DOI: https://doi.org/10.14710/jmki.5.2.2017.94-103

Identifikasi Waste pada Waktu Tunggu Pasien Rumah Sakit Nasional Diponegoro dengan Pendekatan Lean Hospital

*Jessica Christanti Pualamsyah  -  Rumah Sakit Siloam Semarang, Indonesia
Sudiro Sudiro  -  Universitas Diponegoro, Indonesia

Citation Format:
Abstract
Outpatient waiting time based on minimum standart of care is defined as a time duration since patient in registrated until they meet the doctor. Lean management is a method that could improve outpatient process. There was persistence complain in outpatient waiting time in Diponegoro National Hospital since May 2016 until November 2016. Therefore, lean is expected to improve outpatient wait time. Based on Lean theory, waste is comprised of waste defect, overproduction, transportation, waiting, inventory, motion, overprocessing, and non-utilized talent. This study is going to identified waste that occurred in internal medicine outpatient.  　　　This was qualitative study research and conducted by observation, indepth interview, and focussed group disscusion. Total of key informant was 10 internal medicine patients and 6  hospital staffs, including  registration, administration, information technology (IT) , procurement, helper, and  nurse. Total of informant triangulation was 2 informants, including head of outpatient unit and medical records unit. Waste identification was done by value stream mapping analysis and value-added assessment. Root cause analysis (RCA) which used in this study was 5 whys method.  　　　The longest activity in outpatient  was waiting in registration booth with mean value of 30,9 minutes, the second was waiting for doctor activity with mean value of 25,2 minutes and the third was waiting medical records to be given by helper with mean value of 8,8 minutes. Waste waiting, overprocessing,  defect,  inventory, motion  were  found in this study. It recommends an establisment of flowchart for patient, interdepartment coordination, and Standar Operation Procedure (SOP). Procrument for medical record facility and implementation of 6 S culture are mandatory.
Fulltext View|Download
Keywords: Lean; Outpatient; Patient Wait Time

Article Metrics:

Article Info
Section: Articles
Language : ID
Recent articles
Evaluasi Sistem Informasi Pelayanan Rekam Medis di RSJ Prof. Dr. V.L. Ratumbuysang Provinsi Sulawesi Utara dengan Pendekatan Hot Fit Model Identifikasi Waste pada Waktu Tunggu Pasien Rumah Sakit Nasional Diponegoro dengan Pendekatan Lean Hospital Analisis Faktor -Faktor yang Mempengaruhi Pemahaman Pasien terhadap Informed Consent di Rumah Sakit More recent articles
Most cited articles
Evaluasi Sistem Informasi Manajemen Puskesmas Guna Mendukung Penerapan Sikda Generik Menggunakan Metode Hot Fit Di Kabupaten Purworejo Pelaksanaan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) Ditinjau dari Aspek Bidan Desa sebagai Pelaksana di Kabupaten Jepara Implementation on the Referral System of High Risk Pregnant Women from Villages Midwives to Primary Healthcare Center with Basic Obstetric and Neonatal Emergency Care in Banjar District, South Kalimantan (a Case Study in Sungkai Primary Healthcare Center) Evaluasi Sistem Informasi Kesehatan di Provinsi Jawa Tengah Dalam Rangka Penguatan Sistem Informasi Kesehatan Nasional Remaja Sebagai Penggerak Utama dalam Implementasi Program Kesehatan Remaja More cited articles
  1. Depkes, MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR: 129/Menkes/SK/II/2008, Tentang Standar Pelayanan Medis. (Jakarta : Depkes RI. 2008). Departemen Kesehatan RI
  2. Oche MO, Adamu H. Determinants of Patient Waiting Time in the General Outpatient Department of a Tertiary Health Institution in North Western Nigeria. Annals of Medical and Health Sciences Research, Oct-Dec 2013, Vol 3
  3. Ishijima Hisahiro et al. The “5S” approach to improve a working environment can reduce waiting time: Findings from hospitals in Northern Tanzania. The TQM Journal Vol. 28 No. 4, 2016
  4. Anderson Roger T, Fabian T Camacho, Rajesh Balkrishnan. Willing to wait?: The influence of patient wait time on satisfaction with primary care. BMC Health Services Research20077:31[4]
  5. Marco Catherine A. Et al. The Ethics of Health Care Reform: Impact on Emergency Medicine. Academic Emergency Medicine, volume 19,issue 4, 16 Apr 2012[5]
  6. Michael Melanie. Improving Wait Times and Patient Satisfaction in Primary Care. Journal for Healthcare Quality, Volume 35, Issue 2,March/April 2013.[6]
  7. Batalden Paul B, Frank Davidoff. What is “quality improvement” and how can it transform healthcare?. BMJ Quality&Safety.2006. Volume 16, Issue 1
  8. Tapani Jorma Hanna Tiirinki Risto Bloigu Leena Turkki , (2016),"LEAN thinking in Finnish healthcare", Leadership in Health Services, Vol. 29 Iss 1 pp. 9 – 36
  9. Yu Ting, et al. A General Framework for Lean Transformation of Hospitals. Conference Paper · March 2015
  10. Womack James P, Daniel T. Jones. Lean Thinking Banish Waste and Create Wealth in Your Corporation. Journal of the Operational Research Society · January 1996
  11. Dinesh, et al. Reducing Waiting Time In Outpatient Services Of Large University Teaching Hospital - A Six Sigma Approach. MANAGEMENT IN HEALTH, VOL 17, NO 1 (2013)
  12. Skeldon, et al. Lean methodology improves efficiency in outpatient academic uro-oncology clinics. Urology. 2014 May;83(5):992-7
  13. Linda, et al. Lean methodology improves efficiency in outpatient academic Gynecologic Oncology clinics. Gynecologic Oncology 138(3) · July 2015
  14. Jucan, G., 2005. Root Cause Analysis for IT Incidents Investigation.. http://www.docstoc.com/docs/16171902/Root-Cause-Analysis; tanggal 15 Mei 2014
  15. Ho Emily Tse Lin. Improving waiting time and operational clinic flow in a tertiary diabetes center. BMJ Qual Improv Rep. 2014; 2(2): u201918.w1006
  16. Ev Gijo,etal. Reducing Patient Waiting Time in Outpatient Department Using Lean Six Sigma Methodology. Qual. Reliab. Engng. Int. 2013
  17. Mosadeghrad Ali Mohammad. Strategic collaborative quality management and employee job satisfaction. Int J Health Policy Manag 2014, 2(4), 167–174

Last update:

  1. Identify the Cause of Inpatient Complaints at Islamic Hospital Surabaya Ahmad Yani Using Root Cause Analysis Method

    Ayu Astiria Maya Asterix, Budhi Setianto, Inge Dhamanti. Media Gizi Kesmas, 11 (1), 2022. doi: 10.20473/mgk.v11i1.2022.108-115

Last update: 2025-03-23 18:17:01

No citation recorded.