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Analisis Faktor Penyebab Belum Terlaksananya Retensi dan Pemusnahan Rekam Medis Inaktif di Puskesmas Sopaah Mega Nanda Yuni A; Ida Nurmawati; Maya Weka Santi; Veronika Vestine
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 2 No. 1 (2023): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/rmik.v2i1.1899

Abstract

Jumlah berkas rekam medis pasien baru setiap tahun mengalami peningkatan hingga mencapai 11.065 berkas. Retensi dan pemusnahan rekam medis di Puskesmas Sopaah masih belum pernah dilaksanakan, sehingga ditemukan banyak rekam medis yang menumpuk di lantai ruang filling. Penelitian ini bertujuan untuk menganalisis faktor penyebab belum terlaksananya retensi dan pemusnahan rekam medis inaktif di Puskesmas Sopaah berdasarkan unsur manajemen 5M (man, method, money, material, machine). Jenis penelitian ini adalah penelitian kualitatif. Hasil penelitian berdasarkan unsur manajemen 5M yang meliputi man yakni kualifikasi pendidikan tidak sesuai standar namun tidak berkaitan terhadap pelaksanaan retensi dan pemusnahan, kurangnya pengetahuan petugas terkait alur dan prosedur atau tata cara pelaksanaan retensi dan pemusnahan, serta petugas rekam medis belum pernah mengikuti pelatihan. Method yakni isi standar operasional prosedur (SOP) retensi dan pemusnahan belum rinci dan lengkap serta tidak disosialisasikan kepada petugas rekam medis. Money yakni tidak adanya penyusunan rencana anggaran kegiatan retensi dan pemusnahan rekam medis. Material yakni tidak terdapat form penilaian, form pertelaan, jadwal retensi, berita acara pemusnahan, rak dan ruang penyimpanan berkas rekam medis inaktif. Machine yakni tidak adanya alat scanner dan alat pencacah. Saran yang dapat diberikan yaitu perlu dilakukan pelatihan retensi dan pemusnahan kepada petugas rekam medis, pembuatan rancangan anggaran dan perbaikan isi serta sosialisasi
Analisis Faktor Penyebab Ketidaklengkapan Rekam Medis Rawat Inap di Puskesmas Jelbuk Holida Lafissyah; Maya Weka Santi; Ida Nurmawati; Indah Muflihatin
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 2 No. 1 (2023): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/rmik.v2i1.1900

Abstract

Pencapaian kelengkapan pengisian rekam medis rawat inap di Puskesmas Jelbuk rata- rata pada bulan Februari sebesar 18,9%, bulan Maret sebesar 15,5%, bulan April sebesar 26,1% kurang dari target kelengkapan yaitu 100%. Penelitian ini bertujuan untuk menganalisis faktor penyebab ketidaklengkapan rekam medis rawat inap di Puskesmas Jelbuk berdasarkan faktor individu, organisasi, dan psikologi. Jenis Penelitian yang digunakan adalah kualitatif dengan 5 subjek penelitian meliputi kepala puskesmas, 1 orang dokter, 2 orang perawat, dan 1 orang perekam medis. Teknik pengumpulan data menggunakan wawancara, observasi, dokumentasi, USG, dan brainstorming. Hasil penelitian menunjukkan ketidaklengkapan rekam medis rawat inap disebabkan oleh faktor individu karena petugas belum mampu mengisi rekam medis rawat inap dengan lengkap, belum pernah mengikuti pelatihan, dan kualifikasi pendidikan tidak sesuai dengan standar yang sudah ditetapkan, sedangkan berdasarkan faktor organisasi disebabkan oleh kurangnya tenaga kesehatan untuk kebutuhan pelayanan unit rawat inap dan belum adanya tindak lanjut dari hasil evaluasi pelayanan, kemudian faktor psikologi disebabkan oleh belum pernah dilakukan pemberian reward dan punishment. Upaya perbaikan masalah meliputi melakukan pengajuan adanya pelatihan pengisian rekam medis kepada dinas kesehatan, membuka lowongan kerja melalui pengajuan permintaan tenaga medis kepada dinas kesehatan pada posisi dokter atau perawat, dan melakukan pengajuan permintaan tenaga rekam medis kepada dinas kesehatan.
Perancangan User Interface Menggunakan Metode User Centered Design Pada Aplikasi PUSPA RSUD. Moh Anwar Sumenep Untuk Pengguna Lansia Sulthan Muhammad Fauzan Laksono; Erna Selviyanti; Maya Weka Santi; Mudafiq Riyan Pratama
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 3 No. 1 (2024): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/rmik.v3i1.1909

Abstract

Hospitals need to provide services that prioritize safety, health, comfort and convenience. Hospital staff reported that many elderly patients do not bring complete personal data and are often confused by the information in the application, especially regarding SPM, BPJS, and payment rates, even though the information is available. A usability test was conducted on the PUSPA application at Moh. Anwar Hospital involving 7 respondents using the System Usability Scale (SUS) method. The test results showed a usability score of 48.21, which is in the poor category. This study aims to redesign the user interface of the PUSPA application with a user-centered design approach. The method used is a combination of qualitative and quantitative approaches through interviews and questionnaires to collect data. The redesigned interface was evaluated using the SUS and UEQ tests. The SUS score increased to 70.71, indicating a good category. The UEQ test results for the new interface showed a "good" rating for the clarity and efficiency variables, and "above average" for attractiveness, reliability, stimulation, and novelty, so that application design updates need to be implemented immediately.
Analisis Faktor Penyebab Keterlambatan Penyediaan Rekam Medis Rawat Jalan di RSUD Dokter Mohamad Saleh Kota Probolinggo Ulul Azmi; Veronika Vestine; Maya Weka Santi; Gamasiano Alfiansyah
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 4 No. 1 (2025): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/rmik.v4i1.1918

