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Manajemen Farmasi Rumah Sakit
BAB 1 DASAR HUKUM MANAJEMEN FARMASI RUMAH SAKIT........... 1
1.1PENDAHULUAN............................................................................................................................. 1
1.2PEKERJAAN KEFARMASIAN.................................................................................................... 2
1.2.1 Manajemen Perbekalan Farmasi................................................................. 3
1.2.2 Pelayanan Farmasi Kinik................................................................................... 5
1.3DASAR HUKUM PENGELOLAAN BARANG DAN JASA DI FASILITAS FARMASI
RUMAH SAKIT.............................................................................................................................. 6
1.4DASAR HUKUM PENGAMANAN SEDIAAN FARMASI SERTA ALAT KESEHATAN
............................................................................................................................................................. 7
1.5DASAR HUKUM MANAJEMEN RISIKO DAN KESELAMATAN PASIEN................... 8
1.6LANDASAN HUKUM MANAJEMEN FARMASI RUMAH SAKIT DI INDONESIA..... 9
DAFTAR PUSTAKA...................................................................................................11
BAB 2 PEMILIHAN LOGISTIK FARMASI.........................................................12
2.1 PENDAHULUAN........................................................................................................................12
2.2 KOMITE FARMASI DAN TERAPI (KFT)........................................................................13
2.2.1 Organisasi KFT......................................................................................................13
2.2.2 Anggota KFT............................................................................................................13
2.2.3 Tugas KFT..................................................................................................................14
2.3 FORMULARIUM RUMAH SAKIT........................................................................................15
2.3.1 Tujuan Formularium Rumah Sakit........................................................15
2.3.2 Dasar Penyusunan Formularium Rumah Sakit...........................15
2.3.3 Sistematika Formularium Rumah Sakit.............................................15
2.3.4 Kriteria Pemilihan Obat untuk Formularium Rumah Sakit16
2.3.5 Tahap Penyusunan Formularium Rumah Sakit..........................17
2.3.6 Revisi Formularium Rumah Sakit..........................................................18
2.3.7 Akses Formularium Rumah Sakit...........................................................20
Manajemen Farmasi Rumah Sakit v
2.3.8 Review Formularium Rumah Sakit.......................................................20
2.3.9 Kegiatan Pendukung Formularium Rumah Sakit......................20
DAFTAR PUSTAKA...................................................................................................21
BAB 3 PERENCANAAN KEBUTUHAN LOGISTIK FARMASI...................22
3.1PENDAHULUAN.........................................................................................................................22
3.2MANAJEMEN LOGISTIK DAN PERBEKALAN KESEHATAN.....................................23
3.3PERENCANAAN LOGISTIK FARMASI................................................................................27
3.4 TAHAPAN PROSES PERENCANAAN KEBUTUHAN OBAT DI RUMAH SAKIT . 28
3.5PROSES PENYAMPAIAN RENCANA KEBUTUHAN OBAT (RKO)KE APLIKASI
E-MONEV OBAT.......................................................................................................................29
3.6METODE PERHITUNGAN RENCANA KEBUTUHAN OBAT......................................29
3.6.1. Metode Konsumsi..............................................................................................29
3.6.2 Metode Morbiditas.............................................................................................31
3.6.3 Metode Proxy Consumption.......................................................................32
DAFTAR PUSTAKA...................................................................................................36
BAB 4 PENGADAAN LOGISTIK FARMASI......................................................40
4.1PENDAHULUAN.........................................................................................................................40
4.2PENGADAAN OBAT DI RUMAH SAKIT............................................................................40
4.2.1 Kriteria/ Persyaratan Supplier................................................................. 41
4.2.2 Penentuan Waktu Pengadaan dan Kedatangan Obat.............41
4.3METODE PENGADAAN OBAT.............................................................................................41
4.3.1 Pembelian..................................................................................................................42
4.3.2 Produksi......................................................................................................................44
4.3.3 Sumbangan/ dropping/ hibah...................................................................45
DAFTAR PUSTAKA...................................................................................................46
BAB 5 PENERIMAAN LOGISTIK FARMASI....................................................47
5.1PENDAHULUAN.........................................................................................................................47
5.2PROSES PENERIMAAN LOGISTIK FARMASI................................................................. 48
5.2.1 Alur penerimaan logistik farmasi...........................................................49
5.2.2 Hal yang perlu diperhatikan pada penerimaan...................50
5.3INDIKATOR MUTU PENGELOLAAN LOGISTIK FARMASI........................................52
5.3.1 Kesesuaian Item Penerimaan....................................................................53
