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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Syntax Literate: Jurnal Ilmiah Indonesia
Johannes, Jeffrey
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Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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FACTORS CORRELATED WITH THE LENGTH OF STAY OF PATIENTS IN THE EMERGENCY DEPARTMENT OF HOSPITAL A, EAST JAVA Imowanto, Yuddy; Setijowati, Nanik; irsan , Istan Irmansyah; Triyuliarto, Dwiwardoyo; Johannes, Jeffrey
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 12 No. 1 (2025): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v12i1.480

Abstract

The issue of overcrowding in the Emergency Department (ED) has not been resolved in Indonesia, which can be caused by prolonged Length of Stay (LOS) of patients in the ED, resulting in delayed service time and increased mortality rates in the ED. Methods: This research is quantitative research using primary data. The research design used observational analytics with a prospective cohort approach with a sample size of 62 patients. Research Findings: Triage, length of diagnostic testing, the number of patients in the ED at the time the patient arrives, and the nurse-to-patient ratio do not have a significant correlation with ED LOS. There is a significant correlation between Boarding Time and ED LOS (p<0.001) with strong correlation strength (0.77). Conclusions: There is a strong positive linear correlation between Boarding Time and the length of time patients stay in the ED (p<0.001) with strong correlation strength (0.77) and is a dominant factor with a capacity of 58.6% to explain patient’s ED LOS.
The Influence of Diagnostic Evaluation Time, Specialist Consultation Duration, and Boarding Time on Ed Length of Stay Moderated by Shift Patient Volume Johannes, Jeffrey; Widjaja, Bernard T.; Wahyoedi, Soegeng
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v11i5.64389

Abstract

Emergency Department (ED) services face a global challenge of overcrowding, which leads to prolonged waiting times, reduced quality of care, and increased patient safety risks. One key indicator is the Emergency Department Length of Stay (ED LOS). This study aims to analyze the influence of diagnostic evaluation time, specialist consultation duration, and boarding time on ED LOS, with patient volume per shift as a moderating variable. This study employed an analytical design with a retrospective cohort approach involving 361 ED patients at Ukrida Hospital in 2024, selected using convenience sampling. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results indicate that diagnostic evaluation time (β=0.596; p<0.001), specialist consultation duration (β=0.213; p=0.012), and boarding time (β=0.724; p<0.001) significantly affect ED LOS. Boarding time emerged as the most dominant factor with the largest contribution. In contrast, patient volume per shift showed no significant effect, either as an independent or moderating variable. These findings highlight that improving internal service efficiency, particularly patient transfer processes and diagnostic service completion, is crucial to reducing ED LOS.
Co-Authors Imowanto, Yuddy irsan , Istan Irmansyah Nanik Setijowati Soegeng Wahyoedi Triyuliarto, Dwiwardoyo Widjaja, Bernard T.