MAKALAH PLENARY DISCUSSION SKENARIO 1

TUTORIAL 7

ALVIAN RAMADYA 20150350012

SYARIPAH ULANDARI 20150350047

RIZKI MUHAMMAD ANSORI 20150350028

JUWITA PERMATA SARI 20150350056

BELLA URTHAMEA 20150350018

REZA DWI APRIANI 20150350042

AULIA RAHMA 20150350087

ANGGRAENI PURBANINGTYAS 20150350027

NADYA DWI LARASATI 20150350023

PROGRAM STUDI FARMASI

FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN

UNIVERSITAS MUHAMMADIYAH YOGYAKARTA

2018

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 FOREWORD

Praise the writers to Allah SWT for all His grace and grace so that the authors can complete
the plenari discussion paper entitled "Plenary Discussion Paper Block 24 scenario 1" as a
discussion of the plenary discussion scenario that has been given. Salutation accompanied by
salutation is always given to our lord, the great prophet Muhammad SAW along with his family,
friends and followers until the end of time.

The authors realize that this paper is far from perfect. Therefore, the authors expect
criticism and constructive suggestions for future improvements.

In completing this tutorial report, the authors received a lot of help, guidance and advice.
On this occasion, the authors would like to express their respect and gratitude to:

1. Allah SWT, who has given life with the coolness of faith,

2. Both parents always provide material and spiritual support,

3. Armed friends,

4. All parties who helped the authors in making this paper.

May Allah SWT give a reward for all the charity given to all those who have supported the
writers and hope this paper will benefit us and the development of science. May we always be
protected by Allah SWT. Ameen

Yogyakarta, May 2019

Drafting team

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 BAB 1
INTRODUCTION
1. Scenario
GK, a pharmacist from UMY Pharmacy has worked in a Pharmacy Installation
for 1 year outpatient "R" Hospital. The polyclinic in RS "R" is a general polyclinic and
basic specialization polyclinic (surgery, obstetrics and gynecology, children, and internal
medicine). The number of prescriptions from outpatients is 90 prescriptions / day. Human
resources in IFRS consist of 2 pharmacists, 2 pharmacist assistants, and 1 receptor.
During peak hours, many patients complain that the waiting time to get the drug is long
enough, especially concoction drugs that reach an average of 45 minutes. As a result, the
income from prescriptions is limited because there are many recipes for outpatients who
are not redeemed in R. Hospital, besides that, GK feels that the work environment in
IFRS is not conducive to optimal work. Incidentally the "R" Hospital Pharmacy Chief
was transferred to another hospital, so GK was asked to design IFRS management with
support for management support

2. Formulation of problem
a) Explain the management of pharmaceutical preparations, medical devices and
BMHP
b) Explain the management of clinical pharmacy
c) Explain the types of hospitals and their criteria
d) Explain management support
e) Indicators of drug services and management indicators IFRS

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 BAB 2
DISCUSSION

I. Explain the management of pharmaceutical preparations, medical

devices and BMHP

Management of Pharmaceutical Preparations, Medical Devices, and

Medical Materials Use as intended includes:
A. Selection;
B. Planning Needs;
C. Procurement;
D. Admission;
E. Storage;
F. Distribution;
G. Annihilation And Withdrawal;
H. Control; And
I. Administration.

A. Selection
Selection is an activity to determine the type of preparation Pharmacy, Medical Devices,
and Medical Materials Use accordingly with needs. Selection of Pharmaceutical
Preparations, Medical Devices, and Medical Materials Use this based on:
1. formulary and treatment standards / diagnostic guidelines and therapy;
2. standard Pharmaceutical Preparations, Medical Devices, and Medical Materials
3. The specified usage time;
4. pattern of disease;
5. effectiveness and security;
6. evidence-based treatment;
7. quality;

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8. price; and
9. market availability.

The Hospital Formulary is compiled according to National Formulary. The Hospital

Formulary is Drug list agreed upon by medical staff, compiled by Committee / Pharmacy
Team and Therapy determined by the Chairperson Hospital.

B. Planning
Planning is an activity for determine the number and period of procurement of
Pharmaceutical Preparations, Medical Devices, and Medical Materials Use according to
the results of election activities to ensure compliance with criteria right type, right
number, timely and efficient. Planning is carried out to avoid drug vacancies by using
methods that can accountable and the basics of planning has been determined including
consumption, epidemiology, combination consumption and epidemiological methods and
adapted to available budget.
Planning guidelines must consider:
1. available budget;
2. priority setting;
3. Stock left;
4. usage data of the past period;
5. order waiting time; and
6. expansion plan.

