Dampak Penumpukan Dokumen Rekam Medis Terhadap Waktu Pengambilan Dokumen Rekam Medis Di RSU Sinar Husni Medan

The filling system is one of the administrators of medical records which is responsible for orderly administration in an effort to improve health services in hospitals. Accumulation of medical record documents will affect of work of officers in the filling section. The purpose of this study is to determine the impact of the bildup of medical records documents on the time of taking medical record documents at Sinar Husni Hospital. This research is a descriptive study with a qualitative approach. The population is all filling officers at the Sinar Husni Hospital and all patient medical records calculated on average in the third quarter of 2020, counted 719 documents. The samples in this study were 2 filling officers at the Sinar Husni Hospital and part of the medical record documents totaling 86 medical record documents that were taken incidentally. The instrument used was an interview guide. The measurement of time to take medical record documents uses a stopwatch. Data were analyzed descriptively. The results showed that the accumulation of medical record documents had an impact on the time to take medical record documents at the Sinar Husni Hospital, because the officers had difficulty carrying out filling activities because the access between shelves was narrower and the documents piled on the floor were not properly aligned, with an average of 10.05 minute. We recommend to add more storage space and shelves so that medical record documents that are stacked on the floor can be moved to the storage racks.

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Overview Of The Medical Record Room in Sumber Public Health Center

Jurnal Kesehatan Mahardika ◽

10.54867/jkm.v7i2.12 ◽

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.

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Prawidłowe prowadzenie dokumentacji medycznej jako warunek bezpieczeństwa pacjenta w procesie leczniczym

Ius et Administratio ◽

10.15584/iuseta.2021.1.2 ◽

2021 ◽

Vol 44 (1) ◽

pp. 24-42

Author(s):

Magdalena Gąska ◽

Keyword(s):

Patient Safety ◽

Medical Record ◽

Medical Records ◽

Treatment Process ◽

Healthcare Services ◽

Record Keeping ◽

Applicable Law ◽

The Impact ◽

The Way

This article discusses the impact of the proper medical record keeping on ensuring patient safety in the process of providing healthcare services. The study presents the principles of keeping, processing, storing and ensuring the access to the medical records resulting from the applicable law and established jurisprudence views, as well as the way in which these guarantees affect the protection of such sensitive patient interests as health, life and privacy. The article also indicates the areas in which the patient's right to medical records is the most frequently violated and the trends in this regard, as well as it formulates postulates aimed at increasing patient safety in the treatment process.

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

Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) ◽

10.52943/jipiki.v6i1.485 ◽

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

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Pelaksanaan Penyimpanan Rekam Medis Berdasarkan Unsur Manjemen 5M di Puskesmas Medan Johor

Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) ◽

10.52943/jipiki.v6i2.590 ◽

2021 ◽

Vol 6 (2) ◽

pp. 152-160

Author(s):

Valentina ◽

Winda Andryani Sinaga

Keyword(s):

Health Center ◽

Medical Record ◽

Medical Records ◽

Good Health ◽

Phenomenological Approach ◽

Check List ◽

Machine Element ◽

Interview Guide ◽

Material Element ◽

Audio Recorder

The implementation of medical records carried out at the puskesmas requires management in managing all existing activities with the aim of creating good health services, in accordance with procedures and guidelines. To achieve the goal of processing medical records, 5 elements of management are needed, namely man, money, material, machine, and method. The purpose of this study was to determine the management elements of man, money, material, machine, and method in the implementation of medical records carried out at the Medan Johor Health Center. This type of research uses qualitative research methods with a phenomenological approach. The study was conducted from May to July 2020. The population was all medical record officers at the Medan Johor Health Center. The research sample amounted to 5 people who were taken by saturated sampling. The research instrument is an interview guide and recorded using an audio recorder and a check list sheet for observation. The results showed that the man element was 5 people and none of them had a medical record background and had never received training, the money element was the funding obtained from JKN and APBD, the material element was that a family folder was used to store all patient forms, while the use of tracers and register books has not been used to control the borrowed files out of the storage rack, and the filling cabinet is used as a tool to store medical record files, the machine element is a primary care application to register patients, the SIMPUS application is used for reporting, the method element is Not all SOPs in medical records exist. The advice given is to provide training to medical record officers so that their officers better understand the importance of medical records.

