Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)最新文献

{"title":"PENGARUH KELENGKAPAN PENGISIAN MEDICAL DISCHARGE SUMMARY PASIEN RAWAT INAP TERHADAP IMPLEMENTASI SNARS EDISI 1 ELEMEN PENILAIAN MIRM 15 DI RUMAH SAKIT AMC CILEUNYI","authors":"Dina Sonia, Ayulia Maulinabila","doi":"10.2411/JIPIKI.V5I2.401","DOIUrl":"https://doi.org/10.2411/JIPIKI.V5I2.401","url":null,"abstract":"This research aims to determine the effect of fillings completeness of inpatient medical discharge summary on implementation SNARS 1st  edition MIRM 15 valuation element at Rumah Sakit AMC Cileunyi.The research method used quantitative method with descriptive approach, The data collecting that by distributing quessioneir, observation, interview and compeleted with literature study which has a close relevance to the problem. The sampling technique used is sampling technique saturated.From the research of this research, the problem that arise among others: 1) The high number of incomplete replenishment of inpatien medical discharge summary. 2) The absence of standard procedure operational (SPO) for discharge summary, and 3) Unfulfilled SNARS accreditation standard 1st edition MIRM 15 valuation element related discharge summary The advice given to fix the problem is 1) Make a review team every room that aims to coordinate and control the incomplete doctor registers. It is expected that the doctor may improve the completeness of the filling of medical records. 2) Socializing the new design in accordance with the provisions of the SNARS edition 1 MIRM 15 valuation element and reinforcing the filling instructions by making the SPO filling discharge summary.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132830565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PENGARUH PENYULUHAN KESEHATAN TERHADAP PENGETAHUAN PENCEMARAN SAMPAH MAKROPLASTIK DAN MIKROPLASTIK PADA MAHASISWA PRODI DIII PEREKAM DAN INFORMASI KESEHATAN STIKes IMELDA","authors":"Lamtiur Junita Bancin, Johanna Christy","doi":"10.2411/JIPIKI.V5I2.416","DOIUrl":"https://doi.org/10.2411/JIPIKI.V5I2.416","url":null,"abstract":"Health education is one of the techniques to increase someone’s knowledge level due to the aim of improving knowledge and well understanding regarding microplastic and microplastic pollution. This research aimed to analyze the effect of health education towards the knowledge regarding macroplastic and microplastic pollution among students at the medical record and health major in the college of health sciences Imelda in terms of health education. This research used a quantitative approach with a Quasi-Experimental Study Design of a non-equivalent control group. The population was all the students with the medical record and health information major. The sampling technique used was purposive sampling, all the first-year students. The group of the sample consisted of two groups- the intervention and the control group. The intervention group consisted of 73 people who have given health education. Control group consisted of 73 people who have not given any health education. The statistic test used was the Wilcoxon test. The statistic result on the knowledge variable among the experiment group who had a good knowledge level refer to the pre-test score only 4.1 %. After given health education, the increasing number of people who had a good knowledge level (76.1%). The good knowledge level among the control group only showed 1.4% (pre-test and post-test). The result showed there was a significant increase after given health education among the experiment group (p=0.00). However, another result showed there was no significant difference among the control group (p=1.00). Health education towards macroplastic and microplastic pollution had a significant influence to the knowledge level for students. It is recommended for further research to examine the role of knowledge towards attitudes and behaviors or actions in the management of macro and microplastic waste pollution. Based on the results of the pre-test where respondents still have less and moderate knowledge while the issue of plastic waste in Indonesia requires full attention and more participation from the community from society, it is necessary to get the attention of educational institutions to further elaborate and educate students in pollution macro-plastic and microplastic waste.