Stock Procurement and Documentation as Emergency Trolley Content Discrepancy Factors in Emergency Installation (Study on a Private General Hospital in Malang Regency)

Authors

  • I Ketut Yoga Sedana Master Program in Hospital Management Faculty of Medicine Universitas Brawijaya Malang
  • Kararawi Listuhayu Mitra Delima General Hospital Malang
  • Nanik Setijowati Department of Family Medicine Faculty of Medicine Universitas Brawijaya Malang

DOI:

https://doi.org/10.21776/ub.jkb.2022.032.01.1s

Keywords:

Emergency, emergency trolley, logistics

Abstract

One of the common problems in managing emergency logistics is the emergency trolley that conflicts with the standard operating procedures. It causes a mismatch of the emergency trolley contents. In fact, the availability of unstandardized emergency trolleys will impact the quality of emergency services in the emergency department. The emergency medicine shortage and emergency trolley content discrepancy also occurred several times in the ER. This study was conducted to analyze the determinant factor of content discrepancy in the emergency trolley in the emergency room of a private hospital in Malang Regency. The research method used was descriptive quantitative. The methods of identifying the root of the problem were carried out through field observations, literature studies, brainstorming, and Focus Group Discussions (FGD). Statistical tests were done using Bartlett's test of sphericity and Kaiser-Mayer Olkin (KMO) with a value higher or equivalent to 0.5. The study results formed two determinants of content discrepancies in the emergency trolley in the ER. The stock procurement factor is able to explain the problem by 48.02%, and the process documentation factor is able to explain the problem by 17.63%.

Downloads

Download data is not yet available.

Author Biographies

Kararawi Listuhayu, Mitra Delima General Hospital Malang

One of the problems that often occurs in the management of emergency logistics is the emergency trolley which sometimes does not comply with standard operating procedures. This will cause a mismatch of the contents of the emergency trolley. Even though the availability of emergency trolleys that are not standardized will have an impact on the quality of emergency services in the ER. The shortage of emergency medicine when needed and the incompatibility of the contents of the emergency trolley also occurred several times at Mitra Delima General Hospital. From these problems, research was carried out regarding the factors that caused the discrepancy of the contents of the emergency trolley in the ER at Mitra Delima Hospital.The research was conducted using a quantitative descriptive method. The method of identifying the root of the problem is carried out through field observations, literature studies, brainstorming, and conducting Focus Group Discussions (FGD). Statistical test using Barlett's test of sphericity and Kaiser-Mayer Olkin (KMO), with KMO value 0.5. The results of the study, formed 2 factors that explain the root cause of the discrepancy in the contents of the emergency trolley in the ER at Mitra Delima General Hospital. Factor 1 is able to explain the problem by 48.02% while factor 2 is able to explain the problem by 17.63%. These factors are drug vacancies from distributors and no emergency trolley registers.

Keywords: Emergency trolley, Emergency, logistics

Nanik Setijowati, Department of Family Medicine Faculty of Medicine Universitas Brawijaya Malang

One of the problems that often occurs in the management of emergency logistics is the emergency trolley which sometimes does not comply with standard operating procedures. This will cause a mismatch of the contents of the emergency trolley. Even though the availability of emergency trolleys that are not standardized will have an impact on the quality of emergency services in the ER. The shortage of emergency medicine when needed and the incompatibility of the contents of the emergency trolley also occurred several times at Mitra Delima General Hospital. From these problems, research was carried out regarding the factors that caused the discrepancy of the contents of the emergency trolley in the ER at Mitra Delima Hospital.The research was conducted using a quantitative descriptive method. The method of identifying the root of the problem is carried out through field observations, literature studies, brainstorming, and conducting Focus Group Discussions (FGD). Statistical test using Barlett's test of sphericity and Kaiser-Mayer Olkin (KMO), with KMO value 0.5. The results of the study, formed 2 factors that explain the root cause of the discrepancy in the contents of the emergency trolley in the ER at Mitra Delima General Hospital. Factor 1 is able to explain the problem by 48.02% while factor 2 is able to explain the problem by 17.63%. These factors are drug vacancies from distributors and no emergency trolley registers.

Keywords: Emergency trolley, Emergency, logistics

References

Abdulkadir W, Tuloli TS, and Pakaya A. Gambaran Pengelolaan Emergency Kit (Trolley) di Rumah Sakit Umum Daerah (RSUD) Dr. Hasri Ainun Habibie Kabupaten Gorontalo. Indonesian Journal of Pharmaceutical Education. 2021; 1(1): 47–56.

Ajzenberg H, Newman P, Harris GA, Cranston M, and Boyd JG. A “Neurological Emergency Trolley” Reduces Turnaround Time for High-Risk Medications in a General Intensive Care Unit. Intensive & Critical Care Nursing. 2018; 44: 40–44.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan No. 47 Tahun 2018 tentang Pelayanan Kegawatdaruratan. Jakarta: Kemenkes RI; 2018.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan No. 72 Tahun 2016 Tentang Standar Pelayanan Kefarmasian di Rumah Sakit. Jakarta: Kemenkes RI; 2017.

