261 ANALYSIS OF THE ASSOCIATED FACTORS OF BOARDING TIME IN YELLOW ZONE PATIENTS IN EMERGENCY DEPARTMENT Ahsan Ahsan, Fitrio Deviantony, Setyoadi Setyoadi School of Nursing, Faculty of Medicine, Universitas Brawijaya Email: ahsanfkub@yahoo.com ABSTRACT Introduction: Patient’s visits to the emergency room increase in number every year. The increasing number of hospital visits is directly associated with the increasing number of patients who wait in the emergency department. The yellow zone is a part of the emergency room that has become a place for the most increased patients to enter. This situation causes boarding time patient longer than usual. The aim of this research was to analyse the various factors that have been associated with boarding time in the yellow zone emergency department. Methods: This research was an analytic observational study with a cross-sectional approach. The number of samples was 78 respondents who were recruited with a non-probability sampling technique. The univariate and bivariate analysis was utilized to test the relationship between the variables. A further statistical test was conducted with linear regression to understand the most dominant factor. Results: The results showed a significant relationship between transfer time, laboratory turnaround time, diagnostic time, time arrival, insurance coverage, ratio nurse and patient and boarding time. Furthermore, multivariate analysis with linear regression showed a significant association between transfer time, laboratory turns around, and the ratio of nurses to patients with the boarding time. Conclusions: The findings from this study show that patient boarding time in the yellow zone should consider several factors. This research provides the output of the initial data as one of the basic considerations for service management and team minimum service standards in hospitals. Keywords: boarding time, emergency department, yellow zone INTRODUCTION The visitation of patients in the Emergency Department (ED) is growing every year. The increase of this situation is by about 30% in hospitals around the world (Bashkin et al., 2015). Increasing the number of hospital visits clearly affects the increasing number of patients who enter the emergency room. The emergency room unit is an area located in the hospital that is used to perform standard emergency, acute and urgent care (Geelhoed and de Klerk, 2012). Caring in the emergency phase is used to stabilize patients who have disorders from injuries and other sources that require resuscitation and patients who have a certain degree of injury and illness (Australian College for Emergency Medicine, 2015). The data entry of patients who come into the ED in Indonesia is approximately 4,402,205 patients or 13.3% of all visits to hospitals (MoH, 2015). Data for the ED patients who visited the emergency room in East Java in 2014 amounted to 8,201,606 cases. Looking at the district level, the data of the visits in Tulungagung in 2014 was 29,877 cases (Dinkes Provinsi Jatim, 2015). The patient condition who wait too long in the ER will hamper the service process in the emergency department. Fast and precise services are most needed in the emergency installation (Ducharme et al., 2008). The length of time patients in the yellow zone could be due to a mismatch between the number of patients, patient beds and the number of health personnel. An excessive number of patients causes in increased check-up time for other patients, increased waiting time, and prolonged waiting time for returning patients, and patients who will be hospitalized. This condition is called boarding time (Singer et al., 2011). Quality Control Standard of RSUD Dr. Iskak Tulungagung explained that the patient waiting period after the inpatient decision becomes one of the indicators of hospital quality control. So this research focuses on it, as a further hospital evaluation material. The number of patients per day in the yellow zone can reach 36 patients per day, coming in during the morning, day and night shift. The number of beds in the yellow zone in the ED room is 9 beds with the total number of nurses in the yellow zone being 21 people divided into 5 people per shift. The number of patients boarding for more than 6 hours per day can reach 10 patients. The results of the interview with the team leader in the yellow zone can help to identify the causes of boarding due to the number of limited resources, not being well organised, the results of the laboratory requiring a lot of time, the time to diagnose the disease being longer than usual, the