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All Journal Jurnal Buana Informatika Jurnal Penelitian Kesehatan Suara Forikes Jurnal Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Demiawan Rachmatta Putro Mudiono
Jurusan Kesehatan, Politeknik Negeri Jember
Computer Science & IT Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : Jurnal Penelitian Kesehatan Suara Forikes

 1 
Faktor Penyebab Terjadinya Duplikasi Penomoran Rekam Medis di Fasilitas Pelayanan Kesehatan Feby Erawantini; Tamami Alifia Annisa; Ervina Rachmawati; Demiawan Rachmatta Putro Mudiono
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk417

Abstract

Medical record files that have not been combined with previous files will determine information on services provided to patients which results in patient data being unstructured, it is difficult for doctors to provide diagnoses and therapy to patients, this is related to service quality. So a study is needed to review the factors that cause duplication of medical record numbering based on the Man, Money, Method, Machine, and Materials factors. This literature review uses the Google Scholar database, the Garuda portal, and Crossreff. Obtained 1022 articles which were then selected 16 articles. The results of the review show that the man element is the lack of accuracy and responsibility of officers, the minimum number of officers with medical record education, and the lack of training and seminars for officers; the element of money is a limited source of funds for, as well as an increase in the budget due to the increased use of supporting materials; the method element is the lack of SOP implementation; machine element is a system that still often errors; the material element is that infrastructure is available, but not used properly, patients still often do not carry MNH.Keywords: medical record; duplication; management ABSTRAK Berkas rekam medis yang belum digabungkan dengan berkas sebelumnya akan memutuskan informasi pada pelayanan yang diberikan kepada pasien yang mengakibatkan data pasien menjadi tidak terstruktur, sulit bagi dokter dalam memberikan diagnosa dan terapi pada pasien, hal ini terkait dengan mutu pelayanan. Maka diperlukan studi untuk mereview faktor penyebab terjadinya duplikasi penomoran rekam medis berdasarkan faktor Man, Money, Method, Machine, dan Materials. Literature review ini menggunakan database Google Scholar, portal Garuda, dan Crossreff. Didapatkan 1022 artikel yang selanjutnya terpilih 16 artikel. Hasil review menunjukkan bahwa unsur man adalah kurangnya ketelitian dan tanggung jawab petugas, minimnya petugas berpendidikan perekam medis, serta kurangnya pelatihan dan seminar bagi petugas; unsur money adalah sumber dana yang terbatas untuk, serta naiknya anggaran karena bertambahnya penggunaan material pendukung; unsur method adalah kurangnya implementasi SOP; unsur machine adalah sistem yang masih sering error; unsur material adalah sarana prasarana sudah tersedia, namun tidak digunakan dengan baik, pasien masih sering tidak membawa KIB.Kata kunci: rekam medis; duplikasi; manajemen
Faktor-Faktor Penyebab Keterlambatan Penyediaan Rekam Medis Rawat Jalan di Rumah Sakit Fajria Nur Rahmah; Maya Weka Santi; Ervina Rachmawati; Demiawan Rachmatta Putro Mudiono
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk409

Abstract

Previous studies have shown that there is a delay in the provision of outpatient medical records in hospitals across Indonesia, where the provision time is not in accordance with established standards. So a study is needed to find out the factors that cause delays in the provision of outpatient medical records in hospitals. The method used is a literature review by identifying 30 articles from Google Scholar and the Garuda Portal. The results of the data abstraction of 30 selected literature can be summarized by the factors causing the delay in the provision of outpatient medical records at hospitals in terms of the 5M element, the man factor, which is high workload and the number of medical record human resources is small, the money factor is the budget that has not been used properly, the material factor namely the medical record file was not found on the filing rack, material factors, namely the medical record file was not found on the filing rack, the machine factor, namely the condition and location of the filing room was not supportive.Keywords: medical record; provision; lateness ABSTRAK Penelitian terdahulu menunjukkan adanya keterlambatan penyediaan rekam medis rawat jalan di rumah sakit yang tersebar di Indonesia, dimana waktu penyediaan tidak sesuai dengan standar yang telah ditetapkan. Maka diperlukan studi untuk mengetahui faktor-faktor yang menyebabkan keterlambatan penyediaan rekam medis rawat jalan di rumah sakit. Metode yang digunakan yaitu literature review dengan mengidentifikasi 30 artikel dari Google Scholar dan Portal Garuda. Hasil abstraksi data 30 literatur terpilih dapat dirangkum faktor penyebab keterlambatan penyediaan rekam medis rawat jalan di rumah sakit ditinjau dari unsur 5M, pada faktor man yaitu beban kerja tinggi dan jumlah SDM perekam medis sedikit, faktor money adalah anggaran yang belum digunakan dengan baik, faktor material yaitu berkas rekam medis tidak ditemukan di rak filing, faktor material yaitu berkas rekam medis tidak ditemukan di rak filing, faktor machine yaitu kondisi dan lokasi ruang filing kurang mendukung.Kata kunci: rekam medis; penyediaan; keterlambatan
Kerahasiaan Rekam Medis dalam Pelaksanaan Pelepasan Informasi Rekam Medis di Rumah Sakit : Literature Review indah muflihatin; alifia tirta ramadhanti; demiawan rachmatta putro mudiono; selvia juwita swari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 3 (2023): Juli - September 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v14i3.3158

Abstract

Document of medical records are owned by health care facilities and the contents of medical records are owned by patients. Release of medical record information must be carried out with the approval from the leader of hospital, based on terms and conditions. Implementation in several hospitals still found problems which could resulting the leakage of medical records. The aims of this study is analyzing the release of medical record based on 3 factors, such as man, facilities, and methods. This is literature review research which uses articles on the online databases of Google Scholar, Crossref, Garuda Portal, and Microsoft Academic. Search and selection resulted in 24 selected articles. The results of the study explain that in the man factor the medical record officer becomes a facilitator in releasing medical record information. Facilities factor, the requirements that must be attached are official permit from suppliant. Method factor, the information release procedure begins with the submission of requirements, processing the request, and submitting the results to the applicant. Problems that often occur in the release of medical record information consist of incomplete requirements, medical record officers did not comprehend the procedure, and Standard Operating Procedures were not yet available. Suggestions for improvements which could be made include providing training to medical record officers, making x-banners of flow and procedures for releasing medical record information, and reinforcing or updating Standard Operating Procedures.
Co-Authors alifia tirta ramadhanti Andri Permana Wicaksono Atma Deharja Bakhtiyar Hadi Prakoso Cindy Kurnia Ressa Fransiska Djasmanto Djasmanto Erna Selviyanti Erna Selviyanti Erna Selviyanti Fajria Nur Rahmah Feby Erawantini Gamasiano Alfiansyah Gamasiano Alfiansyah Gandu Eko Julianto Suyoso Indah Muflihatin Insani Dzakirah Livia Nuri Syafitri Mahardika Nugraha Maya Weka Santi Maya Weka Santi Maya Weka Santi Mitha Audia Rachma Moch. Choirur Roziqin Nada Savira Nurjannah Niyatul Muna Novita Nuraini Nungki Annisa Pratiwi Rachmawati, Ervina Rizky Farah Dilla Rossalina Adi Wijayanti Selvia Juwita Swari Selvia Juwita Swari Siti Alifa Lufianti Sustin Farlinda Tamami Alifia Annisa Veronika Vestine Widha Alamanda Widiyanto Widiyanto