GAMBARAN MANAJEMEN TEMPAT TIDUR RAWAT INAP KELAS 3 DI RSUD Dr. M. SOEWANDHIE SURABAYA

Abstract

National Health Insurance (JKN) has encouraged utilization of Inpatient Department (IPD).
The highest improvement by poor who funded by JKN-PBI scheme. Unbalancing supply and demand
are potentially making queuesand effect to prolonged waiting times. The study aims to define bed
management in the 3rd class IPD of RSUD. Dr. M. Soewandhie Surabaya. Type of study was
observasional-descriptive with cross sectional design. Study was conducted in The 3rd Class IPD of
RSUD. Dr. M Soewandhi beginning on June to August 2018. Sample was patients who have been
decided to discharged from IPD. Sampling technique by simple random sampling. The sample size
were 104 patients. Data collection by observing process of patients discharge to preparation of
inpatient rooms (cleaning and put on the linen). Analysis dat in narrative and supported by graphs
and tables. The results: the peak time of patient discharge and patient admission has gap about 4
hour time. Room booking is centralized at Administration, but updating data is constrained due to
gathering information by telephone to nurses in IPD. Cycle time to provide a bed for 165 minutes
(Takt Time = 52 minutes). The longest process is waiting for patient discharge and cleaning services.
Provision of inpatient rooms still long, so the hospital management needs to improve patient flow,
administration and information when patient discharge untill room cleaning.