scholarly journals ANALISIS LUAS RUANGAN BERDASARKAN KEBUTUHAN RAK DI RUANG PENYIMPANAN BERKAS REKAM MEDIS RAWAT JALAN DI RUMAH SAKIT UMUM MADANI MEDAN TAHUN 2019

2020 ◽  
Vol 5 (1) ◽  
pp. 20-29
Author(s):  
Puput Melati Hutauruk ◽  
Fince Rahmat Zega
Keyword(s):  
General Hospital ◽  
Medical Record ◽  
Medical Records ◽  
Patient Medical Record ◽  
File Storage ◽  
Storage Room ◽  
Quantitative Descriptive ◽  
Storage Racks ◽  
Descriptive Method

ABSTRAK Rekam medis disimpan dalam rak penyimpanan agar terjaga kerahasiaanya, terhindar dari kerusakan dan mempermudah petugas dalam pengambilan dan pengembalian rekam medis. Agar pelayanan menjadi efektif dan efesien, selain memerlukan rak penyimpanan yang cukup, juga perlu ruangan penyimpanan yang bisa memuat rak penyimpanan tersebut agar dapat menyimpan berkas rekam medis pasien dalam jangka waktu tertentu guna pemeriksaan diwaktu yang akan datang dan memudahkan pengambilan kembali oleh petugas. Maka dari itu peneliti bertujuan untuk menegetahui luas ruangan berdasarkan kebutuhan rak saat ini di Rumah Sakit Umum Madani Medan tahun 2019. Penelitian ini menggunakan  metode deskriptif kuantitatif yaitu dengan memaparkan hasil penelitian apa adanya dan membandingkan dengan teori kemudian diambil kesimpulan. Subjek dalam penelitian ini adalah ruang penyimpanan berkas rekam medis rawat jalan, dan objek dalam penelitian ini adalah berkas rekam medis dan rak penyimpanan rawat jalan. Hasil penelitian ini menunjukkan bahwa jumlah rak penyimpanan berkas rekam medis rawat jalan di RSU Madani medan adalah 8 rak dengan luas ruangan 18,99 m2. Jika saat ini rumah sakit memiliki 8 rak, maka rumah sakit perlu menyediakan 10 rak lagi sehingga luas ruangan menjadi 48,82 m2 agar luas ruangan dapat tercukupi dan dapat memuat rak sesuai kebutuhan rumah sakit  sehingga tidak menyulitkan petugas penyimpanan dalam pengambilan maupun pengembalian rekam medis pasien.   Kata Kunci    :  Rekam Medis, Rak Penyimpanan, Luas Ruangan   ABSTRACT Medical records are stored in a storage rack to maintain confidentiality, avoid damage and make it easier for officers to retrieve and return medical records. In order for the service to be effective and efficient, in addition to requiring adequate storage shelves, storage rooms that can also contain storage shelves are needed so that they can store patient medical record files for a certain period of time for future examinations and facilitate retrieval by officers. Therefore the researcher aims to determine the area of ​​the room based on the needs of the current shelves at the Medan Madani General Hospital in 2019. This research uses a quantitative descriptive method by describing the results of the research as it is and comparing with the theory then conclusions are drawn. The subjects in this study were the outpatient medical record file storage room, and the object in this study was the medical record file and outpatient storage rack. The results of this study indicate that the number of outpatient medical record file storage racks in Medan Madani General Hospital is 8 shelves with an area of ​​18.99 m2. If the hospital currently has 8 shelves, the hospital needs to provide 10 more shelves so the room area becomes 48.82 m2 so that the room area can be fulfilled and can load the shelves according to the hospital's needs so that it does not make it difficult for the storage staff to retrieve or return the patient's medical record .

scholarly journals Tinjauan Pelaksanaan Sistem Penyimpanan Rekam Medis Berdasarkan Standar Akreditasi Di UPTD Puskesmas Kotanopan Mandailing Natal