C. Procurement
Procurement is an activity intended for realize planning needs. Effective procurement
must guarantee the availability, quantity and time at affordable prices and according to
quality standards. Procurement is a continuous activity starting from selection,
determining the amount needed, adjustments between needs and funds, selection of
procurement methods, supplier selection, determination of contract specifications,
monitoring procurement process, and payment

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Procurement can be done through:
1. Purchase
For government hospitals purchasing preparations Pharmaceuticals, Medical Devices,
and Medical Materials must comply with the provisions for the procurement of goods and
services applicable.
The things that need to be considered in the purchase are:
1) Criteria for Pharmaceutical Preparations, Medical Devices and Materials
2) Disposable Medical, which includes general criteria and
Drug quality criteria.
3) Supplier requirements.
4) Determination of the time of procurement and arrival of the preparation
Pharmaceuticals, Medical Devices, and Medical Materials.
5) Monitoring the procurement plan according to type, amount and time.

2. Production of Pharmaceutical Preparations

Pharmacy installations can produce certain preparations if:
1) Pharmaceutical preparations are not on the market;
2) Pharmaceutical preparations are cheaper if produced alone;
3) Pharmaceutical preparations with special formulas;
4) Pharmaceutical preparations with more packaging small / repacking;
5) Pharmaceutical preparations for research; and
6) Pharmaceutical preparations that are not stable in storage / must be made new
(recenter paratus).
Preparations made at the hospital must meet quality requirements and are limited only to
fulfill service needs at the Hospital.

3. Donations / Dropping / Grants

Pharmacy installations must record and reporting on receipt and use of preparations
Pharmaceuticals, Medical Devices, and Medical Materials donation / dropping / grant.

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D. Admission
Admisssion is an activity to ensure conformity type, specification, quantity, quality, time
of delivery and price stated in the contract or order letter with the conditions physical
received. All documents related to receipt of goods must be stored properly.

E. Storage
Storage must guarantee quality and safety Pharmaceutical preparations,
medical devices, and medical materials in accordance with pharmaceutical requirements.
Pharmaceutical requirements the definition includes stability and security requirements,
sanitation, light, humidity, ventilation, and type classification Pharmaceutical
preparations, medical devices, and medical materials.
Storage methods can be done based on class therapy, dosage forms, and
types of pharmaceutical preparations, tools Health, and Medical Materials Use and
arranged accordingly alphabetically by applying the First Expired First Out principle
(FEFO) and First In First Out (FIFO) accompanied by information systems management.
Storage of Pharmaceutical Preparations, Medical Devices, and Medical Materials Use the
appearance and naming similar ones (LASA, Look Alike Sound Alike) are not placed
close together and must be given special marking for prevent the occurrence of errors in
taking drugs.

F. Distribution
Distribution systems in service units can be done with way:
a. Complete Inventory System in the room (floor stock)
1. Distribution of Pharmaceutical Preparations, Medical Devices, and Medical
Materials Use for supplies in the room care is prepared and managed by a Pharmacy
Installation.
2. Pharmaceutical preparations, medical devices, and medical materials
Consumables stored in the care room must be in the type and amount that is urgently
needed.
3. In temporary conditions where there are no officers pharmacy that manages
(above work hours) then the distribution is delegated to insurer answer the room.

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4. Daily handover of management is carried out floor stock medicine to pharmacists
from person in charge of the room.
5. Pharmacists must provide information, warnings and possible drug interactions on
each type of drug provided on the floor stock.

b. Individual Recipe System

Distribution of Pharmaceutical Preparations, Medical Devices, and Medical Materials
Use based on Recipeindividual / outpatient and hospitalization through Pharmacy
Installation.

c. Unit Dosing System

Distribution of Pharmaceutical Preparations, Medical Devices, and Medical Materials
Consumed based on individual Recipes prepared in single or multiple dose units, for one-
time / patient use. This dosage unit system used for inpatients.

d. Combination system
Distribution System for Pharmaceutical Preparations, Tools Health, and Medical
Materials Use for patients hospitalization using a combination of a + b or b + c or a + c.
The distribution system of the Dose Dispensing (UDD) Unit is very recommended for
hospitalized patients considering this system the error rate of drug administration can be
minimized until less than 5% compared to the floor stock system or Individual recipes
that reach 18%

G. Annihilation And Withdrawal

Withdrawal of Medical Devices and Medical Materials carried out on products whose
distribution licenses have been revoked by the Minister. Destruction is carried out for
Pharmaceutical Preparations, Tools Health, and Medical Materials Use when:
1. the product does not meet the quality requirements;
2. has expired;
3. does not meet the requirements for use in service health or the interests of science;
and / or revoked the distribution permit.