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128452476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FAKTOR-FAKTOR PENYEBAB KETERLAMBATAN PENGKLAIMAN BPJS RAWAT INAP DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN TAHUN 2020","authors":"Erlindai Purba","doi":"10.2411/JIPIKI.V5I2.408","DOIUrl":"https://doi.org/10.2411/JIPIKI.V5I2.408","url":null,"abstract":"The Social Security Organizing Agency (BPJS) is an institution formed to organize a Social Security Program in Indonesia based on Law Number 40 of 2004 and Law Number 24 of 2011. Indonesian General Imelda Worker Hospital is a private hospital in the city of Medan who have collaborated with BPJS Based on the initial survey of researchers on 30 medical records documents 13 files (43%) are in accordance with claim requirements and 17 files (56%) are incomplete. Data collection in this study is a questionnaire method. This research was conducted using quantitative research methods with cross sectional approach. The population used in this study were all medical record officers in the medical record unit in the IPI General Hospital Medan as many as 31 officers. Based on the results of a statistical test research conducted using the Chi Square (X2) computer test application with a significance of 95% (p <0.05) it can be concluded that the Hospital conducts an evaluation for medical records officers so that the performance of officers is as expected. Increase evaluation for the completeness of medical record documents used in BPJS claims.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127978329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ANALISIS KUANTITATIF KELENGKAPAN DOKUMEN REKAM MEDIS PASIEN RAWAT INAP DENGAN DIAGNOSA FRACTURE FEMUR DI RSUD DR. R.M. DJOELHAM BINJAI","authors":"Giyatno Giyatno, Maysyarah Yolla Rizkika","doi":"10.2411/JIPIKI.V5I1.349","DOIUrl":"https://doi.org/10.2411/JIPIKI.V5I1.349","url":null,"abstract":"ABSTRAK \u0000  \u0000Petugas rekam medis harus melakukan kegiatan analisa kuantitatif guna membantu dokter dalam kegiatan pencatatan dan pengisian rekam medis yang lengkap dan akurat. Tujuan penelitian ini adalah untuk mengetahui analisis kuantitatif kelengkapan dokumen rekam medis pasien rawat inap dengan diagnosa fracture femur di RSUD DR. R.M. Djoelham Binjai. Jenis penelitian ini yaitu deskriptif kualitatif. Sampel yang digunakan adalah seluruh jumlah populasi yaitu 36 dokumen rekam medis pasien rawat inap dengan diagnosa fracture femur tahun 2018. Pengumpulan data dilakukan dengan menggunakan tabel check list. Hasil penelitian kelengkapan identifikasi pasien tertinggi yaitu nama pasien, nomor rekam medis, dan tanggal lahir sebesar 20 dokumen (56%), persentase terendah yaitu jenis kelamin sebesar 10 dokumen rekam medis (28%). Kelengkapan pelaporan penting yaitu general consent sebesar 25 dokumen rekam medis (69%), persentase terendah yaitu informed consent sebesar 13 dokumen rekam medis (36%). Kelengkapan autentifikasi tertinggi yaitu tanda tangan dokter, nama perawat dan tanda tangan perawat sebesar 15 dokumen rekam medis (42%), persentase terendah yaitu nama dokter dan gelar profesional sebesar 11 dokumen rekam medis (31%). Kelengkapan pendokumentasian yang benar yaitu penggunaan singkatan sebesar 26 dokumen rekam medis (72%), persentase terendah yaitu pembetulan kesalahan sebesar 16 dokumen rekam medis (44%). Kelengkapan pengisian dokumen rekam medis belum lengkap 100%. Disarankan perlu adanya sosialisasi kepada seluruh petugas terkait dengan kelengkapan pengisian dokumen rekam medis dan mengikuti Standart Prosedur Operasional (SPO) terkait analisis kuantitatif kelengkapan dokumen rekam medis.