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PROSEDUR DOKUMENTASI REKAM MEDIS DI FILING RUMAH SAKIT PERMATA BUNDA CIAMIS Lena Suryani; Andi Suhenda; Fery Fadly; Ani Nur Febriani
Edukasi Masyarakat Sehat Sejahtera (EMaSS) : Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 2 (2023): Juli
Publisher : Poltekkes Kemenkes Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37160/emass.v5i2.196

Abstract

Ditemukan di Rumah Sakit Permata Bunda Ciamis penyimpanan dengan sistem sentralisasi yang ada, sebagian tersusun dengan rapi tapi sangat berdesakan dengan ruang Filing yang sempit. Dimana rekam medis yang disimpan tidak cukup untuk masuk kedalam rak penyimpanan rekam medis, yang disebabkan karena luas ruang penyimpanan rekam medis yang mengakibatkan rak penyimpanan rekam medis tidak dapat ditambah kedalam ruang penyimpanan rekam medis. Sehingga banyak status rekam medis ditumpukkan diatas status yang telah disusun rapi sesuai dengan nomor rekam medisnya. Tujuan: Mampu melakukan identifikasi kebutuhan dokumentasi rekam medis di Filing sesuai permasalahan dan prosedur standar. Sasaran: Bagian rekam medis RSU Permata Bunda Ciamis dibagian Pendaftaran, Pengolahan, dan Penyimpanan. Sebanyak 11 Petugas Rekam Medis. Metode: Sosialisasi. Sebelum kegiatan pengabmas saat pengambilan kembali status rekam medis pasien yang ingin berobat tidak menggunakan petunjuk keluar (tracer) sebagai pengganti untuk disisipkan di bagian setiap nomor rekam medis pasien yang ingin berobat. Rumah sakit ini sudah memiliki SOP Penyimpanan, tetapi belum dijalankan sepenuhnya. Bagian rekam medis dipimpin oleh seorang Tenaga Perekam Medis dan Informasi Kesehatan (PMIK), dimana salah satu dari tenaga tehnisi medis yang penting dalam pelayanan Kesehatan, karena PMIK menjadi garda terdepan di Tempat Pelayanan Kesehatan, yang bertugas untuk mengumpulkan data dari awal pasien masuk sampai pada pasien pulang. Dilakukan sosialisasi tentang bagaimana prosedur dokumentasi rekam medis yang dihadiri 11 petugas. Setelah adanya sosialisasi, dilakukan perubahan 23 SOP Prosedur Dokumentasi dan Pengelolaan Rekam Medis manual dan elektronik, menjadi 25 SOP, dengan perbaikan format dan penambahan SOP Pelepasan Informasi dan SOP Pengelolaan dokumentasi elektronik Rumah Sakit.
Kepuasan Pelanggan Internal Terhadap Kualitas Pelayanan Unit Rekam Medis RSU X Annisa Puji Astuti; Andi Suhenda
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 5 No 3 (2024): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v5i3.3916

Abstract

The quality of service received by customers is one of the determinants of aspects of customer satisfaction, including internal customers. Measuring internal customer satisfaction with the quality of service of the medical record unit has never been carried out, and based on the results of a preliminary study 3 out of 4 internal customers are dissatisfied with the quality of service in the medical record unit. The aim of the study was to describe internal customer satisfaction with service quality at the medical record unit of RSU “X”. This type of descriptive quantitative research. Total population is 728, sample is 88 respondents, proportionate stratified random technique. Data collection by distributing questionnaires, data analysis using univariate analysis. The results of the study were in the form of the highest percentage of respondents' characteristics, namely female sex (63.6%), age group 26-35 (38.6%), last education diploma (54.5%), and nursing profession (70.5%). Frequency distribution of responsiveness dimensions (63.6%), reliability dimensions (78.4%), assurance dimensions (92.0%), empathy dimensions (76.1%), and physical evidence dimensions (86.4%). Overall, the satisfaction category was obtained (64.8%). Internal customer satisfaction with the service quality of the medical record unit based on the quality dimension and overall the respondents were satisfied.
Pengembangan Electronic Personal Health Record Anak Sekolah Dasar Di Kota Tasikmalaya Imas Masturoh; Andi Suhenda; Fery Fadly
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 5 No 3 (2024): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v5i3.4487

