•  
  •  
 

Jurnal Administrasi Bisnis Terapan (JABT)

Abstract

Returning medical records is the beginning of processing patient medical records. The return of the patient's medical record is one of the quality standards of the medical record unit, which must be done a maximum of 1x24 hours after the patient going home. This study aims to determine the achievement of quality standards of medical record files for inpatients at Z Hospital, time of return, time of delay and factors causing delays in medical records. The research was conducted at the Medical Record Unit of Z Hospital with a mixed methods approach. Data collection was carried out from March to April 2021, using secondary data originating from 390 medical files based on the documentation of inpatient medical record files in February 2021 and primary data originating from interviews. The data was processed using a spreadsheet program, with univariate analysis. The results showed that the achievement of quality standards for inpatient medical documentation at Z Hospital was 40.77%. The average time is 3.91 days and the average delay time is 4.90 days. The cause of the delay is the doctor's discipline factor in filling out resumes, incomplete documents in patient status, and human resources.

References

Antara, A. A. G. B. L., & Arta S. K. (2013). Faktorfaktor yang berhubungan dengan tingkat keterlambatan pengembalian berkas rekam medis dari Instalasi Rawat Inap ke Instalasi Rekam Medis Di RSUD Wangaya Kota Denpasar Tahun 2013. Community Health, vol. 1, no. 2. Retrieved May 20, 2022, https://ojs.unud.ac.id/index.php/jch/article/v iew/7638/5732. Al Aufa, B. (2018). Analisis faktor yang berpengaruh terhadap ketidaktepatan waktu pengembalian berkas rekam medis rawat inap di RS X Bogor. Jurnal Vokasi Indonesia, vol. 6, no. 2 (2018). Retrieved May 22, 2022, http://www.jvi.ui.ac.id/index.php/jvi/article/ download/124/pdf. Departemen Kesehatan Republik Indonesia. (2008). Peraturan Menteri Kesehatan Republik Indonesia Nomor 269/Menkes/Per/III/2008 tentang rekam medis. Retrieved May 18, 2022, https://pelayanan.jakarta.go.id/download/reg ulasi/peraturan-meneteri-kesehatan-nomor269-tentang-rekam-medis.pdf. Djusmalinar, Ramadani N., & Natalia, G. D. (2017). Analisis keterlambatan pengembalian berkas rekam medis rawat inap ruang seruni ke bagian assembling di Rumah Sakit Dr. M. Yunus Bengkulu Tahun 2017. Jurnal Manajemen Informasi Kesehatan (Health Information Management), 2(1), 1 - 7. Retrieved May 22, 2022, https://doi.org/10.51851/jmis.v2i1.26 Erlindai. (2019). Faktor penyebab keterlambatan waktu pengembalian berkas rekam medis rawat inap RS Estomini Medan Tahun 2019. Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda, Vo.4, No.2. Retrieved May 20, 2022, https://jurnal.uimedan.ac.id/index.php/JIPIK I/article/view/86/88. Fardaningrum, A., & Prasetya, J. S. (2013). Aspek pengendalian tingkat keterlambatan pengembalian dokumen rekam medis dari rawat inap ke assembling di Rumah Sakit Bhayangkara Semarang Periode Februari Tahun 2013. Semarang: Universitas Dian Nuswatoro. Hanafiah, M. J., & Amir, A. (2012). Etika kedokteran dan hukum kesehatan (ed. 4). Jakarta: EGC. Hikmah, F., Wijayantin, R., & Rahmadtullah, Y. (2019). Penentu prioritas dan perbaikan masalah keterlambatan pengembalian berkas rekam medis rawat inap di RSD Kalisat. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 7(1), 58. Retrieved May 31, 2022, doi:http://dx.doi.org/10.33560/jmiki.v7i1.21 4 Kementerian Kesehatan Republik Indonesia. (2020). Keputusan Menteri Kesehatan Republik Indonesia Nomor: HK.01.07/MENKES/312/ 2020 tentang standar profesi perekam medis dan informasi kesehatan. Retrieved May 18, 2022, https://ktki.kemkes.go.id/info/sites/default/fi les/KMK%20No.%20HK.01.07-MENKES312- 2020%20ttg%20Standar%20Profesi%20Per ekam%20Medis%20dan%20Informasi%20 Kesehatan.pdf Mathar, I. (2018). Manajemen informasi kesehatan: Pengelolaan dokumen rekam medis. Sleman: Deepublish. Mirfat, S., Andadari, N., & Indah, Y. N. N. (2017). Faktor penyebab keterlambatan pengembalian dokumen rekam Medis di RS X Kabupaten Kediri. Medicoeticolegal dan Manajemen Rumah Sakit, 6(2), p. 157. Retrieved May 20, 2022, https://journal.umy.ac.id/index.php/mrs/artic le/download/2777/pdf_41 Muninjaya. (2016). Manajemen kesehatan (ed. 3). Jakarta: EGC. Oktoriani, E. N., Sutrisno, J., Mayasari, E., & Sodik, M. A. (2018). Analysis of medical record complete flexibility to complete claims of health BPJS RS Baptis Kota Batu. Journal of Global Research in Public Health, 3(1), 46– 53. Retrieved May 22, 2022, https://www.jgrph.org/index.php/JGRPH/art icle/view/140. Talib, M. T., & Syamsuddin (2022). Completeness and legal implications of patient medical records at Hajj Regional General Hospital of Makassar. KnE Life Sciences, 7(2), 305–317, Retrieved May 22, 2022, https://doi.org/10.18502/kls.v7i2.10324. Wardhina, F., & Rahmadiliyani, N. (2022). Faktor penyebab keterlambatan waktu pengembalian berkas rekam medis pasien rawat inap. J-REMI: Jurnal Rekam Medik Dan Informasi Kesehatan, 3(3), 214–222. Retrieved May 22, 2022, https://doi.org/10.25047/j-remi.v3i3.3164.

Download

Share

COinS