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116049190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OPTIMALISASI ANTRIAN MENGGUNAKAN METODE SINGLE CHANNEL SINGLE PHASE ( STUDI KASUS DR. REKSODIWIRYO PADANG)","authors":"Yeyi Gusla Nengsih","doi":"10.2411/JIPIKI.V5I1.356","DOIUrl":"https://doi.org/10.2411/JIPIKI.V5I1.356","url":null,"abstract":"Antrian merupakan kejadian dimana pelanggan harus menunggu giliran untuk mendapatkan pelayanan. Proses Antrian di apotik Rumah Sakit Tentara Padang merupakan suatu masalah yang sering kali menjadi keluhan bagi pasien. Untuk mengatasi masalah ini dibutuhkan suatu metode sistem antrian supaya mendapatkan performansi model antrian. Sehingga dapat memberikan gambaran dan solusi untuk meningkatkan kinerja pelayanan pada proses pengambilan obat di apotik Rumah Sakit Tentara Padang. Model Antrian yang digunakan adalah model antrian Single Channel Single Phase yang memiliki satu jalur dan satu pelayanan yang dialiri oleh satu antrian tunggal. Variabel yang akan diamati adalah waktu antar kedatangan, waktu mulai pelayanan dan waktu selesai pelayanan dengan mengasumsikan pola distribusi poisson. Hasil dari penelitian ini nantinya diperoleh waktu sibuk server terpanjang yaitu 94,12%, jumlah rata-rata pasien dalam antrian terpanjang perperiode (Lq) yaitu 15 pasien, jumlah rata-rata pasien dalam sistem terpanjang perperiode (Ls) yaitu 16 pasien, waktu pasien berada dalam sistem terpanjang perperiode waktu (Ws) yaitu 60 menit, waktu pasien berada dalam antrian terpanjang perperiode waktu (Wq) yaitu 56,472 menit.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121456677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RANCANGAN KEBUTUHAN RAK DAN LUAS RUANGAN PENYIMPANAN REKAM MEDIS DI RUMAH SAKIT PUTRI HIJAU","authors":"Welly Satria Dewi, Siti Muthmainnah","doi":"10.2411/JIPIKI.V5I1.350","DOIUrl":"https://doi.org/10.2411/JIPIKI.V5I1.350","url":null,"abstract":"  \u0000ABSTRAK \u0000Rekam 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. \u0000  \u0000Kata Kunci : Rekam Medis, Rak Penyimpanan, Luas Ruangan. \u0000  \u0000ABSTRACT \u0000Medical 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.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116745258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FAKTOR-FAKTOR YANG MEMPENGARUHI DUPLIKASI PENOMORAN BERKAS REKAM MEDIS DI RUMAH SAKIT ADVENT MEDAN","authors":"Siti Agus Kartini","doi":"10.52943/jipiki.v5i1.346","DOIUrl":"https://doi.org/10.52943/jipiki.v5i1.346","url":null,"abstract":"Abstrak \u0000Rekam medis adalah berisikan cactatan dan dokumen tentang idetitas pasien , pemeriksaan, pengobatan, tindakan, dan pelayanan lain yang telah diberikan kepada pasien. Rekam medis adalah keteranan baik yang tertulis maupun yang terekam tentang identitas, anamases, pemeriksaan laboratorium, diagnosa, segala pelyanan dan tindakan medik yang di berikan kepada pasien. Penomoran berkas rekam medis yang baik merupakan salah satu kunci keberhsilan atau kebaikan suatu manajemen rekam medis dari suatu pelayanan kesehatan, tentunya didukung dengan sistem yang baik. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi duplikasi penomoran rekam medis di Rumah Sakit Advent Medan. Jenis penelitian ini adalah deskriptif kuantitatif dengan menggunakan metode cross sectional yang dilakukan di Rumah Sakit Advent Medan pada bulan juli 2018, Populasi dalam penelitian ini adalah 11 petugas rekam medis yang terdiri dari 7 orang petugas pendaftaran dan rawat jalan 4 orang petugas pendaftaran rawat inap, Sampel dalam penelitian ini Menggunakan  total sampel, instumen penelitian yang digunakan observasi dan kuisoner,  berdasarkan hasil penelitan yang dilakukan faktor yang mempengaruhi duplikasi nomor rekam medis mayoritas Pengetahuan diperoleh 54,5% dari 11 petugas rekam medis dan dengan hasil uji statistik diperoleh  p=0.015<0.05. sehingga Ho ditolak artinya adanya pengaruh antara pengetahuan petugas rekam medis dengan duplikasi penomoran di Rumah Sakit Advent Medan. Minoritas sikap diperoleh 63,6% dan dengan hasil uji statistik diperoleh