Analysis reveals low inventory turnover and expired drugs in pharmacy, suggesting lean methods may enhance efficiency.
This study aims to analyze and improve the efficiency of the drug distribution process in the IFRS pharmacy warehouse of Pasirian Regional General Hospital, Lumajang Regency, using the Lean approach. The main issues identified include a low Inventory Turnover Ratio (ITOR) of less than four times per year and the persistent occurrence of expired drugs amounting to To address these problems, Value Stream Mapping (VSM) and Future State Mapping (FSM) methods were applied to map the drug distribution process, identifying value-added (VA), non-value-added (NVA), and necessary but non-value-added (NNVA) activities. Root cause analysis using the 5 Why method revealed that the primary factors contributing to inefficiency were unscheduled drug distribution,
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Maulidiyah et al. (2025) studied this question.
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