Effectiveness of Standard Operating Procedures on Elective Surgery Waiting Time at Bhayangkara TK II Medan Hospital
Abstract
Background: Inefficient implementation of Standard Operating Procedures (SOPs) can prolong waiting times for elective surgeries, which can lead to decreased service quality, increased risk of postoperative complications, and decreased patient satisfaction in hospitals. Objective: To evaluate the impact of Standard Operating Procedure implementation on reducing waiting times for elective surgeries in hospitals. Methods: This study used a qualitative approach with a descriptive case study design and data collection techniques through observation and in-depth interviews with one specialist doctor, one nurse, and one administrative staff member. The results were analyzed using the thematic method from Braun and Clarke (2021). Results: The study showed that the implementation of Standard Operating Procedures (SOPs) had a positive impact on managing waiting times for elective surgeries at Bhayangkara Hospital Level II Medan. SOPs helped accelarate the service process through a more structured workflow, clear division of tasks, and increased coordination and administrative efficiency. Based on the results of the study, the average waiting time for elective surgeries at Bhayangkara Hospital Level II Medan after the implementation of SOPs was less than one week from the time the patient was scheduled for surgery, demonstrating the effectiveness of SOP implementation in accelerating service. Conclusion: SOP plays an important role in reducing waiting times for elective surgery by increasing the effectiveness of medical and administrative services and strengthening communication between service units.
Keywords: Standard Operating Procedures, Waiting Time, Elective Surgery, Service Efficiency, Hospital.
Full Text:
PDFReferences
Anggraini. (2024). Manajemen Kebijakan Pelayanan Kesehatan.
Anggraini, N., Saputri, S., Prayogi, A. S., Mardalena, I., & Kunci, K. (2020). Waiting Time Pre Anestesi Berhubungan dengan Tingkat Kecemasan Pasien Pre Operasi. Jurnal Teknologi Kesehatan (Journal of Health Technology), 16(1), 16–22. https://doi.org/10.29238/jtk.v21i1.2810
Anggreni, D., Lubis, L. A., & Kusmanto, H. (2022). Implementasi program pencegahan stunting di puskesmas Dolok Sigompulon Kabupaten Padang Lawas Utara. Histeria Jurnal: Ilmiah Soshum Dan Humaniora, 1(2), 91–99. https://doi.org/10.55904/histeria.v1i2.281
Astanto, T., Sunadi, A., & Yoshida, E. (2026). Analisis Waktu Tunggu Pasien Operasi Elektif di Instalasi Bedah Sentral ( IBS ) dengan Metode Root Cause Analysis ( RCA ) di RS Bhayangkara Ruwa Jurai Lampung Tahun 2025 diri dengan meningkatkan kualitas dan kuantitas pelayanan Instalasi Bedah sentral . Klinik: Jurnal Ilmiah Kedokteran Dan Kesehatan, 5(September 2025), 97–109. https://doi.org/https://doi.org/10.55606/klinik.v5i1.5532
Dolly, D. (2023). The Eficiency Patient Service Time With Lean Management : Literature Review. MPPKI Media Publikasi Promosi Kesehatan Indonesia The Indonesian Journal of Health Promotion, 6(12), 2357–2364. https://doi.org/DOI: https://doi.org/10.56338/mppki.v6i12.4059 Review Articles 2357
Fladyan Grace Wulur, Ida Fitriyani, & Vip Paramarta. (2023). Analisis Pengaruh Pemanfaatan Sistem Informasi Manajemen Pada Layanan Kesehatan Rumah Sakit: Literature Review. Jurnal Ilmu Kedokteran Dan Kesehatan Indonesia, 3(2), 187–202. https://doi.org/10.55606/jikki.v3i2.1725
Haryo Wahyu Hatmoko, & Dewi Susilowati. (2025). Narrative Literature Review : Efektivitas Penggunaan Anggaran Operasional dalam Meningkatkan Kinerja Pelayanan Rumah Sakit. Jurnal Ekonomi Bisnis Dan Akuntansi, 5(3), 449–461. https://doi.org/10.55606/jebaku.v5i3.5980
Hole, G., Baheerathan, J., Martinussen, P. E., & Magnussen, J. (2022). Financial incentives and patient selection : Hospital physicians ’ views on cream skimming and economic management focus in Norway. Elsevier B.V. This Is an Open Access Article under the CC BY License, 125, 98–103. https://doi.org/10.1016/j.healthpol.2020.10.011
Immanuel, T., Yudi, S., & Dhamanti, I. (2024). Elektif di rumah sakit. Jurnal kesehatan tambusai, 5(1), 2159–2166. https://doi.org/DOI: 10.31004/jkt.v7i1.51287
Kemkes RI. (2022). Peraturan Menteri Kesehatan Republik Indonesia no. 34 tahun 2022 tentang Akreditasi Pusat Kesehatan Masyarakat, Klinik, Laboratorium Kesehatan, Unit Transfusi Darah, Tempat Praktik Mandiri Dokter, dan tempat praktik mandiri dokter gigi. Kemenkes RI, 1207, 1–16.
