A study on waiting time of the OPD Patient in a Multispecialty Hospital

In this study, the OPD is defined as the hospital's department where patients received diagnoses and/or treatment but did not stay overnight. Patients spend substantial amount of time in the clinics, waiting for the services to be delivered by physicians and other allied health professionals. The degree to which health consumers are satisfied with the care received is strongly related to the quality of the waiting experience. The methodology for Data collection is a balance of primary and secondary sources. Primary outcome based upon personal visits to the hospital and hospital database. Secondary outcomes based upon the information collected through questionnaire. The present study was aimed at studying the waiting time of outpatient in the multi-speciality hospital. Our observation reveals that many patients face the difficulties in finding the various OPDs. On an average 10 minutes of waiting time outside the various O.P.D. and other departments.As the Hospital is coming up with the new hospital building, it is expected that infrastructural issues can be taken care during the planning and development stage. Assessment of patient’s waiting time and satisfaction is cost effective way for evaluation of heath care services. Keywords: OPD, Waiting Time, Patient management, Hospital management.

Readiness of the Haji Abdoel Madjid Regional General Hospital Batanghari Jambi to Deal Disaster

Disasters are events caused by events or a series of events caused by natural or non-natural. During the period from January to May 2021, there were 1,185 disasters that occurred in Indonesia such as floods, tornadoes, landslides, forest and land fires, earthquakes, tidal waves and droughts. This study aimed to analyse the preparedness of the Haji Abdoel Madjid Batang Hari Regional General Hospital (RSUD HAMBA) Jambi (facing disasters and the COVID-19 pandemic). The research method uses a mix method approach, using the Hospital Safety Index (HSI) forms. The HAMBA Hospital included earthquakes, strong winds, fires, and the COVID-19 pandemic. The struktural safety assessment got an index score of 0.69, non-struktural safety was 0.67, and emergency and disaster management safety got an index score of o.63. Overall, HAMBA Hospital received a safety index of 0.67 which was included in the "A" classification which indicates that HAMBA Hospital is ready to face the COVID-19 disaster and pandemic. HAMBA Hospital is expected to strengthen emergency and disaster management, renovation and addition of rooms and facilities must follow applicable hospital building safety standards.

Analisis Kebutuhan Debit Air Di Gedung C RSUD Kota Bukittinggi

In the Bukittinggi City Hospital building which has 6 floors, there is a water pump and a reservoir used to supply clean water for daily needs. Based on the reality in the field where there is no secondary data to determine the type of pump and reservoir. The purpose of this analysis is to obtain clean water discharge requirements, obtain the type of pump and ensure that the reservoir used for building C RSUD Kota Bukittinggi is in accordance with the type of pipe and reservoir installed in building C, floor 6. By using field studies and interviews and applying the formulas related to pump calculations. In determining the type of pump to be used in the building, it includes the required water discharge, determining the capacity of the components to be used such as pipe diameter, water tank capacity on the ground floor and roof of the building and the total head on the pipe. Based on the calculation results, the required water discharge is 0.08333 m 3 /min, the upper reservoir has a capacity of 150,000 liters, the bottom reservoir is 5,000 liters and the Hot that occurs is 18.429 m. Then the required pump specifications are 40 x 32B2 -51.5 Grundfos CM 10-3. The pump specifications are not much different from those that have been applied in the field.

A power balance simulator to examine business continuity in hospital facilities due to power outages in a disaster

In hospitals, the energy supply is the key to ensuring modern medical care even during power outages due to a disaster. This study qualitatively examined whether the supply-demand balance can be stabilized by the private generator prepared by the hospital building during stand-alone operations under disaster conditions. In the nanogrid of the hospital building, the power quality was examined based on the AC frequency, which characterizes the supply-demand balance. Gas engine generators, emergency diesel generators, photovoltaic panels, and storage batteries were presumed to be the private generators in the hospital building. The output reference values for the emergency diesel and gas engine generators were set using droop control, and the C/D controller enabled synchronized operation. In addition, to keep the AC frequency fluctuation minor, the photovoltaic panels were designed to suppress the output fluctuation using storage batteries. As a result of case studies, the simulator predicts that the frequency fluctuation varies greatly depending on the weather conditions and the fluctuation suppression parameters, even for the same configuration with the same power generation capacity. Therefore, it is preferable to increase the moving average time of the output and reduce the feedback gain of the storage battery to suppress the output fluctuation from the photovoltaics. However, there is a tradeoff between suppressing the output fluctuation and the minimum required storage capacity. Furthermore, since the photovoltaics' output varies with the weather, other private generators' capacity and control parameters significantly impact power quality. The simulator proposed in this study makes it possible to study each hospital's desirable private generator configuration.

Opening Area Effect of Core Type Shear Wall in Hospital Building with Highest Importance Factor

Multi-storey buildings have fascinated mankind from the beginning of civilization, their construction being initially for defence and subsequently for ecclesiastical purposes. These tall buildings because of its height, is affected by lateral forces due to wind or earthquake actions tends to snap the building in shear and push it over in bending. In general, the rigidity (i.e. Resistance to lateral deflection) and stability (i.e. Resistance to overturning moments) requirement become more important. Shear walls (Structural walls) contribute significant lateral stiffness, strength, and overall ductility and energy dissipation capacity. In many structural walls a regular pattern of openings has to be provided due to various functional requirements such as to accommodate doors, windows and service ducts. Such type of openings reduces the stiffness of the shear wall to some extent depending on the shape and size of the opening. In the present parametric study, efforts are made to investigate and critically assess the effects of various size of openings in shear walls on the responses and behaviours of multi-storey buildings also Opening Area Effect of Core Type Shear Wall In Hospital Building with Highest Importance Factor. Many G+20 storey prototype buildings with different types of openings in shear wall with and without incorporating the volume of shear wall reduced in the boundary elements are analysed using software Staad-Pro using Response spectrum method (1893-2016). Overall analysis shows that the most efficient case for this study has been HIF5. The hospital building can be survived with highest importance with the value of I = 1.5 as per IS 1893:2016 for opening area effect of core type shear wall. It can also be recommended that upto 25% opening will be possible without any seismic damage. Keywords: Shear wall, Opening Criteria, Highest Importance Factor, Multi-storey Hospital Building