Peran Pusat Komando Dalam Mengatur Arus Pasien: Temuan Di Rumah Sakit Umum Prof. I.G.N.G. Ngoerah Provinsi Bali

Luh Putu Sinthya Ulandari

Abstract


The command centre has been tested at Prof. Dr. I.G.N.G Ngoerah General Central Hospital for the past year. However, the performance of the command centre has never been evaluated. This study aims to assess the performance of the command centre system by examining its effectiveness and efficiency in managing patient flow in hospitals. This research will be conducted from December 2024 to May 2025 using a mixed methods approach. Secondary data, consisting of referral numbers and response time reports, were analysed descriptively. Primary data were collected through in-depth interviews and FGDs with 7 WM informants and 4 FGD groups, and then analysed using thematic analysis. The system command centre increased the number of incoming referrals received by 53%. Incoming referrals that were not accepted decreased by 26%. The command centre can reduce patient congestion in the emergency room because direct referral patients are transferred to rooms according to their needs without having to go through the emergency room. Response time varies for each KSM, ranging from 14 minutes to 136 minutes. However, as of January 2025, approximately 93% of referrals have a response time of ≤ 60 minutes, with an average of about 20 minutes per referral. The use of a command centre is able to increase the effectiveness and efficiency of the referral process, ensuring that referred patients receive care appropriate to their medical condition and needs.

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