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The annihilation stage consists of:
1. make a list of Pharmaceutical Preparations, Medical Devices, and Medical
Materials Consumed which will be destroyed;
2. prepare an Official Report of Annihilation;
3. coordinate schedules, methods and places of destruction to related parties;
4. preparing a place of extermination; and
5. destroy according to type and dosage form and applicable regulations.

H. Control
Control of the use of Pharmaceutical Preparations, Tools Health, and Medical Materials
After Use can be done by the Pharmacy Installation must be with the Committee / Team
Pharmacy and Therapy at the Hospital.
The purpose of controlling the inventory of Pharmaceutical Preparations, Tools Health,
and Medical Materials Consumed are for:
1. Drug use in accordance with the Hospital Formulary;
2. Drug use in accordance with diagnosis and therapy; and
3. ensure that supplies are effective and efficient or not advantages and disadvantages /
emptiness, damage, expiration, and loss and return of orders Pharmaceutical preparations,
medical devices, and medical materials Use it.
Ways to control the supply of Pharmaceutical Preparations, Tools Health, and Medical
Materials Consumed are:
a. evaluate inventory that is rarely used (slow moving);
b. evaluate inventory that is not used inside three consecutive months (death stock);
c. Stock taking is done periodically and periodically.

I. Administration
Administration must be carried out in an orderly manner continuous to facilitate tracking
of activities what has passed. Administrative activities consist of:
a. recording and reporting
b. financial administration
c. deletion administration

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II. Explain the management of clinical pharmacy

Clinical pharmacy services are direct services provided to patients in order to improve the
outcome of therapy and minimize the risk of side effects due to drugs.
Clinical pharmacy services include:

A. Assessment of services and prescriptions

Prescription services start from acceptance, inspection of availability, prescription
studies, preparation of pharmaceutical supplies including compounding drugs,
examinations, surrender with information. At each stage of the prescription service flow,
efforts are made to prevent the occurrence of errors in drug administration (medication
error). The purpose of the assessment of services and prescriptions is to analyze the
existence of drug-related problems, if you find a problem related to drugs, you should
consult a prescription doctor

B. Search history of drug use

Searching the history of drug use is the process of obtaining information about all
other pharmaceuticals / preparations that have been and are being used, medical history
can be obtained from interviews or medical record data / recording the patient's drug use.

C. Drug Information Service (PIO)

PIO is an activity to provide and provide information, drug recommendations that
are independent, accurate, unbiased, up-to-date and comprehensive given to doctors,
pharmacists, nurses, other health professionals and patients and other parties outside the
hospital.
Activities carried out at the PIO include:
1) Answering questions.
2) Publish bulletins, leaflets, posters, newsletters.
3) Providing information for the pharmacy and therapy committee / subcommittee.
4) In connection with the preparation of the hospital formulary.

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5) Together with Hospital Public Health Counseling (PKMRS)
conduct outreach activities for outpatients and hospitalizations.
6) Carry out continuing education for pharmacy staff and other health workers.
7) Conduct research.

D. Counseling
Drug counseling is a process of discussion between pharmacists and patients /
families patients who are carried out systematically to provide opportunities to patient /
family patients explore themselves and help improve knowledge, understanding, and
awareness so that patients / families of patients gain confidence in his ability to use the
right medicine including self-medication. The general goal of counseling is to increase
success therapy, maximizing therapeutic effects, minimizing the risk of side effects,
improving cost effectiveness and respect the choice of patients in carrying out therapy.

E. Visite
Visite is an activity of visiting inpatients by pharmacists independently or with a
team of health workers to observe clinical conditions patients directly, and review drug-
related problems, monitor drug therapy and unwanted drug reactions, improve rational
drug therapy, and presenting medication information to doctors, patients and other health
professionals. Visite can also be done on patients who have been discharged from the
hospital the patient's request, commonly referred to as pharmacy services at home (home
pharmacy care). Before conducting a visual activity the pharmacist must prepare self by
gathering information about the patient's condition and checking therapy drugs from
medical records or other sources.