Abstract

The COVID-19 pandemic has caused various impacts in many places, including schools. COVID-19 has led to the closure of many schools to control the spread of the virus, resulting in disruptions to medical services such as regular check-ups for students. The development of E-PHR is effort to monitor the health status of students. This study aimed to design an E-PHR sistem for elementary school students in Tasikmalaya. This research used an RnD type with the SDLC method. The research subjects were selected using purposive sampling, consisting of UKS (School Health Unit) activity managers at the Tasikmalaya City Health Office, all Community Health Centers in Tasikmalaya City, and teachers responsible for UKS. This study used data accumulation techniques through in-depth interviews and focus groups. A needs analysis was conducted to facilitate data collection and retrieval as well as reporting to the health office level. The research results showed that the recording of health issues for students in schools obtained from preventive check-ups, health examinations, and screening results by the UKS team at schools is still not optimal because it is done manually and directly. Therefore, it is recommended that elementary schools, health centers, and the health office prepare the necessary equipment to implement this sistem.
Analysis of the Causes of Medical Records Document Misfiling at Makassar City Regional General Hospital Andi Suhenda; Diana Barsasella; Ari Sukawan; Dedi Setiadi; Sugiharto Sugiharto; Prima Soultoni Akbar
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.4283

Abstract

The procedure for storing medical record documents (MRDs) involves sorting the records by their medical record numbers before returning them to the medical records department and placing them in storage. This process facilitates the retrieval of required records and streamlines storage operations, thereby preventing misfiling when the documents are needed for patient care. Delays in locating MRDs on the filing racks can result from storage or placement errors, commonly referred to as misfiling. Efficient storage of medical record documents (MRDs) requires proper sorting by medical record numbers before returning them to the filing system. This process ensures quick retrieval and minimizes errors. However, delays in locating MRDs often occur due to misfiling—typically caused by improper storage or placement. This study aims to identify factors contributing to misfiling, focusing on the storage system, alignment, numbering, and human resources. This study is quantitative research with a descriptive design. The analysis used is univariant analysis. The population comprises inpatient medical records returned from the care units after patient discharge during the period of January to December 2023. The sampling method employed is non-probability sampling, specifically using accidental sampling. Among 50 inpatient MRDs stored in the filing room at Makassar City Regional General Hospital, 15 (30%) were misfiled. The factors contributing to the misfiling of medical record documents in the filing room include incompetent medical record personnel, misalignment in the filing system, the absence of tracers, and the lack of an expedition logbook. Misfiling was associated with several factors, including untrained personnel, inconsistencies in the filing alignment, absence of tracers, and the lack of a delivery logbook (previously referred to as an “expedition logbook”) used to track the movement of documents. Addressing these issues may improve filing accuracy and support patient care efficiency.
Peningkatan Pengetahuan Masyarakat Tentang Pencegahan Covid-19 Melalui Inovasi Metode Penyuluhan di Masa Pandemi: Increasing People Knowledge About Covid-19 Prevention Through Innovative Counseling Methods During a Pandemic Irfan Nafis Sjamsuddin; Tuti Surtimanah; Andi Suhenda; Cherly Marlina Sudarta; Rudi Bastaman
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 2 (2022)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (879.647 KB) | DOI: 10.56338/mppki.v5i2.1953