Manajemen Farmasi Rumah Sakit vi
DAFTAR PUSTAKA...................................................................................................54
BAB 6 PENYIMPANAN LOGISTIK FARMASI.................................................55
6.1 PENDAHULUAN........................................................................................................................55
6.2 PENYIMPANAN SECARA UMUM.......................................................................................55
6.3 PENYIMPANAN OBAT KEWASPADAAN TINGGI........................................................59
6.4 PENYIMPANAN NARKOTIKA,PSIKROPIKA,DAN PREKURSOR...........................62
6.5 PENYIMPANAN BAHAN BERBAHAYA DAN BERACUN............................................64
6.6 PENYIMPANAN OBAT UNTUK KEADAAN DARURAT..............................................65
6.7 PENYIMPANAN PRODUK RANTAI DINGIN..................................................................66
DAFTAR PUSTAKA...................................................................................................71
BAB 7 PENDISTRIBUSIAN LOGISTIK FARMASI.........................................72
7.1PENDAHULUAN.........................................................................................................................72
7.2SISTEM PENYIMPANAN.........................................................................................................74
7.2.1 Sentralisasi...............................................................................................................75
7.2.2 Desentralisasi.........................................................................................................76
7.3SISTEM DISTRIBUSI OBAT...................................................................................................77
7.3.1 Unit Dose Dispensing.......................................................................................78
7.3.2 Floor Stock................................................................................................................81
7.3.3 Sistem Peresepan Individu..........................................................................83
DAFTAR PUSTAKA...................................................................................................86
BAB 8 PENGENDALIAN PERSEDIAAN LOGISTIK FARMASI.................87
8.1 PENDAHULUAN........................................................................................................................87
8.2 TUJUAN DAN CARA PENGENDALIAN PERSEDIAAN.................................................87
8.2.1 Tujuan Pengendalian Persediaan...........................................................87
8.2.2 Cara Pengendalian Ketersediaan............................................................88
8.3 DOKUMEN UNTUK PENGENDALIAN PERSEDIAAN..................................................88
8.3.1 Kebijakan...................................................................................................................88
8.3.2 Pedoman....................................................................................................................89
8.3.3 Standar Prosedur Operasional..................................................................89
8.3 PENGENDALIAN KETERSEDIAAN....................................................................................89
8.4 PENGENDALIAN PENGGUNAAN.......................................................................................90
8.4 PENANGANAN KETIKA TERJADI KEHILANGAN,KERUSAKAN,DAN
KADALUARSA...........................................................................................................................91
Manajemen Farmasi Rumah Sakit vii
DAFTAR PUSTAKA...................................................................................................93
BAB 9 PEMUSNAHAN DAN PENARIKAN LOGISTIK FARMASI.............94
9.1PENDAHULUAN.........................................................................................................................94
9.2PENARIKAN SEDIAAN FARMASI .......................................................................................95
9.2.1 Klasifikasi Penarikan Obat...........................................................................96
9.2.2 Jangkauan Penarikan........................................................................................99
9.2.3 Pelaporan................................................................................................................100
9.3PEMUSNAHAN SEDIAAN FARMASI...............................................................................101
DAFTAR PUSTAKA................................................................................................. 105
BAB 10 MANAJEMEN SUMBER DAYA MANUSIA......................................107
10.1.PENTINGNYA SUMBER DAYA MANUSIA FARMASI...........................................107
10.2PROSES MANAJEMEN SDMFARMASI.....................................................................110
10.2.1 Perencanaan......................................................................................................110
10.2.2 Rekrutmen..........................................................................................................111
10.2.3 Seleksi.....................................................................................................................112
10.2.4 Sosialisasi/ Orientasi..................................................................................114
10.2.5 Pelatihan dan Pengembangan.............................................................115
10.2.6 Penilaian dan Prestasi Kerja................................................................. 116
10.3PENGELOLAAN SDMFARMASI RS...........................................................................119
10.3.1 Kepemimpinan................................................................................................119
10.3.2 Komunikasi........................................................................................................120
