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PEMBERDAYAAN PETUGAS KESEHATAN TERKAIT PELAKSANAAN SISTEM PENYIMPANAN BERKAS REKAM MEDIS PASIEN Rea Ariyanti; Nita Dwi Nur Aini; Moh Maulana
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 7, No 3 (2023): September
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v7i3.16372

Abstract

ABSTRAKKlinik Moderna merupakan satu diantara klinik rawat inap pratama yang terdapat di Kabupaten malang yang menyelenggarakan pelayanan kesehatan secara perorangan, dimana rata-rata kunjungan pasien di klinik moderna berkisar 50 pasien per hari. Setiap fasilitas pelayanan kesehatan termasuk klinik wajib menyelenggarakan rekam medis. Salah satu kegiatan yang dilaksanakan dalam unit rekam medis adalah pengelolaan sistem penyimpanan berkas rekam medis. Belum terlaksananya sistem penyimpanan rekam medis di klinik Moderna yang sesuai SOP yang telah ditetapkan menyebabkan masih banyaknya berkas rekam medis yang tertumpuk di ruang penyimpanan yang berakibat pada terjadinya kerusakan fisik pada berkas rekam medis seperti map yang terlipat, robek, dan lain sebagainya. Selain itu, penyediaan berkas rekam medis juga akan menjadi lebih lama karena petugas harus mencari berkas rekam medis terlebih dahulu akibat rekam medis tidak disimpan secara baik di ruang penyimpanan rekam medis. Kegiatan pengabdian ini bertujuan untuk memberikan edukasi kepada petugas kesehatan terkait pentingnya pengelolaan sistem penyimpanan dan retensi berkas rekam medis sesuai dengan SOP yang berlaku. Kegiatan ini dilaksanakan sebanyak 3 kali dengan metode sosialisasi dan diskusi interaktif mengenai pelaksanaan sistem penyimpanan rekam medis yang dilakukan kepada petugas kesehatan. Dari hasil evaluasi, diketahui bahwa pengetahuan petugas kesehatan antara sebelum dan sesudah diberikan sosialisasi meningkat sebesar 70%, dimana sebelum diberikan edukasi, rerata nilai pretest sebesar 56.00 dan setelah diberikan edukasi rerata nilai postest menjadi 95.00. Kegiatan ini perlu dilakukan sebagai upaya meningkatkan kemampuan petugas kesehatan dalam melakukan identifikasi penyebab tidak terlaksananya sistem penyimpanan sesuai dengan SOP yang telah ditetapkan. Kata kunci: klinik; rekam medis; sistem penyimpanan ABSTRACTThe Moderna Clinic is one of the primary inpatient clinics in Malang Regency which provides individual health services, where the average patient visit at the Moderna clinic is around 50 patients per day. Every health care facility, including clinics, is required to maintain medical records. One of the activities carried out in the medical record unit is the management of the medical record file storage system. The medical record storage system at the Moderna clinic has not been implemented according to the SOP that has been set, causing many medical record files to pile up in the storage room which results in physical damage to medical record files such as folded, torn folders, and so on. In addition, the provision of medical record files will also take longer because officers must first search for medical record files due to medical records not being stored properly in the medical record storage room. This service activity aims to provide education to health workers regarding the importance of managing the medical record file storage and retention system in accordance with applicable SOPs. This activity was carried out 3 times with the socialization method and interactive discussion regarding the implementation of the medical record storage system for health workers. From the evaluation results, it is known that the knowledge of health workers between before and after being given socialization increased by 70%, where before being given education, the average pretest score was 56.00 and after being given education the average posttest score was 95.00. This activity needs to be carried out as an effort to improve the ability of health workers to identify the causes of not implementing the storage system in accordance with predetermined SOPs. Keywords: clinics; medical records; filling
Evaluasi Sistem Penyimpanan Berkas Rekam Medis di Klinik X Poncokusumo Kabupaten Malang Rea Ariyanti; Moh Maulana
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 5 No 1 (2023): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v5i1.4050

Abstract

Storage of medical record files is a key to successful management of a service. Storage is very important to see the patient's medical history and repeat visits, therefore the method of storing medical record files must be properly managed. Therefore, it is necessary to evaluate the storage system so that recommendations for improvements can be found regarding the storage of medical record files. This study aims to evaluate the medical record storage system at the X Poncokusumo Clinic, Malang. This study used a qualitative research design which was carried out at the X Poncokusumo Clinic, Malang with a total sample of 4 people which was carried out from March to July 2023. Data collection used interview and observation techniques. Presentation of data is done in a narrative form. The results of the study show that in the aspect of the objective (context) the storage system has not been achieved due to inadequate infrastructure (input), causing the activity (process) of storing medical record files to be not optimal. As for the results (product) of activities in the filling unit or storage system, it shows that there was a missfile incident and there was physical damage to the patient's medical record file.
Analysis of Medical Records Personnel Needs Based on Service Workload Using the ABK-Kes Method Ervina Damayanti; Wisoedhanie Widi Anugrahanti; Bhre Diansyah Dinda Khalifatulloh; Nita Dwi Nur Aini; Moh Maulana
Jurnal Kesehatan Cendikia Jenius Vol. 3 No. 2 (2026): April 2026
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v3i2.364