F. Drug therapy monitoring (PTO)

PTO is a process that includes activities to ensure drug therapy safe, effective and
rational for patients. The purpose of monitoring drug therapy is improve the effectiveness
of therapy and minimize the risk of ROTD

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G. Monitoring drug side effects (MESO)
MESO is a monitoring activity for any response to a drug that is not desired
(ROTD) which occurs at the usual dosage used in humans for goals of prophylaxis,
diagnosis, and therapy. Side effects of drugs are drug reactions unwanted related to
pharmacological work

H. Drug use evaluation

Drug use evaluation is an evaluation program for the use of structured drugs
continuous qualitatively and quantitatively.

I. Dispensing special preparations

Dispensing special sterile preparations carried out at the hospital pharmacy
installation with aseptic techniques to ensure product sterility and stability and protect
officers from exposure to hazardous substances and avoid mistakes drug administration.
The purpose of dispensing special preparations is to guarantee product sterility and
stability, protecting officers from exposure to hazardous substances, and avoiding
mistakes in administration of drugs

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III. Explain the types of hospitals and their criteria
Classification of types of hospitals with the power kefarmasian is divided into four, namely:

A. type A hospitals

B. Type B hospitals

C. type C hospitals

D. hospital type D

1. Power kefarmasian hospital type consists of:

a. one (1) installation as head pharmacist Pharmacy Hospital;

b. 5 (five) pharmacist on duty in outpatient who was assisted by

at least 10 (ten) kefarmasian technical personnel;

c. 5 (five) pharmacist in inpatient who is assisted by at least 10

(ten) kefarmasian technical personnel;

d. one (1) a pharmacist in emergency installations assisted by

at least 2 (two) kefarmasian technical personnel;

e. 1 (one) in the ICU pharmacist assisted by at least 2

(2) technical kefarmasian power;

f. one (1) a pharmacist as a coordinator of reception and distribution

that can be used to perform the service of clinical pharmacy in

inpatient or outpatient and assisted by technical personnel

the kefarmasian number is matched with the workload

kefarmasian Hospital services; and

g. one (1) a pharmacist as a production coordinator who can

While he was doing the service of clinical pharmacy in inpatient

or outpatient and assisted by technical personnel the kefarmasian

the amount is adjusted to the workload of the Ministry

kefarmasian hospital.

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2. Power kefarmasian type B hospitals consists of:

Kefarmasian power referred to in subsection (1) letter b

at least consist of:

a. one (1) person as the head pharmacist pharmacy Home installation

Sick;

b. four (4) the pharmacist on duty in outpatient who was assisted by

at least 8 (eight) people kefarmasian technical personnel;

c. 4 (four) pharmacist in inpatient who is assisted by the most

bit 8 (eight) people kefarmasian technical personnel;

d. one (1) person pharmacist at installation emergencies assisted

by a minimum of 2 (two) kefarmasian technical personnel;

e. 1 (one) person pharmacist in ICU that are assisted by the most

least 2 (two) kefarmasian technical personnel;

f. one (1) person pharmacist as coordinator of admissions and

distribution that can concurrently perform services pharmacy

Clinic in inpatient or outpatient and assisted by the power

technical kefarmasian that the amount adjusted to the load

kefarmasian service Hospital work; and

g. 1 (one) person pharmacist as a production coordinator who can

While he was doing the service of clinical pharmacy in inpatient

or outpatient and assisted by technical personnel the kefarmasian

the amount is adjusted to the workload of the Ministry

kefarmasian hospital.

3. Power kefarmasian hospital type C consists of:

Kefarmasian power referred to in subsection (1) letter b

at least consist of:

a. one (1) person as the head pharmacist pharmacy Home installation

Sick;

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b. two (2) a pharmacist who served in an inpatient, assisted by

at least 4 (four) kefarmasian technical personnel;

c. 4 (four) pharmacist in inpatient who is assisted by the most

bit 8 (eight) people kefarmasian technical personnel;

d. one (1) person pharmacist as the Coordinator's acceptance, distribution

and production that can concurrently perform services pharmacy

Clinic in inpatient or outpatient and assisted by technical personnel

the kefarmasian number is matched with the workload

kefarmasian Hospital services.

4. Power kefarmasian type D hospital consists of:

a. one (1) person as the head pharmacist pharmacy Home installation

Sick;

b. one (1) a pharmacist on duty in outpatient and inpatient care that

assisted by at least 2 (two) technical personnel

kefarmasian;

c. one (1) person pharmacist as the Coordinator's acceptance, distribution

and production that can concurrently perform services

clinical pharmacy in inpatient or outpatient and assisted by

kefarmasian technical personnel totaling tailored to

the workload of the service of kefarmasian hospital.

