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All Journal JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kesehatan Masyarakat Jurnal Berkala Epidemiologi JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Public Health of Indonesia Jurnal Penelitian Pendidikan IPA (JPPIPA) Journal of Health Science and Prevention Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Jurnal Kesehatan Global JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Media Karya Kesehatan Jurnal Kesmas Prima Indonesia Contagion: Scientific Periodical Journal of Public Health and Coastal Health Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Abdi Dosen : Jurnal Pengabdian Pada Masyarakat PREPOTIF : Jurnal Kesehatan Masyarakat Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences AgriHealth: Journal of Agri-food, Nutrition and Public Health Miracle Journal Of Public Health (MJPH) Jurnal Kesehatan Tambusai PROFESSIONAL HEALTH JOURNAL Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Buletin Kedokteran dan Kesehatan Prima Jurnal Kedokteran STM (Sains dan Teknologi Medik) Jurnal Kedokteran Ibnu Nafis Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Innovative: Journal Of Social Science Research Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Riwayat: Educational Journal of History and Humanities Haga Journal of Public Health (HJPH) Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal)
Santy Deasy Siregar
Universitas Prima Indonesia
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Journal : PROFESSIONAL HEALTH JOURNAL

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The Effect of Lean Management Implementing in an Efforts to Improve Operational Efficiency in the Emergency Department and Inpatient Units at Royal Prima Hospital, Medan. Ginting, Dicky Owenta; Girsang , Ermi; Siregar, Santy deasy
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1390

