Gambaran Ketepatan Waktu Penyediaan Rekam Medis Rawat Jalan Di RSUP Fatmawati Tahun 2021

Arip Budiana, Deasy Rosmala Dewi, Laela Indawati, Lily Widjaja
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Abstract

The hospital as a public health service institution is an important part that provides complete individual health services and provides inpatient, outpatient, and emergency services. Provision of medical records is a process of providing medical records starting from searching for medical records to sending medical records to the intended polyclinic for health services in accordance with health service standards. The purpose of this study was to get an overview of the timeliness of providing outpatient medical records at Fatmawati Hospital. In this study the authors decided to use a qualitative descriptive method which aims to describe the situation or field conditions regarding the occurrence of inaccuracies in the provision of outpatient medical records at Fatmawati Hospital. Based on Standard Operating Procedures, the provision of outpatient medical records at Fatmawati Hospital is <30 minutes (maximum 30 minutes), in this study it was found that the timely provision was 75.55%. With an average delivery time of 27,96 minutes. From this it is known that there is a gap related to the time delay in the process of providing medical records. Delays in the process of providing outpatient medical records are caused by factors including factors in the 5M management element which include man, machine, material, money, method. The staff's knowledge factor needs to be improved, the discipline of the supply officer is good but not optimal, the officer has not attended training on the timeliness of providing good medical records. The machine factor is the lack of number of outpatient medical record storage racks, and the lack of a trolley for the provision of medical records. The method factor is the need for periodic socialization of SOPs to remind officers' performance. The matherial factor requires trolly rejuvenation and good maintenance in order to function as it should. The money factor is that the budget should always be a priority that can be a support for the creation of good health services.
2021年RSUP Fatmawati医疗记录的守时照片
医院作为公共卫生服务机构,是提供完整的个人卫生服务和提供住院、门诊、急诊服务的重要组成部分。提供病历是指提供病历的过程,从查找病历开始,到按照医疗服务标准将病历送到指定的综合诊所接受医疗服务。本研究的目的是了解法塔玛瓦蒂医院提供门诊病历的及时性。在这项研究中,作者决定采用定性描述方法,旨在描述Fatmawati医院提供门诊病历时出现不准确的情况或现场情况。根据标准操作程序,Fatmawati医院门诊病历的提供时间小于30分钟(最长30分钟),在本研究中发现及时提供的比例为75.55%。平均配送时间为27,96分钟。由此可知,在提供病历的过程中存在与时间延迟有关的差距。门诊病历提供过程中的延误是由5M管理要素中的人、机、料、钱、法等因素造成的。工作人员的知识因素有待提高,供应员的纪律良好但不是最优,供应员没有参加关于提供良好病历及时性的培训。机器因素是缺乏门诊病历存放架的数量,以及缺乏提供病历的手推车。方法因素是需要定期对标准操作程序进行社会化,以提醒官员的绩效。物质因素需要小车回春和良好的维护,以发挥其应有的作用。资金方面的因素是,预算应该始终是一个优先事项,可以支持建立良好的保健服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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