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IV. Explain management support
Management Support is the act or art of doing, regulating and overseeing something to
achieve effective and efficient goals, in this case public health. There are many reasons why drugs
need to be managed properly where so that drugs are available when needed, sufficient quantity,
quality guarantees, supports "good quality care" in hospitals, and increases the income of private
hospitals. In terms of management and finance, the management and administration burden is
reduced, reducing waste, reducing management costs and drug investment, avoiding drug
shortages and increasing hospital income. Support management is the stage of organizing, funding,
information resources, planning, evaluation, service, research and security that covers the entire
stage of the Drug Management Cycle. This management ability is poured in support management
which includes organizational capabilities, adequate financial management, the latest information
in the world of health and most importantly, human resources.

1. Use

Use of drugs management cycle includes: diagnozing, prescribing, dspensing and proper
consumption by the patient. the role of the pharmacist in this case is to be able to collaborate with
other health personnel to ensure and ensure that patients receive rational drugs, appropriate to the
clinical needs of patients with doses that are appropriate for individual dosage requirements for
the appropriate period of time and the lowest cost. Rational drug use is expected to reduce the
incidence of medication errors and can make the costs borne by the patient to a minimum,
especially related to drug costs. In this use, the important role of the pharmacist is to be involved
in the dispensing and proper consumption by the patient (the selection of the most appropriate drug
for the patient), the initial stage of which is prescription screening. Irrational drug administration
has an impact on the use of drugs that are not appropriate, so that it is feared to have an effect on
the quality of therapy produced, the most common problem in giving irrational drugs is
polypharmacy, so steps are needed to find out whether drugs are used rationally or not.

1. Identify problems

2. Understand the causes

3. Record the possibility of interaction

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4. Review the information available

5. Choose interactions

6. Monitor and re-record drug work.

Meanwhile, strategies that can be taken to achieve rational medicine are classified into several
ways:

1. Educational strategy, including: Prescription writing training (seminars, workshops), printing

materials (clinical and newspaper literature, therapeutic guidelines, drug formulations), direct
meeting based approaches.

2. Managerial strategies include: Starting selection, procurement and distribution, starting

prescribing and delivering drugs, financing (regulating prices

3. Regulatory strategies, including: Drug registration, limited drug lists, prescription restrictions,
restrictions on drug delivery.

4. Selection

The selection in drugs management cycle is basically the selection of drugs in the home installation
until the formulary revision.

The selection activity process includes: reviewing health problems, identifying the most
appropriate treatment selection, selecting the dosage for each individual and the most appropriate
dosage form and ensuring that the drugs needed by doctors and patients are always available at the
pharmacy installation in the hospital.

1. Procurement

Procurement, activities include planning, procuring, receiving and storing drugs in

hospitals. Procurement is an activity to realize the planned needs. There are several keys to good
drug procurement, namely, by reviewing the drug data that will be held, the qualifications and
monitoring of suppliers, competing offers, and the number of drugs ordered based on field needs,
in this case is the demand for a drug in a hospital that can be trusted. In addition, there is also a
need for good and efficient payment and management of funds. There are written and transparent
procedures, guaranteed product quality, annual checks with reported results and regular reports of

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drug procurement. How to procure a drug can be done in various ways, namely: Pharmaceutical
preparation (sterile and non-sterile products), donation or droping or grants, Cooperative
cooperation, Rental, Purchasing, through tenders (by purchasing pharmacy goods) or directly from
factories, distributors, and pharmaceutical wholesalers.

1. Distribution

Drug distribution is a process of delivering drugs after the preparation is prepared by the
Hospital Pharmacy Installation unit to be delivered to nurses, doctors, or other health professionals
to be distributed to patients.

There are 4 elements in the distribution system:

1. a) System design (geographical or population coverage, number of levels in the system, and
degree of centralization)

2. b) Information systems (inventory control, records and forms, use of reports, information flow)

3. c) Storage (site selection, building design, material handling system)

4. d) Delivery (selection of transportation, vehicle procurement, vehicle maintenance, and delivery

schedule).

