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     2026:7/3

International Journal of Multidisciplinary Research and Growth Evaluation

ISSN: (Print) | 2582-7138 (Online) | Impact Factor: 9.54 | Open Access

Redesign Process with Failure Mode and Method Effect Analysis on Emergency Installation Patient Services Emergency (Study on Home Emergency Installations) Majalaya Regional Public Hospital

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Abstract

The achievement of Universal Health Coverage in Bandung Regency has made it easier for public to access health services, including Emergency Department (ED), which implicate high occupancy of inpatient beds at the end prolonged boarding time at ED. Data from Majalaya General Hospital show that 47% of patients spend more than six hours in ED before being transferred to inpatient wards. Longer boarding time correlates to high mortality rate, increase length of stay, dan high number of patients admitted to the ICU therefore it have to reduce clinical and non-clinical risks. This proactive risk reduction is carried aout by redesigning the process using Failure Mode and Effect Analysis (FMEA). Data is collected by observation, brainstorming and documented in a worksheet. These data help to determine risk priorities (based on Risk Priority Number or RPN) that will be prioritized using Pareto Analysis. There are 7 processes and 26 sub processes at boarding time. From 26 sub processes there are 37 potential failure modes and 12 failure modes are prioritized. Root cause analysis was conducted for these priority risks, followed by process redesign in healthcare services. Redesign are done by using electronic prescription, bell for pharmacist, reminding of safety patient for each hand over, and always look the medical record if any adding instruction. The RPN before intervention was compared to the RPN after intervention using Wilcoxon Test, which resulted in a Z-value -3.070 and a significance of 0.002 (<0.05). It can be concluded that there is significant difference in RPN results before and after FMEA. 

How to Cite This Article

Abdul Hafizh Nugraha, Muhardi, Tasya Aspiranti (2025). Redesign Process with Failure Mode and Method Effect Analysis on Emergency Installation Patient Services Emergency (Study on Home Emergency Installations) Majalaya Regional Public Hospital . International Journal of Multidisciplinary Research and Growth Evaluation (IJMRGE), 6(3), 828-834.

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