对医院病历销毁情况的分析:系统回顾

Frida Indriani, Siswanto Siswanto
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Disarankan puskesmas menggunakan standar operasional prosedur yang telah ditetapkan oleh pemerintah serta melakukan pelaksanaan pemusnahan dokumen rekam medis sesuai aturan yang berlaku dan perlu merekrut pegawai yang sesuai dengan klasifikasi khusus rekam medis, selain itu puskesmas juga perlu mengadakan terkait pemusnahan rekam medis sehingga pelaksanaan pemusnahan dokumen rekam medis dapat terlaksana dengan baik.  Kata kunci : pemusnahan, rekam medis, puskesmas Abstract   Destruction is an activity of physically destroying medical record documents that have expired and have no use value, are damaged, illegible and cannot be recognized in terms of content or form. The aim of this research is to determine the implementation of the destruction of medical record documents at community health centers. This research is a systematic review using the preferred reporting items for systematic reviews and meta-analyses method or commonly called PRISMA, this method is carried out systematically by following the correct research stages or protocols. The results of the research show that there are 4 journals that have similarities in discussing standard operational procedures for destroying medical record files that do not follow applicable regulations and the 3 journals reviewed have similarities in the knowledge of medical record officers regarding the destruction of medical records due to the lack of PMIK staff who match their qualifications. as well as the lack of knowledge of officers regarding the destruction of medical records so that it is necessary to recruit employees who are in accordance with the special classification of medical records and require socialization regarding the destruction of medical records. It is recommended that community health centers use standard operational procedures that have been established by the government and carry out the destruction of medical record documents in accordance with applicable regulations and need to recruit employees who are in accordance with the special classification of medical records. Apart from that, community health centers also need to carry out the destruction of medical records so that the destruction of medical record documents can be carried out. can be implemented well. 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Disarankan puskesmas menggunakan standar operasional prosedur yang telah ditetapkan oleh pemerintah serta melakukan pelaksanaan pemusnahan dokumen rekam medis sesuai aturan yang berlaku dan perlu merekrut pegawai yang sesuai dengan klasifikasi khusus rekam medis, selain itu puskesmas juga perlu mengadakan terkait pemusnahan rekam medis sehingga pelaksanaan pemusnahan dokumen rekam medis dapat terlaksana dengan baik.  Kata kunci : pemusnahan, rekam medis, puskesmas Abstract   Destruction is an activity of physically destroying medical record documents that have expired and have no use value, are damaged, illegible and cannot be recognized in terms of content or form. The aim of this research is to determine the implementation of the destruction of medical record documents at community health centers. This research is a systematic review using the preferred reporting items for systematic reviews and meta-analyses method or commonly called PRISMA, this method is carried out systematically by following the correct research stages or protocols. The results of the research show that there are 4 journals that have similarities in discussing standard operational procedures for destroying medical record files that do not follow applicable regulations and the 3 journals reviewed have similarities in the knowledge of medical record officers regarding the destruction of medical records due to the lack of PMIK staff who match their qualifications. as well as the lack of knowledge of officers regarding the destruction of medical records so that it is necessary to recruit employees who are in accordance with the special classification of medical records and require socialization regarding the destruction of medical records. It is recommended that community health centers use standard operational procedures that have been established by the government and carry out the destruction of medical record documents in accordance with applicable regulations and need to recruit employees who are in accordance with the special classification of medical records. Apart from that, community health centers also need to carry out the destruction of medical records so that the destruction of medical record documents can be carried out. can be implemented well. 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引用次数: 0