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Perancangan Sistem Informasi Retensi Rekam Medis Pasien Rawat Inap Menggunakan Visual Studio 2010 di Rumah Sakit Jasa Kartini Tasikmalaya

Jurnal Health Sains ◽

10.46799/jhs.v2i8.252 ◽

2021 ◽

Vol 2 (8) ◽

pp. 1049-1062

Author(s):

Resa Yusnia ◽

Sali Setiatin ◽

Widya Nadiroh ◽

Candra Mecca Sufyana

Keyword(s):

Information System ◽

Medical Record ◽

Design Method ◽

Design Procedure ◽

Flow Diagram ◽

Microsoft Access ◽

Data Flow Diagram ◽

The Subject ◽

Storage Racks ◽

Improve Health

The hospital is a place to organize health efforts, namely every activity to maintain and improve health and aims to realize optimal levels of health for the community. This study aims to design an information system for inpatient medical record retention using Microsoft Visual Studio 2010 at the Jasa Kartini Hospital, Tasikmalaya. The research method used is a qualitative method with a descriptive approach. Data collection techniques are using observation, interviews and literature studies related to the subject matter of the research. As for the software development method using the waterfall. Based on the research conducted, various problems were found, including the medical record files that had been retained were not well organized at the time of storage so that they were not sequentially according to the medical record number, the lack of storage racks so that the medical records were not well organized and the retention process was slow. Therefore, it is necessary to design a medical record retention information system in the form of an application. The system design method uses Flowmap, DFD (Data Flow Diagram) and ERD (Entity Relation Diagram) and is implemented with Microsoft Visual Studio 2010 programming language with Microsoft Access database. Testing is done using the black box with the results of each successful form according to the design procedure.

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SOSIALISASI PELAKSANAAN SISTEM PENYIMPANAN BERKAS REKAM MEDIS DI KLINIK AS SALAM KOTA PADANG

LOGISTA - Jurnal Ilmiah Pengabdian kepada Masyarakat ◽

10.25077/logista.3.2(jul-des).130-134.2019 ◽

2019 ◽

Vol 3 (2(Jul-Des)) ◽

pp. 130

Author(s):

Sayati Mandia

Keyword(s):

Health Service ◽

Community Engagement ◽

Medical Record ◽

Medical Records ◽

Health Workers ◽

Storage System ◽

Physical Damage ◽

Filling System ◽

Medical Person ◽

Speed Up

Klinik merupakan pelayanan kesehatan yang menyelenggarakan dan menyediakan pelayanan medis dasar atau spesialistik, dan diselenggarakan oleh satu atau lebih tenaga kesehatan dan dipimpin oleh seorang tenaga medis. Setiap klinik wajib menyelenggarakan rekam medis. Salah satu penyelenggaran rekam medis adalah sistem penyimpanan berkas rekam medis. Sistem penyimpanan ini sangat penting untuk dilakukan karena dapat mempermudah berkas rekam medis yang akan disimpan dalam rak penyimpanan, mempercepat ditemukan kembali atau pengambilan berkas rekam medis yang disimpan dalam rak penyimpanan, mudah pengembaliannya, dan melindungi berkas rekam medis dari bahaya pencurian, bahaya kerusakan fisik, kimiawi, dan biologi. Pengabdian kepada masyarakat ini dilakukan dengan cara memberi sosialisasi kepada petugas rekam medis mengenai penyimpanan berkas rekam medis. Pengabdian ini membahas mengenai sistem penyimpanan yang dilaksanakan di klinik As salam kota padang. Hasil pengabdian ini berupa penambahan wawasan mengenai sistem penyimpanan rekam medis pasien. Kata kunci: Sistem Penyimpanan, Rekam medis, Klinik ABSTRACT Clinic is a health service that organizes and provides basic or specialist medical services, and is organized by one or more health workers and is led by a medical person. Each clinic is required to hold a medical record. One of the organization of medical records is a medical record filling system. Filling is very important because it can facilitate the medical record file to be stored in a storage rack, speed up rediscovering or retrieving medical record files stored in a storage rack, easy return, and protect medical record files from the danger of theft, physical damage, chemistry and biology. The community engagement is done by giving socialization to medical records officer regarding the filling of medical record files. This engagement discusses that filling system implemented in Clinis As salam. The results is increasing knowledge about medical record filling system.Keywords: Storage system, Medical record, Clinic

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Research on named entity recognition of chinese electronic medical records based on multi-head attention mechanism and character-word information fusion

Journal of Intelligent & Fuzzy Systems ◽

10.3233/jifs-212495 ◽

2021 ◽

pp. 1-12

Author(s):

Qinghui Zhang ◽

Meng Wu ◽

Pengtao Lv ◽

Mengya Zhang ◽

Hongwei Yang

Keyword(s):

