Evaluation of Drug Management and Clinical Pharmacy Services with Problem Priority Scale Determination Using the Hanlon Method and Follow-Up with a Fishbone Diagram at Delanggu Public Health Center in 2023

Annisa Nofita Ashriyani; Jason Merari Peranginangin; Ika Purwidyaningrum

doi:10.55927/fjst.v4i9.232

Authors

Annisa Nofita Ashriyani Setiabudi University
Jason Merari Peranginangin Setiabudi University
Ika Purwidyaningrum Setiabudi University

DOI:

https://doi.org/10.55927/fjst.v4i9.232

Keywords:

Community Health Center, ITOR, Hanlon Method, Fishbone Diagram

Abstract

This study evaluated the drug management system and clinical pharmacy services at Delanggu Community Health Center in accordance with Minister of Health Regulation No. 74/2016. An observational cross-sectional design was applied with purposive sampling of the responsible pharmacist. Data were analyzed descriptively, supported by the Hanlon method and fishbone diagram. The results showed that most drug management indicators met standards; however, the ITOR was low (1.2 times/year) and expired drugs reached 6.8%. Clinical pharmacy services were well implemented in prescription assessment, drug information, and counseling, but activities such as PTO, MESO, and patient visits remained suboptimal due to limited human resources. Hanlon’s analysis identified the low ITOR as the top priority, requiring improvement through better logistics management and strengthening the pharmacist’s role in drug evaluation.

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