scholarly journals THE USE OF OUTGUIDE IN UNIT MEDICAL RECORD OUTPATIENT ARJAWINANGUN DISTRICTHOSPITALS CIREBON

2020 ◽  
Vol 7 (2) ◽  
pp. 43-45
Author(s):  
Chynditian ◽  
Riantina Luxiarti ◽  
Bayu Ajie Pradiptya

Provision of medical records files quickly and precisely will greatly help the quality of health services provided to patients. If the medical record file storage system that is used is not good, problems will occur that can interfere with the availability of medical record files. Therefore the existence of an outguide in the medical record file storage can help speed up the provision of medical record files and minimize errors in the storage of medical record files. The purpose of this study was to determine the use of outguides in the outpatient medical record unit at Arjawinangun District Hospital Cirebon. This type of research is a descriptive method The subject of this study was the outpatient medical record file storage officer at Arjawinangun District Hospital Cirebon with a total of 4 special officers in the storage and retrieval of medical record files. The instrument used in this study used checklist sheets. The results showed that 100% the use of outguide was not used in the process of searching medical record files because outguide availability was very limited. So when outguide not used properly, it can be errors in the storage of patient's medical record files.For this reason, the medical record unit must use the outguide properly in order to minimize the occurrence of misplacement of the patient's medical record file and speed up the time for the provision of the medical record file.

Author(s):  
Yastori Yastori

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


Author(s):  
Zulham Andi Ritonga ◽  
Hasran Ependi Lubis

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


2021 ◽  
Vol 8 (1) ◽  
pp. 36-39
Author(s):  
Agista Putri Miranti ◽  
Sri Nurcahyati ◽  
Thia Oktiany

Incompleteness in filling out the inpatient pain assessment sheet will have an impact on the discontinuity of information and will affect the quality of health service facilities. The purpose of this study was conducted to determine the completeness of the Inpatient Pain Assessment Sheet at Sumber Kasih Hospital, Cirebon City.This type of research is quantitative descriptive. The population is the entire medical record document from January to March in 2020 with a sample of 99 medical record documents. This research instrument uses observation sheets. The results of this study indicate that there are 1 (1%) medical record documents that are completely filled and 98 (99%) incomplete medical record documents on the pain assessment sheet form. As for the conclusion in this research the completeness of the study sheet of pain in Sumber Kasih Cirebon City Hospital 1 while the incomplete study sheet of 99. And also the advice in this research is advice for hospitals should be evaluated to maintain the quality of health services improve the performance of medical record officers in the Sumber Kasih Cirebon City Hospital.


2018 ◽  
Vol 2 (2) ◽  
pp. 112
Author(s):  
Nanang Wahyudin

This study aims to analyze the quality of services available at the health center of Mranggen in order to formulate a strategy to improve the quality of health services of Puskesmas by analyzing the importance and level of performance in six dimensions of service quality (Tangibles, Reliability, Responsiveness, Assurance, Empathy and Accessibility) to produce performance (performance) that can satisfy customers. The data analysis of this research was conducted by qualitative descriptive method, to answer the problem formulation about how to improve the quality of health service of Mranggen in accordance with the quality standard set by the Government, then used "Importance-Performance Analysis" with Cartesian diagram, the number of samples of this study 75 respondents taken from three Puskesmas available at Puskesmas Mranggen. The result of the research shows that the dimension of Responsiveness is the main priority to improve the quality of service because it has the highest importance of 81.3%, while the performance is still low with the level of conformity of 71%, while the next sequence based on the level of conformity is Assurance dimension, Accessibility, Tangibles, Reliability, and Empathy. Thus the whole health center Mranggen considered good enough from the level of customer satisfaction.


PHARMACON ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 79
Author(s):  
Tiarma Monibala ◽  
Gayatri Citraningtyas ◽  
Paulina V. Y. Yamlean

ABSTRACTDrug management is one aspect of hospital management that is very important in providing overall health services because the inefficiency and ineffectiveness of drug management will have a negative impact on hospitals both medically, socially and economically. This study aims to evaluate the storage and distribution of drugs in accordance with the Regulation of the Minister of Health No. 72 of 2016 in Pharmacy Installation of Noongan District Hospital using a descriptive method with a retrospective and prospective approach. The results showed that the drug storage system in the Pharmacy Installation of Noongan General Hospital as a whole was not in accordance with the Regulation of the Minister of Health No. 72 of 2016 such as, warehouses that are not too large to store all drug supplies, the absence of regulators of humidity, the absence of pedestal boards and drugs placed directly on the floor, while the process of drug distribution is in accordance with Minister of Health Regulation No. 72 of 2016 using the Centralization and Individual methods for medicines and the Floor Stock method for Medical Materials. Keywords: Storage, Distribution, Medicine, Pharmacy Installlation Noongan District Hospital  ABSTRAK Pengelolaan obat merupakan salah satu segi manajemen rumah sakit yang sangat penting dalam penyediaan pelayanan kesehatan secara keseluruhan karena ketidakefisienan dan ketidaklancaran pengelolaan obat akan memberi dampak negatif terhadap rumah sakit baik secara medik, sosial, maupun secara ekonomi. Penelitian ini bertujuan untuk mengevaluasi penyimpanan dan pendistribusian obat sesuai  dengan Peraturan Menteri Kesehatan No. 72 Tahun 2016 di Instalasi Farmasi RSUD Noongan menggunakan metode deskriptif dengan pendekatan retrospektif dan prospektif. Hasil penelitian menunjukkan bahwa sistem penyimpanan obat di Instalasi Farmasi RSUD Noongan secara keseluruhan belum sesuai dengan Peraturan Menteri Kesehatan No. 72 Tahun 2016 seperti, gudang yang tidak terlalu luas untuk menyimpan semua persediaan obat, tidak adanya pengatur kelembaban, tidak adanya papan alas dan obat diletakkan langsung dilantai, sedangkan pada proses pendistribusian obat telah sesuai dengan Peraturan Menteri Kesehatan No. 72 Tahun 2016 dengan menggunakan metode Sentralisasi dan Perorangan untuk obat-obatan dan metode Floor Stock untuk Bahan Medis Habis Pakai. Kata Kunci : Penyimpanan, Pendistribusian, Obat, Instalasi Farmasi RSUD Noongan


