Arifatun Nisaa
Universitas Veteran Bangun Nusantara

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Analisis Mutu Formulir di Unit Rekam Medis Arifatun Nisaa; Sapurni Dian Safitri; Ferdian Kurniawan; Nevi Isdha Wulan Jaya
Jurnal Rekam Medis dan Informasi Kesehatan Vol 3, No 2 (2020): OKTOBER 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.043 KB) | DOI: 10.31983/jrmik.v3i2.5958

Abstract

One of the tasks of the medical record unit is to create a form design that is tailored to the needs of the hospital. To make a good form design, one must pay attention to the aspects of the form and quality data characteristics. A good form design will make it easier to fill in and further data processing. The research method used is descriptive qualitative research with a case study design. While the research instrument used was the observation checklist sheet and interview guide. Research results: the title of the form has not been included on the form analyzed as an introduction and there is also no instruction. In terms of the contents of the RM-01 form, it is necessary to add date of birth items, and Phone Number on the patient's identity, on the column for filling No. In RM, six columns are sufficient to fill in the six-digit medical record number. Conclusion: It is necessary to update the design on each form by adding the month / year of publication that appears on each form. The form numbering is placed after the last form code was published and then Rev-0 (if the form is new or Rev-1 if the form is revised. ABSTRAK Salah satu tugas unit rekam medis adalah membuat suatu desain formulir yang disesuaikan dengan kebutuhan di rumah sakit. Untuk membuat suatu desain formulir yang baik harus memperhatikan aspek-aspek formulir dan karakteristik data yang berkualitas. Desain formulir yang baik akan mempermudah pengisian dan pengolahan data selanjutnya. Metode penelitian yang digunakan adalah Penelitian deskriptif Kualitatif dengan Rancangan Studi Kasus. Sedangkan instrumen penelitian yang digunakan adalah lembar checklist observasi dan panduan wawancara. Hasil penelitian: judul formulir belum dicantumkan pada formulir yang dianalisis sebagai introduction serta  juga tidak terdapat instruction. Dilihat dari segi isi formulir RM-01 perlu ditambahkan item TTL, dan No. HP pada identitas pasien, pada kolom untuk pengisian No. RM cukup diberikan enam kolom untuk pengisian enam digit nomor rekam medis. Kesimpulan: Perlu dilakukan pembaruan desain formulir dengan menambahkan bulan/ tahun penerbitan yang muncul pada setiap formulir. Penomoran formulir dituliskan setelah kode formulir lalu bulan terbit , kemudian keterangan Rev-0 (jika Formulir baru atau Rev-1 jika formulir di revisi)
Analisis Perencanaan SDM Kesehatan Berdasarakan Metode ABK Kes Unit Rekam Medis Rawat Jalan Di UPTD Puskesmas Jatiroto Wonogiri: Analisis Perencanaan Sdm Kesehatan Berdasarakan Metode ABK Kes Unit Rekam Medis Rawat Jalan Di UPTD Puskesmas Jatiroto Wonogiri Arifatun Nisaa
Indonesian Journal of Health Information Management Vol. 2 No. 3 (2022)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v2i3.63

Abstract

At the Jatiroto Wonogiri Health Center there are 2 outpatient registration officers who have entered their retirement period so that human resource planning is needed so that medical record management activities are optimal. workload standards, supporting task standards and the need for the number of health human resources at the Jatiroto Health Center UPTD. The type of research used is descriptive qualitative. The subjects of this study were the head of medical records and the head of the puskesmas, while the object was the activities of the medical record personnel. Data was collected by observation and interviews with research subjects. The results of the calculation of ABK Kes show that the available working time is 1,200 hours/year or 72,000 minutes/year, the need for outpatient medical record workload for the main task is 432,000 minutes/year and for supporting tasks is 600 minutes/year and the calculation of HRK needs for medical records is 5 workers. in the outpatient medical record unit UPTD Jatiroto Health Center.
Edukasi Rekam Medis Elektronik Sebagai Upaya Transformasi Kesehatan Digital Di Puskesmas Selogiri Rika Andriani; Julia Pertiwi; Arifatun Nisaa
Sasambo: Jurnal Abdimas (Journal of Community Service) Vol. 6 No. 3 (2024): Agustus
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/sasambo.v6i3.2036