Abstract

Latar Belakang: Kasus Covid-19 masih bertambah, promotor kesehatan dilatih agar menyuluh dengan materi serta metode sesuai kondisi pandemi agar masyarakat patuh melakukan perilaku pencegahan Covid-19. Tujuan penelitian mengetahui perubahan pengetahuan masyarakat tentang pencegahan Covid-19 setelah penyuluhan menggunakan berbagai metode. Metode: Penelitian kuantitatif, disain pra eksperimen pre-pos tes. Penyuluhan oleh 92 promotor kesehatan dari 24 Kabupaten/Kota di Jawa Barat Bulan April 2021 dengan metode offline dan online dengan modul penyuluhan Covid-19 dari PPPKMI sebagai acuan materi. Sampel adalah sasaran penyuluhan 1.109 orang, dipilih secara purposif. Data pengetahuan diperoleh dari laporan praktek promotor kesehatan pasca pelatihan. Analisis beda pengetahuan dengan uji Wilxocon serta perhitungan efektifitas penyuluhan gave. Hasil: Sebanyak 69,9% sasaran penyuluhan berpengetahuan baik sebelum penyuluhan, meningkat menjadi 96,8% setelah penyuluhan. Terdapat perbedaan signifikan pengetahuan sasaran sebelum dan setelah penyuluhan dengan efektifitas tinggi. Penyuluhan langsung tatap muka, penggunaan video di WhatsApp memiliki efektifitas tinggi, namun efektifitas video conference sedang. Tidak berbeda signifikan perubahan pengetahuan sasaran yang tinggal di perdesaan dan perkotaan. Penyuluhan merubah pengetahuan efektifitas tinggi pada sasaran perempuan, namun efektifitas sedang pada sasaran laki-laki. Penyuluhan efektifitasnya tinggi bila dilakukan promotor kesehatan yang telah bekerja, namun efektifitasnya sedang bila promotor kesehatan belum bekerja. Kesimpulan: Metode penyuluhan offline dan online pada saat pandemi, efektif meningkatkan pengetahuan masyarakat tentang pencegahan Covid-19. Modul penyuluhan Covid-19 dari PPPKMI bisa dipakai sebagai acuan materi penyuluhan.
Pendampingan Digital Maturity Index (DMI) RME pada Satu Sehat Mobile di Puskesmas Pameumpeuk Kabupaten Garut Gugun Priyadi; Ida Sugiarti; Andi Suhenda; Fery Fadly; Dewi Lena
Abdimas Galuh Vol 8, No 1 (2026): Maret 2026
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v8i1.22297

Abstract

Transformasi digital di bidang kesehatan menjadi prioritas Kementerian Kesehatan RI melalui penerapan Rekam Medis Elektronik (RME) berbasis aplikasi Satu Sehat Mobile. Implementasi ini bertujuan meningkatkan integrasi data pasien, efisiensi pelayanan, serta keamanan informasi medis. Namun, penerapan di tingkat fasilitas kesehatan primer masih menghadapi kendala, seperti keterbatasan infrastruktur teknologi, literasi digital tenaga kesehatan, dan interoperabilitas sistem. Puskesmas Pameumpeuk Kabupaten Garut merupakan salah satu fasilitas yang mulai mengadopsi Satu Sehat Mobile, namun belum optimal dalam pemanfaatannya. Kegiatan pengabdian kepada masyarakat ini dilakukan untuk mendampingi tenaga kesehatan dalam menilai dan meningkatkan Digital Maturity Index (DMI) penerapan RME. Metode pelaksanaan meliputi sosialisasi, pelatihan, dan praktik langsung penggunaan DMI untuk mengevaluasi kesiapan infrastruktur, kompetensi SDM, serta integrasi sistem. Evaluasi dilakukan melalui pre-test dan post-test guna mengukur peningkatan pengetahuan peserta. Hasil kegiatan menunjukkan peningkatan pemahaman tenaga kesehatan mengenai indikator DMI, keterampilan penggunaan RME, serta kesadaran terhadap pentingnya keamanan data pasien. Kegiatan ini juga mendorong optimalisasi pemanfaatan teknologi informasi kesehatan di Puskesmas Pameumpeuk, sekaligus memperlihatkan pentingnya sinergi antara perguruan tinggi, fasilitas kesehatan, dan pemerintah daerah. Diharapkan, pendampingan ini dapat berlanjut dengan evaluasi berkala serta penguatan kapasitas digital, sehingga implementasi RME di layanan primer semakin efektif, efisien, dan sesuai regulasi nasional.
Tinjauan Aspek Ergonomi Unit Pendaftaran Pasien Rawat Jalan di BLUD RSU Kota Banjar Andi Suhenda; Muhammad Shaddam; Ari Sukawan; Diana Barsasella
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 8 No. 2 (2025): OKTOBER 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v8i2.13758

