Optimasi Implementasi Block Scheduling untuk Meminimalisir Start Time Delays Praoperasi di RSI Yogyakarta PDHI
DOI:
https://doi.org/10.47747/jnmpsdm.v7i3.3732Keywords:
block scheduling, start time delays, kamar operasi, First Case On-Time Start, manajemen rumah sakitAbstract
Start time delays in operating room services are a managerial problem that can disrupt the continuity of surgical schedules, reduce capacity utilization, and increase patient waiting time. This study aims to analyze the optimization of block scheduling implementation to minimize preoperative start time delays at RSI Yogyakarta PDHI, where the initial First Case On-Time Start (FCOTS) rate was only 45.00%, with productive time utilization of 60.99%. This study employed a qualitative approach with a descriptive-interpretive design. Ten informants participated in the study, consisting of the Head of the Central Surgical Installation, Head of the Operating Room, scheduling coordinators and their assistants, anesthesia nurses, and surgical nurses, selected using purposive sampling. Data were collected through in-depth interviews, observations, and document analysis, and were analyzed thematically through data identification, categorization, coding, reduction, pattern mapping, and synthesis. The findings show that cross-unit coordination has supported block scheduling implementation, but optimization remains constrained by changes in surgeons' schedules, surgical cancellations, patient unpreparedness, delays in information updates, and inconsistent release-time mechanisms. Optimization therefore requires stronger governance rather than replacement of the existing electronic system, particularly through disciplined data updating, interprofessional coordination, standardized release deadlines, and monitoring based on block utilization and FCOTS.
References
Akbarzadeh, B., Moslehi, G., Reisi-Nafchi, M., & Maenhout, B. (2019). The re-planning and scheduling of surgical cases in the operating room department after block release time with resource rescheduling. European Journal of Operational Research, 278(2), 596–614. https://doi.org/10.1016/j.ejor.2019.04.037
Bertalanffy, L. von. (1968). General system theory: Foundations, development, applications. George Braziller.
Boccia, M., Mancuso, A., Masone, A., & Sterle, C. (2024). Integrated operating room planning and scheduling: An ILP-based off-line approach for emergency responsiveness at a local hospital in Naples. Soft Computing, 28(20), 11987–12003. https://doi.org/10.1007/s00500-024-09945-z
Braithwaite, J., Vincent, C., Garcia-Elorrio, E., Imanaka, Y., Nicklin, W., Sodzi-Tettey, S., & Bates, D. W. (2020). Transformational improvement in quality care and health systems: The next decade. BMC Medicine, 18, Article 340. https://doi.org/10.1186/s12916-020-01739-y
Budijono, R., Yaniawati, P., & Widjaja, Y. R. (2024). Analisa penyebab kepatuhan penandaan lokasi operasi dan penjadwalan operasi elektif terhadap ketepatan operasi (Studi kasus
di Instalasi Kamar Bedah RS KSH Tayu Pati Jawa Tengah). Jurnal Kesehatan Rajawali, 14(2), 11–15. https://doi.org/10.54350/jkr.v14i2.475
Coffey, C., Jr., Cho, E. S., Wei, E., Luu, A., Ho, M., Amaya, R., Pecson, M., Dalton, F. V., Kahaku, D., Spellberg, B., & Sener, S. F. (2018). Lean methods to improve operating room elective first case on-time starts in a large, urban, safety net medical center. The American Journal of Surgery, 216(2), 194–201. https://doi.org/10.1016/j.amjsurg.2018.05.002
Dexter, F., & Epstein, R. H. (2005). Operating room efficiency and scheduling. Current Opinion in Anaesthesiology, 18(2), 195–198. https://doi.org/10.1097/01.aco.0000162840.02087.15
Harris, S., & Claudio, D. (2022). Current trends in operating room scheduling 2015 to 2020: A literature review. Operations Research Forum, 3(1), Article 21. https://doi.org/10.1007/s43069-022-00134-y
Hicks, K. B., Glaser, K., Scott, C., Sparks, D., & McHenry, C. R. (2020). Enumerating the causes and burden of first case operating room delays. American Journal of Surgery, 219(3), 486–489. https://doi.org/10.1016/j.amjsurg.2019.09.016
Macario, A. (2010). What does one minute of operating room time cost? Journal of Clinical Anesthesia, 22, 233–236. https://doi.org/10.1016/j.jclinane.2010.02.003
Nuramalia, L., Purwadhi, & Andriani, R. (2023). Pengaruh penerapan sistem informasi manajemen rumah sakit dan budaya organisasi terhadap kinerja karyawan Rumah Sakit Khusus Paru Kabupaten Karawang. Innovative: Journal of Social Science Research, 3(3), 8915–8928. https://doi.org/10.31004/innovative.v3i3.3193
Rantemarampa, W. M., Syaodih, E., & Rubini, R. A. (2025). Application of the Workload Indicators of Staffing Need (WISN) method for optimal staffing at Jimmy Medika Borneo Mother and Child Hospital. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 14(2), 242–250. https://doi.org/10.18196/jmmr.v14i2.584
Tunjung, I. W., Andriani, R., & Rinawati, R. (2026). Transformasi kompetensi perawat dan optimalisasi mini conference dalam meningkatkan mutu layanan keperawatan. Jurnal Manajemen Kesehatan Yayasan RS. Dr. Soetomo, 12(1), 99–117. https://doi.org/10.29241/jmk.v12i1.2502
Umam, C., Dewi, M. P., Purwitasari, E., Jusmawandi, J., Hamzah, I. F., Ningrum, F. A. S., Wijaya, F., Syathroh, I. L., Dwiputri, A. Y., Sriwahyuni, D., Prabowo, H., Permata Sari, R., Malana, S. L., Risambessy, J., & Ilham. (2024). Metode penelitian kualitatif. PT Penamuda Media.
Yassir, A., Purwadhi, & Andriani, R. (2023). Hubungan mutu pelayanan terhadap minat kunjungan ulang pasien di Klinik Citra Medika Kota Semarang. Jurnal Riset Pendidikan Ekonomi, 8(1), 1–12. https://doi.org/10.21067/jrpe.v8i1.8239
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