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All Journal JURNAL PENDIDIKAN TAMBUSAI Homes Journal: Hospital Management Studies Journal
Febrian, Rivaldi
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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STREAMLINING EMERGENCY DEPARTMENT EFFICIENCY: IMPLEMENTING BUSINESS PROCESS RE-ENGINEERING TO REDUCE PATIENT WAIT TIMES TRIANA, I KETUT DIAN LANANG; Agustina, Putu Dyah Candra; Febrian, Rivaldi; Wiadnya, I Dewa Gede Putra; Paramarta, Vip
Homes Journal = Hospital Management Studies Journal Vol 5 No 2 (2024): Homes Journal: June
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/hmsj.v5i2.46369

Abstract

Background: The Emergency Department (ED) plays vital roles in delivering emergency services for various clinical conditions. ED is required to provide health services even under high environmental pressures, such as overflowing patients, to speed up responsiveness. Therefore, efficiency should be a matter of concern in ED. The implementation of Business Process Re-Engineering (BPR) could significantly increase ED efficiency, specifically by reducing patient wait times. Objective: This study aims to review the relevant literature correlated to BPR and identify its roles in order to increase efficiency from the wait times. Method: We conducted a literature review with its reliable and replicable research protocol, which allowed the researchers to extract articles from PubMed, ProQuest and Google Scholars in recent 5 years using specific key words. The full text of relevant articles is then thematically synthesized and presented. Results: Our findings revealed that BPR implementation could affect the patients’ wait time reduction significantly by performing several procedures, such as applying Internet of Things (IoT) procedures, new layout design, staff allocation, applying heuristics method, simulation or event modelling procedures, and the technologies intervention. Conclusion: The BPR implementation has the potential to improve efficiency in the ED. However, it should be noted that the implementation of BPR needs to consider the ED necessity and a proper integration through existing health systems.
Laboratory Information Systems and Staff Performance Optimization as a Method to Improve Laboratory Turnaround Time Pasaribu, Merci Monica BR; Febrian, Rivaldi
Jurnal Pendidikan Tambusai Vol. 8 No. 1 (2024): April 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v8i1.13814

Abstract

Turnaround time (TAT) merupakan tolak ukur mutu kinerja laboratorium medik. TAT prokalsitonin tidak mampu mencapai target TAT yang ditetapkan laboratorium. Tujuan: mengkaji tahap keterlambatan TAT, melakukan upaya perbaikan, dan mengevaluasi upaya perbaikan. Metode: Penelitian prospektif ini dilakukan di Laboratorium RS Cipto Mangunkusumo pada tanggal 3 hingga 31 Januari 2022. Untuk mengukur strategi peningkatan TAT dengan tepat, penelitian ini membagi alur kerja prokalsitonin menjadi beberapa checkpoint. Hasil: Tahapan terpanjang adalah dari masuknya spesimen ke Abbott Architect c8000 hingga keluar (50 menit). Tahap terlama kedua terjadi pada alat analisa prokalsitonin (21 menit). Ketiga adalah pemindahan spesimen dari Abbott Architect c8000 ke penganalisis prokalsitonin (18 menit). Keempat, waktu dari keluarnya spesimen dari alat analisa hingga keluarnya hasil (16 menit). Contoh waktu check-in untuk masuk ke Abbott Architect c8000 (14 menit). Upaya perbaikan pun dimulai, terdiri dari optimalisasi kinerja LIS dan analis. Evaluasi menunjukkan TAT prokalsitonin
Co-Authors Agustina, Putu Dyah Candra Merci Monica br Pasaribu TRIANA, I KETUT DIAN LANANG Vip Paramarta Wiadnya, I Dewa Gede Putra