p=0,545%<0.05 sehingga Ho diterima artinya tidak ada pengaruh antara sikap dengan duplikasi penomoran. Dari hasil uji    statistik antara pengetahuan dan sikap, terdapat pengaruh pengetahuan dengan duplikasi penomoaran di Rumah Sakit Advent, Sedangkan sikap tidak ada pengaruh dengan duplikasi penomoran di Rumah Sakit Advent. Diharapkan kepada Rumah Sakit untuk memberikan evaluasi atau pelatihan kepada petugas rekam medis dibagian pendaftaran secara berkesinambungan. \u0000Kata Kunci: Rekam medis, Faktor- faktor duplikasi No rekam medis, Sistem     penomoran \u0000Abstrack \u0000Medical record is containing records and documents about patient identity, examination, treatment, actions, and other services that have been provided to patients. Medical records are written and recorded safety regarding identities, anamases, laboratory tests, diagnoses, all services and medical actions given to patients. Numbering a good medical record file is one of the keys to the success or goodness of a medical record management of a health service, of course, supported by a good system. The purpose of this study was to determine the factors that influence the duplication of medical record numbering in Medan Adventist Hospital. This type of research is quantitative descriptive using a cross sectional method conducted at Medan Adventist Hospital in July 2018, the population in this study were 11 medical record officers consisting of 7 ","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122744126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FAKTOR-FAKTOR YANG MEMPENGARUHI KETERLAMBATAN PENGEMBALIAN BERKAS REKAM MEDIS RAWAT JALAN DI UPT RUMAH SAKIT KHUSUS PARU TAHUN 2019","authors":"Ali Sabela Hasibuan","doi":"10.2411/JIPIKI.V5I1.364","DOIUrl":"https://doi.org/10.2411/JIPIKI.V5I1.364","url":null,"abstract":"ABSTRAK \u0000  \u0000Unit 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. \u0000Kata Kunci                 : Pengembalian Rekam Medis. \u0000ABSTRACT \u0000  \u0000Medical 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 th","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123913920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FAKTOR-FAKTOR PENYEBAB KETERLAMBATAN WAKTU PENYEDIAAN REKAM MEDIS RAWAT JALAN DI RUMAH SAKIT UMUM MADANI TAHUN 2019","authors":"Zulham Andi Ritonga, Alan Juli Wannara","doi":"10.2411/JIPIKI.V5I1.341","DOIUrl":"https://doi.org/10.2411/JIPIKI.V5I1.341","url":null,"abstract":"ABSTRAK \u0000  \u0000Sistem penyimpanan yang diterapkan di Rumah Sakit Umum Madani Medan menggunakan sistem sentralisasi, yaitu penggabungan antara rekam medis rawat inap dengan rekam medis rawat jalan. Rekam medis rawat jalan dan rekam medis rawat inap disimpan dalam satu tempat penyimpanan rekam medis. Namun dikarenakan jumlah rak penyimpanan rekam medis kurang akibatnya status rekam medis tidak cukup untuk disusun di dalam rak penyimpanan dan ditumpukkan   di atas status yang telah disusun dengan rapi. Jenis penelitian ini menggunakan deskriptif melalui wawancara dan lembar check list. Penelitian ini dilakukan di RSU Madani Medan pada bulan Februari sampai dengan Juni 2019. Populasi dalam penelitian ini adalah pasien yang datang ke tempat pendaftaran rawat jalan dan seluruh petugas rekam medis di unit pendaftaran rawat jalan dan penyimpanan. Sampel dalam penelitian ini terbagi dalam dua jenis yaitu pasien rawat jalan yang terdiri dari pasien baru dan pasien lama serta petugas rekam medis rawat jalan RSU Madani Medan. Teknik sampling yang digunakan adalah Purposive Sampling. Dari hasil penelitian sistem penjajaran yang diterapkan di  Rumah Sakit Umum Madani Medan yaitu menggunakan sistem angka akhir. Sistem angka akhir dapat memudahkan para petugas rekam medis yang bukan ahli dalam melaksanakan pekerjaan penyimpanan tersebut dan sudah terlaksana dengan baik. Berdasarkan lokasi,  sistem penyimpanan menggunakan sentralisasi. Berkas rekam medis di ruang penyimpanan belum tersusun dengan rapi. Dimana rekam medis yang disimpan tidak cukup untuk dijajarkan ke dalam rak penyimpanan rekam medis, yang disebabkan karena luas ruang penyimpanan rekam medis yang tidak mencukupi sehingga mengakibatkan rak penyimpanan rekam medis tidak dapat ditambah ke dalam ruang penyimpanan rekam medis. Terdapat banyak berkas rekam medis ditumpukkan diatas berkas rekam medis yang telah disusun rapi sesuai dengan nomor rekam medisnya. Saat pengambilan kembali rekam medis pasien yang ingin berobat tidak menggunakan tracer (petunjuk keluar) sebagai pengganti untuk disisipkan di bagian setiap nomor rekam medis pasien yang ingin berobat.