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Encep Hada
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TINJAUAN KELENGKAPAN PENGISIAN FORMULIR INFORMED CONSENT TINDAKAN BEDAH GUNA MENUNJANG STANDAR NASIONAL AKREDITASI RUMAH SAKIT (SNARS-1) HPK 5.2 DI RUMAH SAKIT BHAYANGKARA TK.II SARTIKA ASIH BANDUNG Luqman Nul Hakim; Encep Hada
Jurnal TEDC Vol 15 No 1 (2021): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

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Abstract

Based on the results of a preliminary study at the Bhayangkara TK.II Sartika Asih Hospital in Bandung, the authors found a problem, namely that there were still incompleteness in filling out the informed consent in January 2021 by 75.04% which were filled out completely and 24.96 were filled out incompletely. In this research, the method used is descriptive research method with quantitative method approach. Data collection techniques using observation, interviews and literature study. The results showed incomplete informed consent in October-December 2020 as many as 37 forms or 18.16% which were not filled out completely and 169 forms or 81.84% were filled out completely. Standard Accreditation Assessment HPK 5.2 at Bhayangkara TK. II Sartika Asih Hospital Bandung on the assessment elements 1,2,3, and E.P 4 got a score of 10 (completely fulfilled). Suggestions put forward by the authors include: Installation of medical records reports routinely to the head of the hospital and related units about the completeness of filling out informed consent, holding regular and scheduled socialization/meetings by related parties regarding the importance of filling out informed consent forms, endeavored that every doctor or nurse surgical units are more proactive when they find an incomplete informed consent form and the hospital holds a special officer in the operating room to carry out a final examination of the completeness of filling out the informed consent before the patient is taken for action.
TINJAUAN PENGGUNAAN BERKAS REKAM MEDIS DENGAN KONSEP FAMILY FOLDER GUNA MENUNJANG KUALITAS PELAYANAN DI PUSKESMAS CIBODAS Luqman Nul Hakim; Encep Hada; Ayu Hendrati Rahayu; Rizqy Dimas Monica
Jurnal TEDC Vol 13 No 3 (2019): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

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Abstract

Based on preliminary studies conducted from February 3, 2019 to February 8, 2019, with the use of the family folder medical record file, there is still a lack of service. There were 30 families who were treated in two poles together. Then a sample of 30 patients was taken with a presentation (100%). This results in other family members having to wait for other family members to be checked with an average of 40 minutes 02 seconds. Where patients should not be left waiting for a long time to get services because the services provided must be immediately carried out. The purpose of this study was to determine the use of family folder medical record file at the Cibodas Health Center. The research method used is descriptive method with quantitative and qualitative approaches. Data collection techniques are by observation, interview, questionnaire and literature study. The research instrument used a research table, interview guidelines, questionnaire, stopwatch, stationery and calculator. The results of the examination waiting time became longer because of the added examination time in the first poly with an average time of 32 minutes 10 seconds and not yet available SOPs for the service of two family members in an simultaneously using the family folder medical record file. Advice that can be given is to immediately make an SOP for examination of two patients together in one family, pay more attention to waiting time and use of the family folder medical record file for the future so that patient satisfaction is met as a whole and monitor also periodic evaluations for the better filing of medical records.
TINJAUAN WAKTU PENYEDIAAN BERKAS REKAM MEDIS PASIEN LAMA RAWAT JALAN GUNA MENUNJANG MUTU PELAYANAN DI RUMAH SAKIT TNI AU DR. M. SALAMUN BANDUNG Suharto ,; Encep Hada
Jurnal TEDC Vol 15 No 2 (2021): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