2021 ◽  
Vol 6 (1) ◽  
pp. 14-22
Author(s):  
Zulham Andi Ritonga ◽  
Hasran Ependi Lubis
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Storage System ◽  
Patient Medical Record ◽  
Biological Damage ◽  
Descriptive Research ◽  
Accreditation Standards ◽  
File Storage ◽  
Speed Up ◽  
Storage Racks

Storage of medical records is one of the assessments in puskesmas accreditation standards. The medical record file storage system is very important to do in health care institutions, because the storage system can make it easier for medical record files to be stored in storage racks, speed up the recovery or retrieval of medical record files stored on storage racks, easy to return, and protect record files. from theft, physical, chemical and biological damage. The purpose of this study was to determine how the implementation of a medical record storage system based on puskesmas accreditation standards, which was carried out in August 2020. The research method used was descriptive research with a qualitative approach. The number of research informants was 4 people. Storage of medical records had not used tracers and expedition book as a means of replacing medical record files and notes in and out of borrowed medical record files. Meanwhile, tracer and expedition books can assist officers in searching for missing / out of place medical record files. This can hamper the provision of patient medical record files that are needed. It is hoped that the UPTD Puskesmas Kotanopan will provide regular training or debriefing to medical record officers

scholarly journals RANCANGAN KEBUTUHAN RAK DAN LUAS RUANGAN PENYIMPANAN REKAM MEDIS DI RUMAH SAKIT PUTRI HIJAU

2020 ◽  
Vol 5 (1) ◽  
pp. 53-61
Author(s):  
Welly Satria Dewi ◽  
Siti Muthmainnah
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Quantitative Method ◽  
Storage Space ◽  
Physical Damage ◽  
Patient Medical Record ◽  
File Storage ◽  
Storage Room ◽  
And Storage

  ABSTRAK Rekam medis disimpan dalam ruang penyimpanan agar memudahkan dalam pengambilan dan pengembalian berkas rekam medis. Kunjungan pasien yang meningkat mengakibatkan penambahan ketebalan dan penambahan rekam medis baru, sehingga rak menjadi penuh mengakibatkan proses penyimpanan dan pengembalian  kembali menjadi terhambat dan mengakibatkan kerusakan fisik pada berkas rekam medis. Maka peneliti bertujuan untuk mengetahui kebutuhan rak dan luas ruangan penyimpanan rekam medis di Rumah Sakit Putri Hijau. Penelitian ini menggunakan metode deskriptif kuantitatif yaitu dengan memaparkan hasil penelitian apa adanya dan membandingkan dengan teori kemudian diambil kesimpulan. Subjek dalam penelitian ini adalah ruang penyimpanan berkas rekam medis, objek dalam penelitian ini adalah berkas rekam medis dan rak penyimpanan. Hasil penelitian ini menunjukkan bahwa jumlah rak penyimpanan berkas  rekam medis di Rumah Sakit Putri Hijau adalah 20 rak dengan luas ruangan 100 m2. Terdapat 15 rak dengan luas ruangan 75 m2 diruang aktif dan 5 rak dengan luas ruangan 25m2 diruang inkatif. Dengan luas ruangan aktif yang telah tersedia mampu menampung penambahan kebutuhan rak rekam medis  aktif sebanyak  2 unit,  sehingga dengan tercukupinya rak  penyimpanan rekam medis dapat memudahkan petugas dalam menyimpan dan mengembalikan berkas rekam medis pasien serta terjaga kerahasiaan dan terhindar dari kerusakan fisik dokumen rekam medis.   Kata Kunci : Rekam Medis, Rak Penyimpanan, Luas Ruangan.   ABSTRACT Medical records are stored in a storage room to make it easier to retrieve and return medical record files. Increased patient visits result in increased thickness and addition of new medical records, so that the shelves become full resulting in the process of storage and return to be hampered and cause physical damage to the medical record file. Then the researchers aimed to determine the need for shelves and spacious medical record storage room at Putri Hijau Hospital. This research uses descriptive quantitative method that is by describing the results of the research as it is and comparing with the theory then conclusions are drawn. The subjects in this study were the medical record file storage space, the object in this study was the medical record file and storage rack. The results of this study indicate that the number of medical record file storage shelves at the Putri Hijau Hospital is 20 rack with room area of ​​100 m2. There are 15 shelves with a room area of ​​75 m2 in an active room and 5 shelves with a room area of ​​25 m2 in an inclusive room. With an active room area that is available to accommodate the need for additional active medical record shelves as much as 2 units, so that adequate storage of medical record shelves can facilitate officers in storing and returning patient medical record files and maintaining confidentiality and avoiding physical damage to medical record documents.

