Kurnia Widyaningrum
Hospital Management Masters Degree Program, Faculty Of Medicine, Universitas Brawijaya, Malang, Indonesia

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Journal : JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)

“ABED TANGI” As a Solution for Time Inaccuracy in Returning Medical Record at X Hospital Ika Rahayu Susanti; Andriyani Hamzah; Siti Asiyah Anggraeni; Kurnia Widyaningrum
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7152

Abstract

This study aims to determine the root of problem and alternative solutions of inaccuracy return medical record inpatient files. The research was conducted through qualitative descriptive approach in RSUD Blambangan from September until October 2017. Data was collected by document review, field observation and unstructured interview with Head of Services, Head of Nursing Services, 1 doctor, 2 head of ward, Head of Medical Record Installation, Head of Nutrition Installation and Head of Pharmacy Installation. Root of problem was analyzed with fishbone diagram, focus group discussion (FGD) method and urgency, seriousness, growth (USG) method. Priority determination solution is carried out using filter analysis method with CARL (Capability Accessibility Readiness Leverage). The results show that factor inaccuracy return inpatient medical records file because are incomplete of medical record file, absence of standard operating procedure and unavailability of monitoring and evaluation, and the increasing number of medical record form according to hospital quality standard. The root problem is not optimally main task and function of professional care giver when filling medical record. Alternative proposed solutions is socialization to professional care giver, revised standard of operational procedure, and monitoring evaluation of the completeness and timeliness of medical record file returns with innovation "ABED TANGI".
Evaluating Clinical Pathway Typhoid Fever Monitoring at ABC Hospital Malang Ika Shanti Rosalina; Muhammad Mansur; M. Kuntadi Syamsul Hidayat; Kurnia Widyaningrum
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7155

Abstract

ABC Hospital has implemented 15 Clinical Pathway, and Typhoid Fever is the most cases that can be served. The inaccuracy of the monitoring report on the implementation of Clinical Pathway has prevented the hospital from taking appropriate actions to improve the implementation of Clinical Pathway Typhoid Fever. This study aims to determine the obstacles of monitoring implementation of Clinical Pathway Typhoid Fever in ABC Hospital. This research is a case study and descriptive-explorative research, using document review, field observation, interview, and questionnaire for data collection. The research was conducted in the in-patient wards and medical records room of ABC Hospital during September 2017. The respondents of the research include room physicians, head of inpatient rooms, pediatric, internist, pharmacist, nutritionist, and medical record staff. The result show that factors which impeded implementation of Clinical Pathway monitoring in ABC Hospital were the absence of Clinical Pathway team, the incompatibility of the Clinical Pathway Guide content, the absence of SOP of Clinical Pathway filling form, and the lack of socialization. Suggestion for improving monitoring of Clinical Pathway Typhoid Fever are establish a Clinical Pathway team, revise the Guidance of Clinical Pathway, compile SOP of Clinical Pathway filling form, and do socialization.
Daily Work Load Distribution to Increase Time Quality of Inpatients’ Medical Record Document Procurement In X Hospital Harjanti Harjanti; Navis Yuliansyah; Kurnia Widyaningrum
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7160

Abstract

Procurement of inpatient medical record document is one of some indicators of a hospital’s minimum service standards (SPM). According to the hospital MSS, the ideal procurement of inpatient medical record document is about ≤ 15 minutes, however the procurement on the report of quality committee at the first semester on 2017 in X Hospital reaches 22,89 minutes. The study is aimed at identifying, determining the root of the problems, and trying to devise solutions to the problems. The study employs a qualitative approach by employing document analysis, in-depth interview, and ethnographic observation. The problems are identified by using three steps which are focus group discussion (FGD) by the board of directors, the head of division, and the head of unit X Hospital. The second step is time motion study at the place of inpatient registration, and the last is Urgency, seriousness, and growth (USG) in medical record unit. The study results show that the overload of inpatient admission officers’ work is known to be the root of the problem. Solution to the procurement which is not in accordance with the hospital minimum service standard is to distribute the daily workload of inpatient admission officers to related units.