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All Journal Homes Journal: Hospital Management Studies Journal Jurnal Penelitian dan Pengkajian Ilmiah
TRIANA, I KETUT DIAN LANANG
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Humanities Computer Science & IT Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health 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.
Hospital Leading Improvements: Discrete Event Simulation as a Strategy to Reduce Patient Length of Stay in the Emergency Department Triana, I Ketut Dian Lanang; Paramarta, Vip; Syahidin, Rukhiyat; Yanti, Ni Putu Emy Darma
CENDEKIA : Jurnal Penelitian dan Pengkajian Ilmiah Vol. 2 No. 9 (2025): CENDEKIA : Jurnal Penelitian Dan Pengkajian Ilmiah, September 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/cendekia.v2i9.1863

Abstract

The Emergency Department (ED) frequently encounters operational challenges such as overcrowding, prolonged waiting times, and inefficient patient flow, which negatively impact healthcare service delivery. Therefore, several efforts can be made to improve efficiency and service quality through systematic events improvement. The Discrete Event Simulation (DES) could be a promising effort to effectively alleviate the patients’ Length of Stay (LOS). This study aimed to assess the role of DES in reducing patient LOS and improving ED efficiency. A literature review was conducted by analyzing peer-reviewed articles published in the past five years from databases including Google Scholar, PubMed, and ProQuest, using specific keywords related to DES and ED performance. The selected studies were synthesized to evaluate the effectiveness of DES interventions. Findings indicate that DES models, particularly when applied through scenario-based simulations, consistently demonstrate significant reductions in ED LOS. These outcomes suggest that DES is a valuable decision-support tool for optimizing resource allocation and patient flow. However, implementation requires careful consideration of institutional needs and further validation through real-world trials. Future research should focus on context-specific applications and long-term impact assessment to support sustainable improvements in emergency care.
Co-Authors Agustina, Putu Dyah Candra Febrian, Rivaldi Ni Putu Emy Darma Yanti Syahidin, Rukhiyat Vip Paramarta Wiadnya, I Dewa Gede Putra