SISTEM PELAYANAN REKAM MEDIS PASIEN RAWAT JALAN DI UPTD PUSKESMAS KARANGREJA KABUPATEN PURBALINGGA

Ajeng Renita Handayani, Taufik Purboyo Purboyo, Farida Nur Aini

Abstract


Various problems related to medical record services at UPTD Karangreja Community Health Center, Purbalingga Regency, such as non-compliance with procedures and lack of compliance with service guidelines, became the background for researching the Outpatient Medical Record Service System at Uptd Karangreja Community Health Center, Purbalingga Regency. This research uses a descriptive qualitative method with an interactive analysis model as the data analysis method. The research results show that medical record services are sufficient in accordance with applicable standard operational procedures. However, there are still several aspects that are not appropriate, such as in the aspect of returning medical records, there are some that do not comply with the regulations regarding the time period for medical records to be returned to the medical records room. During the registration and medical record management process, there are also cases where patient data is incomplete because the patient does not bring the required identification. Then some of the medical record sheets for nurses and doctors are incomplete. This is due to a lack of service time so that a lot of information that should be filled in by nurses and doctors is only filled in with the important and more prioritized parts. Several improvements can be made, including by disseminating SOPs for medical records so that delays in returning medical records and filling in incomplete medical records can be avoided. Apart from that, officers are sent to take special training on medical records so that the skills of medical record personnel can help the administration of medical records run better.

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References


Asriati, Y. 2021. Beban Kerja Pelayanan Rekam Medis Di Masa Pademi Covid-19. Jurnal Manajemen Informasi Dan Administrasi Kesehatan.

Azwar, A. 2010. Pengantar Administrasi Kesehatan. Jakarta: Binarupa Aksara;

Butt, M. M., & de Run, E. C. 2010. Private healthcare quality: applying a Servqual model. International journal of health care quality assurance.

Cresswell, J. W. (2016). Research Design edisi 4. Pustaka Belajar.

Departemen Kesehatan Republik Indonesia., 2006. Pedoman penyelengaraan dan Prosedur Rekam Medis Rumah Sakit di Indonesia. Jakarta: Direktorat Jenderal Bina Pelayanan Medis.

Departemen Kesehatan RI. 2009. Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 tentang Rumah Sakit. Jakarta: Depkes RI.

Faida, Eka Wilda. Muhadil. 2018. Dasar Organisasi dan Manajemen Unit Kerja Rekam Medis. Yogyakarta: Penerbit Indomedia Pustaka.

Hardiansyah. 2011. Kualitas Pelayanan Publik. Yogyakarta: Bina Media.

Huffman Ednan, K. 1994. Health Information Management-Health Information Management, AHIMA. Physicians’ Record Company, Berwyn, Llliniois.

Leony, M. 2015. Analisis Penyelenggaraan Pelayanan Rekam Medis Rawat Inap Di Rumah Sakit Umum Daerah (RSUD) Sawahlunto (Doctoral dissertation, UPT. Perpustakaan Unand).

Makalalag, D., Agushybana, F., & Mawarni, A. 2017. Evaluasi Sistem Informasi Pelayanan Rekam Medis di RSJ Prof. Dr. VL Ratumbuysang Provinsi Sulawesi Utara dengan Pendekatan Hot Fit Model. Jurnal Manajemen Kesehatan Indonesia.

Mandiri, J. S. S. N. 2016. Sistem Informasi Pelayanan Puskesmas Berbasis Web. Indonesian Journal on Software Engineering (IJSE).

Mathar, Irmawati. 2018. Manajemen Informasi Kesehatan (Pengelolaan Dokumen Rekam Medis). Yogyakarta: Grup Penerbit CV Budi Utama

Menkes, R. I. .2008. Peraturan Menteri Kesehatan Republik Indonesia No. 269/MenKes/Per/III/2008 tentang Rekam Medis. Jakarta: Kementerian Kesehatan RI.

Moleong, L. 2017. Metodologi Penelitian Kualitatif Edisi Revisi. Bandung: Remaja Rosdakarya.

Muyasaroh, Dewi. 2016. Fungsi Manajemen Pada Kegiatan Pengelolaan Sistem Rekam Medis Pasien Di Puskesmas Kedungmundu Semarang . Skripsi. Semarang: Jurusan Ilmu Kesehatan Masyarakat Fakulitas Ilmu Keolahragaan Universitas Negeri Semarang.

Nugraheni, R. (2017). Analisis Pelayanan Rekam Medis di Rumah Sakit X Kediri Jawa Timur. Jurnal Wiyata: Penelitian Sains dan Kesehatan, 2(2), 169-175.

O’Brien, P. E., Sawyer, S. M., Laurie, C., Brown, W. A., Skinner, S., Veit, F., ... & Dixon, J. B. 2010. Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial. Jama, 303(6), 26.

Peraturan Menteri Kesehatan Nomor 43 Tahun 2019 Tentang Pusat Kesehatan Masyarakat. Kementerian Kesehatan RI.

Sampurna, Budi ; Syamsu, Zulhasmar ; Siswaja, Tjetjep Dwidja. 2005. Bioetik Dan Hukum Kedokteran. Jakarta : Pengantar Bagi Mahasiswa Kedokteran dan Hukum

Satrianegara, F. 2009. Organisasi dan Manajemen Pelayanan Kesehatan serta Kebidanan. Jakarta: Salemba Medika

Setiatin, S., & Agustin, S. R. (2019). Perancangan Sistem Informasi Pelayanan Rekam Medis Di Puskesmas Arcamanik Kota Bandung. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 7(1), 33.

Siregar, Charles J.P. 2004. Farmasi Rumah Sakit; Teori dan Penerapan. EGC. Jakarta.

Undang-undang No. 36 Tahun 2014 tentang Tenaga Kesehatan.




DOI: https://doi.org/10.56681/da.v20i2.118

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Majalah Ilmiah Dinamika Administrasi (MIDA) Fakultas Ilmu Sosial dan Politik Universitas Wijayakusuma Purwokerto