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All Journal Indonesian Journal of Global Health research 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 Education Environmental Science Health Professions Languange, Linguistic, Communication & Media 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.
Nursing Quality: Exploring Completeness and Accuracy of Nursing Care Documentation at Hospital Yanti, Ni Putu Emy Darma; Sari, Ni Putu Leni Puswita; Triana, I Ketut Dian Lanang
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.5789

Abstract

Nursing Documentation has significant roles in order to enhancing patient safety. Thus, its accuracy and completeness should perfectly perform based on the standards. This study aims to evaluate the implementation of nursing care documentation among nurses in hospitals. This study employed non-experimental descriptive quantitative research with a retrospective approach and the samples chosen was 114 medical records that met the inclusion criteria using proportional stratified random sampling technique. The research instruments used is an observation sheet for a study documenting the nursing care standards implementation by The Ministry of Health of Republic Indonesia 2005, which has been modified by adding true and false points for each indicator assessed. The data analysis employed univariate analysis which is presented in the form of a frequency’s distribution. The study results found that most of the nurses were not able to complete the records correctly by 72,8% as well as grouping the data by 55,3% in the assessment aspects. In the diagnosis and the intervention aspects, most of the nurses are able to completing the documentation perfectly. On the other aspects, the study found that nurses are not able to complete the implementation that refers to the treatment plan by 67 or 58,8%. However, it is also found that the nurses are not able to documented the evaluation refers to objective by 58 or 50,9%. On the general documentation, most of the nurses still are not able to compete the records by standardized format (95;83,3%) as well as put the initials or name clearly and date in the documentation (58;50,9%).
Co-Authors Agustina, Putu Dyah Candra Febrian, Rivaldi Ni Putu Emy Darma Yanti Sari, Ni Putu Leni Puswita Syahidin, Rukhiyat Vip Paramarta Wiadnya, I Dewa Gede Putra