10.3.3 Pemeliharaan (Maintenance)...............................................................122
DAFTAR PUSTAKA................................................................................................. 124
BAB 11 MANAJEMEN RISIKO ............................................................................126
11.1 PENDAHULUAN.................................................................................................................126
11.2 JENIS-JENIS RISIKO...........................................................................................................127
11.3 KATEGORI RISIKO............................................................................................................128
11.4 RESPON RISIKO.................................................................................................................130
11.5 KESELAMATAN PASIEN RUMAH SAKIT ................................................................. 130
11.6 MANAJEMEN RISIKO.......................................................................................................132
11.7 KERANGKA MANAJEMEN RISIKO..............................................................................135
11.8 PROSES MANAJEMEN RISKO TERINTEGRASI......................................................136
DAFTAR PUSTAKA................................................................................................. 139
Manajemen Farmasi Rumah Sakit viii
BAB 12 MANAJEMEN KESELAMATAN PASIEN.........................................140
12.1DEFINISI................................................................................................................................. 140
12.2STANDAR KESELAMATAN PASIEN............................................................................141
12.2.1 Hak Pasien..........................................................................................................141
12.2.2 Pendidikan Bagi Pasien dan Keluarga...........................................142
12.2.3 Keselamatan Pasien dalam Kesinambungan Pelayanan 143
12.2.4 Penggunaan Metode Peningkatan Kinerja Untuk
Melakukan Evaluasi dan Peningkatan Keselamatan Pasien
......................................................................................................................................144
12.2.5 Peran Kepemimpinan dalam Meningkatkan Keselamatan
Pasien......................................................................................................................145
12.2.6 Pendidikan Bagi Staf Tentang Keselamatan Pasien...........147
12.2.7 Komunikasi Merupakan Kunci Bagi Staf untuk Mencapai
Keselamatan Pasien.....................................................................................148
12.3SASARAN KESELAMATAN PASIEN.............................................................................149
12.3.1 Mengidentifikasi Pasien Dengan Benar.......................................149
12.3.2 Meningkatkan Komunikasi Yang Efektif.....................................151
12.3.3 Meningkatkan Keamanan Obat-Obatan Yang Harus
Diwaspadai.........................................................................................................153
12.3.4 Memastikan Lokasi Pembedahan Yang Benar, Prosedur
Yang Benar..........................................................................................................153
12.3.5 Mengurangi Risiko Infeksi Akibat Perawatan Kesehatan
......................................................................................................................................155
12.3.6 Mengurangi Risiko Cedera Pasien Akibat Terjatuh............156
12.4TUJUH LANGKAH MENUJU KESELAMATAN PASIEN. ........................................157
12.4.1 Membangun Kesadaran Akan Nilai Keselamatan Pasien
......................................................................................................................................157
12.4.2 Memimpin Dan Mendukung Staf......................................................158
12.4.3 Mengintegrasikan Aktivitas Pengelolaan Risiko...................159
12.4.4 Mengembangkan Sistem Pelaporan...............................................160
12.4.5 Melibatkan Dan Berkomunikasi Dengan Pasien...................161
12.4.6 Belajar Dan Berbagi Pengalaman Tentang Keselamatan
Pasien......................................................................................................................162
12.4.7 Mencegah Cedera Melalui Implementasi Sistem
Keselamatan Pasien.....................................................................................163
Manajemen Farmasi Rumah Sakit ix
DAFTAR PUSTAKA................................................................................................. 165
BAB 13 INDIKATOR MUTU PELAYANAN FARMASI RUMAH SAKIT 166
13.1PENDAHULUAN..................................................................................................................166
13.2MANAJEMEN MUTU.........................................................................................................168
13.2.1. Quality Control (Kendali Mutu)..........................................................168
13.2.2. Quality Assurance (Jaminan Mutu)................................................169
13.3STANDAR PELAYANAN KEFARMASIAN DI RUMAH SAKIT..............................170
13.3.1 Pengelolaan Sediaan Farmasi..............................................................171
13.3.2 Pelayanan Farmasi Klinik.......................................................................171
13.4INDIKATOR MUTU/KUALITAS PELAYANAN........................................................174
13.4.1 Kepuasan Pelanggan...................................................................................174
13.4.2 Mengukur Kepuasan Pelanggan (SERVQUAL).......................174
1599FR409 | 362.12 MUS m | Perpustakaan STIKes Muhammadiyah Ciamis (D-3 Farmasi 409) | Tersedia |
1600FR409 | 362.12 MUS m | Perpustakaan STIKes Muhammadiyah Ciamis (D-3 Farmasi 409) | Tersedia |
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