Analisis Faktor-Faktor Yang Mempengaruhi  Length of Stay (Los) Pasien Anak Di Instalasi Gawat Darurat (Igd)

Deli, Hellena; Hasanah, Oswati; Novayelinda, Riri; Purwanti, Enni

doi:10.31983/link.v16i1.5719

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients perceive LOS prolongation or long waiting time as barriers to obtaining proper care. In addition, the long waiting time also causes tension in the workforce in the hospital and can disrupt the service rhythm, the number of patients, and reputation in public (2). LOS prolongation in the ED is also associated with increased mortality and morbidity.…”

Section: Length Of Stay (Los) Prolongation Becomes a Concernmentioning

confidence: 99%

See 1 more Smart Citation

Factors Contributing to Length of Stay Prolongation among Emergency Room Patients during the Covid-19 Pandemic: A Study at Persada Hospital

Simanungkalit

Holipah

Dewanto

et al. 2022

JKB

View full text Add to dashboard Cite

Extended length of stay (LOS) in the Emergency Department (ED) results in crowding, potentially causing adverse events and patient dissatisfaction. The Covid-19 pandemic has forced hospitals to implement screening procedures that can extend the LOS of patients in the ED. This study aimed to provide an overview of changes in ED LOS during the pandemic and its contributing factors. This study used a descriptive approach through observation and interviews. LOS observations were conducted using the time & motion study method to determine the average time in each ED stage. The observation results identified the differences in the average LOS during the Covid-19 pandemic, which was 2 hours 39 minutes 52 seconds, and the longest time was on laboratory examination (2 hours 59 minutes 27 seconds). A lengthy laboratory examination duration is due to the additional laboratory examination procedure (serology) for SARS COV-2, suboptimal screening team, and the absence of notification in the hospital information system.

show abstract

Section: Length Of Stay (Los) Prolongation Becomes a Concernmentioning

confidence: 99%

“…Patient deaths, which often occur within 24 hours of patient admission, can be prevented if health personnel acts immediately and starts the treatment process after the patient arrives at the health facility. The implementation of triage and a short length of stay (LOS) in the ED has an influential role in preventing death (2,3).…”

Section: Introductionmentioning

confidence: 99%

Factors Contributing to Length of Stay Prolongation among Emergency Room Patients during the Covid-19 Pandemic: A Study at Persada Hospital

Simanungkalit

Holipah

Dewanto

et al. 2022

JKB

View full text Add to dashboard Cite

show abstract

“…sebelumnya. Kondisi kegawatdaruratan dapat mengancam siapa saja, termasuk anakanak dan membutuhkan penanganan segera (Deli et al, 2020).…”

unclassified

Penggunaan PEWS dalam Mengidentifikasi Kegawatan Pasien Anak di Unit Gawat Darurat

Khatimah

Wanda²,

Rachmawati³

2022

JOTING

View full text Add to dashboard Cite

This study aims to determine the use of PEWS in identifying emergencies in pediatric patients in the emergency department and evaluating the degree of clinical deterioration in pediatric patients several hours before being in critical condition. The method used is a systematic review. The article search was adjusted to the research question formulation with the PICO formula using sources from the ScienceDirect, ClinicalKey and Google Scholar databases. The results showed that the use of PEWS was very effective in detecting emergencies in pediatric patients. PEWS can also determine the level of intervention and pediatric care. In conclusion, PEWS can be used as a monitoring tool because it can assist nurses in monitoring and controlling the child's condition to provide reports as quickly as possible to the doctor regarding the worsening of the child's condition. Keywords: Children, Clinical, PEWS, Review

show abstract

Length of Stay Di Instalasi Gawat Darurat Sebagai Indikator Mutu Pelayanan Kesehatan Di Rumah Sakit X Tahun 2024

2024

ARSI

View full text Add to dashboard Cite

The Emergency Department (ED) is crucial for ensuring patient care and safety in hospitals. A key performance indicator is Length of Stay (LOS), where prolonged LOS can lead to overcrowding, increase the risk of adverse events, and lower patient satisfaction. This study examines the service flow, barriers, and root causes of LOS in Hospital X's ED and provides improvement recommendations. Data were gathered through observation of 30 patients, interviews, and document reviews. Lean Thinking principles and the BAS method from BASICS (Baseline, Assess, Suggest Solution, Implement, Check Result, Sustain) were used in the analysis, employing flowcharts to map the process, Value Stream Mapping to identify waste, and The Five Whys to analyze root causes. Results show that 65.5% of time was spent on non-value-added activities, 23.4% on necessary but non-value-added, and 11.1% on value-added activities, with a total Lead Time of 7 hours, 55 minutes, and 29 seconds. Patient-side waste includes waiting (94.9%) and transportation (5.1%). Bottlenecks were found in waiting for inpatient registration (25.2%), waiting for the primary physician's advice (22.9%), waiting for diagnostic results (22.3%), and waiting for inpatient readiness (18.2%), totaling 88.6%. LOS improvement can be achieved through lean tools such as standardized work, visual management, heijunka, kaizen, and just-in-time.

show abstract

Analisis Faktor-Faktor Yang Mempengaruhi Length of Stay (Los) Pasien Anak Di Instalasi Gawat Darurat (Igd)

Cited by 3 publications

References 0 publications

Factors Contributing to Length of Stay Prolongation among Emergency Room Patients during the Covid-19 Pandemic: A Study at Persada Hospital

Factors Contributing to Length of Stay Prolongation among Emergency Room Patients during the Covid-19 Pandemic: A Study at Persada Hospital

Penggunaan PEWS dalam Mengidentifikasi Kegawatan Pasien Anak di Unit Gawat Darurat

Length of Stay Di Instalasi Gawat Darurat Sebagai Indikator Mutu Pelayanan Kesehatan Di Rumah Sakit X Tahun 2024

Contact Info

Product

Resources

About