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INDONESIA
Indonesian Journal of Health Information Management (IJHIM)
Published by Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar
ISSN : -     EISSN : 28072596     DOI : https://doi.org/10.54877
Core Subject : Health,
Health Professions Public Health
Indonesian Journal of Health Information Management (IJHIM) is a scientific journal managed by Study Program of Health Information Management Applied Bachelor and Diploma 3 of Medical Record and Health Information, STIKes Mitra Husada Karanganyar. IJHIM contains research publication in medical record, health information management, health information technology, health information system, health quality management, hospital statistic, and coding. The frequency of IJHIM publication is three times in a year (February, June, and November). The focus and scope of IJHIM is in the field of Health Information Management with the following themes: Medical Record Management Health Information Clinical Audit Coding Audit Medical Record audit Health Information Technology Health Information System Health Service Statistic
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 12 Documents
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Search results for , issue "Vol. 1 No. 1 (2021)" : 12 Documents clear
LITERATURE REVIEW PROSES PENYUSUTAN DOKUMEN REKAM MEDIS DI RUMAH SAKIT Hanifah Apriliandawati; Antik Pujihastuti
Indonesian Journal of Health Information Management Vol. 1 No. 1 (2021)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v1i1.5

Abstract

Abstract Medical record shrinkage carried out gradually starting from sorting, moving, assessing and destroying. Obstacles in the implementation of shrinkage medical record are the limited human resources in the filing section and the infrastructure to support the shrinkage of medical record is inadequate. The purpose of this research was to determine the implementation of depreciation of medical record. This research method used a literature review design. The results showed that the sorting of medical record documents was carried out based on a 5-year period by looking at the year the patient's last visit was treated. Transfer of medical record documents is done by moving medical record documents from the active room to the inactive room. Assessment of medical record documents is in accordance with the use and importance of medical record documents. Obstacles that hinder the implementation of shrinkage of medical record documents are human resources and infrastructure. Conclusion from the results of this study, depreciation was carried out by sorting out the medical record documents then moving the medical record documents that were inactive, after which an assessment of the medical record documents was carried out according to the usefulness and importance of the medical record documents so that they could identify obstacles in the implementation of shrinkage of medical record documents. Keyword : Depreciation, Retention, Medical Record Abstrak Penyusutan berkas rekam medis dilakukan secara bertahap yaitu dimulai dari pemilahan, pemindahan, penilaian dan pemusnahan. Kendala dalam pelaksanaan penyusutan yaitu terbatasnya sumber daya manusia di bagian filing dan sarana prasarana untuk menunjang pelaksanaan penyusutan dokumen rekam medis belum memadai. Tujuan penelitian ini untuk mengetahui pelaksanaan penyusutan dokumen rekam medis. Metode penelitian ini menggunakan desain literature review. Hasil penelitian menunjukkan bahwa pemilahan dokumen rekam medis dilakukan berdasarkan periode 5 tahun dengan cara melihat tahun kunjungan terakhir pasien tersebut berobat. Pemindahan dokumen rekam medis dilakukan dengan cara memindahkan dokumen rekam medis dari ruangan aktif ke ruangan inaktif. Penilaian dokumen rekam medis sesuai dengan kegunaan dan kepentingan dokumen rekam medis. Kendala yang menghambat pelaksanaan penyusutan dokumen rekam medis yaitu sumber daya manusia dan sarana prasarana. Simpulan dari hasil penelitian ini penyusutan dilakukan dengan memilah dokumen rekam medis kemudian memindahkan dokumen rekam medis yang sudah inaktif setelah itu dilakukan penilaian dokumen rekam medis sesuai dengan kegunaan dan kepentingan dokumen rekam medis sehingga dapat mengetahui penghambat dalam pelaksanaan penyusutan dokumen rekam medis. Kata Kunci : Penyusutan, Retensi, Rekam Medis
LITERATURE REVIEW : ASPEK KEAMANAN DAN KERAHASIAAN DOKUMEN REKAM MEDIS DI RUMAH SAKIT Nur Husnina; Trismianto Asmo Sutrisno
Indonesian Journal of Health Information Management Vol. 1 No. 1 (2021)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v1i1.6

