scholarly journals Identifikasi Waste Tahap Pra Analitik dengan Pendekatan Lean Hospital di Laboratorium Patologi Klinik RS XYZ Depok Jawa Barat Tahun 2021

2020 ◽  
Vol 9 (2) ◽  
pp. 101-112
Author(s):  
Rini Prasetyo Wahyu Wijayati ◽  
Dumilah Ayuningtyas
Keyword(s):  
Waiting Time ◽  
Average Length ◽  
Added Value ◽  
Laboratory Examination ◽  
Time And Motion Study ◽  
Time And Motion ◽  
Laboratory Error ◽  
Motion Study ◽  
Depth Interviews ◽  
Examination Process

ABSTRACT               The pre-analytic stage includes a series of processes that are difficult to define because they occur in different places and times. Pre-analytical stage errors account for 50% to 70% laboratory error. The research aims to identify waste and provide recommendations for improvement. This type of research is operational research with a mix method research design. Quantitative data from direct observation of the laboratory examination process. Qualitative data from in-depth interviews with Laboratory Medical Technical Analysts (ATLM), on duty doctors and nurses. Non-participant observations use themethod Time and Motion study and calculate the time of each pre-analytical stage activity using a stopwatch to get the standard movement of the sample staged effectively and efficiently. Analysis with lean stages identify activities that do not provide added value (non added value) and waste (waste). Exploring the root causes of problems through in-depth interviews using the 5 (five) Whys approach and proposing recommendations for improvement. The results of the average length of time for the pre-analytic stage are due to the waiting time for new samples due to hemolysis samples. Waste found waiting for samples to be sent back (waiting time), no inspection orders, non-standard identity stickers (defect) and sticker repair (over processing). Phlebotomy training, re-education on handling laboratory specimens for nurses as well as SOPs on laboratory examination packages and sample handover, are expected to reduce pre-analytic waste.Keywords: Waste, Pre Analytical Stage, Concept  Lean ABSTRAKTahap pra analitik mencakup serangkaian proses yang sulit didefinisikan karena terjadi  ditempat  dan waktu yang berbeda. Kesalahan tahap pra analitik menyumbang kesalahan hasil laboratorium sebesar 50% hingga 70%. Penelitian bertujuan mengidentifikasi pemborosan  dan  memberikan rekomendasi perbaikan. Jenis penelitian adalah penelitian operasional dengan disain penelitian mix method. Data kuantitatf  dari observasi langsung proses pemeriksaan laboratorium. Data kualitatif  dari  wawancara mendalam dengan Analis Teknis Medik Laboratorium (ATLM), dokter jaga dan perawat. Observasi non partisipan menggunakan metode Time and Motion study serta  menghitung waktu setiap kegiatan tahap pra analiitk  menggunakan stopwatch untuk mendapatkan pergerakan standar sampel ditahap secara efektif dan efisien. Analisis dengan tahapan lean mengidentifikasi kegiatan  yang tidak memberikan nilai tambah ( non added value) dan  pemborosan (waste). Menggali akar penyebab masalah melalui wawancara mendalam menggunakan pendekatan 5 (lima)  Whys dan mengusulkan  rekomendasi perbaikan. Hasil rata rata lama waktu tahap pra analitik disebabkan waktu tunggu sampel baru karena sampel hemolisis. Waste yang ditemukan menunggu sampel dikirim ulang (waiting time), tidak ada order pemeriksaan, stiker identitas tidak standar (defect) dan perbaikan stiker (over processing). Pelatihan plebotomi, re edukasi penanganan spesimen laboratorium untuk perawat serta SPO tentang paket pemeriksaan laboratorium dan serah terima sampel, diharapkan dapat mengurangi pemborosan tahap pra analitik.

scholarly journals Analisa Waktu Tunggu Pelayanan Rawat Jalan di RS Universitas Brawijaya