Wahyuni A and Khotimah K. Kesesuaian Pengelolaan dan Gambaran Penggunaan Logistik Farmasi Troli Emergensi di Ruang ICU RSUD Ulin Banjarmasin. Jurnal Insan Farmasi Indonesia. 2020; 3(2): 209–216.

Achaval MIF, Mammi LF, Cabarcos NF, et al. Assessment of Emergency Trolley Drugs in a Children's Hospital. Before and After Study on an Educational Intervention. Archivos Argentinos de Pediatría. 2020; 118(4): 234–239.

Candradewi S, Rasyid A, Wardhani V, and Rudijanto A. Utilization of Emergency Trolley in Patient Ward: Is Not Always for Emergency Reason. Enfermeria Clinica. 2020; 6(30): 205–208.

Manetti BKS, Amukugo HJ, and Shilunga APK. Emergency Trolley's Contents and Records: Audit Study at Maternity Sections, State Hospitals, Windhoek, Namibia. Open Journal of Nursing. 2018; 7(8): 448-472.

Meylani V, Kuswarini P, and Nurhidayah. Pengaruh Model Problem Based Learning Dibantu Fishbone Diagram terhadap Keterampilan Proses Sains Biologi Peserta Didik di SMA Negeri 1 Karangnunggal. EKSAKTA. 2018; 2(3): 11–8.

Asmoko H. Teknik Ilustrasi Masalah - Fishbone Diagrams. Magelang; Balai Diklat Kepemimpinan, Pusdiklat Pengembangan SDM ; 2013: p. 1–8.

Lintong R, Langi YAR, and Mongi CE. Penerapan Analisis Faktor terhadap Kualitas dan Kepuasaan Pelayanan Pasien Rumah Sakiy TK-II R. Mongisidi. Jurnal Matematika dan Aplikasi. 2020; 9(1): 24–30.

Ramadhani GS, Yuciana S. Analisis Pengendalian Kualitas Menggunakan Diagram Kendali Demerit. Jurnal Gaussian. 2014; 3(3): 401–410.

Julyanti, Citraningtyas G, and Sudewi S. Evaluasi Penyimpanan dan Pendistribusian Obat di Instalasi Farmasi Rumah Sakit Siloam Manado. Pharmacon. 2017; 6(4): 1–9.

Asyifa GF, Priatna M, dan Setiawan F. Analisis Pengelolaan Manajemen Logistik pada Instalasi Farmasi RSUD Ciamis Tahun 2019. Journal of Pharmacopolium. 2020; 1(1): 1–9.

Akber N, Afzal M, Hussain M, and Sabir M. Nurses Knowledge And Practices Regarding Crash Cart in a Government Hospital Lahore. Saudi Journal of Nursing and health Care. 2019; 2(3): 116–128.

Burhanuddin KR, Tjitrosantoso H, and Yamlean PVY. Evaluasi Pelayanan Kefarmasian dalam Pendistribusian Sediaan Farmasi di Instalasi Farmasi RSUP Prof. Dr. R. D. Kandou Manado. Pharmacon. 2016; 5(2): 313–321.

Kasmawati H, Sabarudin S, and Jamil SA. Evaluasi Ketersediaan Obat pada Era JKN-BPJS Kesehatan di RSUD Kota Kendari Tahun 2015. Pharmauho: Jurnal Farmasi, Sains, dan Kesehatan. 2019; 4(2): 59-62.

Toyo EM, Suwarni S, and Ernidiasanti Y. Kejadian Stagnant dan Stockout Obat Kardiovaskuler di Instalasi Farmasi Rumah Sakit. Jurnal Farmasi & Sains Indonesia. 2021; 4(2): 41–49.

Furstenburg P, Oosthuizen A, and Wallis L. Purpose-Orientated Stocking of Procedure Trolleys Saves Time in Busy Emergency Centres. South African Medical Journal. 2018; 108(12): 1024–1028.

Farida S, Krisnamurti DGB, Hakim RW, Dwijayanti A, and Purwaningsih EH. Implementasi Peresepan Elektronik. eJournal Kedokteran Indonesia. 2017; 5(3): 211–216.

Arifin S and Dirgahayu T. Evaluasi Implementasi Modul E-Prescribing Rumah Sakit dengan Metode Pieces. JUITA: Jurnal Informatika. 2017; 5(2): 115–130.

Downloads

Published

2022-10-24 — Updated on 2022-10-24

Issue

Vol. 32 Supplement 1 (2022)

Section

Supplement

License

Copyright (c) 2022 Jurnal Kedokteran Brawijaya

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).