Abstract

Masalah yang dihadapi dalam pengabdian masyarakat di Puskesmas Selogiri adalah kurangnya pemahaman staf terhadap implementasi rekam medis elektronik (RME). Hal ini diperparah oleh minimnya partisipasi staf dalam sosialisasi dan pelatihan terkait RME yang diselenggarakan oleh dinas kesehatan dan organisasi profesi. Tujuan dari kegiatan ini adalah meningkatkan pengetahuan dan pemahaman staf Puskesmas Selogiri tentang RME untuk mendukung transformasi kesehatan digital. Metode pelaksanaan yang digunakan adalah metode penyuluhan yang melibatkan tahapan identifikasi permasalahan, persiapan, pelaksanaan, monitoring, dan evaluasi. Mitra kegiatan adalah seluruh staf Puskesmas Selogiri, termasuk kepala puskesmas, tenaga kesehatan, dan staf administrasi. Sebanyak 63 orang terlibat dalam kegiatan ini, terdiri dari berbagai profesi seperti dokter, perawat, dan staf lainnya. Hasil dari kegiatan ini menunjukkan peningkatan signifikan dalam pemahaman staf terhadap RME. Data kuantitatif dari pre-test dan post-test menunjukkan peningkatan rata-rata nilai total dari 46,17 menjadi 88,35. Data kualitatif dari diskusi dan observasi mengindikasikan peningkatan antusiasme dan partisipasi aktif peserta selama sesi pelatihan.  Kesimpulan dari kegiatan ini adalah bahwa metode penyuluhan efektif dalam meningkatkan pemahaman staf mengenai RME, yang dapat mendukung keberhasilan implementasi RME di Puskesmas Selogiri. Rekomendasi yang dihasilkan adalah perlunya pelatihan lanjutan mengenai alih media dari rekam medis berbasis kertas menjadi elektronik untuk memastikan kelancaran implementasi dan keberlanjutan program. Pelatihan tambahan juga dapat meningkatkan kesiapan dan keterampilan staf dalam menghadapi tantangan teknologi kesehatan di masa depan. Electronic Medical Records Education to Accelerate Digital Health Transformation at Selogiri Community Health Center  The main issue addressed in the community service program at Selogiri Community Health Center was the limited understanding of staff regarding the implementation of electronic medical records (EMR). This issue was exacerbated by the low participation of staff in EMR-related training and socialization conducted by health authorities and professional organizations. The goal of this initiative was to enhance the knowledge and understanding of Selogiri Community Health Center staff about EMR to support digital health transformation. The implementation method employed was the counseling method, involving stages of problem identification, preparation, implementation, monitoring, and evaluation.The partners involved in this activity were the entire staff of Selogiri Community Health Center, including the head of the health center, healthcare professionals, and administrative staff. A total of 63 participants were involved, comprising various professions such as doctors, nurses, and other staff members. The results of this program indicated a significant increase in staff understanding of EMR. Quantitative data from pre-test and post-test assessments showed an increase in the average total score from 46.17 to 88.35. Qualitative data from discussions and observations indicated increased enthusiasm and active participation among participants during the training sessions.The conclusion of this program is that the counseling method is effective in improving staff understanding of EMR, which can support the successful implementation of EMR at Selogiri Community Health Center. The recommendations derived from this activity include the need for further training on the transition from paper-based medical records to electronic records to ensure the smooth implementation and sustainability of the program. Additional training can also enhance staff readiness and skills in facing future challenges related to health technology.