Medication errors can be caused by a number of factors, including the people, medicine, systems and procedures involved in medication processes. Medication use that causes harm is known as Adverse Drug Events (ADE). Medication reconciliation is one of the prevention strategies of medication errors. However, the challenges and barriers in its implementation include an inefficient medication reconciliation process. A lean method is increasingly used in healthcare to optimize process flow. This paper aims to identify waste in medication reconciliation processes, in order to reduce ADE and improve safety. We identified a number of wastes, including discrepancies that were caused by a lack of coordination and communication between hospital and community pharmacies, and unclear tasks and responsibilities of professionals and community pharmacies.

In a company, back and forth is largely determined by employees accompanied by increasing technology and science in all fields taking place so rapidly. Similarly, the HRD division at PT. Tropic Abadi when managing employee recruitment activities. Employee recruitment management system that runs at PT. Tropic Abadi is currently not running optimally, namely: through an online recruitment website as a medium to provide a bridge of communication regarding job vacancy information, where the process is less practical and adequate. So that management systems are needed in order to be able to do the process of managing employee recruitment to be faster, more precise, effective, and efficient. This research uses a research methodology that is structured system management through UML (Unified Modeling Language) and the final results achieved from writing this scientific journal are by implementing a web-based system for PT. Tropic Abadi in solving these problems, ranging from the speed of information provided and an easily managed database system.

We evaluated medication reconciliation processes of a qualitative case study at a 1000-bed public hospital. Lean tools were applied to identify factors contributing to prescribing errors and propose process improvement. Errors were attributed to the prescriber’s skills, high workload, staff shortage, poor user attitude and rigid system function. Continuous evaluation of medication reconciliation efficiency is imperative to identify and mitigate errors and increase patient safety.