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Bed utilization efficiency is an important aspect of inpatient service management because unbalanced utilization can affect the effectiveness of hospital services and resources. This study aimed to analyze bed utilization efficiency in the Inpatient Installation of Langsa Regional General Hospital (RSUD Langsa) from January to June 2025 using Barber Johnson indicators, and to identify variations in bed utilization across inpatient wards. This quantitative, retrospective descriptive study used secondary inpatient service statistics collected by total sampling, including the number of beds, patient days, live and dead discharges, and daily inpatient census data. Bed Occupancy Rate (BOR), Length of Stay (LOS), Turn Over Interval (TOI), and Bed Turn Over (BTO) were calculated descriptively and plotted on the Barber Johnson chart. In aggregate, BOR was 78.74%, LOS 3.90 days, TOI 1.05 days, and BTO 36.57 times/semester. BOR was within the reference range of 75–85%, LOS within 3–12 days, and TOI within 1–3 days; the aggregate point (TOI 1.05; LOS 3.90) lay between the 75% and 85% BOR lines, so aggregate bed utilization was within the efficiency reference area. However, ward-level analysis showed wide variation: BOR ranged from 31.48% to 115.37%, and only three of 22 wards (Neurology, RPBA, and RPBC) met all reference criteria. Monitoring BOR, LOS, TOI, and BTO at the ward level is needed as a basis for evaluation and managerial decision making.
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Ristiansyah et al. (2026) studied this question.
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