Evaluasi Standar Pelayanan Minimal Farmasi Kategori Lama Waktu Tunggu Resep di Rumah Sakit Pendidikan Prof Dr. Chairuddin Panusunan Lubis Medan

Abstract

Background: Prescription service waiting time is the time required from when a patient submits a prescription until the patient receives the medication. Prescription service waiting time is one of the minimum service standards for hospital pharmacies, and hospitals must control this time to improve the quality of prescription services. Objective: To evaluate the minimum service standards related to the waiting time for outpatient prescription services at Prof. Dr. Chairuddin Panusunan Lubis Teaching Hospital, Medan. Method: This observational study used a cross-sectional design. It is a descriptive study with a quantitative method. The research data was collected prospectively over one month in March 2024. The research sample was taken randomly using random sampling techniques. Results: A total of 364 prescriptions were studied, including 36 compounded prescriptions and 328 non-compounded prescriptions. The average review time for compounded and non-compounded prescriptions is 5 minutes. The average preparation time for compounded medications was 49 minutes, and for non-compounded medications was 2 minutes. The average time for dispensing medications, including prescription counseling, was 1 minute for both compounded and non-compounded prescriptions. Observations revealed gaps between stages: the average gap time before the assessment of compounded prescriptions was 6 minutes, and for non-compounded prescriptions was 45 minutes. The average gap time before preparing compounded medications was 7 minutes, and for non-compounded medications was 5 minutes. The average gap time before dispensing medications, including KIE, was 4 minutes for compounded prescriptions and 11 minutes for non-compounded prescriptions. Conclusion: Based on the research results, the total average waiting time for compound prescription services was 74 minutes and for non-compounded prescriptions was 70 minutes. These results do not meet the Indonesian Minister of Health's decision No. 129/Menkes/SK/II/2008 on minimum hospital service standards, which state that the waiting time for compounded prescription services should be ≤ 60 minutes and for non-compounded prescription services should be ≤ 30 minutes.