Analisis Unsur Manajemen dalam Pengolahan Rekam Medis di Rumah Sakit TNI AU Lanud Roesmin Nurjadin

2018 ◽  
Vol 1 (1) ◽  
pp. 20-25
Author(s):  
Henny Maria Ulfa
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Processing Method ◽  
Qualitative Approach ◽  
Check List ◽  
Training Material ◽  
Patient Medical Record ◽  
Qualitative Descriptive ◽  
Material Element ◽  
Descriptive Method

Hospitals must conduct a medical record activities according to Permenkes NO.269 / MENKES / PER / III / 2008 about Medical Record, to achieve the purpose of medical record processing required 5 management elements are: man, money, material, machine, and method. The medical record processing that has been implemented at the Hospital TNI AU LANUD Roesmin Nurjadin that is coding, coding only done for BPJS patients whose conducted by the officer with education background of D3 nursing, it be impacted to the storage part is wrong save and cannot found patient medical record file because are not returned. The purpose of this research is to know the element of management in the processing of medical records at the Hospital TNI AU LANUD Roesmin Nurjadin. This research is done by Qualitative descriptive method, Qualitative approach, instrument of data collection of interview guidance, observation guidance, check list register, and stationery, number of informant 6 people with inductive way data analysis. The result of this research found that Mans elements only amounts to 2 people so that officers work concurrently and have never attended training, material element and machines elements of medical record processing not yet use SIMRS and tracer, while processing method elements follow existing habits and follow the policy of hospital that is POP organization. Keywords: Management elements, medical record processing

scholarly journals Completeness criteria and filling of medical records in dental clinic of Cianjur General Hospital (January - April 2011)

2012 ◽  
Vol 24 (2) ◽  
Author(s):  
Annisa Rosalina ◽  
Netty Suryanti ◽  
Riana Wardani
Keyword(s):  
General Hospital ◽  
Medical Record ◽  
Medical Records ◽  
Random Sampling ◽  
Sampling Technique ◽  
Patient Treatment ◽  
Dental Clinic ◽  
The Republic ◽  
Descriptive Method ◽  
Medical Record Documentation

Introduction: The medical record documentation of patient treatment Provides the which in turn, must be maintained Clearly, concisely, comprehensively and accurately. Medical record and its filling criteria must be based on the regulation of the Minister of Health of The Republic of Indonesia No. 269/Menkes/Per/III / 2008 regarding to the medical record. The research was Aimed to unveil the completeness of both criteria and filling on medical records at the General Hospital’s Dental Polyclinic of Cianjur District. Methods: Survey-based descriptive method was applied within the research. Its Data was acquired through the examination on medical records and interviews. Random sampling was conducted to run the sampling technique. 89 pieces of outpatient’s medical records were embodied as samples. Results: Based on the research results, it is discovered that 6 out of 12 criteria (50%) are not listed within the medical record. Thus, the filling on medical records of 100% is found incomplete. Conclusion: Medical records Dental Clinic Regional General Hospital Cianjur according to standards Permenkes No. 269/2008 not inlude on complete criteria according to standards Permenkes No. 269/2008.

scholarly journals Completeness of informed consent in supporting national standard accreditation of patient and family rights 5 hospitals at Ropanasuri surgical special hospital in Padang

2019 ◽  
Vol 6 (11) ◽  
pp. 4639
Author(s):  
Yastori .
Keyword(s):  
Informed Consent ◽  
Medical Record ◽  
Medical Records ◽  
National Standards ◽  
National Standard ◽  
National Hospital ◽  
Microsoft Excel ◽  
Patient Medical Record ◽  
Special Hospital ◽  
Descriptive Method

