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Implementasi Resum Medis Pelaporan Register Khohort Kesehatan Ibu dan Anak (KIA) di Puskesmas Ardimulyo Kabupaten Malang Prisusanti, Retno Dewi; Rusdi, Achmad Jaelani; Suhariyono, Untung Slamet; Ikawati, Fita Rusdian; Afifah, Lilik; Ningsih, Dovi Dwi Mardiyah; Putri, Santy Irene
Jurnal Pendidikan Tambusai Vol. 8 No. 1 (2024): April 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v8i1.14137

Abstract

Angka Kematian Ibu (AKI) mencerminkan situasi kesehatan negara. MDGs menargetkan peningkatan kesehatan ibu. SDKI mencatat peningkatan AKI dari 228 menjadi 359 per 100.000 kelahiran hidup antara tahun 2007 dan 2012 (Kemenkes RI, 2014). Peran bidan dalam menurunkan angka kematian ibu termasuk meningkatkan cakupan kunjungan K1 dan K4 serta memastikan persalinan ditolong oleh tenaga kesehatan terlatih dan merujuk kasus komplikasi obstetrik. Pencatatan dan pelaporan yang akurat diperlukan untuk menjangkau seluruh populasi yang membutuhkan. Kesalahan sering terjadi dalam pengisian buku register kohort di Puskesmas, oleh karena itu pelaporan resume medis di Register Kohort KIA penting untuk memudahkan petugas dalam screening pasien. Tujuan pengabdian masyarakat adalah memberikan penyuluhan tentang pencatatan dan pelaporan resume medis di Puskesmas Ardimulyo. Fokus penelitian adalah pada Buku Kohort Data, yang mencakup data pencapaian target KIA dan tanggung jawab bidan dalam pencatatan PWS KIA. Data utama berasal dari wawancara dan observasi di Puskesmas, sedangkan data sekunder dari buku pedoman dan artikel terkait.
Analysis of Factors Inhibiting the Implementation of Patient Medical Record Retention and Destruction Activities at Waluyo Jati Hospital Afifah, Lilik; Fitriyani, Endang; Pertiwi, Yunita Dwi
Formosa Journal of Multidisciplinary Research Vol. 3 No. 8 (2024): August 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjmr.v3i8.10530

Abstract

Retention and destruction of medical record documents is a management aspect in health archives to reduce files that have been stored on the filling rack for a long time. This study aims to analyze the factors that hinder the implementation of retention and destruction of medical record documents at RSUD Waluyo Jati. Qualitative descriptive method was used to analyze these factors with data collection using the 5M approach. The results showed that the main obstacles were the lack of D3 Medical Record graduates and the lack of training related to document retention and destruction. RSUD Waluyo Jati does not have an SPO (Standard Operating Procedure) related to retention and planning document retention and destruction schedules and still uses the old ICU room to store inactive documents. Other problems include the lack of shredding and file transfer equipment, and the absence of a dedicated budget for these activities. The conclusion of this study emphasizes the importance of implementing retention and destruction of medical record documents in managing efficient archives. As a solution, efforts such as increased education and training for staff, the development of comprehensive SOPs, planning document retention schedules, improving infrastructure, collaboration with third parties, and proper budget allocation are needed to ensure the effectiveness of the medical record retention and destruction process.