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Abstract

Based on the results of a preliminary study on January 13, 2020 to January 17, 2020, and based on information from several outpatient installation officers, the implementation of providing medical record files for long outpatients to the polyclinic is still not optimal. Researchers obtained results from interviews with the distribution section, found that outpatient medical record files were late to the polyclinic causing nurses to immediately take them to the distribution section. From the average number of patients per day as many as 520 patients who registered, it was found that 137 outpatient medical record files were late to the polyclinic. The purpose of this study was to determine the time of providing medical record files for long outpatient services at RSAU Salamun Bandung. The research method used is descriptive research method and data collection techniques by observation, interviews, and literature study. The results showed that the provision of medical record files was still not good. The number of fast medical record files is 5965 or 78% and the number of medical record files is 1692 or 22% later, so it can be seen that on average one old patient in the time of providing medical record files for long outpatients carried out in outpatient services at RSAU Salamun Bandung is 19 minutes, so the results obtained in the field are considered long because they exceed the target of the standard that should be 10 minutes. It is recommended for RSAU Salamun Bandung that the outpatient registration service and services at the polyclinic take place at the same time, and it is better for the storage officer and distribution officer to inform the polyclinic when the file is not found.
ANALISIS KEBUTUHAN SUMBER DAYA MANUSIA DI INSTALASI REKAM MEDIS BERDASARKAN TEORI WORKLOAD INDICATORS OF STAFF NEED (WISN) GUNA MENUNJANG EFEKTIVITAS KERJA DI RUMAH SAKIT TNI AU DR. M. SALAMUN BANDUNG Rizqy Dimas Monica; Encep Hada
Jurnal TEDC Vol 16 No 2 (2022): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

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Abstract

Berdasarkan hasil studi pendahuluan, wawancara dan observasi sebelumnya yang dilakukan penulis terdapat 18 orang petugas instalasi rekam medis, beberapa bagian dari kegiatan rekam medis terdapat petugas yang merangkap pekerjaan seperti pada bagian coding, assembling dan analisis menjadi bagian pendaftaran sehingga mengakibatkan pekerjaan yang diterima petugas mengalami penumpukan sampai 10 berkas rekam medis (0,1%). Metode penelitian yang digunakan adalah metode deskriptif pendekatan kuantitatif. Teknik pengumpulan data yang digunakan yaitu wawancara tidak berstruktur, observasi dan studi dokumentasi. Hasil penelitian perhitungan sumber daya manusia berdasarkan teori WISN pada bagian pendaftaran rawat jalan dan rawat inap dibutuhkan sebanyak 8 orang sedangkan jumlah petugas yang tersedia hanya 2 orang sehingga perlu penambahan sebanyak 6 orang, untuk bagian yang lainnya seperti case mix rawat jalan dan rawat inap membutuhkan 1 orang telah terpenuhi, assembling, analisis membutuhkan 1 orang telah terpenuhi, coding 1 orang telah terpenuhi dan bagian filling 6 orang telah terpenuhi. Sebaiknya dalam rapat evaluasi pelayanan yang dilaksanakan 1 kali dalam sebulan membahas mengenai sumber daya manusia agar tidak adanya sumber daya manusia yang merangkap pekerjaan dan menimbulkan penumpukan pekerjaan serta memonitoring dan melakukan evaluasi rutin agar setiap permasalahan yang terjadi bisa diantisipasi dan diselesaikan dengan baik.
ANALISIS KEBUTUHAN SUMBER DAYA MANUSIA DI INSTALASI REKAM MEDIS BERDASARKAN TEORI WORKLOAD INDICATORS OF STAFF NEED (WISN) GUNA MENUNJANG EFEKTIVITAS KERJA DI RUMAH SAKIT TNI AU DR. M. SALAMUN BANDUNG Neni Rohaeni; Rizqy Dimas Monica; Encep Hada
Jurnal TEDC Vol 13 No 2 (2019): Jurnal TEDC
Publisher : UPPM Politeknik TEDC Bandung

