Analisis Pemborosan Waktu Pelayanan Dengan Metode Lean Healthcare dan Root Cause Analysis 5 Why (Studi Kasus: Poli Saraf RSUD dr. Darsono Pacitan)

Prasetyo Mukti; Rochmoeljati Rochmoeljati

doi:10.55681/jige.v7i2.5865

Authors

Prasetyo Mukti Fakultas Teknik dan Sains, Universitas Pembangunan Nasional Veteran Jawa Timur, Indonesia
Rochmoeljati Fakultas Teknik dan Sains, Universitas Pembangunan Nasional Veteran Jawa Timur, Indonesia

DOI:

https://doi.org/10.55681/jige.v7i2.5865

Keywords:

Lean Healthcare, Waste, Root Cause Analysis, Poly Neurology

Abstract

Healthcare services demand speed, accuracy, and quality to meet expectations and increase patient satisfaction. However, in practice, waste is still frequently encountered in service flows, such as long queues, long waiting times, data recording errors, and inefficient manual activities. This situation also occurs at the Neurology Clinic at dr. Darsono Pacitan Regional Hospital, the main referral hospital in Pacitan Regency. This study aims to identify forms of waste in services at the Neurology Clinic and propose improvements to increase service efficiency. The method used is the Lean Healthcare approach with the assistance of Root Cause Analysis (RCA) and the 5 Whys technique to identify the root causes of problems. The analysis using BPM showed that the initial service lead time was 127 minutes. After implementing the improvement recommendations, non-value-added activities were completely eliminated, reducing the lead time to 68 minutes, equivalent to a 46.5% reduction in time. The improvement recommendations focused on increasing the efficiency of neurology services through human resource optimization, work system organization, implementation of 5S, utilization of information technology, digitization of medical records, and involvement of medical personnel in improving service quality.

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References

Ayunani, D. I., Garside, A. K., & Wardana, R. W. (2024). Minimasi waste pada proses produksi susu pasteurisasi dengan pendekatan Lean Manufacturing. Performa: Media Ilmiah Teknik Industri, 23(2), 97. https://doi.org/10.20961/performa.23.2.84224

Baharudin, I., Purwanto, A. J., & Fauzi, M. (2021). Analisis pemborosan menggunakan “9 Waste” pada proses produksi PT ABC. Jurnal Ilmiah Teknologi Infomasi Terapan, 8(1), 187–192. https://doi.org/10.33197/jitter.vol8.iss1.2021.745

Banjarnahor, B., Juliana, M., & Zaenal, D. (2025). Penerapan Root Cause Analysis untuk mengidentifikasi ketidaksesuaian data aktual dan input SAP pada proses operasional di PT XY: Root Cause Analysis for Identifying Data Discrepancies Between. 03(01). https://doi.org/10.24843/JRATI.2025.v03.i01.p15

Basuki, F. H. A., Aknuranda, I., & Perdanakusuma, A. R. (2023). Analisis proses bisnis CV Dinasty menggunakan Root Cause Analysis dan pendekatan Lean. Jurnal Pengembangan Teknologi Informasi dan Ilmu Komputer, 7(4), 1533–1542. http://j-ptiik.ub.ac.id

Devie, S. W., & Subadi, W. (2023). Winda Devie Savira; Wahyu Subadi. Jurnal Administrasi Publik & Administrasi Bisnis, 6(2), 749–762.

Earley, J. (2016). The Lean Book of Lean: A concise guide to Lean management for life and business (J. Earley, Ed.). John Wiley & Sons Ltd. https://doi.org/10.1002/9781119271703

Fhadillah, I., Anggraeni, N. F., & Awaliah Sugiarto, A. R. (2020). Analisis pemborosan di PT. XYZ menggunakan 8 Waste. Jurnal Ilmiah Teknologi Infomasi Terapan, 6(2), 157–162. https://doi.org/10.33197/jitter.vol6.iss2.2020.335

Graban, M. (2016). Lean hospitals: Improving quality, patient safety, and employee engagement (3rd ed.). https://doi.org/10.4324/9781315380827

Haryanto, A., & Wulandari, D. (2021). Root Cause Analysis pada proses pelayanan laboratorium rumah sakit. Jurnal Manajemen Pelayanan Kesehatan, 7(2), 115–126.

Kartika, N., Melati, I. P., & Hanum, F. (2021). Analisis Lean Healthcare untuk mengidentifikasi waste di poli kandungan rumah sakit X. Jurnal Ilmiah MEA (Manajemen, Ekonomi, dan Akuntansi), 5(3), 2149–2165.

Kartika, N., & Widayanti, P. (2024). Lean Healthcare Analysis at Airlangga Health Service Center. Southeast Asian Business Review, 2(1), 59–66. https://doi.org/10.20473/sabr.v2i1.55029

Kencana, R. N. W., & Iriani, I. (2025). Analisis order status supply chain management PT. Kepuh Kencana Arum menggunakan metode Root Cause Analysis (RCA). Jurnal Penelitian dan Pengkajian Ilmiah Eksakta, 4(1), 23–34. https://doi.org/10.47233/jppie.v4i1.1788

Kulkarni, R. G. (2007). Going lean in the emergency department: A strategy for addressing emergency department overcrowding. MedGenMed Medscape General Medicine, 9(4).

Moengin, P., & Ayunda, N. (2021). Lean Manufacturing untuk meminimasi lead time dan waste agar tercapainya target produksi (Studi kasus: PT. Rollflex Manufacturing Indonesia). Jurnal Teknik Industri, 11(1), 77–92. https://doi.org/10.25105/jti.v11i1.9699

Putra, R., Lestari, P., & Santoso, B. (2020). Integrasi Lean Healthcare dan 5 Whys Analysis di unit gawat darurat rumah sakit umum. Jurnal Kesehatan dan Manajemen, 5(1), 45–56.

Sari, M., Nugroho, T., & Rahmawati, L. (2022). Penerapan Lean Healthcare pada layanan rawat jalan rumah sakit swasta. Jurnal Administrasi Rumah Sakit, 8(3), 78–89.

Wibowo, S. A. (2021). Penerapan Lean Manufacturing dalam peningkatan produktivitas aluminium baking tray. Jurnal Rekayasa Sistem Industri, 7(1), 38–47. https://doi.org/10.33884/jrsi.v7i1.4543