Drugs and medical consumable planning and procurement which contained both fl aw and inaccuracy are likely affecting their sustainability in Public Health Center (Puskesmas Keywords: drugs planning, drugs procurement, regulation public health center ABSTRAKKualitas perencanaan obat dan bahan medis habis pakai dalam kegiatan pengadaan obat yang lemah (tidak sesuai) memengaruhi ketersediaan obat dan bahan medis habis pakai di Puskesmas "X". Tujuan penulisan ini yaitu untuk mendeskripsikan mekanisme pelaksanaan perencanaan dan pengadaan obat yang dilakukan Puskesmas. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kualitatif yang bersifat observasional. Hasil penelitian ini menunjukkan bahwa pelaksanaan pengadaan obat di Puskesmas "X", terdapat dua macam sumber pembiayaan obat dan bahan medis habis pakai, yaitu melalui APBD dan JKN. Perencanaan Obat yang bersumber dari dana APBD dilakukan melalui penyusunan Laporan Kebutuhan Obat (LKO) yang dibuat setiap tahun. Perencanaan dilakukan pada akhir tahun untuk memenuhi kebutuhan obat Puskesmas selama satu tahun ke depan. Sementara itu, Proses pengadaan Obat dilakukan dengan menyusun Laporan Pemakaian dan Lembar Permintaan Obat (LPLPO) yang diajukan kepada Gudang Farmasi. Perencanaan obat yang berasal dari pembiayaan JKN dilakukan menggunakan dokumen RKA yang dibuat pada awal tahun berdasarkan jumlah kebutuhan. Mekanisme pengadaan obat dilakukan melalui pemesanan dalam e-catalogue sesuai dengan kebutuhan. Penelitian ini menyimpulkan bahwa pelaksanaan perencanaan dan pengadaan obat di Puskesmas "X" sudah sesuai dengan Permenkes Nomor 74 Tahun 2016.Kata Kunci: perencanaan obat, pengadaan obat, peraturan, puskesmas
One issue in patient safety still a concern is the timeliness of reporting patient safety incidents. This study aims to analyze the relationship between the group, organizational, and mediator factors on misbehavior performance in implementing patient safety incident reporting in hospitals. The study was a descriptive study with a crosssectional design conducted on all units in the hospital involving 174 respondents. Data was collected using a questionnaire that measured all variables on group factors, organizational factors, mediator factors, and misbehavior performance. Cross tabulation is used to analysis with a percentage difference of >20%. The results showed several groups and organizational factor namely cohesiveness, leadership, constructive type organizational culture, organizational climate, and control systems related to the ability to internalize organizational values and norms, belief in deviant behavior, and intentions to engage in deviant behavior. There is a correlation between mediator factors consisting of normative force, instrumental force, and intention to misbehave with deviant behavior in reporting patient safety incidents. Group and organizational factors are related to mediator factors, including internalization of organizational values and norms, beliefs of deviant behavior, and intentions. In addition, there is also a relationship between mediator factors and deviant behavior in reporting patient safety incidents.
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