ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA

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...

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Main Authors: Thasya Sabilla Putri Rojak, Masyitoh Basabih, Winarto, Roy Michael Suranta
Format: Article
Language:English
Published: Universitas Airlangga 2024-12-01
Series:Jurnal Administrasi Kesehatan Indonesia
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Online Access:https://e-journal.unair.ac.id/JAKI/article/view/48875
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author Thasya Sabilla Putri Rojak
Masyitoh Basabih
Winarto
Roy Michael Suranta
author_facet Thasya Sabilla Putri Rojak
Masyitoh Basabih
Winarto
Roy Michael Suranta
author_sort Thasya Sabilla Putri Rojak
collection DOAJ
description 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
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issn 2303-3592
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publishDate 2024-12-01
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series Jurnal Administrasi Kesehatan Indonesia
spelling doaj-art-b6015d4115d6467a92e5aef4d94cfd002025-02-03T04:18:51ZengUniversitas AirlanggaJurnal Administrasi Kesehatan Indonesia2303-35922540-93012024-12-0112225826910.20473/jaki.v12i2.2024.258-26946984ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMAThasya Sabilla Putri Rojak0Masyitoh Basabih1Winarto2Roy Michael Suranta3University of IndonesiaUniversity of IndonesiaDKI Jakarta Health Service Emergency AmbulanceDKI Jakarta Health Service Emergency AmbulanceBackground: 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 Sigmahttps://e-journal.unair.ac.id/JAKI/article/view/48875ambulance servicespublic safety center 119lean six sigma
spellingShingle Thasya Sabilla Putri Rojak
Masyitoh Basabih
Winarto
Roy Michael Suranta
ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA
Jurnal Administrasi Kesehatan Indonesia
ambulance services
public safety center 119
lean six sigma
title ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA
title_full ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA
title_fullStr ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA
title_full_unstemmed ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA
title_short ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA
title_sort analysis of public safety center 119 ambulance services using lean six sigma
topic ambulance services
public safety center 119
lean six sigma
url https://e-journal.unair.ac.id/JAKI/article/view/48875
work_keys_str_mv AT thasyasabillaputrirojak analysisofpublicsafetycenter119ambulanceservicesusingleansixsigma
AT masyitohbasabih analysisofpublicsafetycenter119ambulanceservicesusingleansixsigma
AT winarto analysisofpublicsafetycenter119ambulanceservicesusingleansixsigma
AT roymichaelsuranta analysisofpublicsafetycenter119ambulanceservicesusingleansixsigma