Medical Record ◽

Electronic Medical Record ◽

Electronic Medical Records ◽

Medical Records ◽

Named Entity Recognition ◽

Attention Mechanism ◽

Entity Recognition ◽

Long Distance ◽

Named Entity ◽

The Impact

In the medical field, Named Entity Recognition (NER) plays a crucial role in the process of information extraction through electronic medical records and medical texts. To address the problems of long distance entity, entity confusion, and difficulty in boundary division in the Chinese electronic medical record NER task, we propose a Chinese electronic medical record NER method based on the multi-head attention mechanism and character-word fusion. This method uses a new character-word joint feature representation based on the pre-training model BERT and self-constructed domain dictionary, which can accurately divide the entity boundary and solve the impact of unregistered words. Subsequently, on the basis of the BiLSTM-CRF model, a multi-head attention mechanism is introduced to learn the dependency relationship between remote entities and entity information in different semantic spaces, which effectively improves the performance of the model. Experiments show that our models have better performance and achieves significant improvement compared to baselines. The specific performance is that the F1 value on the Chinese electronic medical record data set reaches 95.22%, which is 2.67%higher than the F1 value of the baseline model.

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KARAKTERISTIK REMAJA PUTRI YANG MENGALAMI KEHAMILAN YANG TIDAK DIINGINKAN KOTO BARU SIMALANGGANG KECAMATAN PAYAKUMBUH

Human Care Journal ◽

10.32883/hcj.v2i1.39 ◽

2018 ◽

Vol 2 (1) ◽

pp. 8

Author(s):

Siti Khadijah

Keyword(s):

Qualitative Research ◽

Sex Education ◽

Unintended Pregnancy ◽

Young Women ◽

Health Professionals ◽

Descriptive Study ◽

The Third ◽

Interview Guide ◽

Unwanted Pregnancies ◽

Comprehensive Sex Education

ABSTRAK Kasus remaja dengan kehamilan yang tidak diinginkan di kecamatan Payakumbuh tahun 2013 berjumlah 32 orang. Tujuan penelitian ini adalah untuk menganalisis karakteristik introvert, ekstrovert dan ambivert remaja putri yang mengalami kehamilan yang tidak diinginkan. Jenis penelitian yaitu kualitatif dan desain penelitian adalah penelitian deskriptif. Penelitian dilakukan di Nagari Koto Baru Simalanggang. Teknik pengambilan sampel adalah total sampling sebanyak 6 orang. Instrumen penelitian adalah peneliti sendiri dengan menggunakan pedoman wawancara. Hasil penelitian menunjukkan bahwa diketahui ada 6 remaja putri yang mempunyai karakteristik introvert dalam menjawab pertanyaan pertama dan pertanyaan kedua. Diketahui 4 remaja putri mempunyai karakteristik estrovert dan 2 remaja putri yang mempunyai karakteristik introvert dalam menjawab pertanyaan ketiga. Diketahui 4 remaja putri mempunyai karakteristik ekstrovert dan 2 remaja putri mempunyai karakteristik introvert dalam menjawab pertanyaan keempat. Diketahui ke 6 remaja tersebut mempunyai karakteristik ekstrovert dalam menjawab pertanyaan kelima dan pertanyaan ke 6. Dapat disimpulkan bahwa remaja putri yang mengalami kehamilan yang tidak diinginkan mempunyai karakteristik introvert, ekstrovert dan tidak ada remaja putri yang mengalami karakteristik ambivert. Dan diharapkan kepada tenaga kesehatan agar dapat memberikan penyuluhan tentang kesehatan reproduksi yang lebih komprehensif dan memberikan pendidikan seks dini pada remaja.Kata Kunci : Karakteristik; Kehamilan; Remaja ABSTRACT<pre>Case teenagers with unwanted pregnancies in Payakumbuh at 2013 amounted to 32 people. The purpose of this study was to analyze the characteristics of an introvert, extrovert and ambivert young women experiencing an unintended pregnancy. This type of research is qualitative research,the design was a descriptive study. The study was conducted in Kecamatan Payakumbuh. The sampling is total sampling as many as six people. The research was using interview guide. The results showed that in mind there are six young women who have the characteristics of an introvert in answering the first question and the second question. Given that 4 girls have the characteristics estrovert and 2 girls have introverted characteristics in answering the third question. Given that 4 girls having extrovert characteristics and 2 girls had the characteristics of an introvert in answering the fourth question. 6 teens are known to have characteristics extrovert in answering fifth and sixth questions. It can be concluded that girls who experience an unintended pregnancy has the characteristics of an introvert, extrovert and no girls who had the characteristics ambivert. It was expected that health professionals in order to provide education on reproductive health and provide more comprehensive sex education early in teenagers.</pre><pre> </pre><pre> Keywords: Characteristics; Pregnancy; Teeneger</pre>

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

Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) ◽

10.52943/jipiki.v5i1.350 ◽

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.

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

Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) ◽

10.52943/jipiki.v5i1.338 ◽

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 .

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