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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 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 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 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 Hulu, Victor Trismanjaya Hulu5, Victor Trismanjaya 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 Mahulae, Wigma Aprinda Elizabeth Br Manalu, Yosephin Putri C Manihuruk, Gresika Br Saragih Manullang, Melisa Manurung, Sofy Angel Hita Br Martono Martono Masryna Siagian Masryna Siagian Meliala, Juli Elisabet Mayen br Meutuah, Sarah Muhammad Luthfi 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 Riyan Sabputra Rizki, Kartika Sari Ros Perdawina Simorangkir 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, 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 Zendrato, Erianto Zendrato, Victorwan Novri