Distribution terms that are well designed and managed

1. Maintain a constant supply of drugs

2. Keep the drug in good condition during the distribution process

3. Minimize drug losses due to decay and expiration

4. Keep inventory records accurately.

5. Rationalize the drug storage area.

6. Utilizing existing transportation resources as efficiently as possible.

7. Reducing theft and fraud

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V. Indicators of drug services and management indicators IFRS
An indicator is a device that can be used in monitoring a certain process. Indicators of hospital
services that can be used for knowing the level of utilization, quality, and efficiency of hospital
services among others: (Depkes RI, 2005)
1. Bed Occupancy Rate (BOR) is the percentage of use of a bed on certain time units used to
determine utilization rates hospital bed. A low BOR number indicates shortages Hospital
care facilities by the community. The BOR number height (more than 85%) indicates the
utilization rate of the bed high so you need to develop a hospital or need a bed. The ideal
parameter value is between 60-85%.
2. Average Length of Stay (ALOS) is the average length of stay of a patient. Value AVLOS
is ideal between 6-9 days.
3. Bed Turn Over (BTO): is the frequency of using a bed on one period, the number of times
a bed is used in one unit of time. Ideally in one year, one bed is used 40-50 times on average.
4. Turn Over Interval (TOI) is the average day where the bed is not occupied from already
filled to the next filled time. The greater the TOI then the efficiency of using a bed is getting
worse. Ideally an empty bed
not filled in the range of 1-3 days.
5. Net Death Rate (NDR): net mortality is a 48 hour mortality rate after being treated for
every 1000 sufferers out, used for know the quality of hospital services / care. The lower
the NDR hospital means that the quality of hospital services is getting better. The NDR
value that can still be tolerated is less than 25 per 1000 patients exit.
6. Gross Death Rate (GDR): brutal mortality rate is the general mortality rate for every 1000
sufferers out, it is used to determine the quality hospital services / care. The lower GDR
means service quality the hospital is getting better. The GDR value should not exceed 45
per 1000 patient comes out.

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B. Indicators of drug management in IFRS

Stage indicators Tujuan Comparative value

Selection Suitability of medicinal To find out the 49%

items level
available with DOEN use of essential
drugs

Procurement 1. Percentage of fund To find out how 30 – 40 %

allocation much
drug procurement distant stock of
hospital funds
give funds to
pharmacy

2. Frequency of each To find out how Low <12x / Medium year

procurement many times 12 - 24x / year Height>
drug items per year the drugs are 24x /
ordered year
in a year

3. Less frequency To find out how 1-9 x

complete order letter / many times
contract invoice error

4. Frequency of delay To know the quality 0 – 25 x

home payment hospital payment
sick of the time
agreed upon

5. Percentage of drug items To find out the 100 – 120 %

held with that accuracy
planned planning

Distribution 1. Accuracy of drug amount To know accuracy 100%

data warehouse officer
on stock cards

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 2. Turn Over Ratio To find out the 10 - 23 times / year
rotation
capital in one year
stock

3. Warehouse structuring To assess the 100% FIFO / FEFO

system system
warehouse
arrangement

4. Percentage and value of To find out the size ≤ 0.2%

drugs hospital losses
which expires and / or
broken

5. Percentage of dead stock To find out the 0%

preparation
who did not
experience
movement

6. Level of drug availability To find out the Minimum number of

range safety stock
Adequacy of drugs

Use 1. Number of items per To measure degrees 1.3 - 2.2

sheet of medicine polypharmacy
recipe

2. Percentage of drug with To measure 82% - 94%

generic name tendency to
prescribe generic
drugs

3. Percentage of drug To measure usage <22.70%

prescription antibiotics
antibiotics

4. Percentage of To measure usage 17%

prescription injection
injection Seminary possible

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5. Percentage of drugs To measure level 100%
entered doctor's obedience
drug list of hospitals to
standard of
medicine in the
hospital

6. Average speed To find out the ≤60 minutes

prescription services level (concoction), ≤30
pharmacy service minutes (finished
speed preparation)
hospital

7. Percentage of drugs that To find out 76-100%

can coverage
submitted hospital services

8. Percentage of the drug For the amount of 100%

labeled completely completeness
basic information
that must be
written on etiquette

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 BAB 3
CLOSING
I. Bibliography

 Peraturan Menteri Kesehatan Republik Indonesia nomor 72 tahun 2016 tentang

pelayanan kefarmasian di Rumah Sakit

 Republik Indonesia, 2014a, Peraturan Menteri Kesehatan Republik Indonesia Nomor 56

Tahun 2014 tentang Klasifikasi dan Perizinan Rumah Sakit, Jakarta.

 Depkes RI, 2005; Undang-Undang Republik Indonesia Nomor : 23 tahun 2005 Tentang
Kesehatan; Jakarta; Hal 1. Fisioterapi Indonesia; Jakarta; Hal.5

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