Evaluasi Kesesuaian Pengelolaan Rekam Medis Dengan Standar Akreditasi Di Rumah Sakit Kabupaten Cirebon

Vadia Nur Afifah Mubaroch; Loura Weryco Latupeirissa; Riantina Luxiarty

doi:10.61434/mejora.v2i4.262

Authors

Vadia Nur Afifah Mubaroch Institut Teknologi dan Kesehatan Mahardika
Loura Weryco Latupeirissa Institut Teknologi dan Kesehatan Mahardika
Riantina Luxiarty Institut Teknologi dan Kesehatan Mahardika

DOI:

https://doi.org/10.61434/mejora.v2i4.262

Keywords:

Hospital, Accreditation, Medical Records

Abstract

Accreditation is recognition given to prayer house because it has made efforts to improve the quality of services on an ongoing basis. The aim of this research is to fid out how appropriate the implementation of medical records in fulfilling accreditation standards at Horpital Cirebon Regency.

This type of research uses quantitatve descriptive. The variable in this research is the evaluation of the suitability of medical record administration in meeting accreditation standards at Hospital Cirebon Regency. The object of this research is an evaluation of the suitability of medical record management in fulfilling accreditation standards at Hospital, the subject of this research is medical records management. The data collection technique uses observation with research instrumen namely a checklist sheet.

Based on the research results, it is known that from 51 assessment elements that have been studied at Hospital accreditation standards consist of, it was found that standards were not in accordance with hospital accreditation, 3 assessment elements with a percentage of 6%, partially corresponds 7 assessment elements with a percentage of 14% and 41 assessment elements that were in accordance with hospital accreditation standards with a percentage of 80%. This research can be used as reference material in implementing hospital policies regarding the maintenance of medical records, carrying out regular monitoring regarding the administration of medical records.

Downloads

Download data is not yet available.

References

R. I. Permenkes, Nomor 24 Tahun 2022 Rekam Medis. Jakarta: Kemenkes RI.

Hosizah, “Kumpulan Peraturan Perundangan Rekam Medis dan Informasi Kesehatan,” in Jurnal Manajemen Informasi Kesehatan, Yogyakarta: aptiRMIK Press, 2014. [Online]. Available: https://www.slims.stikesgunungmaria.ac.id/index.php?p=show_detail&id=678

Y. Karen, “Tinjauan Sistem Penyimpanan Rekam Medis Menurut Standar Akreditasi KARS Versi 2012 di Rumah Sakit Bhayangkara Tahun 2021,” J. Rekam Medis, vol. 2, no. 3., 2022, [Online]. Available: https://jom.htp.ac.id/index.php/rmik/article/view/897/273

S. Dermawan, “Review Rekam Medis Terbuka dan Review Rekam Medis Tertutup sesuai SNARS di Rumah Sakit Husada,” J. Gambaran Implementasi, 2020, [Online]. Available: https://prosiding.esaunggul.ac.id/index.php/FHIR/article/download/66/75

S. A. Simbolan, “Kajian Yuridis terhadap Kedudukan Rekam Medis Elektronik dalam Pembuktian Perkara Pidana Malpraktek oleh Dokter,” J. Lex Crim., vol. 2015, no. 4, 2015.

N. Kendrastuti, “Evaluasi Penyelenggaraan Rekam Medis Dalam Pemenuhan Standar Akreditasi Puskesmas Kedaung Barat Kabupaten Tanggerang,” J. Indones. Health Inf. Manag. J. INOHIM Vo, vol. 11, no. 1, 2023, [Online]. Available: https://inohim.esaunggul.ac.id/index.php/INO/article/view/508n

Sugiyono, Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan. Jakarta: Salemba Medika, 2016.

S. Notoatmodjo, Metodologi Penelitian Kesehatan. Jakarta: Bineka Cipta, 2018.

N. Aini and M. R. Yahya, “Pengaruh Management Change, Financial Distress,Ukuran Perusahaan Klien, Dan Opini Audit Terhadap Auditor Switching,” J. Ilm. Mhs. Ekon. Akunt., vol. 4, no. 2, pp. 245–258, 2019.

RSUD Moewardi, “Pedoman Pengorganisasian RSUD Dr. Moewardi Tahun 2017.” RSUD Moewardi, 2017.

dkk Naimah, “Analisis Kuantitatif Dokumen Rekam Medis Rawat Inap Dengan Diagnosa Vertigo di RSI Amal Sehat Periode Triwulan IV Pada Tahun 2012,” J. Rekam Medis, vol. VIII, no. 2, 2014, [Online]. Available: https://ejurnal.stikesmhk.ac.id/index.php/rm/article/view/314

B. Barthos, Manajemen Kearsipan untuk Lembaga Negara, Swasta, dan Perguruan Tinggi. Jakarta: Bumi Aksara, 2016. [Online]. Available: https://opac.perpusnas.go.id/DetailOpac.aspx?id=1111377

Fajariani, “Analisis Kelengkapan Pengisian dan Ketepatan Waktu Pengembalian Berkas Rekam Medis Pasien Rawat Inap Di RSUD Kota Makassar.” 2020. [Online]. Available: https://respiratory.unhas.ac.id/3052/2/K01218055_tesis%201-2.pdf

R. I. Kemenkes, “Peraturan Menteri Kesehatan Republik Indonesia Nomor 269/MENKES/PER/III/2008 Tentang Rekam Medis.Peraturan Menteri Kesehatan Tentang Rekam Medis.” 2008.

Dzulhanto, “Kelengkapan Pengisian Dokumen Rekam Medis Penyakit Hernia dengan Metode Analisis Kuantitatif,” in Jurnal Manajemen Informasi dan Administrasi Kesehatan Vo.1, 2018. [Online]. Available: https://journal.univetbantara.ac.id/index.php/jmiak-rekammedis/article/view/121

R. Rosita, A. P. K. Rizky, N. N. Afifah, and Harjanti, “Faktor Penyebab Ketidaklengkapan Dokumen Rekam Medis Rawat Inap Pada Kasus Single Live Birth,” Semin. Inf. Kesehat. Nas., vol. SIKesNas, pp. 391–399, 2021.

R. indradi Sudra, Rekam Medis (Edisi 2. Tangerang Selatan: Universitas Terbuka, 2017.