Background: Completeness of informed consent is one indicator in supporting the accreditation of national hospital standards through the assessment of patient and family rights (PFR) assessment standards 5. In the health service process, informed consent can also be used as evidence and has a strong legal value in the form of a sheet of paper containing the doctor’s explanation about the diagnosis of the disease and the actions that will be performed on the patient.Methods: This research uses descriptive method with a qualitative approach. The population used was the entire patient medical record file in 2018, which was 3.093 medical record files. Sampling was done by random sampling using a formula according to Notoatmodjo for the calculation of the number of samples and obtained 355 files of medical records. Data processing using Microsoft Excel computer programs. For observing the completeness of the standard rights of patients and families using national standards for hospital accreditation.Results: Based on the analysis of 355 medical record files at Ropanasuri specialty hospital it is known that 296 pieces of informed consent were filled in with a percentage of 83.38%, 59 sheets of informed consent were incomplete with a percentage of 16.62%. The results showed the greatest incompleteness found in filling the informed consent items of witness signatures of 2.81%, providing information on the completeness of filling the doctor's identity by 2.54% and the name of the witness 1.70% on filling the authentication.Conclusions: 296 pieces of informed consent were filled in with a percentage of 83.38%, 59 sheets of informed consent were incomplete with a percentage of 16.62%.

scholarly journals Overview Of The Medical Record Room in Sumber Public Health Center

2020 ◽  
Vol 7 (2) ◽  
pp. 49-54
Author(s):  
Nur Liya ◽  
Loura Weryco Latupeirissa ◽  
Eka Martaviantika Gusana
Keyword(s):  
Public Health ◽  
Health Center ◽  
Medical Record ◽  
Medical Records ◽  
Storage Space ◽  
Public Health Center ◽  
File Storage ◽  
Room Size ◽  
The Moment ◽  
Storage Racks

The distance between the aisle shelves in the medical record file storage space must meet the requirements for easy retrieval and maintenance. The total area of the room is adjusted to the needs assessment. The purpose of this study was to determine the distance between the storage shelves in Sumber Public Health Center, to know the needs of shelves for medical records file Sumber Public Health Center and to know the description of the medical record room in Sumber Public Health Center. This type of research is a descriptive method. The object of this research was the area of medical record room in Sumber Public Health Center, but to determine the average thickness of BRM in supporting the calculation of room size requirements the size of the sample used was 396 BRM. Sampling in this research is using random sampling with group sampling. The instruments used in this study used measuring aids (meters and micrometers), calculating aids, the formula for storing medical records and observation guidelines The results of this study are the distance between the passageways of the storage shelves at Sumber Public Health Center at the moment, which is 48 cm, the storage rack needs to store 46,353 medical records files as many as 9 shelves and the current medical record space at the Sumber Public Health Center is 5.74 m2. Based on the results of the measurement of the need for a room of medical records is 9.60 m2 so it requires the addition of 3.86 m2 of space. Thus the need for space is not sufficient because the needs of the current storage rack still requires the addition of storage racks so that it is also needed to increase the storage space. Puskesmas are expected to add more storage space for medical records or can switch to electronic medical records.

scholarly journals LITERATURE REVIEW : ASPEK KEAMANAN DAN KERAHASIAAN DOKUMEN REKAM MEDIS DI RUMAH SAKIT

2021 ◽  
Vol 1 (1) ◽  
pp. 36-42
Author(s):  
Nur Husnina ◽  
Trismianto Asmo Sutrisno
Keyword(s):  
Literature Review ◽  
Medical Record ◽  
Medical Records ◽  
Raw Materials ◽  
Google Scholar ◽  
Physical Aspect ◽  
Vacuum Cleaner ◽  
File Storage ◽  
Storage Room ◽  
Access Rights

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

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI KETERLAMBATAN PENGEMBALIAN BERKAS REKAM MEDIS RAWAT JALAN DI UPT RUMAH SAKIT KHUSUS PARU TAHUN 2019

