Muzaffatul Hasan
Politeknik Negeri Jember

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Analisis Faktor Penyebab Terjadinya Missfile Berkas Rekam Medis Rawat Inap di Rumah Sakit PHC Surabaya Tahun 2020 Muzaffatul Hasan; Efri Tri Ardianto; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 1 (2020): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i1.2147

Abstract

Based on the results of a preliminary study conducted at the Surabaya PHC Hospital in 2020 in the filing section of the Surabaya PHC Hospital there was still a missfile incident in the inpatient medical record file. Missfile is an incident where the medical record file is not found because of an error in placing the medical record file on the filing rack, this can cause a decrease in the quality of services provided. The importance of the role of medical record documents in creating information that is sustainable, researchers interested in examining the problem of the occurrence of errors (missfile). This study aims to analyze the analysis of the factors that cause the medical file file missfile in Surabaya PHC Hospital using the PTA (Problem Tree Analysis) method. This type of research is qualitative with observation and interview data collection techniques. The results of this study are the main factors causing missfile is the behavior of officers, level 1 contributing factors are There is no responsible person in the inpatient medical record file storage, less maximum use of facilities and infrastructure and SOP (Standard Operating Procedure) storage of inpatient medical record files never been socialized. Factors causing level 2 are the need for officers to be responsible for storing inpatient medical record files, lack of knowledge about tracers and the existence of maps in inpatient medical record files, lack of application of SOP (Standard Operating Procedure) does not match the reality because it is only limited accreditation fulfillment requirements. So the implementation of inpatient medical record file storage in Surabaya PHC Hospital is still not good, so that there is still a missfile. The hospital should increase the number of workers in the medical records unit in the filing section, conduct socialization on the importance of using tracers, accelerate the procurement of inpatient medical record file folders and apply SOPs as guidelines for officers in carrying out work. So that the implementation of inpatient medical record file storage for the better.
Pembuatan Sistem Informasi Rekam Medis Bagian Filing di Rumah Sakit Citra Husada Kabupaten Jember Muzaffatul Hasan; Sustin Farlinda; Feby Erawantini; Andri Permana Wicaksono
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2221

Abstract

The  Filing medical records information system is a computerized information that can also be used to help medical records officers in the filing unit when borrowing and returning medical record files and to help them when doing a retention. Filing information system at Citra Husada Hospital, of Jember Regency is still using a manual system for recording the loan file of medical record and also there is no recording date system for returning medical record file. The purpose of this study was to design and create a medical record information system for the filing section at Citra Husada Hospital, Jember Regency using the waterfall method. Data collection uses interviews, observation and FGD (Focus Group Discussion). In the process of designing this system using a Flowchart System, Context Diagrams, Data Flow Diagrams, Entity Relationship. Digram and in implementing programs using Microsoft Visual Basic 2010. The results of this study are the making of a medical record information system for filing to facilitate officers in controlling medical record documents in filing through borrowing, repayment and retention. The next researcher is expected to be able to integrate with the existing SIMRS so that filling in the medical record data can automatically appear when in the filing section