Abstract

Hospitals face increasing pressure to provide timely and high-quality care amid rising patient demand, limited resources, and complex service pathways. Inefficient patient flow between emergency and inpatient services often results in prolonged waiting times, suboptimal bed utilization, and reduced patient satisfaction. Lean management has been applied in healthcare to improve operational performance through the elimination of non-value-added activities. This study evaluated the impact of lean management implementation on operational efficiency in the emergency department to inpatient care pathway at Royal Prima Hospital, Medan. A quantitative quasi-experimental study with a pre-test and post-test design was conducted. Lean management interventions were implemented across the emergency department to inpatient admission process, including waste identification, workplace organization, value stream mapping, and continuous improvement activities. Data were obtained from hospital operational records and structured questionnaires administered to healthcare personnel. Operational efficiency indicators included patient waiting time, bed occupancy rate, average length of stay, turnover interval, bed turnover, and patient satisfaction. Data were analyzed using descriptive statistics, paired statistical tests, Pearson correlation, and simple linear regression at a 95 percent confidence level. Lean management implementation significantly improved operational efficiency. Total waiting time from emergency department admission to inpatient transfer decreased from 135 minutes to 74 minutes, representing a 45 percent reduction. Bed occupancy rate increased from 78 percent to 82%, average length of stay decreased from 4.8 days to 4.1 days, turnover interval declined from 1.9 days to 1.3 days, and bed turnover increased from 42 to 48 cycles. Patient satisfaction increased from 72 percent to 86 percent. Pre-test and post-test analysis showed a statistically significant improvement in operational efficiency (p < 0.05). Lean management significantly enhanced patient flow, bed utilization, and patient satisfaction without additional resource investment. These findings support lean management as a sustainable strategy for improving hospital operational efficiency in high-demand clinical settings.
Co-Authors Abdul Wahab Abdullah, Ardiani Addin Amrulah Adeline Sacharissa Firdaus Aditya Bastanta Guru Singa Agnes Zendrato Agung Prawira Chandra Akasna, Ezra Tri Mutiara Albert Albert Amalia, Lidya Aminuyati Andy William Anggi puspita sari Arlita Jemima BR.Surbakti Arni Marlinda Zai Aulia, Annisa Azzanjani, Aisyah Bella Bangun, Henny Arwina Batubara, Zsa Zsa Dwita Sari Br Surbakti, Chindy Buenita, Buenita Chairani, Alfiah Chairunnisa Nasution Chandra Siahaan, Perry Boy Chrimis Novalinda Ginting Chrismis Ginting Chrismis Novalinda Ginting Damanik, Anggi Oktavia Damanik, Jessica Delvi Triana DAMERIA DAMERIA Dewi Sintia Panjaitan Dwi Apriany Elvi Sahara Lubis Ermi Girsang Ermi Girsang Erna Dame Juliyanti Sihombing Eva Ellya Sibagariang Eva Flourentina Kusumawardani Fransisca, Wennie Ginting, Chrismis Novalinda Ginting, Dicky Owenta Ginting, Tarianna Girsang , Ermi Girsang, Ermi Harahap, Alvin Abrar Harahap, Emira Nadiah Hartono Hartono Hartono Hartono Hartono Hartono Hartono Hasibuan, Nadilla Holan Dianju Melva Meinaria Sitanggang Hulu5, Victor Trismanjaya Hutabarat, Bartimeus Nicomama Israknur, Israknur Jeremia Chandra Partogi Siallagan Johannes Bastira Ginting Juti Arto Simbolon Kacaribu, MartaLini Karen, Yulia Kurnia alamsyah Alamsyah Kurnia, Muhammad Aditya Kurniawan, Muhammad Aditya Lase, Dian Veronika Lestari, Vandersun Lister, Clarissa Lusiana Jesika Situmorang Mahulae, Wigma Aprinda Elizabeth Br Manalu, Yosephin Putri C Manihuruk, Gresika Br Saragih Manullang, Melisa Manurung, Sofy Angel Hita Br Marpaung, Hans Hotma Haposan Martono Martono Masryna Siagian Masryna Siagian Meilani, Inda Kania Meliala, Juli Elisabet Mayen br Melyn Oktavia Meutuah, Sarah Muhammad Luthfi Mujahidin Mujahidin Munadi Munadi Nerissa Nasriza Novita Marcelina, Diah Oetari, Widyaningsih Pakpahan, Eka Lolita Eliyanti Paradhiba, Meutia Pardianto, Gede Perdani, Mustika Lili Perry Boy Chandra Siahaan Primanopa Situmorang Purba, Mei Nasari Purba, Sarah Putri Uli Endrianda Br Putranto Manalu Putri Rahma Titania Maulana Putri Yunita Pane Putri, Lenni Dianna Rahmini, Elsi Rambe, Fadilah Ummul Choiriyah Rapael Ginting Rara Vyani Adistira Riani Riani, Riani Rimonda, Rubi Rindy Antika Riskaldy, Riskaldy Riyan Sabputra Rizki, Kartika Sari Ros Perdawina Simorangkir Sabri, Ihsan Safitri, Ayu Rizky Samosir, Frans Judea Sari, Jessica Miranda Sembiring, Febri Evin Donta Sherina Putri Aulia Siagian, Masryna Siahaan, Prestony Petra Habinsaran Siburian, Dina Amelia Novatama Sidabutar, Mitra Juniaty Sihombing, Rahel Sandofa Simanullang, Andry Sinaga, Dahlan Sinaga, Risya Yoela Sinaga, Valentino Sinaga, Widya Oktaviani Sinamo, Sopan Sinurat, Buenita Siregar, Fadhilaturrizqie Siregar, Fitri Dona Siswanto, Chika Putri Sitorus, Junita Sitorus, Nolla Shinta Sri Ulina, Evita Suci, Tri Susanto, Chandra Syahfitri, Nadia Tanamal, Claudia Tarigan, Wida Yosa Br Telaumbanua, Andika Syahputra Tri Andini Tri Suci Victor Trismanjaya Hulu Wardani, Diah Sukma Wau, Herbert Widesman Djaya Nazara Widya Yanti Sihotang Wienaldi, Wienaldi Yensuari, Yensuari Zendrato, Erianto Zendrato, Victorwan Novri