2019 ◽  
Vol 3 (2(Jul-Des)) ◽  
pp. 130
Author(s):  
Sayati Mandia

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


2019 ◽  
Vol 18 (3) ◽  
pp. 155-163
Author(s):  
I. A. Evteeva ◽  
S. V. Shigeev

The aim of the study was to study the available approaches to the formulation and quality control of forensic medical expert conclusions. We have studied the literature sources containing recommendations on drawing up expert opinions and improving their quality. After a selection of scientific publications and publications on the subject matter with the help of a descriptive method, the article presents the existing approaches to this problem. As a result of the conducted research, the absence of any general objective requirements for expert conclusions was revealed. The development of unified standards for writing and the definition of “signs of quality” of expert conclusions is a promising task of forensic science and practice, the solution of which will improve the quality of examinations.


2021 ◽  
Vol 1 (9) ◽  
pp. 976-981
Author(s):  
Terra Amalia ◽  
Ria Angraini

Various methods and systems used to improve the quality of the management and storage of medical record files, one of which is to reduce the volume of archives that have no use value, to reduce archive buildup and create better and more efficient storage space, making it easier for officers to carry out their duties search and expedite the patient's treatment process. This study uses a qualitative type of research, with a descriptive method. The data collection in this study used the interview and observation (checklist) method. The population in this study were officers of the medical record work unit at Hermina Hospital Palembang in 2021. Based on the research, it can be concluded that the retention of inactive medical record files in 2021 is being carried out by medical record officers and the destruction of inactive medical record files has not been carried out because constrained by the COVID-19 pandemic, there are officers who carry out WFH (Work from Home) along with service hours. At the Hermina Hospital in Palembang, the standard operating procedure (SOP) regarding the destruction of inactive medical record files at the Hermina Palembang hospital already exists, but has not been implemented is 0.000 <0.05, it can be concluded that it is accepted, meaning that there is a difference in scores between before and after being treated with water tube media


Author(s):  
Esraida Simanjuntak ◽  
Mustamil Alwi Dasopang

  One of the parameters for determining the quality of health services in the hospital is data or information from good and complete medical records. Medical records are an important part of helping the implementation of service delivery to patients at the hospital. Standards relating to medical records in SNARS Edition 1 are in the group of hospital management standards, namely Medical Record Information Management (MIRM) regarding medical record document processing including provision, filling of medical records and reviewing medical records. This research method is descriptive with the method of observation. When this research was conducted in July 2020 at the Imelda Hospital Worker Indonesia Medan. The population taken was 705 medical record documents while the sample in this study was 87 medical record documents. Based on the results of the study, in the review the accuracy of returning medical record documents was 57.4% and 42.5% were incorrect. Readability review of ER assessment as much as 63.2%, assessment of Inpatient as much as 56.3%, CPPT as much as 60.9%, approval for action as much as 77%, reports of anesthesia as much as 68.9%. 3 forms of completeness review are complete, namely Education Assessment, rejection and education form (100%). Suggestions in this study are that review officers must be more assertive to remind every doctor or other medical personnel to pay attention to the accuracy of the restoration, the legibility of medical record files and the completeness of medical record documents. As well as regularly socializing the elements of the MIRM 13.4 assessment.


2020 ◽  
Vol 3 (01) ◽  
pp. 29-32
Author(s):  
Cindy Rasta Br Ginting ◽  
Dion Bagus Ds ◽  
Nurul Yusya Miranti ◽  
Nurmasyitah Nurmasyitah

The purpose of this study is to determine the quality of the results of the vii class science class in 2019/2020, a class of validity, reliability, depth of adversity and contrasting power. And this study USES a descriptive method. The subject in this study is a student class vii middle school n 6 langsa. Data-collection techniques are done using methods of documentation and observation. Data obtained use manual calculations by helping excel programs. This study is: (1) based on validity, problem no. 1 is low-predicated, validity of article 2 is insufficient, validity of article 3 is extremely low, and the validity of grains of 4-5 is fairly categorized. (2) reliably, the results of these studies have found that the peculiar midterm problems for the class vii class 6 of langsa for the 2019/2020 school are not religious, (3) based on reclassification power, from exam problems are low, only article no. 4 has enough categories. (4) for her level of suffering from no. 1 to no. 5, she was categorized as a simple group. Tests are good as a gauge when they meet the following requirement: good validity, good reliability, good objectivity, normal practicality and good economic value. Well, according to research conducted, the fact that entire grains of matter were rated as inferior.  Because of validity, reliability, contrition power and severity it does not meet well-defined standard scores.


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