Meningkatkan Kinerja Ruang Operasi dengan Metode Lean Six Sigma : Literature Review

Improving the Performance of the Operating Theatre with the Lean Six Sigma Method : Literature Review

  • Ita Mu’tiyah Program Studi Kajian Administrasi Rumah Sakit, Fakultas Kesehatan Masyarakat Universitas Indonesia.
  • Puput Oktamianti Program Studi Kajian Administrasi Rumah Sakit, Fakultas Kesehatan Masyarakat Universitas Indonesia.
DOI: https://doi.org/10.56338/mppki.v5i12.2745
Keywords: Lean Six Sigma, Operating Theatre, Improvement Strategies

Abstract

Latar belakang: Ruang operasi berkontribusi terhadap 70% dari penerimaan rumah sakit. Untuk dapat meningkatkan produktivitas dan efektivitas ruang operasi, diperlukan alat bantu pengukuran kinerja ruang operasi. Metode Lean Six Sigma (LSS) merupakan salah satu metode yang dapat di implementasikan untuk memperbaiki kualitas pelayanan di rumah sakit khususnya kinerja ruang operasi. Lean Six Sigma menggunakan pendekatan yang berorientasi pada hasil dan berfokus pada proyek untuk kualitas, produktivitas, dan profitabilitas. Aplikasi metode LSS dapat meningkatkan kualitas proses perawatan pasien, interaksi antar departemen, dan kepuasan karyawan.

Tujuan: Tinjauan literatur ini untuk mengetahui aplikasi metode Lean Six Sigma dalam meningkatkan kinerja di ruang operasi.

Metode: Pencarian komprehensif dengan kata kunci di basis data Pubmed, Science Direct, Proquest, dan Springer link, dilakukan ekstraksi data dengan kriteria inklusi dan ekslusi yang telah ditetapkan. Proses pemilihan artikel menggunakan metode PRISMA.

Hasil: Penelusuran sistematis menghasilkan 8 artikel yang menggunakan metode Lean Six Sigma untuk meningkatkan kinerja di ruang operasi. Tujuh penelitian menggunakan pendekatan DMAIC (Define, Measure, Analysis, Improve and Control), satu penelitian menggunakan kerangka Define/Measure/Analyse/Design/Verify (DMADV) dan DMAIC. Metode LSS dengan pendekatan DMAIC maupun DMADV meningkatkan efisiensi proses perawatan, pemetaan proses, dan penemuan poin yang dapat diperbaiki dalam tindakan operasi, meningkatkan efisiensi dalam ruang operasi, mengurangi waktu tunggu operasi, mengurangi lama tinggal pasien, dan mengurangi penundaan serta tingkat pembatalan operasi elektif.

Kesimpulan: Penggunaan metode Lean Six Sigma (LSS) di rumah sakit terutama di ruang operasi memperbaiki kinerja ruang operasi dengan cara mengurangi waktu perawatan pasien, mengurangi penggunaan sumber daya yang tidak perlu, meningkatkan kepuasan pasien dan keluarganya dalam hal perawatan kesehatan serta meningkatkan efisiensi, keamanan dan kualitas pelayanan kesehatan di ruang operasi.

References

Kheiri A, Lewis R, Thompson J, Harper P. Constructing operating theatre schedules using partitioned graph colouring techniques. Health Systems. 2021;10(4):286–97.

Lin QL, Wang D. Facility Layout Planning with SHELL and Fuzzy AHP Method Based on Human Reliability for Operating Theatre. J Healthc Eng. 2019;2019.

Schoenfelder J, Kohl S, Glaser M, Mcrae S, Brunner JO, Koperna T. Simulation-based evaluation of operating room management policies. Available from: https://doi.org/10.1186/s12913-021-06234-5

Arthur J. Lean Six Sigma for Hospitals: Simple steps to fast, affordable, flowless healthcare. Vol. 1, McGraw Hill. New York: McGraw-Hill; 2011. 53 p.

Rosa A, Marolla G, Lega F, Manfredi F. Lean adoption in hospitals: the role of contextual factors and introduction strategy. BMC Health Serv Res. 2021 Dec 1;21(1).

Beyranvand T, Aryankhesal A, Hashjin AA. Quality improvement in hospitals’ surgery-related processes: A systematic review. Med J Islam Repub Iran [Internet]. 2019; Available from: http://mjiri.iums.ac.ir33.129.https://doi.org/10.34171/mjiri.33.129

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Vol. 372, The BMJ. BMJ Publishing Group; 2021.

Kwang R, Ayuningtyas D. Evaluasi kinerja perawat pelaksana rumah sakit M.H. Thamrin Salema dengan pendekatan personal balance scorecard tahun 2010. Jurnal Manajemen Pelayanan Kesehatan. 2011 Dec 4;14: 197–206.

Egan P, Pierce A, Flynn A, Teeling SP, Ward M, McNamara M. Releasing operating room nursing time to care through the reduction of surgical case preparation time: A lean six sigma pilot study. Int J Environ Res Public Health. 2021 Nov 1;18(22).

Daly A, Wolfe N, Teeling SP, Ward M, McNamara M. Redesigning the process for scheduling elective orthopaedic surgery: A combined lean six sigma and person-centred approach. Int J Environ Res Public Health. 2021 Nov 1;18(22).

Brown R, Grehan P, Brennan M, Carter D, Brady A, Moore E, et al. Using Lean Six Sigma to improve rates of day of surgery admission in a national thoracic surgery department. Int J Qual Health Care. 2019 Dec 22;31(1):14–21.

Gaur K. Systematic and quantitative assessment and application of FMEA and Lean six sigma for reducing non-productive time in operation theatre of a Tertiary Care Hospital in a metropolis. Perioper Care Oper Room Manag. 2019 Sep 1;16.

Improta G, Balato G, Ricciardi C, Russo MA, Santalucia I, Triassi M, et al. Lean Six Sigma in healthcare: Fast track surgery for patients undergoing prosthetic hip replacement surgery. TQM Journal. 2019 Jun 21;31(4):526–40.

Beyranvand T, Aryankhesal A, Hashjin AA. Quality improvement in hospitals’ surgery-related processes: A systematic review. Med J Islam Repub Iran [Internet]. 2019; Available from: http://mjiri.iums.ac.ir33.129.https://doi.org/10.34171/mjiri.33.129

Wolfe N, Teeling SP, Ward M, McNamara M, Koshy L. Operation note transformation: The application of lean six sigma to improve the process of documenting the operation note in a private hospital setting. Int J Environ Res Public Health. 2021 Nov 1;18(22).

Published
2022-12-16
How to Cite
Mu’tiyahI., & Puput Oktamianti. (2022). Meningkatkan Kinerja Ruang Operasi dengan Metode Lean Six Sigma : Literature Review: Improving the Performance of the Operating Theatre with the Lean Six Sigma Method : Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 5(12), 1513-1519. https://doi.org/10.56338/mppki.v5i12.2745
Issue
Vol. 5 No. 12: DESEMBER 2022 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Section
Review Article

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