FACTOR ANALYSIS THE CAUSE OF DELAYED INTERVENTION WITH LENGTH OF STAY PATIENTS ADMISSION IN EMERGENCY DEPARTMENT OF PROF. DR. W.Z. JOHANNES GENERAL HOSPITAL KUPANG
Abstract: Overcrowding
patients is a crisis problem in hospital and plays a significant role as a
front line in hospital which performing good and bad quality of care. Length of
Stay (LOS) patients admission measurement indicator toward service process and
patients density marker. Length of stay has important essence in reviewing
process because helping to identify the cause of action delay and elongated
LOS. EDLOS is influenced by input and trough put factor. Input factor: age,
coming time, main complaint and co-morbidity. Trough put factor: triage level,
door to doctor, the quickness in laboratory check, the quickness in specialist
consultation and patients transfer to nursing room, staffing. This study is
aimed to analyze the correlation of causing factor on action delay with LOS
patients admission in Prof. Dr. W. Z. Johannes Public Hospital Kupang. This
study uses cross sectional approach and quota sampling by the number of 200
patients and nurses also doctors. Data was collected by observation sheet.
Result of this study shows that there are significant correlation between
co-morbidity with LOS patients admission (p value = 0,001 and r = - 0,227),
between the quickness of specialist consultation with LOS patients admission (p
value = 0,001 and r = 0,238) and between patients transfer to nursing room LOS
patients admission (p value = 0,000 and r = 0,699). Based on the result of
linear regression test, it is concluded that factor that has very close
correlation with LOS patients admission patients transfer to nursing room (p
value < 0,001, regression coefficient 0,015 and correlation coefficient
0,774). Conclusion: co-morbidity, specialist consultation and patients transfer
to nursing room is LOS patients admission predictor. Developing centralized bed
control dan transporter is mandatory for decrease overcrowding and LOS patients
admission in emergency department.
Keywords: Delay treatment time,
Length of stay, patients admission
Penulis: Maria Fatimah Fouk,
Titin Andri Wihastuti, Dewi Kartikawati Ningsih
Kode Jurnal: jpkeperawatandd170066