Indarwati Indarwati, Cindy Annastasya Putri, Liss Dyah Dewi Arini

STUDI OPTIMALISASI PENGGUNAAN TEMPAT TIDUR DI RS SURAKARTA TAHUN 2023

Introduction

Studi optimalisasi penggunaan tempat tidur di rs surakarta tahun 2023. Analisis efisiensi penggunaan tempat tidur di RS Surakarta 2023 menggunakan grafik Barber Johnson. Studi mengukur BOR, LOS, TOI, BTO, & berikan rekomendasi optimalisasi rawat inap.

Abstract

Tingkat efisiensi layanan rawat inap dapat diukur melalui beberapa indikator kinerja, yaitu BOR, LOS, TOI, dan BTO. Standar ideal untuk setiap indikator telah ditetapkan. Rumah Sakit Wilayah Surakarta memiliki kapasitas 100 tempat tidur. Meskipun demikian, Bangsal Anggrek menunjukkan tingkat hunian yang rendah dibandingkan dengan kapasitas tempat tidurnya. Tujuan dari penelitian ini yaitu untuk mengetahui tingkat efisiensi penggunaan tempat tidur berdasarkan grafik Barber Johnson di Rumah Sakit Wilayah Surakarta pada tahun 2023. Data yang digunakan adalah data harian jumlah pasien rawat inap. Peneliti mengumpulkan data melalui pengamatan langsung dan wawancara untuk memastikan keakuratan data. Setelah data terkumpul, data diolah melalui beberapa tahap, mulai dari pengumpulan, pembersihan, pengelompokan, perhitungan, hingga penyajian dalam bentuk tabel atau grafik. Analisis data yang dilakukan hanya berfokus pada satu variabel (univariate) untuk melihat gambaran umum dari setiap variabel yang diteliti. Hasil analisis menunjukkan bahwa tingkat hunian tempat tidur (BOR) di semua bangsal belum optimal, sedangkan lama hari rawat (LOS) sudah sesuai dengan standar. Interval waktu antara pasien keluar dan masuk (TOI) juga sudah baik di beberapa bangsal, namun belum optimal di bangsal lainnya. Frekuensi penggunaan tempat tidur dalam setahun (BTO) hanya dihitung untuk Bangsal Bougenvile. Analisis terhadap frekuensi penggunaan tempat tidur (BTO) menunjukkan bahwa hanya Bangsal Anggrek yang belum mencapai standar ideal. Lebih lanjut, evaluasi menggunakan grafik Barber Johnson mengindikasikan bahwa efisiensi penggunaan tempat tidur di seluruh bangsal masih perlu ditingkatkan. Untuk mengatasi hal tersebut, disarankan untuk melakukan relokasi tempat tidur dari Bangsal Dahlia ke Bangsal Bougenvile. Selain itu, upaya promosi yang intensif melalui pemberdayaan masyarakat dan kegiatan sosialisasi perlu dilakukan untuk meningkatkan daya tarik rumah sakit.

Review

This study addresses a critical aspect of hospital management: the optimization of bed utilization efficiency at a Surakarta hospital in 2023. By employing standard performance indicators such as Bed Occupancy Rate (BOR), Length of Stay (LOS), Turn Over Interval (TOI), and Bed Turn Over (BTO), alongside the Barber Johnson graph, the research provides a foundational assessment of inpatient service efficiency. The methodology, involving daily inpatient data collected through direct observation and interviews, aims to ensure data accuracy, and the subsequent data processing stages are clearly outlined. The findings offer valuable insights into the current state of bed utilization across various wards, indicating areas where efficiency falls short of ideal standards, particularly concerning BOR and BTO in specific wards. While the study presents a relevant initial analysis, several aspects warrant further development for a more robust understanding. The explicit reliance on univariate analysis limits the exploration of complex interdependencies between various factors influencing bed utilization, potentially overlooking root causes for suboptimal performance. A notable limitation is the selective reporting and calculation of BTO, which was only performed for "Bangsal Bougenvile" and indicated "only Bangsal Anggrek" as non-conforming, raising questions about the completeness of the analysis across all wards. Furthermore, the recommendation for bed relocation from Bangsal Dahlia to Bangsal Bougenvile, while potentially sound, lacks a deeper analytical justification within the abstract regarding patient flow dynamics or demand forecasting specific to these wards. Similarly, the suggestions for "intensive promotion" and "community empowerment" are rather broad and could benefit from more specific, data-driven strategies for increasing hospital attractiveness. In conclusion, this study offers a pertinent initial evaluation of bed utilization efficiency at RS Surakarta, providing a useful snapshot of current performance using established metrics. Its primary contribution lies in identifying specific wards requiring attention and flagging the overall need for improved bed management. To enhance the practical applicability and academic rigor, future work should consider employing multivariate analysis to uncover deeper causal relationships and to provide a more comprehensive picture. Additionally, a more detailed cost-benefit analysis of the proposed bed relocation, coupled with specific, measurable strategies for promotion and community engagement, would strengthen the actionable recommendations. Overall, this research lays the groundwork for strategic improvements in hospital resource management, though a more comprehensive and granular analytical approach would be beneficial for future iterations.

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