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Abstrak :
[Rumah Sakit Umum Pusat Fatmawati merupakan rumah sakit rujukan nasional tipe A yang melayani salah satunya pelayanan bedah orthopedi. Pelayanan bedah orthopedi merupakan pelayanan terbanyak yang dilakukan di IBS, dan memiliki demand yang sangat tinggi. Demand yang tinggi menyebabkan lamanya waktu tunggu. Apalagi ditambah dengan tingginya kejadian penundaan operasi, terutama penundaan operasi orthopedi. Skripsi ini menganalisis standar waktu operasi yang ada apakah sesuai dengan kejadian real di lapangan atau tidak dan meilai efektivitas pelayanan bedah orthopedi khusunya ORIF (Open Reduction Internal Fixation) dengan metode Lean Hospital. Didapatkan hasil bahwa standar operasi yang ada sesuai dengan lapangan bahkan kurang dari waktu standar yang ditentukan, akan tetapi banyak terdapat waste pada setiap aktivitas pelayanan yang menghambat operasi. Waste di ruangan serah terima (36,4%). Non value added pada waktu aktivitas di ruangan ini sebanyak 1870 ?s atau 81,7%. Waste di ruangan persiapan (42,9%). Non value added pada waktu aktivitas di ruangan ini sebanyak 2460 ?s atau 89,1%. Waste pada saat persiapan operasi (21%). Non value added pada waktu aktivitas di ruangan ini sebanyak 1490 ?s atau 48,2%. Waste di pada saat operasi (29,4%). Non value added pada waktu aktivitas di ruangan ini sebanyak 900 ?s atau 12,4%. Waste di ruangan pemulihan atau recovery (12,5%). Non value added pada waktu aktivitas di ruangan ini sebanyak 2390 ?s atau 47,8%. Berdasarkan hasil analisis ditemukan penyebab waste yang terjadi, dan dibutuhkan perbaikan segera untuk melancarkan jalannya pelayanan bedah serta penambahan value added pada pelayanan. ......Rumah Sakit Umum Pusat Fatmawati is the national referral hospital type A which serves one orthopedic surgical services. Orthopedic surgical care is a service of the highest in Central Surgery Installation, and has a very high demand. High demand led to long waiting times. Coupled with the high incidence of surgery delay, especially orthopedic surgery delay. This thesis analyzes the surgery standard is in accordance with real events or not, and assess the effectiveness of orthopedic surgical services especially ORIF (Open Reduction Internal Fixation) by the method of Lean Hospital. Showed that surgical standards that are applicable to the field even less than the time specified standards, but there is a lot of waste in any activity that inhibits surgery services. Waste in the handover room (36.4%). Non value added at the activity in this room as much as 1870 's or 81.7%. Waste in the preparation room (42.9%). Non value added at the activity in this room as much as 2460's or 89.1%. Waste at the time of preparation of the surgery (21%). Non value added at the activity in this room as much as 1490's or 48.2%. Waste at surgery process (29,4%). Non value added at the activity in this room as much as 900's or 12,4%. Waste in the recovery room or recovery (12.5%). Non value added at the activity in this room as much as 2390's or 47.8%. Based on the analysis found the cause of waste that occurs, and needed urgent repairs to expedite the course of the surgical services and the addition of value in services., Rumah Sakit Umum Pusat Fatmawati is the national referral hospital type A which serves one orthopedic surgical services. Orthopedic surgical care is a service of the highest in Central Surgery Installation, and has a very high demand. High demand led to long waiting times. Coupled with the high incidence of surgery delay, especially orthopedic surgery delay. This thesis analyzes the surgery standard is in accordance with real events or not, and assess the effectiveness of orthopedic surgical services especially ORIF (Open Reduction Internal Fixation) by the method of Lean Hospital. Showed that surgical standards that are applicable to the field even less than the time specified standards, but there is a lot of waste in any activity that inhibits surgery services. Waste in the handover room (36.4%). Non value added at the activity in this room as much as 1870 's or 81.7%. Waste in the preparation room (42.9%). Non value added at the activity in this room as much as 2460 's or 89.1%. Waste at the time of preparation of the surgery (21%). Non value added at the activity in this room as much as 1490 's or 48.2%. Waste at surgery process (29,4%). Non value added at the activity in this room as much as 900 ‘s or 12,4%. Waste in the recovery room or recovery (12.5%). Non value added at the activity in this room as much as 2390 's or 47.8%. Based on the analysis found the cause of waste that occurs, and needed urgent repairs to expedite the course of the surgical services and the addition of value in services.]

Abstrak :
Ketersediaan bahan bakar minyak bumi yang tidak terbarukan memaksa manusia untuk sumber energi alternatif. Saat ini minyak bumi mendominasi untuk sumber utama bahan bakar untuk motor bakar. Energi yang terbarukan merupakan salah satu solusi untuk menghadapi persoalan ini. Salah satu sumber energi yang terbarukan adalah Bioethanol. Dalam penelitian ini, dilakukan rancang bangun compact destilator dengan memanfaatkan gas buang dari motor bakar sebagai alat utama pengolahan etanol. Tujuannya adalah ingin menghasilkan produk etanol layak menjadi bahan bakar yaitu etanol dengan kadar diatas 90%. Oleh karena itu dilakukan pembuatan dan pengujian alat destilator yang kemudian dapat di aplikasikan ke motor bakar statik. Bioethanol yang diproses adalah bioethanol low grade kadar 10%, 20%, 30%, dan 40 % yang di jadikan umpan balik destilator. Dari hasil penelitian didapatkan volume output bioethanol dan konsentrasi dari bioethanol outputnya. Berdasarkan pengujian di dapat waktu operasi minimum sebesar 12 menit dengan debit aliran output 18,20 ml/menit. Dari penelitian didapatkan konsentrasi distilat sangat bergantung dengan waktu operasi. Semakin lama waktu operasi maka semakin kecil komposisi etanol pada distilat.

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The availability of petroleum fuels in the worldwide which are not renewable force people to find alternative energy sources. Currently petroleum dominated for the main source of fuel for combustion engine. The renewable energy is one solution to deal with this issue. One source of renewable energy is Bioethanol. In this research, a compact design compact distilator to utilize gas from the motor fuels as a primary tool of ethanol processing. The goal is to produce decent products into fuel ethanol is ethanol with a concentration above 90%. Therefore carried out the manufacture and testing destilator tool which can then be applied to static engine. Bioethanol The bioethanol is processed low grade levels of 10%, 20%, 30%, and 40 % are made in destilator feedback. From the results, the output volume of bio-ethanol and bio-ethanol concentration of output. Based on testing to the minimum operating time of 12 minutes with the output flow rate 18,20 mL/minute. This research has shown the concentration of distillate quite dependent on the time of surgery. The longer operating time, the smaller the composition of ethanol in the distillate.