ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA
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Background: DKI Jakarta reports about 5,000 annual deaths from heart disease, disasters, accidents, and other causes. Ambulance demand has risen, especially for COVID-19 cases that require quick medical attention. In 2022, the average emergency response time was 21-30 minutes. Therefore, efforts are needed to improve the response time of PSC 119 ambulances to minimize impacts.
Aims: This study uses the Lean Six Sigma methodology to analyze the factors contributing to prolonged response times in emergency ambulance services.
Methods: This study used a mixed-method approach based on the DMAI (define, measure, analyze, and improve). The data were collected through observations, document reviews, and in-depth interviews.
Results: The results showed that the average duration of ambulance services was 4 hours and 30 minutes. The identified inefficiencies include software issues with the Nusantara app, staff fatigue, and license renewals, difficult access for ambulance and URC units, delays from call center staff awaiting family decisions, closely located posts leading to fewer cases per post, community-initiated patient movements, challenges in finding suitable referral hospitals for special cases, and slow response times from referral hospitals.
Conclusion: The recommended improvements include using a kaizen board, conducting expert training, promoting the Integrated Referral System or Sistem Informasi Rujukan Terintegrasi (SISRUTE), and revising standard operating procedures.
Keywords: ambulance services, Public Safety Center 119, Lean Six Sigma
Arcidiacono, G., Calabrese, C. and Yang, K. (2012) Leading processes to lead companies: Lean Six Sigma Kaizen Leader & Green Belt Handbook. Milano: Springer Milan (SpringerLink).
Bertolaccini, L., Viti, A. and Terzi, A. (2015) ‘The Statistical point of view of Quality: The Lean Six Sigma methodology’, Journal of Thoracic Disease, 7(4), pp. E66–E68. Available at: https://doi.org/10.3978/j.issn.2072-1439.2015.04.11.
Daly, A. et al. (2021) ‘The use of lean six sigma for improving availability of and access to emergency department data to facilitate patient flow’, International Journal of Environmental Research and Public Health, 18(21). Available at: https://doi.org/10.3390/ijerph182111030.
Desai, M.S., Rawani, A.M. and Loya, M.I.M. (2019) ‘Reducing Ambulance Response Time in Emergency Medical Services: A Literature Review’, International Journal of Mechanical Engineering and Technology, 10(10), pp. 85–96.
Graban, M. (2016) Lean hospitals: improving quality, patient safety, and employee engagement. Third edition. Boca Raton: CRC Press, Taylor & Francis Group.
Hanfling, D. et al. (eds) (2012) Crisis standards of care: a systems framework for catastrophic disaster response. Washington, D.C: The National Academies Press. Available at: http://www.nap.edu/catalog.php?record_id=13351.
Heryani, R. (2022) Optimal Location Determination of Public Safety Center Based on Disaster Risk in Barru Regency. Hasanuddin University.
Khairunnisa, N. et al. (2024) ‘Studi Literatur: Pengaruh Pelatihan dan Pengembangan SDM terhadap Kinerja’, Jurnal Arastirma, 4(2), pp. 452–459. Available at: https://doi.org/10.32493/jaras.v4i2.35411.
Masfupah, S. (2018) Analisis Patient Flow Dengan Pendekatan Lean Six Sigma di Instalasi Gawat Darurat Rumah Sakit Hermina Depok Tahun 2018. University of Indonesia.
Oh, J.-Y., Hessami, A. and Yang, H.J. (2019) ‘Minimizing Response Time with Optimal Fire Station Allocation’, Studies in Engineering and Technology, 6(1), p. 47. Available at: https://doi.org/10.11114/set.v6i1.4187.
Parker, C., Scott, S. and Geddes, A. (2020) ‘Snowball Sampling’, in SAGE Research Methods Foundations. London: SAGE Publications Ltd. Available at: https://doi.org/10.4135/9781526421036831710.
Prihanti, R., Widjanarko, B. and Budiyono, B. (2022) ‘Faktor- Faktor Yang Mempengaruhi Implementasi Public Safety Center (psc) 119 Di Indonesia: Literatur Review’, Media Kesehatan Politeknik Kesehatan Makassar, 17(2), p. 283. Available at: https://doi.org/10.32382/medkes.v17i2.3049.
Satria, D. et al. (2017) ‘Analisa Perhitungan Energi Listrik Pada Sepeda’, Sintek Jurnal, 11(1), pp. 9–19.
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