Moh Dwi Fadel Yunus
Politeknik Indonusa Surakarta

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ANALISIS FAKTOR PENYEBAB KETERLAMBATAN PENYEDIAAN REKAM MEDIS PASIEN LAMA DI RS PKU MUHAMMADIYAH SURAKARTA Moh Dwi Fadel Yunus; Aries Widiyoko; Sinta Novratilova
Journal Health Information Management Indonesian Vol. 4 No. 3 (2025): Desember (Journal Health Information Management Indonesian)
Publisher : Sekretariat Program Studi Sarjana Terapan Manajemen Informasi Kesehatan Politeknik Indonusa Surakarta.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46808/mik.v4i3.182

Abstract

Abstrak - Pelayanan rekam medis yang sesuai standar sangat membantu dalam meningkatkan mutu pelayanan di rumah sakit, salah satu indikatornya adalah penyediaan dokumen rekam medis rawat jalan. Sesuai standar pelayanan minimal bahwa penyediaan rekam medis rawat jalan adalah < 10 menit. Di RS PKU Muhammadiyah Surakarta masih ditemukan dokumen rawat jalan pasien lama penyediaannya belum sesuai standar yaitu > 10 menit. Sehingga perlu analisis faktor penyediaan dokumen rekam medis rawat jalan pasien lama menggunakan aspek manajemen 5M(man, machine, material, methode, money). Metode penelitian menggunakan kualitatif dengan pendekatan diskriptif dengan populasi dan sampel adalah petugas rekam medis dibagian filing. Cara pengumpulan data menggunakan pedoman wawancara dan observasi. Analisis data menggunakan analisis deskriptif yaitu menjelaskan karakteristik setiap variable penelitian. Hasil penelitian ini memberikan gambaran bahwa SDM di bagian filing belum D3 Rekam medis dan untuk alur, SOP juga belum ada sehingga didapatkan hasil penyediaan dokumen dari 30 sampel terdapat 23 dokumen yang melebihi >10 menit waktu penyediaannya yang rata-rata waktunya 20 menit, sedangkan 7 dokumen sudah tepat waktu yaitu rata—rata 7 menit sudah tersedia. Maka perlu penyesuaian SDM dibagian filing menjadi D3 rekam medis dan membuat SOP dan alur penyediaan dokumen rekam medis pasien lama. Kata kunci : rekam medis, rawat jalan, penyediaan Abstract — Medical record services that comply with standards are very helpful in improving the quality of service in hospitals, one indicator of which is the provision of outpatient medical record documents. According to the minimum service standards, providing outpatient medical records is <10 minutes. At the PKU Muhammadiyah Hospital in Surakarta, it was still found that long patient outpatient documentation was not provided according to standards, namely > 10 minutes. So it’s necessary research on factor analysis for providing outpatient medical record documents for old patients using the 5M management aspects (man, machine, material, method, money). The research method uses qualitative with a descriptive approach with population and the sample is a medical records officer in the filing section. The data collection method uses interview and observation guidelines. Data analysis uses descriptive analysis, namely explaining the characteristics of each research variable. The results of this research provide an illustration that human resources in the filing section do not yet have D3 medical records and for flow, SOPs also do not yet exist so that the results obtained from providing documents from 30 samples are 23 documents that exceed >10 minutes in the provision time, the average time of which is 20 minutes, while 7 Documents are available on time, namely an average of 7 minutes. So it is necessary to adjust human resources in the filing section to become D3 medical records and create an SOP for the flow of providing medical record documents for old patients. Keywords: medical records, outpatient care, provision