Abstract

Abstract Security and confidentiality are very important factors in managing medical record files. In terms of security, the medical record file storage room was found to be dusty and humid which caused moldy medical records and also the raw materials for medical record folders still use low-quality materials. In the aspect of confidentiality, there is still a distribution of medical record files that have not been kept confidential and there are still damaged, folded and forms that are separated from the medical record folder, and left alone without any treatment on the damaged medical record. This study aims to determine the security and confidentiality of medical records. This study uses a literature review method with a search strategy using Google Scholar with the keywords Security Aspects of Confidentiality and Medical Records. The results of this study are the safety aspect in terms of the physical aspect of the ink used in black is uniform, the paper used is A4 size and weighs 70 grams. Biological aspects of the presence of fungi, bookworms, and insects such as termites, cockroaches, and mice. The chemical aspect of the medical record officer eating or drinking in the medical record room. Aspects of confidentiality there are still medical record officers who enter the medical record filing and medical record documents are still found that were brought by the patient or lost. Suggestions for the security aspect of the medical record file, the storage room should be equipped with maintenance tools such as a vacuum cleaner, spraying insects or given camphor, medical record storage space is limited by access rights such as fingerprints. Aspects of confidentiality of patients who consult to other polyclinics or want to carry out further examinations at supporting facilities are delivered by medical record distribution officers. Keywords : Confidentiality Security Aspect, Medical Records Abstrak Keamanan dan kerahasiaan adalah faktor yang sangat penting dalam pengelolaan berkas rekam medis. Dalam aspek keamanan terdapat pada ruang penyimpanan berkas rekam medis ditemukan ruangan berdebu dan lembab yang menyebabkan rekam medis berjamur dan juga pada bahan baku map rekam medis masih menggunakan bahan yang berkualitas rendah. Dalam aspek kerahasiaan masih terdapat pendistribusian berkas rekam medis yang belum terjaga kerahasiaan dan masih terdapat rekam medis yang rusak, terlipat dan terdapat formulir yang lepas dari map rekam medis, dan dibiarkan begitu saja tanpa ada perawatan pada rekam medis yang rusak. Penelitian ini bertujuan untuk mengetahui keamanan dan kerahasiaan rekam medis. Penelitian ini menggunakan metode literature review dengan strategi pencarian menggunakan Google Scholar dengan kata kunci Aspek Keamanan Kerahasiaan dan Rekam Medis. Hasil penelitian ini adalah aspek keamanan ditinjau dari aspek fisik tinta yang digunakan warna hitam sudah seragam, kertas yang digunakan ukuran A4 berat 70 gram. Aspek biologi adanya jamur, kutu buku, dan serangga seperti rayap, kecoa, dan tikus. Aspek kimiawi adanya petugas rekam medis makan atau minum di ruang rekam medis. Aspek kerahasiaanya masih ada petugas rekam medis yang masuk ke filing rekam medis dan masih ditemukan dokumen rekam medis yang di bawa pasien atau hilang. Saran aspek keamanan berkas rekam medis ruang penyimpanan hendaknya dilengkapi alat pemeliharaan seperti vacuum cleaner, dilakukan penyemprotan serangga atau diberi kamfer, ruang penyimpanan rekam medis di batasi oleh hak akses seperti fingerprint. Aspek kerahasiaan pasien yang konsultasi ke poliklinik lain atau ingin melakukan pemeriksaan lanjutan di fasilitas penunjang diantarkan oleh petugas distribusi rekam medis. Kata Kunci : Aspek Keamanan Kerahasiaan, Rekam Medis

Page 2 of 2 | Total Record : 12

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