PERCEPATAN WAKTU TUNGGU LAYANAN IGD RSUD CILINCING DENGAN METODE LEAN SIX SIGMA

Vino Harzady, Pujiyanto Pujiyanto, rizky fajar meirawan

Abstract


Lama waktu tunggu di IGD dapat menurunkan kualitas perawatan kesehatan dan memicu keluhan publik. Penelitian ini mengevaluasi dan mengoptimalkan arus pasien dan waktu tunggu pelayanan di Departemen Gawat Darurat RSUD Cilincing Jakarta. Studi ini menggunakan desain metode sekuensial eksplorasi menggunakan Lean Six Sigma (LSS) dalam kerangka DMAIC. Studi kualitatif dikumpulkan melalui observasi langsung dan Focus Group Discussion dengan enam informan untuk mengidentifikasi pemborosan operasional. Pendekatan kuantitatif menggunakan dua sumber data yang berbeda. Pertama, analisis populasi makro yang mencakup semua (404 pasien) IGD SIMRS selama Januari-Februari 2024. Kedua, pengamatan langsung tingkat mikro terhadap 30 pasien yang dilacak melalui studi gerak waktu dan wawancara langsung di berbagai kategori shift, hari, dan triase. Analisis mengungkapkan, waktu tunggu makro yang berkepanjangan (rata-rata 5 jam 28 menit 14 detik) sebagian besar disebabkan oleh aktivitas non-nilai tambah, terutama lamanya koordinasi tempat tidur selama transfer rawat inap dan volume kasus false emergency, setelah layanan rawat jalan ditutup. Intervensi yang diterapkan antara lain mengintegrasikan penghitung waktu mundur digital ke dalam SIMRS, memusatkan tata letak stasiun perawat fisik, dan menerapkan dasbor ketersediaan tempat tidur rawat inap secara real-time. Evaluasi pasca-intervensi menunjukkan percepatan layanan keseluruhan yang signifikan sebesar 6,20% (pengurangan rata-rata 20 menit 22 detik), dengan kompresi paling substansial dicapai dalam proses transisi koordinasi tempat tidur, yang dipangkas 42 menit 25 detik. Integrasi teknologi pelacakan digital dan desain ulang alur kerja fisik berbasis data berhasil meminimalkan limbah non-nilai tambah, menstabilkan aliran operasional, dan meningkatkan pemberian layanan darurat.

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References


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DOI: https://doi.org/10.52643/marsi.v10i4.8876

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