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Abstract

Based on preliminary study results, previous interviews and observations made by the authors are 18 medical record officers, some parts of medical record activities there are officers who concurrently work as in the coding section, assembling and analysis into the registration form so that the work received by the officer experienced a buildup of 10 medical record files (0.1%). The research method used is a descriptive method of quantitative approach. The research instrument used in this unstructured interviews, observations and documentation studies. The results of human resource calculations based on WISN theory in the outpatient registration and hospitalization required as much as 8 people while the number of officers available only 2 people so that it is necessary to replenishment 6 people, for other parts such as outpatient and hospitalization mix requires 1 person has been fulfilled, assembling, analysis requires 1 person has been fulfilled, coding 1 person has been fulfilled, and the 6 person filling section has been fulfilled. Preferably in a service evaluation meeting conducted 1 time a month discussing about human resources so that there is no human resources that concurrently work and create a buildup of work and monitoring and conduct routine evaluation so that every problem that occurs can be anticipated and resolved properly.
TINJAUAN PELAYANAN PELEPASAN INFORMASI MEDIS DAN PENGISIAN BERKAS KLAIM JASA RAHARJA PADA KORBAN KECELAKAAN LALU LINTAS DI RSUD AL-IHSAN KABUPATEN BANDUNG PROVINSI JAWA BARAT Rizqy Dimas Monica; Vina Vinandiani; Luqmanul Hakim; Encep Hada; Edih Gunawan; Neni Rohaeni
Jurnal TEDC Vol 18 No 3 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i3.873

Abstract

This study is entitled Review of Medical Information Release Services and Filling in Raharja Service Claim Files for Traffic Accident Victims at Al Ihsan Hospital, Bandung Regency, West Java Province. The purpose of this study is to determine the Medical Information Release Service and Filling in Jasa Raharja Claim Files for Traffic Accident Victims at Al Ihsan Hospital, Bandung Regency, West Java Province. The method used in this study is: using a descriptive method with a qualitative approach. The subject of this study is the Medical Information Release Service and Filling in the Raharja Service Claim File at Al-Ihsan Hospital, Bandung Regency, West Java Province. The object of this study is the standard operating procedure for releasing medical information and Jasa Raharja claim forms for traffic accident victims who claim Jasa Raharja insurance at RSUD AlIhsan Bandung Regency. Data collection techniques by observation, interview and documentation. Research results: medical information release services at Al-Ihsan Hospital are in accordance with SOPs. There is no written procedure for filling Jasa Raharja's claim file but the implementation is in accordance with the SOP.
TINJAUAN KELENGKAPAN PENGISIAN FORMULIR RESUME MEDIS PADA DOKUMEN REKAM MEDIS RAWAT JALAN DI RSUD CIKALONGWETAN Encep Hada; Rizqi Dimas Monica; Rani Permata Sari
Jurnal TEDC Vol 19 No 1 (2025): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v19i1.1207

Abstract

Based on the results of a preliminary study conducted by the author in July 2024 at Cikalongwetan Regional Hospital, from 50 outpatient medical record files, the author analyzed the medical resume forms in the medical record documents and found that 50 files or 100% of the medical resume forms were not filled in completely. This study aims to determine the effect of the completeness of outpatient medical resumes on the quality of medical records at Cikalongwetan Regional Hospital. The research method used by the author is qualitative research. The results of the research show that the implementation of filling out patient medical resumes at Cikalongwetan Regional Hospital has not been carried out according to the regulations by the relevant officers because there is no SOP (Standard Operational Procedure) which regulates filling out and also the flow of medical resumes so that The patient's medical resume is not filled in 100%. Parts of the form that are not filled in completely include the person in charge, discharge date, admission diagnosis, main diagnosis, diagnosis code, doctor's name, doctor's signature, conditions at the time of discharge and how to go home. The author suggests that it is best to create an SOP regarding the implementation of filling out medical resumes, conducting outreach to DPJP to fill in diagnoses, and actions on patient medical resumes.
Co-Authors Ayu Hendrati Rahayu Edih Gunawan Luqman Nul Hakim Luqmanul Hakim Neni Rohaeni Neni Rohaeni Rani Permata Sari Rizqi Dimas Monica Rizqy Dimas Monica Rizqy Dimas Monica Suharto , Vina Vinandiani