An Analysis of the Causes of Delays in the Return of Outpatient Medical Records at Jambesari Public Health Center, Bondowoso
DOI:
https://doi.org/10.25047/ijhitech.v2i1.6156Keywords:
7M, Medical Records, Outpatient, Return TimeAbstract
Timely return of medical records is essential for evaluating the quality of services at Community Health Centers (Puskesmas). In the second quarter of 2022, Puskesmas Jambesari in Bondowoso experienced a significant delay in the return of outpatient medical records. Of the 1,822 expected files, 1,443 (approximately 80%) were returned late, resulting in frequent misfiling due to improper storage. The prolonged absence of these records was a major contributing factor to the issue. This study aims to analyze the underlying causes of delays in returning outpatient medical records at Puskesmas Jambesari by examining the seven elements of the 7M framework: manpower, money, materials, machines, methods, motivation, and media. Employing a qualitative research approach, data were collected through interviews, observations, documentation, and brainstorming sessions. The findings reveal several systemic issues: front desk staff lacked awareness of return deadlines; training for relevant personnel was insufficient; the use of tracers and phone communication was minimal; expedition books were not optimally utilized; no specific Standard Operating Procedure (SOP) existed for record return; motivational incentives were absent; the physical storage space for records was inadequate; and no budget proposal had been prepared to support improvements. Notably, the absence of a clear SOP further exacerbated the problem.
References
[1] Fadillah R Et Al., “Analisis Penyebab Keterlambatan Pengembalian Berkas Rekam Medis Rawat Jalan Di Rumah Sakit Mitra Medika Bondowoso,” Jurnal Rekam Medik Dan Informasi Kesehatan, Vol. 2, No. 1, Pp. 64–72, 2020.
[2] A. Dewi Et Al., “Literature Review: Analisis Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Di Rumah Sakit,” Health Information Management Journal Issn, Vol. 9, No. 1, Pp. 2655–9129, 2021.
[3] R. Indradi S, Rekam Medis. Tanggerang Selatan, 2017.
[4] Kemenkes, “Menteri Kesehatan Republik Indonesia Nomor 129 Tahun 2008 Tentang Standar Pelayanan Minimal Rumah Sakit,” 2008.
[5] Margono S, Metodologi Penelitian Pendidikan : Komponen Mkdk / S. Margono. 2005.
[6] Depkes Ri, “Pedoman Penyelenggaraan Dan Prosedur Rekam Medis Rumah Sakit Di Indonesia,” 2006.
[7] Wijaya L And Dewi Deasy R, Kementerian Kesehatan Republik Indonesia Manajemen Informasi Kesehatan Ii: Sistem Dan Sub Sistem Pelayanan Rmik. 2017.
[8] F. Octaviantini, “Analisis Faktor Penyebab Keterlambatan Pengembalian Berkas Rekam Medis Rawat Inap Di Rsud Tongas,” 2018.
[9] D. A. T. L. Dan H. Wardani, “Tinjaun Pelaksaan Prosedur Peminjaman Dokumen Rekam Medis Di Unit Filing Rumah Sakit Umum Daerah Pandan Arang Boyolali Tahun 2012,” 2012.
[10] Suryawiyanto, “Analisis Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Rawat Inap Di Puskesmas Ambunten Tahun 2021,” 2021.
[11] Astuti Dan Anunggra, “Faktor-Faktor Penyebab Terjadinya Missfile Di Bagian Filing Rumah Sakit Umum Daerah Banyumas Tahun 2013.,” 2013.
[12] N. Oktavia, F. Tri Damayanti, And A. Kesehatan Sapta Bakti, “Analisis Penyebab Terjadinya Missfile Dokumen Rekam Medis Rawat Jalan Di Ruang Penyimpanan(Filling) Rsud Kota Bengkulu Tahun 2017,” Jurnal Manajemen Informasi Kesehatan Indonesia , Vol. 6, No. 2, 2018.
[13] E. K. Huffman, “Health Information Management,” 1994.
[14] C. Ramadlan, T. Wahyu, And Y. Pratama, “Pengaruh Design Tracer Terhadap Penyimpanan Berkas Rekam Medis Rawat Jalan Di Puskesmas Kapas,” Jurnal Hospital Science, Vol. 3, No. 2, 2019.
[15] Kemenkes, “Peraturan Menteri Kesehatan Nomor 269 Tahun 2008 Tentang Rekam Medis,” 2008.
[16] Natasia N, Loekqijana A, And Kurniawati J, “Faktor Yang Mempengaruhi Kepatuhan Pelaksanaan Sop Asuhan Keperawatan Di Icu-Iccu Rsud Gambiran Kota Kediri Factors Affecting Compliance On Nursing Care Sop Implementation In Icu-Iccu Gambiran Hospital Kediri,” Jurnal Kedokteran Brawijaya, Vol. 1, 2014.
[17] A. Haqqi, N. Nur Aini, A. Permana Wicaksono, J. Kesehatan, And P. Negeri Jember, “J-Remi : Jurnal Rekam Medik Dan Informasi Kesehatan Analisis Faktor Penyebab Keterlambatan Pengembalian Berkas Rekam Medis Rawat Inap Di Rs Universitas Airlangga,” 2020
[18] F. Anisa Nur Hidayati And D. Pramita Sari, “Prosiding Seminar Informasi Kesehatan Nasional (Sikesnas),” Prosiding Seminar Informasi Kesehatan Nasional (Sikesnas), 2021.
[19] Wiraja, “Faktor Faktor Yang Mempengaruhi Ketidaklengkapan Rekam Medis Pasien Pada Rumah Sakit Di Indonesia,” Jurnal Manajemen Informasi Kesehatan Indonesia, Vol. 7, No. 2, Pp. 2337–585, 2019.
[20] S. A. Saputra, “Pengaruh Kompensasi Dan Motivasi Kerja Terhadap Kepuasan Kerja Serta Implikasinya Terhadap Kinerja Pegawai Pada Dinas Pendidikan Kabupaten Karawang,” Jurnal Manajemen Dan Bisnis Kreatif, 2018.
[21] A. K. Negara1 And R. W. Febrianti2, “Pengaruh Motivasi Pelayanan Publik, Perceived Organizational Support Dan Organizational Citizenship Behavior Terhadap Kinerja Organisasi Sektor Publik Di Kota Tangerang,” Dynamic Management Journal, Vol. 3, No. 2, 2019.
[22] Nafisatun, “Analisis Faktor-Faktor Yang Berhubungan Dengan Pengembalian Dokumen Rekam Medis Rawat Inap Reguler Di Rsud Dr. Moewardi Surakarta,” 2011.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Siska Ainul Kiromah, Novita Nuraini, Atma Deharja, Sabran
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
