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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-108Reducing Bed Waiting Time for Admission in Hospital Tuanku FauziahZuria D, Norsakina A, Lim CN, Goh BT, Foo SL, Hasrena H, Nor Azilah CMA, Zarina MBUnit Kejururawatan, Hospital Tuanku Fauziah, PerlisINTRODUCTION:The topic was chosen to emphasise issues associated with prolonged Bed Waiting Time (BWT) forhospital admission. It is a substantial contributor to emergency room crowding, resulting in increasedmorbidity and mortality. Improved waiting time will improve treatment efficacy, in keeping with the StateDirector's Key Performance Indicator of Hospital Percentage BWT more than 80% for admissions lastingless than 240 minutes.METHODOLOGY:The nursing team opted for this project in July 2022. Data was gathered through auditing, observation,and a checklist. A value stream map was created, potential improvements were discovered, and non-valuecontributed tasks were eliminated. The major corrective measures were: redesigning the admissionworkflow, instituting an open door policy, simplifying the process of discharging patients (the currentprocess took 4 to 13 hours), breaking the territorial mentality (previously, beds vacancies were controlledby the department), enhancing the Bed Management Unit (BMU) by the Nursing team as there was nodedicated person in charge of bed arrangement, and establishing a Discharge Lounge for patient transitwhile documents were being prepared.RESULTS:With an average BWT of 121.75 minutes and a reduction in waiting time of 70% from the year 2021, theKPI BWT was 100% achieved from January to June 2023.DISCUSSION:Regular auditing and rounds by the BMU team, meetings with the hospital director, heads of department,and heads of units, as well as updates and monitoring via the BMU WhatsApp group. The nursing team'scollaboration with the institution as a whole was effective in reducing waiting times and increasing patientsatisfaction.200 | Page