Optimizing Emergency Response: Strategies Studies for Enhancing Hospital Management for Traffic Accident Victims
Ady Purwoto
Department of Public Health, Dian Nuswantoro University, Semarang, Indonesia.
Enny Rachmani
Department of Medical Records and Health Information, Dian Nuswantoro University, Semarang, Indonesia.
Slamet Isworo *
Department of Environmental Health, Dian Nuswantoro University, Semarang, Indonesia.
*Author to whom correspondence should be addressed.
Abstract
Background and Objectives: Traffic accidents are a major issue in Indonesia, requiring urgent attention, especially in terms of response time and accuracy in emergency care. With the high frequency of accidents each year, hospitals need to be equipped to provide prompt, high-quality treatment. This study aims to examine hospital management strategies in improving emergency response for traffic accident victims using a mixed-methods approach.
Methods: A systematic search was conducted across databases like Medline, PubMed, and Google Scholar using keywords such as 'Emergency Response Time, System Administration Complexity, Human Resource Limitations, and Inter-Unit Coordination. Seventeen relevant articles were identified.
Results: The study found that the average emergency response time was 7.3 minutes, exceeding the ideal 5-minute standard. Major factors contributing to delays included administrative system complexity (43%), human resource limitations (27%), and poor inter-unit coordination (30%). Challenges such as incomplete integration of the hospital information management system, high workload, especially during night shifts, and limited trauma-specific facilities were also identified. While triage processes met standards, bottlenecks in administration and support unit coordination caused delays. Emergency department staff demonstrated good competency (8.2/10), but the high nurse-to-patient ratio (1:8) impacted service quality. The survival rate for moderate to severe trauma cases was 89%, with better outcomes for patients treated within the golden hour.
Conclusion: Traffic accidents remain a critical concern in Indonesia, requiring improved emergency response systems. Hospitals must address issues in human resources, equipment, and coordination to enhance the speed and quality of emergency care, ultimately improving patient survival outcomes.
Keywords: Emergency service responsiveness, hospital management strategy, traffic accident, response time, healthcare quality management