Abstract

An imbalance between workload and the number of medical record officers may reduce service quality and increase work-related fatigue, making workload-based staffing analysis essential. This study aimed to analyze the staffing needs of medical record officers based on workload using the Health Workload Analysis Method (ABK-Kes) at Ciptomulyo Public Health Center. A quantitative descriptive design with an observational analytic approach was employed, involving all medical record officers totaling two respondents through total sampling. Data were collected in May 2025 using observation, interviews, and document review, and analyzed using the ABK-Kes method, including calculations of Available Working Time, time norms, Standard Workload, Support Task Factor, and Standard Support Task. The results showed that the workload of medical record officers was relatively high, with an average of 130 patient visits per day, a Support Task Factor of 24%, and a Standard Support Task value of 1.31. The ABK-Kes analysis indicated that the ideal number of medical record officers required was three, revealing a shortage of one officer. In conclusion, additional medical record staff are necessary to balance workload, improve service quality, and reduce the risk of work-related fatigue, and the findings are recommended as a basis for human resource planning at public health centers.
Pemberdayaan petugas rekam medis melalui pemanfaatan AI dalam pembuatan SIMKLINIK bagian pendaftaran pasien Moh Maulana; Nita Dwi Nur Aini
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 10, No 4 (2026): August
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v%vi%i.40411

Abstract

Abstrak Proses pendaftaran pasien di Klinik Jaya Kusuma Husada Kepanjen masih dilakukan secara manual, sedangkan petugas belum memiliki pengalaman dalam mengembangkan sistem informasi sederhana. Kegiatan pengabdian ini bertujuan meningkatkan pengetahuan serta membekali petugas rekam medis dengan keterampilan dasar pemanfaatan artificial intelligence (AI) sebagai alat bantu pembuatan prototipe Sistem Informasi Manajemen Klinik (SIMKLINIK) bagian pendaftaran pasien. Sasaran kegiatan adalah tiga petugas yang terlibat dalam pelayanan pendaftaran. Kegiatan dilaksanakan pada 3, 6, dan 17 Juni 2026 melalui tahapan koordinasi, pretest, edukasi konsep AI dan SIMKLINIK, demonstrasi penyusunan prompt, pengenalan HTML, CSS, dan JavaScript, praktik pembuatan prototipe, uji coba, observasi keterampilan, dan posttest. Pengetahuan dievaluasi menggunakan 10 soal pretest dan posttest, sedangkan keterampilan dinilai pada akhir kegiatan menggunakan lembar observasi praktik yang mencakup kemampuan mengakses platform AI, menyusun prompt, menyalin dan menyimpan kode, menjalankan prototipe, menginput data uji, menguji fungsi, serta memberikan instruksi perbaikan kepada AI. Nilai rata-rata pengetahuan meningkat dari 45,00 menjadi 80,00 atau naik 35 poin, setara dengan peningkatan relatif sebesar 77,78% terhadap nilai awal. Hasil observasi akhir menunjukkan bahwa seluruh peserta mampu menjalankan tahapan dasar pembuatan dan pengujian prototipe, tetapi masih memerlukan pendampingan dalam membaca pesan kesalahan, mengidentifikasi letak kesalahan kode, menghubungkan sistem dengan basis data, dan memastikan keamanan data. Prototipe yang dihasilkan masih digunakan sebagai media pembelajaran dan belum diterapkan secara operasional karena memerlukan basis data, autentikasi, hak akses, audit aktivitas, dan pengamanan data. Pelatihan berbasis demonstrasi, praktik langsung, dan iterative prompting meningkatkan pengetahuan serta membekali peserta dengan keterampilan dasar pengembangan prototipe untuk mendukung tahap awal transformasi digital klinik. Kata kunci: artificial intelligence; literasi digital; pendaftaran pasien; rekam medis; SIMKLINIK. Abstract The patient registration process at Jaya Kusuma Husada Clinic in Kepanjen is still carried out manually, while the staff have limited experience in developing a simple information system. This community service program aimed to improve the knowledge of medical records staff and equip them with basic skills in utilizing artificial intelligence (AI) as a supporting tool for developing a prototype of the patient registration module of the Clinic Management Information System (SIMKLINIK). The participants were three staff members involved in patient registration services. The program was conducted on June 3, 6, and 17, 2026, through several stages, including coordination, a pretest, education on AI and SIMKLINIK concepts, demonstrations of prompt formulation, an introduction to HTML, CSS, and JavaScript, hands-on prototype development, testing, skills observation, and a posttest. Knowledge was evaluated using 10 pretest and posttest questions, while skills were assessed at the end of the program using a practical observation checklist covering the ability to access an AI platform, formulate prompts, copy and save code, run the prototype, enter test data, test its functions, and provide the AI with instructions for improvement. The mean knowledge score increased from 45.00 to 80.00, representing a gain of 35 points or a relative increase of 77.78% from the baseline score. The final observation showed that all participants were able to perform the basic stages of prototype development and testing. However, they still required assistance in interpreting error messages, identifying the location of coding errors, connecting the system to a database, and ensuring data security. The resulting prototype remains a learning tool and has not yet been implemented operationally because it still requires a database, authentication mechanisms, access controls, activity logs, and data security safeguards. Training based on demonstrations, hands-on practice, and iterative prompting improved participants’ knowledge and equipped them with basic prototype development skills to support the initial stage of the clinic’s digital transformation. Keywords: artificial intelligence; clinic information system; digital literacy; medical records; patient registration.