2020 ◽  
Vol 5 (1) ◽  
pp. 108-113
Author(s):  
Ali Sabela Hasibuan
Keyword(s):  
Service Delivery ◽  
Medical Record ◽  
Medical Records ◽  
Sampling Technique ◽  
Medical Record Data ◽  
Patient Medical Record ◽  
Descriptive Research ◽  
Record Data ◽  
Quantitative Descriptive ◽  
Time Required

ABSTRAK   Unit rekam medis merupakan bagian yang penting dalam suatu rumah sakit, karena rekam medis memuat kegiatan mulai dari penerimaan pasien, pencatatan, pengelolaan data rekam medis pasien, penyimpanan dan pengembalian berkas rekam medis.Selain itu, unit rekam medis harus mampu melayani permintaan informasi yang berkaitan dengan data rekam medis dengan cepat, tepat dan akurat pada waktu yang dibutuhkan.Salah satu faktor yang berpengaruh dalam kecepatan pemberian pelayanan kepada pasien adalah ketepatan waktu pengembalian berkas rekam medis ke unit rekam medis.Tujuan umum dari peneliti ini adalah untuk mengetahui faktor keterlambatan pengembalian berkas rekam medis rawat inap di UPT Rumah Sakit Khusus Paru Medan.Jenis penelitian ini menggunakan metode penelitian deskriptif kuantitatif.Populasi dalam penelitian petugas yang berkaitan dengan pengisian rekam medis diRS Khusus Paru yang berjumlah 15 orang, dengan teknik pengambilan sampel adalah total sampling yaitu berjumlah 15 orang.Berdasarkan hasil penelitian yang telah dilakukan  peneliti bahwa faktor yang paling mempengaruhi keterlambatan adalah menjalankan prosedur yang telah ditetapkan dan ketidaklengkapan  dalam pengisian dokumen rekam medis baik dalam identitas pasien dan ketepatan dalam pengisian diagnosis juga mempengaruhi keterlambatan dalam pengembalian berkas rekam medis dan menjalankan prosedur yang telah ditetapkan di rumah sakit pengembalian berkas rekam medis paling lama 1x24 jam, apabila pengembalian berkas rekam medis mengalami keterlambatan maka akan sangat berpengaruh terhadap assembling,analisis,coding,indixing,filling dan laporan. Kata Kunci                 : Pengembalian Rekam Medis. ABSTRACT   Medical record unit is an important part in a hospital, because medical records contain activities ranging from receiving patients, recording, managing patient medical record data, storing and returning medical record files. In addition, medical record units must be able to service requests for information relating with medical record data quickly, precisely and accurately at the time required. One of the factors that influence the speed of service delivery to patients is the timeliness of returning medical record files to the medical record unit. inpatient medical record at UPT Medan Special Lung Hospital. This type of research uses quantitative descriptive research methods. Population in the study of officers relating to filling medical records in the Special Lung RSR totaling 15 people, with the sampling technique is the total sampling which amounted to 15 people . Brilliant The results of research that have been conducted by researchers that the factors that most influence the delay are carrying out established procedures and incompleteness in filling medical record documents both in the patient's identity and accuracy in filling out the diagnosis also affect the delay in returning the medical record file and carry out the procedures specified in the hospital returns the medical record file for a maximum of 1x24 hours, if the return of the medical record file is delayed it will greatly affect the assembling, analysis, coding, indixing, filling and reporting.   Keywords: Returning Medical Records.

scholarly journals INFORMASI DATA REKAM MEDIS PASIEN DI RS BEDAH MITRA KABUPATEN LAMONGAN DENGAN METODE NAIVE BAYES DAN CLUSTERING DALAM PENENTUAN PENYAKIT HYPERTENSI

JOUTICA ◽  
2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Kemal Farouq Mauladi
Keyword(s):  
Data Base ◽  
Medical Record ◽  
Medical Records ◽  
Medical Service ◽  
Computer Data ◽  
Patient Medical Record ◽  
Number Of Patients ◽  
Record Data ◽  
Record Card ◽  
Computer Data Base

