Exploring the Factors explaining Length of Stay at Emergency Department: Study in a C Class Private Hospital
Keywords:Access block time, emergency department, quality, waiting time
The process of admitting patients to the inpatient wardfrom the emergency room is of the factors that influence the access block time in services in the emergency room and hospitals. This study aimed to identify the cause of transition time to inpatient services from the emergency room at a private C class hospital in Malang. This research is a descriptive exploratory study using interviews withfour general practitioners, two emergency nurses, two general inpatient nurses, two children inpatient nurses, and one administrative staff, and also observation of the stages and duration of emergency services and inpatient care. The process from arrival, registration, and inspection takes 0-15 minutes. Overall, the stages of registration until the inpatient ward transfer require 1-3.5 hours, which exceeds the hospital quality standards. Factors that influence the transfer time are the condition of the patient, the absence of a transition room, the availability of inpatient wards, and the patient discharge process. To manage ER LOS, especially block access to inpatient services, hospitals need to apply Bed Management properly.
Maghfiroh S. Hubungan Waktu Tunggu Dan LOS Dengan Kepuasan Pasien Di IGD RSUD Jombang. 2019;4(1):89â€“93.
Mayhew L, and Smith D. Using Queuing Theory To Analyse The Government â€™ S 4-H Completion Time Using Queuing Theory To Analyse The Government â€™ S 4-H Completion Time Target In Accident And Emergency Departments. 2008;(March):10â€“21.
Mutu RH. Laporan Mutu Triwulan 1 Tahun 2019. 2019.
Liew D, Liew D, and Kennedy MP. Emergency Department Length Of Stay Independently Predicts Excess Inpatient Length Of Stay. 2003;179(November):524â€“6.
Nurmansyah E, Susilaningsih FS, Keperawatan F, and Padjadjaran U. Tingkat Ketergantungan Dan Lama Perawatan Pasien Rawat Observasi Di IGD The Level Of Dependency And Length Of Care During The Observation Period In Emergency Room. 2:191â€“201.
Richardson DB. Increase In Patient Mortality At 10 Days Associated With Emergency Department Overcrowding. 2006;184(5).
Tampubolon L, and . P. Bed Management Strategy For Overcrowding At The Emergency Department: A Systematic Review. KnE Life Sciences. 2018;4(9):50.
Saputra H. False Emergency [Internet]. 2014: Available from: https://lumalilaresearch.com/2014/05/19/false-emergency/
Nadjib M. Penerapan Lean Thinking Untuk Mereduksi Waktu Boarding Pasien IGD Ke Rawat Inap Di RSUD Koja Tahun 2017. 2017;4.
Torry T, Koeswo M, and Sujianto S. Faktor Yang Mempengaruhi Waktu Tunggu Pelayanan Kesehatan Kaitannya Dengan Kepuasan Pasien Rawat Jalan Klinik Penyakit Dalam RSUD Dr. Iskak Tulungagung. Jurnal Kedokteran Brawijaya. 2016;29(3):252â€“7.
Howell E, Bessman E, Kravet S, Kolodner K, Marshall R, and Wright S. Improving Patient Care Active Bed Management By Hospitalists And Emergency Department. 2015;
Schmidt R, Geisler S, and Spreckelsen C. Decision Support For Hospital Bed Management Using Adaptable Individual Length Of Stay Estimations And Shared Resources. 2013;1â€“19.
Timporok OP, Mulyadi N, and Malara R. Faktor-Faktor Yang Mempengaruhi Waktu Tunggu Pasien Di Instalasi Gawat Darurat Medik Rsup Prof. Dr. RD Kandou Manado. Jurnal Keperawatan. 2015;3(2):1â€“8.
Maister BDH. The Psychology Of Waiting Lines.
Hakim MR. Persepsi Nilai Pelanggan Dan Kepuasan Di Klinik Swasta â€œXâ€ Di Surabaya. Jurnal Administrasi Kesehatan Indonesia. 2017;5(1):91.
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