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Gamasiano Alfiansyah
Jurusan Kesehatan, Politeknik Negeri Jember
Health Professions Medicine & Pharmacology Nursing Public Health

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Penyebab Keterlambatan Pengembalian Berkas Rekam Medis Rawat Inap di Rumah Sakit Ida Nurmawati; Amaliya Nikmatul Rohmah; Gamasiano Alfiansyah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13 (2022): Nomor Khusus November 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk313

Abstract

Accuracy in returning medical record files is necessary in order to realize good medical record management, because it influences policy making, management decisions, and the delivery of information to each patient. So a study is needed that aims to study the causes of delays in returning inpatient medical record files at the hospital. This study is a literature review involving 19 articles from Google Scholar and the Garuda Portal. The results of the study stated that the causes of delays in returning medical record files were: 1) man: lack of knowledge regarding the deadline for returning medical record files, training had not been carried out, staff attitude was not good, education level was not appropriate, staff had less years of service; 2) money: budget is not yet available; 3) method: there is no SOP, the SOP has not been socialized, the officers do not work according to the SOP, monitoring has not been carried out; 4) material: incomplete filling of the patient's medical record file; 5) machine: lack of other supporting facilities.Keywords: hospital; late returns; medical records ABSTRAK Ketepatan pengembalian berkas rekam medis diperlukan guna mewujudkan manajemen rekam medis yang baik, karena berpengaruh terhadap pengambilan kebijakan, keputusan manajemen, serta penyampaian informasi kepada setiap pasien. Maka diperlukan studi yang bertujuan untuk mempelajari penyebab keterlambatan pengembalian berkas rekam medis rawat inap di rumah sakit. Studi ini merupakan literature review yang melibatkan 19 artikel dari Google Scholar dan Portal Garuda. Hasil studi menyatakan bahwa penyebab keterlambatan pengembalian berkas rekam medis adalah: 1) man: kurangnya pengetahuan terkait batas waktu pengembalian berkas rekam medis, belum dilakukan pelatihan, kurang baiknya sikap petugas, tingkat pendidikan tidak sesuai, masa kerja petugas kurang; 2) money: belum tersedianya anggaran; 3) method: belum ada SOP, belum disosialisasikannya SOP, petugas tidak bekerja sesuai SOP, belum dilaksanakannya monitoring; 4) material: ketidaklengkapan pengisian berkas rekam medis pasien; 5) machine: kurangnya sarana penunjang lain.Kata kunci: rumah sakit; keterlambatan pengembalian; rekam medis
Perancangan Desain Ergonomi di Ruang Rekam Medis Klinik Mitra Keluarga Sejahtera Elian Nanda Arifani; Efri Tri Ardianto; Maya Weka Santi; Gamasiano Alfiansyah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13 (2022): Nomor Khusus November 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk323

Abstract

The medical record room should meet ergonomic aspects, so research is needed that aims to make an ergonomic design in the medical record room. The room consists of a patient registration unit, filing rack and nurse station, using non-ergonomic plastic chairs and a lack of filing shelves to accommodate inpatient medical record files. This type of research was a qualitative study, data collected through observation, interviews, documentation studies and brainstorming. The results of the study indicate that it was necessary to design a new medical record work unit room that was adapted to the flow of medical record file processing, design of tables, chairs and filing racks that are adapted to the anthropometry of officers. The results of the new design of the medical record work unit measuring 4 m x 4 m, the design of the table and chairs and filing racks which had been adjusted to standards or theory using the SketchUp 3D 2020 application, in accordance with ergonomic aspects which include efficiency, health, safety, security and comfort.Keywords: design; ergonomics; medical records ABSTRAK Ruang rekam medis seharusnya memenuhi aspek ergonomic, maka diperlukan penelitian yang bertujuan untuk membuat desain ergonomi di ruang rekam medis. Ruang tersebut terdiri dari unit pendaftaran pasien, rak filing dan nurse station, menggunakan kursi plastik yang tidak ergonomis serta kurangnya rak filing untuk menampung berkas rekam medis rawat inap. Jenis penelitian ini adalah studi kualitatif, data dikumpulkan melalui observasi, wawancara, studi dokumentasi dan brainstorming. Hasil penelitian menunjukkan bahwa perlu adanya desain ruang unit kerja rekam medis baru yang disesuaikan dengan alur pengolahan berkas rekam medis, desain meja, kursi dan rak  filing yang disesuaikan dengan antropometri petugas. Hasil desain baru ruang unit kerja rekam medis berukuran 4 m x 4 m, desain meja kursi dan rak filing yang sudah disesuaikan dengan standar atau teori dengan menggunakan aplikasi SketchUp 3D 2020, sesuai dengan aspek ergonomi yang meliputi efisiensi, kesehatan, keselamatan, kemanan dan kenyamanan.Kata kunci: desain; ergonomi; rekam medis
Strategi Optimalisasi Fungsi Kerja Filing terhadap Kejadian Misfile di RSU Bhakti Husada Krikilan Banyuwangi Feby Erawantini; Febriyanti Puspitasari; Gamasiano Alfiansyah; Veronika Vestine
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13 (2022): Nomor Khusus Desember 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk452

Abstract

Misfile is one of the problems in medical records, both misplaced and missing files. So research is needed that aims to design and implement a strategy for optimizing the filing work function against misfile incidents. This study applied action research. Data was collected through interviews with the head of medical records and filing officers, observation, brainstorming, and documentation studies of misfile incidents. The results showed that the cause of the non-optimal filing work function in the misfile incident was the absence of a tracer in carrying out work and the filing officer's ignorance of the work procedures in the SPO and job description, so that the filing officer had not carried out the work in accordance with existing procedures. Based on these results, efforts had been made to design a tracer and re-socialize SPO and job descriptions to filing officers to reduce misfile incidents from the previous month. The results of the evaluation of the implementation of planned activities were that the number of incidents of misfiles had decreased.Keywords: medical record; misfiles; filing ABSTRAK Misfile merupakan salah salah satu masalah dalam rekam medis, baik salah letak maupun berkas hilang. Maka diperlukan penelitian yang bertujuan merancang dan mengimplementasikan strategi optimalisasi fungsi kerja filing terhadap kejadian misfile. Studi ini menerapkan action research. Data dikumpulkan melalui wawancara kepada kepala rekam medis dan petugas filing, observasi, brainstorming, serta studi dokumentasi terhadap kejadian misfile. Hasil penelitian menunjukkan bahwa penyebab tidak optimalnya fungsi kerja filing pada kejadian misfile adalah tidak adanya tracer dalam pelaksanaan kerja dan ketidaktahuan petugas filing akan prosedur-prosedur kerja yang ada di SPO serta job description, sehingga petugas filing belum melaksanakan pekerjaan sesuai dengan prosedur yang ada. Berdasarkan hasil tersebut, upaya yang dilakukan adalah merancang tracer serta melakukan sosialisasi kembali SPO dan job desription kepada petugas filing untuk menurunkan kejadian misfile dari bulan sebelumnya. Hasil evaluasi dari pelaksanaan kegiatan yang telah direncanakan adalah angka kejadian misfile mengalami penurunan.Kata kunci: rekam medis; misfile; filing
Co-Authors Amaliya Nikmatul Rohmah Efri Tri Ardianto Elian Nanda Arifani Febriyanti Puspitasari Feby Erawantini Maya Weka Santi nurmawati, ida Veronika Vestine