Abstract

The application of ergonomic principles in the work environment is very important to support employee productivity and well-being, especially in the medical records unit which has a vital role in hospital services. This study aims to evaluate the ergonomic conditions in the outpatient registration unit of BLUD RSU Kota Banjar. The method used is qualitative with a case study approach, involving registration officers and the head of the medical records installation as respondents. Data collection was carried out through interviews, observations, and measurements of the work environment using a thermometer hygrometer, lux meter, sound level meter, and roll meter. The results of the study showed that the ergonomic conditions were not optimal, with a room temperature reaching 28.6°C, humidity 74%, lighting only 79 lux, and noise level 73.4 dBA, all of which were outside the work comfort standard. In addition, limited space and non-ergonomic work chairs also hampered work efficiency. However, the working relationship between employees and superiors went well, creating a conducive work atmosphere. The main factors inhibiting improvement were limited space and the bureaucratic process in the renovation. Therefore, efforts are needed to improve spatial planning and increase work facilities to support comfort and better service qualityPenerapan prinsip ergonomi di lingkungan kerja sangat penting untuk mendukung produktivitas dan kesejahteraan karyawan, khususnya di unit rekam medis yang memiliki peran vital dalam pelayanan rumah sakit. Penelitian ini bertujuan untuk mengevaluasi kondisi ergonomi di unit pendaftaran pasien rawat jalan BLUD RSU Kota Banjar. Metode yang digunakan adalah kualitatif dengan pendekatan studi kasus, melibatkan petugas pendaftaran dan kepala instalasi rekam medis sebagai responden. Pengumpulan data dilakukan melalui wawancara, observasi, serta pengukuran lingkungan kerja menggunakan thermometer hygrometer, lux meter, sound level meter, dan roll meter. Hasil penelitian menunjukkan bahwa kondisi ergonomi belum optimal, dengan suhu ruangan mencapai 28,6°C, kelembaban 74%, pencahayaan hanya 79 lux, dan tingkat kebisingan 73,4 dBA, yang semuanya berada di luar standar kenyamanan kerja. Selain itu, keterbatasan ruang dan kursi kerja yang tidak ergonomis turut menghambat efisiensi kerja. Meskipun demikian, hubungan kerja antarpegawai dan atasan berjalan dengan baik, menciptakan suasana kerja yang kondusif. Faktor utama penghambat perbaikan adalah keterbatasan ruang dan proses birokrasi dalam renovasi. Oleh karena itu, diperlukan upaya perbaikan tata ruang dan peningkatan fasilitas kerja guna menunjang kenyamanan dan mutu pelayanan yang lebih baik
Description of the Implementation of Interpersonal Communication between Registration Officers and Elderly Patients at the Outpatient Registration Area of Hospital X Desi Novitasari; Andi Suhenda; Gugun Priyadi; Ateng Mjutaqin
Media Informasi Vol. 21 No. 3 (2025): October
Publisher : Poltekkes Kemenkes Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37160/mijournal.v22i3.1124

