjournal.com/archives/2015/vol1issue9/PartG/1-9-55.pdf

Article Metrics

Abstract view : 41 times
PDF - 32 times


  • There are currently no refbacks.

Copyright (c) 2017 JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) are indexed by:


Ruang Jurnal JMMR, Gedung Pascasarjana Universitas Muhammadiyah Yogyakarta
Brawijaya Street, Tamantirto, Kasihan, Bantul, D.I. Yogyakarta, Indonesia
email: jmmr@umy.ac.id

Chat me!

Creative Commons License
JMMR is licensed under Creative Commons Attribution 4.0 International License.

View My Journal of JMMR