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116970725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TINJAUAN PELAKSANAAN NILAI GUNA REKAM MEDIS BAGI PASIEN DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN TAHUN 2018","authors":"Johanna Christy, S. AfniEfaniPutri","doi":"10.2411/JIPIKI.V5I1.335","DOIUrl":"https://doi.org/10.2411/JIPIKI.V5I1.335","url":null,"abstract":"ABSTRAK \u0000Rekam medis adalah berkas yang berisi catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain kepada pasien pada sarana pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui bagaimana pelaksanan nilai guna rekam medis bagi pasien. Jenis penelitian ini adalah deskriptif bertujuan menggambarkan secara sistematis fakta dan karakteristik objek dan subjek secara tepat. Waktu penelitian ini dilakukan pada bulan Juli di Rumah Sakit Umum Pekerja Indonesia Medan (RSU IPI) Tahun 2018. Populasi dalam penelitian adalah 440 berkas rekam medis. Dalam melakukan penelitian, peneliti mengambil sampel sebanyak 81 berkas rekam medis. Berdasarkan hasil penelitian yang dilakukan di RSU IPI pelaksanaan nilai guna rekam medis sudah terlaksana dengan baik, dilihat dari tersedianya ringkasan masuk dan keluar, resume, lembar operasi, identifikasi bayi, lembar persetujuan tindakan, lembar kematian pada setiapberkas pasien pulang meninggal, asuhan keperawatan didalam berkas rekam medis. Tetapi dalam pengisian berkas rekam medis petugas rekam medis belum mengimplementasikan nilai guna rekam medis dengan baik. Kesimpulannya pelaksanaan nilai guna rekam medis sudah baik namun dalam pengisian berkas rekam medis lebih di perhatikan sesuai Permenkes 269 Tahun 2008 Tentang rekam Medis sehingga pelaksaaan nilai guna rekam medis dan pengisisan berkas rekam medis berjalan lebih baik. \u0000  \u0000Kata Kunci: Rekam Medis, Nilai Guna Rekam Medis, Berkas Rekam Medis \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000  \u0000ABSTRACT \u0000  \u0000Medical record is a document that contains records and documents about patient identity, examination, treatment, care and other services for patients in health care facilities. The purpose of this study was to study how the implementation of the use of medical records for patients. This type of research is descriptive which addresses the systematic problem and the appropriate characteristics of objects and subjects. When this study was conducted in July at the Medan Indonesian Workers General Hospital (RSU IPI) in 2018. The population in this study was 440 medical record documents. In conducting research, researchers took 81 samples of medical records. Based on the results of research conducted at the IPI General Hospital, the implementation of the use value of medical records has been carried out well, seen from the availability of incoming and outgoing assessments, proceeding, surgery sheets, accessing infants, action approval sheets, consent sheets on each patient's return documents, medical care care. However, in applying medical records, medical record officers have not applied the use value of medical records properly. Conclusion the reclamation of the value of the medical record has been better in the reclamation of the medical record is better with the approval in accordance with Minister of Health Regulation 269 of 2008 About the Medical Record requires the implementation of the val","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121961649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}