Medical records have a very broad sense, not only as a recording activity, but has a notion as a system of medical record recordings that start recording during the patient get medical service, followed by handling medical records file that includes the storage and the release of files from the storage for Serve requests or loans if from patients or for other purposes. Documents of patient medical record data from patient card data, especially patients with hypertension who at the time of control to the partner surgery hospital will from the medical record card document will be scanned or scanned into computer data base as data base storage efficiently and regularly , To then be tested with data mining by using clustering and naive baiyes to determine the number of patients based on the place or area of patients who are frequently treated at the partner surgical hospital.

scholarly journals SOSIALISASI PELAKSANAAN SISTEM PENGGUNAAN TRACER SEBAGAI PELACAK BERKAS REKAM MEDIS PADA RUMAH SAKIT NAILI DBS PADANG

2019 ◽  
Vol 3 (2) ◽  
pp. 172
Author(s):  
Yastori Yastori
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Fast Time ◽  
Length Of Service ◽  
File Storage ◽  
Quality Of Health Services ◽  
Health Services Needs ◽  
Frequent Problem ◽  
Record Section

Peningkatan mutu layanan kesehatan perlu dilakukan terutama bagi rumah sakit. Rekam medis yang hilang, salah letak, missfile sulit ditemukan dalam waktu yang cepat menjadi permasalahan yang sering terjadi dan mempengaruhi kualitas pelayanan dan menjadi pemicu permasalahan terjadinya berkas rekam medis ganda sehingga mempersulit pengembalian berkas rekam medis sesuai urutan dan mengakibatkan lamanya pelayanan terhadap pasien. Berdasarkan survei pendahuluan, rumah sakit Naili DBS belum menggunakan tracer untuk menandai berkas keluar. Metode yang digunakan adalah observasi dengan wawancara dan diskusi mengenai permasalahan dibagian rekam medis terutama bagian penyimpanan dan pelacakan berkas rekam medis. Pendidikan diberikan melalui sosialisasi pentingnya penggunaan tracer, sistem penggunaan dan tahapan dalam mempersiapkan tracer. Kegiatan ini bertujuan untuk menciptakan budaya  pemanfaatan tracer sebagai kartu pelacak berkas rekam medis keluar dari rak penyimpanan berkas, dilaksanakan pada 11 April 2019 dan berjalan lancar. Hasil yang diperoleh yaitu bahwa di rumah sakit Naili DBS belum menggunakan tracer dan cara pelacakan berkas rekam medis dengan melihat nomor rekam medis pada saat pasein melakukan pendaftaran sehingga membutuhkan waktu yang lebih lama jika dibandingkan dengana adanya tracer. Setelah diadakan sosialisasi ini, bagian rekam medis di rumah sakit Naili DBS memahami akan pentingnya tracer pada bagian rekam medis di rumah sakit.  Kata kunci : Tracer, Rekam Medis, Missfile ABSTRACT Improving the quality of health services needs to be done especially for hospitals. Missing medical records, misplaced, missfiles are difficult to find in a fast time that is a frequent problem that affects the quality of service and triggers problems with the occurrence of multiple medical record files, making it difficult to return the medical record files in order and result in length of service to patients. Based on preliminary surveys, the Naili DBS hospital has not used tracers to mark outgoing files. The method used is observation with interviews and discussions about problems in the medical records section, especially the storage and tracking of medical record files. Education is given through the socialization of the importance of using tracers, usage systems and stages in preparing tracers. This activity aims to create a culture of utilizing tracers as tracking cards for medical record files off the file storage shelves, held on April 11, 2019 and running smoothly. The results obtained are that the Naili DBS hospital has not used tracer and how to track medical record files by looking at the medical record number at the time of registration so that it takes longer than the tracer. After this socialization, the medical records section at Naili DBS Hospital understood the importance of tracers in the medical record section at the hospital. Keywords: Tracer, Medical Record, Missfile

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