Faktor Penyebab Terjadinya Duplikasi Nomor Rekam Medis Pasien
DOI:
https://doi.org/10.25047/j-remi.v4i3.3920Keywords:
Policy, Infrastructure, Patient Compliance, Human resources, Treatment index cardAbstract
The medical record numbering system is a procedure for writing the number given to patients when they come for treatment at a health service. Based on observations at the Toboali Health Center, there were 13 patients who had more than one medical record number, there were also 14 cases where one medical record number was used for more than one patient. The purpose of this study was to determine the factors that cause duplication of patient medical record numbers. The research method is descriptive using a cross sectional survey design approach. The results showed that the causes of duplication of patient medical record numbers consisted of regulations/policies, facilities and infrastructure, human resources, patient compliance with MNH and changes in patient data that were not confirmed. The conclusion of this study is that all of these causal factors must be suppressed so that the history of patient data becomes continuous and prevents the risk of medical errors or malpractice.
References
S. P. Gultom and A. Sihotang, “Analisa Kebutuhan Tenaga Rekam Medis Wisn Di Bagian Pendaftaran Rumah Sakit Umum Haji Medan Tahun 2018,” J. Ilm. Perekam Dan Inf. Kesehat. Imelda, vol. 4, no. 1, pp. 524–532, 2019.
N. Arimbi, AD., Muflihatin, I., Muna, “Analisis Kuantitatif Kelengkapan Pengisian Formulir Informed Consent Rumkital Dr. Ramelan Surabaya,” J-REMI J. Rekam Med. Dan Inf. Kesehat., vol. 2, no. 2, pp. 221–229, 2021.
M. Y. Giyatno, Rizkika, “Analisis Kuantitatif Kelengkapan Dokumen Rekam Medis Pasien Rawat Inap Dengan Diagnosa Fracture Femur Di RSUD Dr. R.M. Djoelham Binjai,” J. Ilm. PEREKAM DAN Inf. Kesehat. IMELDA, vol. 5, no. 1, pp. 62–71, 2020.
R. Ridwan, “Pertanggungjawaban Hukum Pidana Terhadap Pelanggaran Rahasia Medis,” J. Huk. Pembang., vol. 49, no. 2, p. 338, 2019, doi: 10.21143/jhp.vol49.no2.2007.
N. Sawondari, G. Alfiansyah, and I. Muflihatin, “Analisis Kuantitatif Kelengkapan Pengisian Resume Medis di Rumkital Dr. Ramelan Surabaya,” J-REMI J. Rekam Med. Dan Inf. Kesehat., vol. 2, no. 2, pp. 211–220, 2021.
S. Parulian Gultom and E. Wati Pakpahan, “Faktor-Faktor Yang Memengaruhi Duplikasi Penomoran Rekam Medis Di Rumah Sakit Umum Madani Medan,” J. Ilm. Perekam dan Inf. Kesehat. Imelda, vol. 4, no. 2, pp. 604–613, 2019, doi: 10.52943/jipiki.v4i2.83.
A. R. Taufiq, “Penerapan Standar Operasional Prosedur (Sop) Dan Akuntabilitas Kinerja Rumah Sakit,” J. Profita, vol. 12, no. 1, pp. 56–66, 2019, doi: 10.22441/profita.2019.v12.01.005.
P. A. Raja and S. Haksama, “Analysis Of Determined Factors Of Tardiness Providing Documents Service In Outpatient Medical Record Unit,” J. Adm. Kesehat. Indones., vol. 2, no. 1, pp. 1–6, 2014.
Z. Andi Ritonga and A. J. Wannara, “Faktor-Faktor Penyebab Keterlambatan Waktu Penyediaan Rekam Medis Rawat Jalan Di Rumah Sakit Umum Madani Tahun 2019,” J. Ilm. Perekam dan Inf. Kesehat. Imelda, vol. 5, no. 1, pp. 85–97, 2020, doi: 10.52943/jipiki.v5i1.341.
R. Rosita, I. A. Yudistiro, D. P. Ramadani, and D. Nurhain, “Analisis Kebutuhan Jumlah Tenaga Kerja Rekam Medis di Puskesmas,” J. Manaj. Kesehat. Yayasan RS.Dr. Soetomo, vol. 8, no. 1, p. 1, 2022, doi: 10.29241/jmk.v8i1.780.