摘要

Abstrak Pemusnahan 是一种可提高医疗服务质量的关键技术,该技术不仅能提高医疗服务质量,而且还能提高医疗服务的安全性、可靠性和可靠性。该计划的目的是在医院中实现医疗保健目标。该项目是一项系统性综述,采用了系统性综述和荟萃分析的首选报告项目(PRISMA)模式,该模式是一种系统性的方法,可用于制定项目方案。研究人员发现,目前有 4 篇论文记录了有关手术治疗标准的信息,其中 1 篇论文是为了提高医疗服务质量,另 3 篇论文是为了提高医疗服务质量。在过去的十年里,PMIK 的医疗保健服务不仅在国内,而且在国外都得到了很好的推广,尤其是在医疗保健服务方面。该系统不仅为医疗保健人员提供了操作标准,而且还为医疗保健机构提供了一个可持续发展的平台,同时也为医疗保健机构提供了一个可持续发展的机会、因此,医院也可以提供医疗保健服务,而医疗保健服务也可以在医院内进行。Kata kunci : pemusnahan, rekam medis, puskesmas Abstract Destruction is an activity of physically destroying medical record documents that have expired and no use value, are damaged, illegable and cannot be recognized in terms of content or form.本研究旨在确定社区卫生中心销毁医疗记录文件的实施情况。这项研究是一项系统性综述,采用了系统性综述和荟萃分析的首选报告项目方法(通常称为 PRISMA),该方法通过遵循正确的研究阶段或规程系统地进行。研究结果表明,有 4 份期刊在讨论销毁病历档案的标准操作程序时存在不遵守适用法规的相似之处,所审查的 3 份期刊在病历人员对销毁病历的了解方面存在相似之处,原因是缺乏符合其资格的 PMIK 员工,以及病历人员缺乏销毁病历的知识,因此有必要招聘符合病历特殊分类的员工,并要求对销毁病历进行社会化培训。建议社区卫生中心使用政府制定的标准操作程序,按照适用的法规销毁病历文件,并需要招聘符合病历特殊分类的员工。除此之外,社区卫生服务中心也需要开展病历销毁工作,这样才能做好病历文件的销毁工作。关键词:销毁;病历;卫生院
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ANALISIS PEMUSNAHAN REKAM MEDIS DI PUSKESMAS : SYSTEMATIC REVIEW
Abstrak   Pemusnahan adalah suatu kegiatan menghancurkan secara fisik dokumen rekam medis yang sudah berakhir masa fungsi dan tidak memiliki nilai guna, rusak, tidak terbaca dan tidak dapat dikenali baik isi maupun bentuknya. Tujuan dari penelitian ini untuk mengetahui pelaksanaan pemusnahan dokumen rekam medis di puskesmas. Penelitian ini merupakan systematic review dengan menggunakan metode preferred reporting items for systematic reviews and meta-analyses atau biasa disebut PRISMA, metode ini dilakukan secara sistematis dengan mengikuti tahapan atau protocol penelitian yang benar. Hasil penelitian menunjukkan bahwa terdapat 4 jurnal yang memiliki kesamaan yang membahas tentang standar operasional prosedur pemusnahanan berkas rekam medis belum mengikuti aturan yang berlaku dan 3 jurnal yang di review terdapat kesamaan pada pengetahuan petugas rekam medis pada pemusnahan rekam medis dikarenakan kurangnya tenaga PMIK yang sesuai dengan kualifikasinya serta kurangnya pengetahuan petugas tentang pemusnahan rekam medis sehingga perlu merekrut pegawai yang sesuai dengan klasifikasi khusus rekam medis dan memerlukan sosialisasi terkait pemusnahan rekam medis. Disarankan puskesmas menggunakan standar operasional prosedur yang telah ditetapkan oleh pemerintah serta melakukan pelaksanaan pemusnahan dokumen rekam medis sesuai aturan yang berlaku dan perlu merekrut pegawai yang sesuai dengan klasifikasi khusus rekam medis, selain itu puskesmas juga perlu mengadakan terkait pemusnahan rekam medis sehingga pelaksanaan pemusnahan dokumen rekam medis dapat terlaksana dengan baik.  Kata kunci : pemusnahan, rekam medis, puskesmas Abstract   Destruction is an activity of physically destroying medical record documents that have expired and have no use value, are damaged, illegible and cannot be recognized in terms of content or form. The aim of this research is to determine the implementation of the destruction of medical record documents at community health centers. This research is a systematic review using the preferred reporting items for systematic reviews and meta-analyses method or commonly called PRISMA, this method is carried out systematically by following the correct research stages or protocols. The results of the research show that there are 4 journals that have similarities in discussing standard operational procedures for destroying medical record files that do not follow applicable regulations and the 3 journals reviewed have similarities in the knowledge of medical record officers regarding the destruction of medical records due to the lack of PMIK staff who match their qualifications. as well as the lack of knowledge of officers regarding the destruction of medical records so that it is necessary to recruit employees who are in accordance with the special classification of medical records and require socialization regarding the destruction of medical records. It is recommended that community health centers use standard operational procedures that have been established by the government and carry out the destruction of medical record documents in accordance with applicable regulations and need to recruit employees who are in accordance with the special classification of medical records. Apart from that, community health centers also need to carry out the destruction of medical records so that the destruction of medical record documents can be carried out. can be implemented well. Keywords: destruction, medical records, health center
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