Pendekatan Lean Hospital dalam Mengoptimalkan Pelayanan Laboratorium Rumah Sakit

Abstract

Support services in hospitals are one of the determinants of hospital quality. One of the supporting services in hospitals is a laboratory. Laboratory units often experience problems, such as not being able to provide timely health services with minimum service standards in hospitals, blood sampling errors, damage to blood samples and medication error that can cause waste. Lean is a continuous improvement effort to eliminate waste, increase product value added (goods and services) and provide value to customers (customer value). The purpose of this study was to determine the lean hospital approach in optimizing laboratory services and to determine condition before and after the lean hospital approached. The research was conducted from September 2021 to February 2022 in A Hospital Cimahi and B Hospital Bandung. The research use qualitative method. Informants were selected non- probability with purposive sampling technique. The data is processed by lean analysis method. The results showed that the ratio of value added and non value added activities in both hospitals was less than 30%. The improvement proposals submitted to hospital management showed that there were quality improvements including decreasing patient waiting time, there are clear directions to the laboratory, an integrated hospital information system and appropriate standard operating procedure. In conclusion, the two hospitals are considered not lean because they have ratio of value added activities to total activities is less than 30%, there are wastes in waiting time, process, transportation, motion, and defects influenced by man, methods, machine and environment.