Published: 2026-01-01

Evaluation of ICU Bed Allocation Policy Implementation in Reducing Surgery Cancellation and Inpatient Care Indicators: A Qualitative Study

DOI: 10.35870/emt.v10i1.5378

Hendra Kusuma, Budi Santoso, Erliany Saodih
  • Hendra Kusuma: ARS University
  • Budi Santoso: ARS University
  • Erliany Saodih: ARS University
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Abstract

Harapan Kita Women and Children Hospital Jakarta (RSABHK) receives referrals from patients in various regions every day. RSABHK performs at least 50 surgeries and procedures that require anesthesia daily. Approximately 10% of these procedures require ICU beds for post-operative management. RSABHK ICU categorizes patient beds into two categories: surgical and medical. This study aims to evaluate bed distribution policies based on surgical and medical conditions regarding the number of surgical cancellations and hospital indicators in the ICU. The research method is a qualitative observational retrospective study of indicators for BOR, LOS, TOI, BTO, surgical cancellation rates (SCR) and hospital financial risks 20 months preceding the policy implementation compared to 20 months following the policy implementation. The results showed that after the policy was implemented, there was a 54.45% reduction in the number of SCR, a 9.7% increase in BOR, 10.97% decrease in LOS, 56.16% decrease in TOI, and 24.54% increase in BTO. More than 30 million rupiahs reduced hospital risk of financial loss. The conclusion is that the policy is effective in reducing the rate of stagnation, the rate of surgery cancellations, and the risk of monetary loss for the hospital.

Keywords

ICU Beds Allocation; Surgical-Medical ICU; Inpatient Indicators; Surgery Cancellation Rate (SCR); Hospital Financial Loss Risks

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How to Cite

Kusuma, H., Santoso, B., & Saodih, E. (2026). Evaluation of ICU Bed Allocation Policy Implementation in Reducing Surgery Cancellation and Inpatient Care Indicators: A Qualitative Study. Jurnal EMT KITA, 10(1), 236-245. https://doi.org/10.35870/emt.v10i1.5378
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This article has been peer-reviewed and published in the Jurnal EMT KITA. The content is available under the terms of the Creative Commons Attribution 4.0 International License.

  • Issue: Vol. 10 No. 1 (2026)

  • Section: Articles

  • Published: 2026-01-01

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Author Biographies
Hendra Kusuma, ARS University
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ARS University, Bandung City, West Java Province, Indonesia.

Budi Santoso, ARS University
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ARS University, Bandung City, West Java Province, Indonesia.

Erliany Saodih, ARS University
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ARS University, Bandung City, West Java Province, Indonesia.

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