2021 ◽  
Vol 5 (4) ◽  
pp. 447
Author(s):  
Wahyu Purnomo ◽  
Tita Hariyanti ◽  
Wening Prastowo
Keyword(s):  
Patient Satisfaction ◽  
Focus Group ◽  
Medical Record ◽  
Waiting Time ◽  
Order System ◽  
Outpatient Services ◽  
Time And Motion Study ◽  
Time And Motion ◽  
Motion Study

Waiting time for patient services is one indicator of patient satisfaction and quality of service in a hospital. The length of time a patient is waiting is one of the important things in determining the quality of health services. Based on the results of preliminary studies that have been carried out at Universitas Brawijaya Hospital in Malang, the implementation of outpatient services is still not running optimally. During the study the waiting time for outpatient services was more than 143 minutes (minimum service standard <60 minutes). The purpose of this study was to determine the factors that influence the length of waiting time for outpatient services and solution solutions. Researchers used qualitative methods, data collection was done by unstructured interviews, Focus Group Discussions, and observations with time and motion study. The number of participants was 30 people. The final results of the study, are the factors that influence the waiting time of outpatient visitors are the queuing number collection system and the medical record file ordering system. Solutions for long waiting times for patients in outpatient services that affect patient satisfaction by changing the Medical Record file order system and changing the queue number group. Waktu tunggu pelayanan pasien merupakan salah satu indikator kepuasaan pasien dan mutu pelayanan di rumah sakit. Lamanya waktu tunggu pasien merupakan salah satu hal penting dalam menentukan kualitas pelayanan kesehatan. Berdasarkan hasil studi pendahuluan yang telah dilakukan di RS Universitas Brawijaya di kota Malang pelaksanaan pelayanan pasien di rawat jalan masih belum berjalan optimal. Saat penelitian waktu tunggu pelayanan rawat jalan lebih dari 143 menit (setandar pelayanan minimal < 60 menit). Tujuan penelitian untuk mengetahui faktor yang mempengaruhi lama waktu tunggu pelayanan rawat jalan dan solusi pemecahan. Peneliti menggunakan metode kualitatif, pengumpulan data dilakukan dengan wawancara tidak terstruktur, Focus Group Discussion, dan observasi dengan time and motion study. Jumlah participan 30 orang. Hasil akhir penelitian, adalah faktor yang mempengaruhi lama waktu tunggu pengunjung rawat jalan adalah sistem pengambilan nomor antrian dan sistem pemesanan berkas rekam medis. Solusi untuk lama waktu tunggu pasien di pelayanan rawat jalan yang mempengaruhi kepuasan pasien dengan merubah sistem pemesanan berkas Rekam Medis dan merubah kelompok nomor antrian.

Discussion on “Time and motion study” at the Yorkshire Section of the Institution

1937 ◽  
Vol 16 (11) ◽  
pp. 609
Author(s):  
A. Sykes ◽  
Hall ◽  
George Hepworth ◽  
F. Grover ◽  
E. Drake ◽  
...  
Keyword(s):  
Time And Motion Study ◽  
Time And Motion ◽  
Motion Study

Inspection Efficiency

1945 ◽  
Vol 152 (1) ◽  
pp. 69-75
Author(s):  
J. C. Edwards ◽  
W. A. Bennett
Keyword(s):  
Quality Control ◽  
Personnel Selection ◽  
Statistical Quality Control ◽  
Statistical Quality ◽  
Time And Motion Study ◽  
Time And Motion ◽  
Motion Study

The purpose of the paper is to outline the numerous directions in which improvements can be sought in engineering inspection. It shows how direct improvements in efficiency can be effected by carefully planned methods of recording results, including the use of statistical quality control, by adopting the principles of time and motion study in the planning of flow of work through inspection, and in the design of gauging fixtures and the arrangement of gauges. The importance of correct personnel selection and organization is stressed, as is also the avoidance of duplication of inspection. The paper concludes by quoting figures showing the substantial reductions which have been achieved in the authors' company by a progressive application of the methods described over a period of several years.

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