A. S. Hasibuan, “Faktor – Faktor Yang Menyebabkan Terjadinya Duplikasi Penomoran Berkas Rekam Medis Rumah Sakit Umum Imelda Pekerja Indonesia Medan Tahun 2016,” J. Ilm. PEREKAM DAN Inf. Kesehat. IMELDA, vol. 1, no. 2, pp. 104–110, 2016, [Online]. Available: http://jurnal.uimedan.ac.id/index.php/JIPIKI/article/view/18.
R. Rosita and A. Srirahayu, “Monitoring Mutu Pelayanan Rawat Inap Berbasis Komputerisasi,” Wind. Heal. J. Kesehat., vol. 3, no. 3, pp. 240–250, 2020, doi: 10.33368/woh.v0i0.341.
M. Tominanto, E. Purwanto, and N. Yuliani, “Outpatient Electronic Medical Records,” in International Conference on Applied Science and Engineering, 2018, vol. 175, no. Icase, pp. 143–146, doi: 10.2991/icase-18.2018.39.
S. H. Astiti and Y. Ilyas, “Implementasi Bauran Komunikasi Pemasaran RS Hermina Karawang di Era Pandemi Covid19,” J. Manaj. Kesehat. Yayasan RS.Dr. Soetomo, vol. 7, no. 2, p. 162, 2021, doi: 10.29241/jmk.v7i2.619.
A. G. Pamboaji, “Analisis Pengelolaan Sumber Daya Unit Rekam Medis di Rumah Sakit Misi Lebak Guna Meningkatkan Efisensi dan Efektivitas Pelayanan,” J. Kesehat. Vokasional, vol. 5, no. 3, p. 132, 2020, doi: 10.22146/jkesvo.48870.
F. Rohmah, Nurruli, “Pelatihan dan Pengembangan Sumber Saya Manusia,” J. Manaj. Pendidik. Islam, vol. 2, no. 1, pp. 1–11, 2018.
M. D. Bariqi, “Pelatihan Dan Pengembangan Sumber Daya Manusia,” J. Din. Pendidik., vol. 5, no. 2, pp. 64–69, 2018.
R. Rosita and S. Puspitasari, “Evaluasi Mutu Pelayanan Kesehatan Unit Gawat Darurat,” J. Kesehat. Holist., vol. 5, no. 1, pp. 18–28, 2021, doi: 10.33377/jkh.v5i1.87.
U. M. Barri, F. Rakhmawati, and A. Wulandari, “Perbedaan Kepatuhan Pasien Membawa Kartu Identitas Berobat (KIB) Antara Sebelum Dan Sesudah Diberikan Informasi Oleh Petugas Pendaftaran Rawat Jalan Di Puskesmas Gempol,” J. Medicare, vol. 1, no. April, pp. 1–6, 2022.
E. Agustina, J. Herman, P. Perekam dan Informasi Kesehatan, and Stik. Kapuas Raya Sintang, “Gambaran Kepatuhan Pasien Membawa Kartu Indentitas Berobat (KIB) Di Puskesmas Nanga Mau,” Jupermik, vol. 3, no. 2, pp. 75–80, 2020, [Online]. Available: http://stikara.ac.id/jupermik/index.php/JK.
S. Pinerdi, A. Deharja, and E. Rachmawati, “Evaluasi Sistem Penomoran Rekam Medis Menggunakan Metode Focus PDCA di RSUP Sanglah,” J-REMI J. Rekam Med. dan Inf. Kesehat., vol. 1, no. 3, pp. 347–356, 2020, doi: 10.25047/j-remi.v1i3.2095.
S. D. Arianti, L. Masyfufah, S. Sulistyoadi, and F. Wijaya, “Faktor-Faktor Yang Mempengaruhi Duplikasi Penomoran Berkas Rekam Medis Di Siloam Hospitals Surabaya,” J. Manaj. Kesehat. Yayasan RS.Dr. Soetomo, vol. 6, no. 2, p. 179, 2020, doi: 10.29241/jmk.v6i2.388.
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