Abstract

The standard time for provided outpatient medical records was ≤ 10 minutes. Based on the results of preliminary study, based on 99 files, 90 medical records (90.9%) experienced delays in provision. The purpose of this study was to analyze the factors caused the delay in provided outpatient medical records at Doctor Mohamad Saleh Hospital, Probolinggo City used the performance theory from Robbins. Type of research used qualitative, data collection techniques were interviews, observations, documentation and brainstorming. The research subjects consisted of 1 head of medical records, 7 outpatient medical record storage officers, 1 medical record distribution officer, 6 outpatient registration officers and 3 nurses. The results of the study were based on ability factors were the lack of knowledge of officers about the procedure for providing outpatient medical records, officers didn’t have medical record education qualifications, officers never participated in medical record management training, and work experience less than 3 years. Based on the opportunity factor were errors in SIMRS, insufficient shelves and storage space for medical records and there was no SOP for provision of outpatient medical records. Meanwhile, the opportunity factor is in the sub-variables of SIMRS, shelves and storage rooms for medical records and SOP. The improvement plan are apply for training, replace officers according qualifications, switch to using RME, improve facilities and infrastructure, and make SOP.
Analisis Implementasi SIMRS Registrasi Rawat Jalan dan UGD Metode HOT-FIT di RSU Penyangga Perbatasan Betun Benedicta Cherlyn Pera; Maya Weka Santi; Atma Deharja; Mudafiq Riyan Pratama
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 4 No. 2 (2025): Oktober
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/rmik.v4i2.1921

Abstract

RSUPP Betun in Malaka Regency began implementing the Hospital Management Information System (HMIS) in June 2021 to support outpatient and emergency department (ED) registration. A preliminary study identified several issues, including a lack of staff training, technical disruptions with hardware and software, and network instability. This study aims to analyze the implementation of HMIS in the Outpatient Registration and ED units at RSUPP Betun using the HOT-FIT method. The research is qualitative, using interviews, observations, and documentation for data collection. The study's informants included seven individuals: the head of the medical records department, five registration staff, and one IT staff member. The results indicated that training improved user knowledge, but additional features, such as an alert system, are still required. Organizational support, funding, and inter-unit communication had a positive impact. However, the technological aspect revealed the need for better technical guidelines and higher-quality information. IT services were responsive, but the limited human resources hindered HMIS maintenance. Overall, HMIS has not yet fully improved service effectiveness due to suboptimal data integration. Recommendations include regular training, technical guidelines, a helpdesk feature, automatic logout, and SIMRS infrastructure updates.
Co-Authors Agni Candramawa Sholikha Agus Salim Akulina Wilanti Ana Nafidatul Khoiroh Andar Sifa’il Fajeri Andri Permana Wicaksono Angga Rahagiyanto Aprillia Maya Puspitasari Atika Yuliandari Atma Deharja Atma Deharja Atma Deharja Ayu Imelda Rosita Azmia Hanna Zahda Benedicta Cherlyn Pera Cherry Triwidiarto Dahlia Indah Amareta, Dahlia Indah Deanissa Aulia Demiawan Rachmatta Putro Mudiono Dismara Anggrelya Dony Setiawan Dony Setiawan H.Putra dony setiawan hendyca putra Dwi Nur Setyowati Dyah Palupi Budiningsih Efri Tri Ardianto Elsa Mayori Erna Selviyanti Eva Tri Wicahyanti Evi Novitasari Fatika Laily Novitasari Feby Erawantini Gamasiano Alfiansyah Gamasiano Alfiansyah Gandu Eko Julianto Suyoso Haris Hammaminata Hendra Yufit Riskiawan Hendyca Putra Holida Lafissyah Ilham Aditya Aji Indah Muflihatin Ines Meiyola Pradanthi Insani Dzakirah Kuni Adilata Liza Amalia Putri M Choirur Roziqin Mega Nanda Yuni A Meiranda Normarisa Azis Mira Andriani Mochammad Choirur Roziqin Mudafiq Riyan Pratama Muhammad Yunus Nabila Agustina Najla Kamil Narita Dwiyana Ni Made Oktin Permata Sari Novita Nuraini Nugroho Setyo Wibowo Nur Fitri Rosmayanti Nurhasmadiar Nandini Nurkholis, - nurmawati, ida Puspitasari, Trismayanti Dwi Rachmawati, Ervina Refa Firgiyanto Rika Furi Retnoningrum Rossalina Adi Wijayanti Roudhotul Falah Sabran Sabran Sakinah Salsabila Salma Firyal Nabila Selvia Juwita Swari Selvia Juwita Swari Suhartini Nur Afifah Sulthan Muhammad Fauzan Laksono Suriani Sustin Farlinda Theo Mahiseta Syahniar Tiara Wirdathul Jannah Tias Agustin Ayuningrum Ulul Azmi Velynsa Diana Putri Veronika Vestine Vony Aprilia Eka Wiqoyati Maryam Wiwik Dian Sari Yessy Arniza Yohan Yuanta Yusirwan Tabrani