Abstract

Background: A hospital is a healthcare facility that provides emergency, inpatient, and outpatient services. Before receiving outpatient services, patients must first register at the outpatient registration counter. Communication between the registration officer and the patient is crucial to understanding the patient's needs and complaints. Interpersonal communication is verbal and nonverbal communication that mutually influences the perception of the other person. The effectiveness of interpersonal communication is characterized by openness, support, a positive attitude, empathy, and equality. This is especially important for elderly patients who often experience physical and psychological decline. This study aims to describe the implementation of interpersonal communication between registration officers and elderly patients at the outpatient Registration Area of Hospital X. Methods: This research used a qualitative method with a case study design. Data collection was conducted through observation, interviews, and documentation, using a purposive sampling technique for informants. Results: The research results show that interpersonal communication between registration staff and elderly patients, in terms of positive attitudes, empathy, and equality, is already well-functioning. However, openness and support are still less effective, as registration services are conducted daily as a routine, leading staff to prioritize efficiency. Meanwhile, support remains spontaneous and has not yet become a habit. Conclusion: Interpersonal communication between registration staff and elderly patients is generally good, particularly in terms of positive attitudes, empathy, and equality. However, openness and support still need improvement
HUBUNGAN PENGGUNAAN REKAM MEDIS ELEKTRONIK DENGAN KEPUASAN TENAGA KESEHATAN DI KLINIK EYE CENTER KUNINGAN Kunnati; Andi Suhenda; Santi Susilawati
Jurnal Kesehatan Vol. 16 No. 2 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38165/jk.v16i2.470

Abstract

The ability of health services to achieve the desired results can be measured by the feelings of satisfaction and pleasure experienced by a person in carrying out their work or certain goals. Feelings of satisfaction and pleasure in a job can be influenced by the effective and ineffective implementation of electronic medical records. The way to increase job satisfaction is by implementing effective electronic medical records. The implementation of effective electronic medical records will increase feelings of satisfaction and pleasure in working for employees and can improve the quality of health service. The aim of this study was to determine the job satisfaction of health workers regarding the implementation of electronic medical records. The research design is quantitative research with a cross-sectional approach. The sampling technique in this study used a simple random sampling technique using the Slovin formula, namely a total of 52 respondents. The research results obtained from the effective implementation of electronic medical records were 40 respondents (77%). The results of the data analysis obtained a p-value of 0.001 based on the results p <0.005, there is a relationship between the Use of Electronic Medical Records and Health Worker Satisfaction. It is hoped that health workers can be faster in using electronic medical records. Keywords: Electronic Medical Records; Health Workers; Satisfaction Abstrak: Kemampuan pelayanan kesehatan untuk mencapai hasil yang ingin dicapai dapat terukur dengan perasaan puas dan senang yang dialami oleh seseorang dalam melakukan pekerjaannya atau tujuan tertentu. Perasaan puas dan senang dalam suatu pekerjaan dapat dipengaruhi penerapan electronic medical record yang efektif dan tidak efektif. Cara untuk meningkatkan kepuasan kerja adalah dengan penerapan eletronic medical record yang efektif. Penerapan electronic medical record yang efektif akan meningkatkan perasaan puas dan senang dalam bekerja bagi pegawai dapat meningkatkan mutu pelayanan kesehatan. Tujuan riset ini untuk mengetahui kepuasan kerja pada pegawai terhadap penerapan electronic medical record. Rancangan penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik simple random sampling dengan menggunakan rumus slovin yaitu berjumlah 52 responden. Hasil penelitian yang diperoleh dari penerapan electronic medical record yg efektif yaitu 40 responden (77%). Hasil analisis data diperoleh p-value 0,001 berdasarkan hasil tersebut p<0,005 maka terdapat hubungan antara Penggunaan Rekam Medis Elektronik dengan Kepuasan Tenaga Kesehatan. Untuk meningkatkan kepuasan kerja pegawai perlu adanya penerapan sistem informasi yang efektif dan stabilitas sistem, kecepatan akses, serta ketersediaan tim IT. Kata Kunci: Rekam Medis Elektronik; Tenaga Kesehatan; Kepuasan