Kraus, M., Stacherl, B., Czypionka, T., & Mayer, S. (2024). Equal waiting times for all? Empirical evidence for elective surgeries in the Austrian public healthcare system. Public Health, 236, 216–223. https://doi.org/10.1016/j.puhe.2024.08.007
Laila, L., Sulistyawati, S., Syamsu Hidayat Magister Kesehatan Masyarakat, M., & Ahmad Dahlan, U. (2024). JURNAL PROMOTIF PREVENTIF Evaluasi Penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS): Studi Literatur Evaluation of the Implementation of Hospital Management Information Systems (SIMRS): Literature Study (Vol. 7). http://journal.unpacti.ac.id/index.php/JPP
Lazetti, G. A., & Setiawan, S. A. (n.d.). Integrasi rekam medis elektronik (rme) dengan sistem informasi manajemen rumah sakit (simrs) terkait data kesehatan pasien di indonesia integration of electronic medical record (emr) with hospital management information system (simrs) related to patient health data in indonesia.
Noor, A., Akbar, I. Z., Husaini, Panghiyangani, R., & Marlinae, L. (2018). Analysis factor influence with waiting time for elective surgery in general surgical outpatient clinic. Indian Journal of Public Health Research and Development, 9(8), 233–237. https://doi.org/10.5958/0976-5506.2018.00726.X
Novitri, S. (2024). Faktor Penyebab Penundaan Operasi Elektif di Rumah Sakit Umum Pusat Fatmawati, Jakarta Factors. MPPKI Media Publikasi Promosi Kesehata Indonesia The Indonesian Journal of Health Promotion, 7(2), 472–479. https://doi.org/DOI: https://doi.org/10.56338/mppki.v7i2.4910 Research Articles MPPKI
Oudhoff, J. P., Timmermans, D. R. M., Knol, D. L., Bijnen, A. B., & Van Der Wal, G. (2007). Waiting for elective surgery: Effect on physical problems and postoperative recovery. ANZ Journal of Surgery, 77(10), 892–898. https://doi.org/10.1111/j.1445-2197.2007.04268.x
Prasetyo, H. & Wijayanto, S. (2022). Evaluasi Pengelolaan Waktu Tunggu Pasien Operasi di Rumah Sakit. Jurnal Pelayanan Kesehatan, 19(2), 124-131.
Pratama, R., et al. (2022). Koordinasi Tim Medis dalam Penerapan SPO di Rumah Sakit Umum. Jurnal Medis, 23(2), 89-97.
Quercioli, C., Cevenini, G., Messina, G., Carta, G. A., Becattini, G., & Sancasciani, S. (2022). Reducing waiting times of elective surgical procedures: effectiveness evaluation of a multi-interventions approach. Annali Di Igiene Medicina Preventiva e Di Comunita, 34(6), 635–649. https://doi.org/10.7416/ai.2021.2495
Rahman, S. (2024). Penilaian kesiapan sistem informasi rumah sakit untuk implementasi activity based costing : studi kasus di rumah sakit pusat otak nasional tahun 2024 tesis.
Rocha, M. C., Damous, S. H. B., Costa, R. A., & Utiyama, E. M. (2025). Impact of implementing a prioritization process on waiting time for non-scheduled surgeries in a tertiary emergency unit. Clinics, 80. https://doi.org/10.1016/j.clinsp.2025.100712
Santosa, I., & Desy Purnama, E. (n.d.). Pengaruh Waktu Tunggu Pelayanan dan Fasilitas Rumah Sakit Terhadap Loyalitas Pasien yang Dimediasi Kepuasan Pasien Rawat Jalan di Rumah Sakit Pelita Anugerah Demak. https://doi.org/10.38035/jimt.v6i4
Setiyawan Didik. (2023). Dampak penerapan standar operasional prosedur (sop) terhadap kinerja karyawan rumah sakit umum radjak hospital salemba. Jurnal Ekonomi, Manajemen, Dan Akuntansi, Vol 2(2). https://doi.org/https://doi.org/10.572349/mufakat.v2i4.835
Sukarno, A., Yoshida, E., & Kridawati, A. (n.d.). Analisis Faktor-faktor Yang Mempengaruhi Waktu Tunggu Pasien Di Poli Penyakit Dalam RS Bhayangkara Surabaya Tahun 2024. https://ejournal.urindo.ac.id/index.php/MARSI
Teguh Astanto, Apri Sunadi, & Eka Yoshida. (2025). Analisis Waktu Tunggu Pasien Operasi Elektif di Instalasi Bedah Sentral (IBS) dengan Metode Root Cause Analysis (RCA) di RS Bhayangkara Ruwa Jurai Lampung Tahun 2025. Jurnal Ilmiah Kedokteran Dan Kesehatan, 5(1), 97–109. https://doi.org/10.55606/klinik.v5i1.5532
DOI: http://dx.doi.org/10.30829/contagion.v8i1.27116
Refbacks
- There are currently no refbacks.
Copyright (c) 2026 Sri Lestari Ramadhani Nasution, Zulhilmi, Ermi Girsang
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
