Gambaran Proses Assembling Pasien Rawat Inap di Rumah Sakit Umum Dharma Yadnya Denpasar Tahun 2019 : An Overview of The Process of Assembling Inpatients in 2019 at The Dharma Yadnya General Hospital Denpasar

Dr. Ir. Made Sudiari, MM

Authors

Dr. Ir. Made Sudiari, MM ABPTSI

Abstract

The assembling process is the assembly of medical record documents by analyzing the completeness of medical record files. The assembling officer must make every effort to maintain the completeness of the medical record files. However, based on the results of interviews with medical record officers, incomplete inpatient medical record files were still found. The purpose of this study was to describe the assembling process of inpatients at Dharma Yadnya Hospital. This type of research is descriptive with a cross sectional approach. The results of this study indicate that the medical record assembling process at the Dharma Yadnya General Hospital is in accordance with the existing SOP and has referred to Permenkes Nomor 269/Menkes/Per/III/2008 regarding the contents of inpatient medical records. It's just that there was a delay in coding due to a lack of officers which led to accumulation of medical record files and finding patient complaints due to the long administration process. We recommend that the hospital management recruit medical record officers in order to avoid complaints from health service users.

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References

Fauziah, U., & Sugiarti, I. (2014). Gambaran Pengembalian Dokumen Rekam Medis Rawat Inap Ruang VII Triwulan IV Tahun 2013 Di Rumah Sakit Umum Daerah Tasikmalaya. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI)2, 2(1), 90–94.

Giyana, F. (2012). Analisis Sistem Pengelolaan Rekam Medis Rawat Inap Rumah Sakit Umum Daerah Kota Semarang. Jurnal Kesehatan Masyarakat, 1(2), 48–61.

Huffman, E. K. (2019). Tentang Rekam Medis. Bandung: Rikie Kartadie.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 269/MENKES/PER/III/2008 Tentang Rekam Medis. , (2008). Indonesia.

Kumalasari, D. A., & Saptorini, K. K. (2015). Evaluasi Kinerja Assembling dalam Pengendalian Ketidaklengkapan Dokumen Rekam Medis di Assembling RSUD Ungaran Tahun 2015. Skripsi. Universitas Dian Nuswantoro.

Notoatmodjo, S. (2005). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.

Nurfadhilah. (2017). Analisis Hubungan Kelengkapan Pengisian Resume Medis Terhadap Kesesuaian Standar Tarif INA-CBG’S Instalasi Rawat Inap Teratai RSUP Fatmawati Jakarta. Jurnal Kedokteran dan Kesehatan, 13(1), 90–103.

Purba, E. (2016). Pengaruh Perilaku Dokter terhadap Kelengkapan Penulisan Data Rekam Medis pada Resume Pasien Rawat Inap di RSU Ipi Medan Tahun 2015. Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda, 1(1), 68–72.

Rusanti, S., & Ritonga, Z. A. (2018). Gambaran Sistem Penyelenggaraan Rekam Medis di Rumah Sakit Umum Bunda Thamrin Tahun 2018. Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda, 3(2), 498–509.

BMJ

An Overview of The Process of Assembling Inpatients in 2019 at The Dharma Yadnya General Hospital Denpasar